The British journal of general practice : the journal of the Royal College of General Practitioners
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Multicenter Study
Depth of the patient-doctor relationship and content of general practice consultations: cross-sectional study.
Patient-doctor continuity is valued by both parties, yet the effect of the depth of the patient-doctor relationship on the content of consultations in general practice is unknown. ⋯ A greater number of problems and issues may be raised in a consultation when patients have a deeper relationship with their GP. Over several clinical encounters each year, this may be associated with significant benefits to patients and efficiencies in GP consultations and warrants further investigation.
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Multicenter Study Observational Study
Statin prescribing for primary prevention of cardiovascular disease: a cross-sectional, observational study.
The updated (2014) National Institute for Health and Care Excellence (NICE) guideline lowered the recommended threshold for statin prescription from 20% to 10% 10-year cardiovascular disease (CVD) risk. ⋯ This study confirms continuing undertreatment of patients at highest CVD risk (≥20%). GPs prescribed statins to only one-fifth of those in the 10-19% risk band usually in association with known major risk factors. Only 3.7% of individuals below 10% were prescribed statins.
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Diagnosis of dementia often requires specialist referral and detailed, time-consuming assessments. ⋯ This study found that three simple questions have high utility for diagnosing dementia in men who are cognitively screened. If confirmed, this could lead to less burdensome assessment where clinical assessment suggests possible dementia.