The British journal of general practice : the journal of the Royal College of General Practitioners
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Review Meta Analysis
Accuracy of one or two simple questions to identify alcohol-use disorder in primary care: a meta-analysis.
There is much interest in ultra-short alcohol screening in primary care that may support brief alcohol interventions. Brief screening consisting of one or two questions might be used alone or in combination with longer tests as recommended by the Primary Care Service Framework. ⋯ Two brief questions can be used as an initial screen for alcohol problems but only when combined with a second-step screen. A brief alcohol intervention should be considered in those individuals who answer positively on both steps.
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Randomized Controlled Trial Multicenter Study
Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial.
Physical inactivity is a major, potentially modifiable, risk factor for cardiovascular disease, cancer, and other chronic diseases. Effective, simple, and generalisable interventions that will increase physical activity in populations are needed. ⋯ A simple smartphone app significantly increased physical activity over 8 weeks in a primary care population.
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Randomized Controlled Trial Multicenter Study
Experiences of front-line health professionals in the delivery of telehealth: a qualitative study.
Telehealth is an emerging field of clinical practice but current UK health policy has not taken account of the perceptions of front-line healthcare professionals expected to implement it. ⋯ Health care professionals will need to develop a shared understanding of patient self-management through telehealth. This may require a renegotiation of their roles and responsibilities.
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The annual number of unplanned attendances at accident and emergency (A&E) departments in England increased by 11% (2.2 million attendances) between 2008-2009 and 2012-2013. A national review of urgent and emergency care has emphasised the role of access to primary care services in preventing A&E attendances. ⋯ A large number of A&E attendances are likely to be preceded by unsuccessful attempts to obtain convenient general practice appointments in England each year.