Primary Care Archives - Wiser Healthcare

Exploring Different Contexts of Statin Deprescribing: A Vignette-Based Experiment with Older Adults Across Four Countries – Kristie Rebecca Weir et al.

Lucia Marcello2024-04-07T16:33:55+10:00Ageing, Deprescribing, Polypharmacy, Primary Care, Publications, Risk|

Deprescribing is the process of a healthcare professional reducing or stopping an inappropriate medication. Statins, commonly prescribed to prevent cardiovascular events, pose uncertain benefits and potential harms for older adults, making deprescribing a preference-sensitive decision. Deprescribing studies typically ask general questions about deprescribing preferences; however, [...]

Association of state-level prescription drug monitoring program implementation with opioid prescribing transitions in primary care in Australia – Ting Xia et al.

Lucia Marcello2024-04-07T14:41:17+10:00Clinical guidelines, Deprescribing, Opioids, Pain, Prescribing, Primary Care, Publications, Risk|

This study aimed to evaluate whether voluntary and mandatory prescription drug monitoring program (PDMP) use in Victoria, Australia, had an impact on prescribing behaviour, focusing on individual patients' prescribed opioid doses and transition to prescribing of nonmonitored medications.

Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney – Sumathy Ravi et al.

Lucia Marcello2024-04-05T15:56:55+11:00COVID-19, Diabetes, Primary Care, Publications, Shared decision making, Virtual Care/Telehealth|

Integrated care models such as this Community Diabetes Clinic can be feasible when enabled by virtual care. This case study demonstrated a promising integrated model that was acceptable to both health providers and patient with improved clinical outcomes. Future research could investigate the feasibility of [...]

Models for delivery and co‐ordination of primary or secondary health care (or both) to older adults living in aged care facilities – Polina Putrik et al.

Lucia Marcello2024-04-05T15:32:18+11:00Ageing, Clinical guidelines, Health system, Primary Care, Publications|

The number of older people is increasing worldwide and public expenditure on residential aged care facilities (ACFs) is expected to at least double, and possibly triple, by 2050. Co‐ordinated and timely care in residential ACFs that reduces unnecessary hospital transfers may improve residents' health outcomes [...]

Implementing decision aids for cardiovascular disease prevention: stakeholder interviews and case studies in Australian primary care – Carissa Bonner et al.

Lucia Marcello2024-04-05T14:38:40+11:00Cardiovascular disease, Decision aids, Primary Care, Primary Health Networks, Publications, Risk|

Australian cardiovascular disease (CVD) prevention guidelines recommend absolute CVD risk assessment, but less than half of eligible patients have the required risk factors recorded due to fragmented implementation over the last decade. Co-designed decision aids for general practitioners (GPs) and consumers have been developed that [...]

Participant characteristics and reasons for non-consent to health information linkage for research: experiences from the ATHENA COVID-19 study – Kim Greaves et al.

Lucia Marcello2024-02-13T14:12:53+11:00COVID-19, Ethical considerations, Patient-led surveillance, Primary Care, Publications, Research, Research ethics|

The linkage of primary care, hospital and other health registry data is a global goal, and a consent-based approach is often used. Understanding the attitudes of why participants take part is important, yet little is known about reasons for non-participation. The ATHENA COVID-19 feasibility study [...]

Cardiovascular disease risk communication and prevention: a meta-analysis – Mina Bakhit et al.

Lucia Marcello2024-02-13T13:13:50+11:00Cardiovascular disease, Decision aids, Primary Care, Publications, Risk, Shared decision making|

For decades, clinicians and researchers have implemented effective measures to reduce, diagnose, and treat CVD. This includes implementing public education campaigns aimed at improving awareness of the potential preventability of CVDs and accessibility to management. Cardiovascular disease risk calculators to estimate individualized risk have also played a [...]

Attitudes, beliefs, behaviours and perspectives on barriers and enablers of Australian general practitioners towards non-drug interventions: a national survey – Loai Albarqouni et al.

Lucia Marcello2024-02-11T15:15:06+11:00Health professionals, Prescribing, Primary Care, Publications, Treatment|

Many guidelines recommend non-drug interventions (NDIs) for managing common conditions in primary care. However, compared with drug interventions, NDIs are less widely known, promoted and used. We aim to (1) examine general practitioners’ (GPs’) knowledge, attitudes and practices for NDIs, including their use of the [...]

Referral patterns for people with musculoskeletal complaints in general practice: An analysis from an Australian primary care database – Romi Haas et al.

Lucia Marcello2024-02-11T15:02:15+11:00Knee, Low back pain, Musculoskeletal, Primary Care, Publications, Shoulder|

The objective of this study is to examine referral patterns for people with musculoskeletal complaints presenting to Australian general practitioners (GPs). This longitudinal analysis from the POpulation Level Analysis Reporting (POLAR) database includes 133,279 patients with low back (aged ≥18) or neck, shoulder and/or knee [...]

General practitioners’ decision-making process to prescribe pain medicines for low back pain: a qualitative study – Giovanni E Ferreira et al.

Lucia Marcello2023-12-04T13:22:01+11:00Back pain, General Practice, Low back pain, Musculoskeletal, Opioids, Pain, Primary Care, Publications|

Pain medicines are widely prescribed by general practitioners (GPs) when managing people with low back pain (LBP), but little is known about what drives decisions to prescribe these medicines. The aim of this study was to investigate what influences GPs' decision to prescribe pain medicines [...]

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