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 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.
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Randomized Controlled Trial
Methods for a study of Anticipatory and Preventive multidisciplinary Team Care in a family practice.
BACKGROUND T o examine the methodology used to evaluate whether focusing the work of nurse practitioners and a pharmacist on frail and at-risk patients would improve the quality of care for such patients. ⋯ Three factors limit our ability to fully demonstrate the potential effects of this team structure. For reasons outside our control, the intervention duration was shorter than intended; the practice's physical layout did not facilitate interactions between the care providers; and contamination of the intervention effect into the control arm cannot be excluded. The study used a randomized design, relied on a multifaceted approach to evaluating its effects, and used several sources of data. TRIAL REGISTRATION NUMBER NCT00238836 (CONSORT).