The British journal of general practice : the journal of the Royal College of General Practitioners
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Multicenter Study
Persistent problems 1 year after mild traumatic brain injury: a longitudinal population study in New Zealand.
Mild traumatic brain injury (mTBI) is a common problem in general practice settings, yet previous research does not take into account those who do not attend hospital after injury. This is important as there is evidence that effects may be far from mild. ⋯ Although some people make a spontaneous recovery after mTBI, nearly half continue to experience persistent symptoms linked to their injury. Monitoring of recovery from mTBI may be needed and interventions provided for those experiencing persistent difficulties. Demographic factors and medical history should be taken into account in treatment planning.
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Multicenter Study
Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care.
In the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider problems that patients experience and to facilitate recovery. Little is known, however, about how patients and service providers view care after hospital discharge and the role played by primary care services, specifically GPs. ⋯ Discharge from hospital after an injury can be problematic for patients. Changes in both secondary and primary care are required to resolve this problem.
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Multicenter Study
Antibiotic prescribing and patient satisfaction in primary care in England: cross-sectional analysis of national patient survey data and prescribing data.
Concerns about adverse effects on patient satisfaction may be an important obstacle to attempts to curtail antibiotic prescribing. ⋯ Patients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.
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Multicenter Study
Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision.
Before 2012, UK GPs were paid only to offer cessation advice to smokers and only to those with smoking-related disease, a minority of all smokers. From 2012, GPs are now paid to offer all smokers referral for behavioural support and medication to assist cessation at least once every 2 years. ⋯ Paying GPs to intervene with all smokers and offer support rather than just advice to quit is associated with an increase in recording of advice and referring patients for behavioural support to stop smoking, but no change in prescribing pharmacotherapy for cessation.
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Randomized Controlled Trial Multicenter Study Pragmatic Clinical Trial
Promoting physical activity in older people in general practice: ProAct65+ cluster randomised controlled trial.
Regular physical activity reduces falls, hip fractures, and all-cause mortality, but physical activity levels are low in older age groups. ⋯ The FaME programme increases self-reported physical activity for at least 12 months post-intervention and reduces falls in people aged ≥65 years, but uptake is low. There was no statistically significant difference in reaching the target, or in falls, between the OEP and usual-care arms.