Browsing by Subject "general-practice"
Now showing items 1-17 of 17
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Blame the patient, blame the doctor or blame the system? a meta-synthesis of qualitative studies of patient safety in primary care
(Public Library of Science (PLoS), 2015-08-05)Objective Studies of patient safety in health care have traditionally focused on hospital medicine. However, recent years have seen more research located in primary care settings which have different features compared to ... -
Do patients with angina alone have a more benign prognosis than patients with a history of acute myocardial infarction, revascularisation or both? findings from a community cohort study
(BMJ, 2008-07-31)Aim: To compare prognosis for patients with a diagnosis of angina alone to patients postacute myocardial infarction (AMI) and/or revascularisation and/or angina. Design: Community-based retrospective cohort study. Setting: ... -
Five-year prognosis in an incident cohort of people presenting with acute myocardial infarction
(Public Library of Science (PLoS), 2011-10-20)Background: Following an AMI, it is important for patients and their physicians to appreciate the subsequent risk of death, and the potential benefits of invasive cardiac procedures and secondary preventive therapy. Studies, ... -
Identifying strategies to maximise recruitment and retention of practices and patients in a multicentre randomised controlled trial of an intervention to optimise secondary prevention for coronary heart disease in primary care
(Springer Nature, 2009-06-19)Background: Recruitment and retention of patients and healthcare providers in randomised controlled trials (RCTs) is important in order to determine the effectiveness of interventions. However, failure to achieve recruitment ... -
'inappropriate' attenders at accident and emergency departments i: definition, incidence and reasons for attendance
(Oxford University Press (OUP), 1998-02-01)Background and Objectives. Significant numbers of patients refer themselves to A&E departments for conditions which are neither accidents nor emergencies, relatively few of which require specific hospital treatment. These ... -
Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: a cluster randomized trial
(Joule Inc., 2015-11-16)Background: Overuse of antimicrobial therapy in the community adds to the global spread of antimicrobial resistance, which is jeopardizing the treatment of common infections. Methods: We designed a cluster randomized complex ... -
Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis
(Royal College of General Practitioners, 2015-06-28)Background Ischaemic heart disease (IHD) is the most common cause of death worldwide. Aim To determine the long-term impact of organisational interventions for secondary prevention of IHD. Design and setting Systematic ... -
Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review
(Royal College of General Practitioners, 2010-12-01)Background Patients with high blood pressure (hypertension) in the community frequently fail to meet treatment goals: a condition labelled as 'uncontrolled' hypertension. The optimal way to organise and deliver care to ... -
Supporting prescribing in older people with multimorbidity and significant polypharmacy in primary care (sppire): a cluster randomised controlled trial protocol and pilot
(Springer Nature, 2017-08-01)Background: Multimorbidity, defined as the presence of at least two chronic conditions, becomes increasingly common in older people and is associated with poorer health outcomes and significant polypharmacy. The National ... -
Supporting the improvement and management of prescribing for urinary tract infections (simple): protocol for a cluster randomized trial
(Springer Nature, 2013-01-01)Background: The overuse of antimicrobials is recognized as the main selective pressure driving the emergence and spread of antimicrobial resistance in human bacterial pathogens. Urinary tract infections (UTIs) are among ... -
The contribution of qualitative research in designing a complex intervention for secondary prevention of coronary heart disease in two different healthcare systems
(Springer Nature, 2006-07-18)Background: Developing complex interventions for testing in randomised controlled trials is of increasing importance in healthcare planning. There is a need for careful design of interventions for secondary prevention of ... -
The prevalence of multimorbidity in primary care and its effect on health care utilization and cost
(Oxford University Press (OUP), 2011-03-24)Objective. The aim of this observational study was to examine the prevalence and associated health care utilization and cost of patients with multimorbidity. Methods. All patients > 50 years of age were eligible for ... -
Trimethoprim and ciprofloxacin resistance and prescribing in urinary tract infection associated with escherichia coli: a multilevel model
(Oxford University Press (OUP), 2012-06-22)Individual and group level factors associated with the probability of antimicrobial resistance of uropathogenic Escherichia coli were analysed in a multilevel model. Adult patients consulting with a suspected urinary tract ... -
Using qualitative insights to change practice: exploring the culture of antibiotic prescribing and consumption for urinary tract infections
(BMJ, 2016-01-01)Objectives: The aim of this paper is to explore the culture of antibiotic prescribing and consumption in the community for urinary tract infections (UTI) from the perspective of the general practitioners (GPs) and community ... -
Where do young adults want opportunistic chlamydia screening services to be located?
(Oxford University Press (OUP), 2011-04-12)Background This study measured the acceptability of urine-based chlamydia screening to young adults, where young adults wanted opportunistic chlamydia screening services to be located, and by whom they wanted to be offered ...