Canadian family physician Médecin de famille canadien
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Randomized Controlled Trial Comparative Study
Decision making in family medicine: randomized trial of the effects of the InfoClinique and Trip database search engines.
To compare the ability of users of 2 medical search engines, InfoClinique and the Trip database, to provide correct answers to clinical questions and to explore the perceived effects of the tools on the clinical decision-making process. ⋯ Family medicine residents' ability to provide correct answers to clinical questions increased dramatically and similarly with the use of both InfoClinique and the Trip database. These tools have strong potential to increase the quality of medical care.
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Randomized Controlled Trial
Effect of nurse practitioner and pharmacist counseling on inappropriate medication use in family practice.
To measure the effect of nurse practitioner and pharmacist consultations on the appropriate use of medications by patients. ⋯ We observed large improvements in the appropriate use of medications during this trial. This might provide a mechanism to explain some of the reductions in mortality and morbidity observed in other trials of counseling and advice provided by pharmacists and nurses.
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Randomized Controlled Trial
Patient self-management of warfarin therapy: pragmatic feasibility study in Canadian primary care.
To investigate the effectiveness of patient self-management (PSM) of anticoagulation using warfarin in a typical primary care site in Canada and to determine the feasibility of conducting a future large-scale trial in this setting. ⋯ Patient self-management was not demonstrated to be superior to standard care, but was easily implemented and was the method preferred by patients. Our feasibility outcomes justify a larger trial and suggest that subject recruitment and protocol adherence would not pose barriers for such a study. Trial registration number NCT00925028 (ClinicalTrials.gov).
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Randomized Controlled Trial Comparative Study
Screening for type 2 diabetes following gestational diabetes: family physician and patient perspectives.
To explore primary care provider (PCP) and patient perspectives on postpartum screening for type 2 diabetes (T2DM), including reasons for not completing oral glucose tolerance tests (OGTTs) specifically, preferred provider for organizing screening, and value of reminder letters for facilitating screening. ⋯ This follow-up survey demonstrates that PCPs and patients value the importance of screening for diabetes, identify the PCP as pivotal to screening, and appreciate a reminder strategy. There continue to be barriers that affect screening rates, despite the perceived importance of screening by PCPs and patients.
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Randomized Controlled Trial
Improving aerobic fitness in older adults: effects of a physician-based exercise counseling and prescription program.
To determine the effects of adding stages of change-based counseling to an exercise prescription for older, sedentary adults in family practice. ⋯ The Step Test Exercise Prescription Stages of change exercise and behavioural intervention improved fitness and activity and lowered systolic blood pressure across a range of Canadian practices, but this was not significantly different from the control group, which received only the exercise prescription. Women in the intervention group showed higher levels of fitness than women in the control group did; men in both groups showed similar improvement.