The British journal of general practice : the journal of the Royal College of General Practitioners
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Non-adherence to acute antibiotic prescriptions is poorly described and may impact on clinical outcomes, healthcare costs, and interpretation of research. It also results in leftover antibiotics that could be used inappropriately. ⋯ Non-adherence to antibiotics for acute cough or lower respiratory tract infection is common. Duration of treatment, choice of antibiotic, and setting were associated with adherence but adherence to treatment was not associated with differences in recovery.
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Randomized Controlled Trial Multicenter Study
Cardiovascular risk reduction following diagnosis of diabetes by screening: 1-year results from the ADDITION-Cambridge trial cohort.
Uncertainties persist concerning the effects of early intensive management of type 2 diabetes and which patients benefit most from such an approach. ⋯ It is possible to achieve significant reductions in modelled CVD risk over 14 months following diagnosis of diabetes by screening. Risk reduction appeared to be driven mainly by prescription of higher numbers of drugs, decreased energy intake, and weight reduction. There was room for further risk reduction, as many patients were not prescribed recommended treatments.
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Randomized Controlled Trial Multicenter Study Comparative Study
Continuity in different care modes and its relationship to quality of life: a randomised controlled trial in patients with COPD.
New care modes in primary care may affect patients' experienced continuity of care. ⋯ Although personal continuity decreases when new care modes are introduced, no evidence that this affects patients' experienced team continuity or patients' quality of life was found. Patients still experienced smooth, ongoing care, and considered care to be connected. Overall, no evidence was found indicating that the introduction of new care modes in primary care for patients with COPD should be discouraged.