The British journal of general practice : the journal of the Royal College of General Practitioners
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Multicenter Study
Variations in GP-patient communication by ethnicity, age, and gender: evidence from a national primary care patient survey.
Doctor-patient communication is a key driver of overall satisfaction with primary care. Patients from minority ethnic backgrounds consistently report more negative experiences of doctor-patient communication. However, it is currently unknown whether these ethnic differences are concentrated in one gender or in particular age groups. ⋯ The identification of groups with particularly marked differences in experience of GP-patient communication--older, female, Asian patients and younger 'Any other white' patients--underlines the need for a renewed focus on quality of care for these groups.
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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.