The British journal of general practice : the journal of the Royal College of General Practitioners
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Recommendations suggest that all patients with diabetes who use insulin should home test their blood glucose. Recommendations for those not using insulin remain contradictory. These recommendations are in part based upon the assumption that people with diabetes cannot make an accurate estimate. ⋯ The majority of patients with diabetes in this study could not accurately estimate their blood glucose levels indicating that home testing may be a necessary part of diabetes self care. Home testing may also function as a form of biofeedback to facilitate an improved ability to estimate blood glucose levels.
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Randomized Controlled Trial Multicenter Study Comparative Study
Comparison of GP and nurse practitioner consultations: an observational study.
Studies show that satisfaction with nurse practitioner care is high when compared with GPs. Clinical outcomes are similar. Nurse practitioners spend significantly longer on consultations. ⋯ The provision of more information in the longer nurse consultations may explain differences in patient satisfaction found in other studies. Clinicians need to consider how much information it is appropriate to provide to particular patients.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomised controlled trial to compare GP-run orthopaedic clinics based in hospital outpatient departments and general practices.
To reduce outpatient waiting times, a growing number of outpatient clinics for selected groups of patients are being provided by GPs with special interests (GPwSIs). ⋯ For selected orthopaedic referrals seen by GPwSIs, there were no significant differences in clinical outcomes between practice-based and hospital-based clinics, but some features of practice-based clinics tend to be preferred by patients.