XML Women & Family Health News

Towards an international taxonomy of integrated primary care: a Delphi consensus approach

published Fri, May 22 2015 07:00 GMT
Background: Developing integrated service models in a primary care setting is considered an essential strategy for establishing a sustainable and affordable health care system. The Rainbow Model of Integrated Care (RMIC) describes the theoretical foundations of integrated primary care. The aim of this study is to refine the RMIC by developing a consensus-based taxonomy of key features. Methods: First, the appropriateness of previously identified key features was retested by conducting an international Delphi study that was built on the results ... more

β-hCG resolution times during expectant management of tubal ectopic pregnancies

published Thu, May 21 2015 07:00 GMT
Background: A subset of women with a tubal ectopic pregnancy can be safely managed expectantly. Expectant management involves a degree of disruption with hospital visits to determine serum β-hCG (β-human chorionic gonadotrophin) concentration until the pregnancy test becomes negative and expectant management is considered complete. The length of time required for the pregnancy test to become negative and the parameters that influence this interval have not been described. Information on the likely length of follow up would be useful for ... more

Evidence-based rules from family practice to inform family practice; the learning healthcare system case study on urinary tract infections

published Sat, May 16 2015 07:00 GMT
Background: Analysis of encounter data relevant to the diagnostic process sourced from routine electronic medical record (EMR) databases represents a classic example of the concept of a learning healthcare system (LHS). By collecting International Classification of Primary Care (ICPC) coded EMR data as part of the Transition Project from Dutch and Maltese databases (using the EMR TransHIS), data mining algorithms can empirically quantify the relationships of all presenting reasons for encounter (RfEs) and recorded diagnostic outcomes. We have specifically looked ... more

Informal carers’ health-related quality of life and patient experience in primary care: evidence from 195,364 carers in England responding to a national survey

published Fri, May 15 2015 07:00 GMT
Background: We aim to describe the health-related quality of life of informal carers and their experiences of primary care. Methods: Responses from the 2011-12 English General Practice Patient Survey, including 195,364 informal carers, were analysed using mixed effect logistic regressions controlling for age, gender, ethnicity and social deprivation to describe carer health-related quality of life (mobility, self-care, usual activities, pain, and anxiety/depression, measured using EQ-5D) and primary care experience (access, continuity and communication). Results: Informal carers reported poorer health-related quality ... more

Psychological impact of lifestyle-related disease disclosure at general checkup: a prospective cohort study

published Thu, May 14 2015 07:00 GMT
Background: Little is known about psychological impact of disclosing lifestyle-related diseases. Previous studies discussed the long-term psychological impact of disease disclosure, and a significant psychological impact was not observed.This study clarified the psychological impact on anxiety state of patients when lifestyle-related diseases are disclosed at general checkups for local residents.In particular, this study evaluated the short-term impact on patients, and how the notification of abnormal values and the disclosure of disease at general checkups affect patients’ subsequent behavioral changes. Methods: ... more