The British journal of general practice : the journal of the Royal College of General Practitioners
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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
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.
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Multicenter Study Observational Study
Prevalence, diagnosis, and disease course of pertussis in adults with acute cough: a prospective, observational study in primary care.
Most cases of adult pertussis probably remain undiagnosed. ⋯ Pertussis infection plays a limited role among adults presenting with acute cough in primary care, but GPs should acknowledge the possibility of pertussis in uncomplicated lower respiratory tract infection. As in children, pertussis also causes prolonged symptoms in adults. However, pertussis is difficult to discern from other acute cough syndromes in adults at first presentation.
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Multicenter Study
A clinical prediction rule for meniscal tears in primary care: development and internal validation using a multicentre study.
In primary care, meniscal tears are difficult to detect. A quick and easy clinical prediction rule based on patient history and a single meniscal test may help physicians to identify high-risk patients for referral for magnetic resonance imaging (MRI). ⋯ The CPR improved the detection of meniscal tears in primary care. Further evaluation of the CPR in new primary care patients is needed, however, to assess its usefulness.