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Defining dimensions of research readiness: a conceptual model for primary care research networks

published 1 day ago
Background: Recruitment to research studies in primary care is challenging despite widespread implementation of electronic patient record (EPR) systems which potentially make it easier to identify eligible cases. Methods: Literature review and applying the learning from a European research readiness assessment tool, the TRANSFoRm International Research Readiness instrument (TIRRE), to the context of the English NHS in order to develop a model to assess a practice?s research readiness. Results: Seven dimensions of research readiness were identified: (1) Data readiness: Is ... more

Post-coital posterior fornix perforation with vaginal evisceration

published 2 days ago
Background: Cases of post-coital posterior fornix perforation with vaginal eviscerations are infrequently reported in literature and uncommon cause for laparotomy.Case presentationWe report the case of 28?year old nulliparous woman presented to the hospital with per vaginal bleeding and evisceration following penile-vaginal sexual intercourse. Conclusion: High degree of suspicion in these cases is important especially in sexually active women as delay in management often results in life threatening blood loss, peritonitis and intestinal obstruction. Physicians should be aware that initial patient ... more

Determinants of women¿s likelihood of vaginal self-sampling for human papillomavirus to screen for cervical cancer in Taiwan: a cross-sectional study

published 2 days ago
Background: Many Taiwanese women (43.8%) did not participate in regular cervical screening in 2011. An alternative to cervical screening, self-sampling for human papillomavirus (HPV), has been available at no cost under Taiwan?s National Health Insurance since 2010, but the extent and likelihood of HPV self-sampling were unknown. Methods: A cross-sectional study was performed to explore determinants of women?s likelihood of HPV self-sampling. Data were collected by questionnaire from a convenience sample of 500 women attending hospital gynecologic clinics in central ... more

Why primary care practices should become digital health information hubs for their patients

published 2 days ago
Background: Two interesting health care trends are currently occurring: 1) patient-facing technologies, such as personal health records, patient portals, and mobile health apps, are being adopted at rapid rates, and 2) primary care, which includes family practice, is being promoted as essential to reducing health care costs and improving health care outcomes. While these trends are notable and commendable, both remain subject to significant fragmentation and incentive misalignments, which has resulted in significant data coordination and value generation challenges. In ... more

Concerns voiced by patients and GPs¿ responses during psychosocial visits in primary care: a historical cross-sectional study

published 2 days ago
Background: In a recent study comparing psychosocial consultations prior to and after the implementation of national clinical guidelines in the Netherlands, we found that general practitioners (GPs) showed less empathy in the more recent consultations. As a consequence, patients possibly have less scope to express their worries. The objective is to investigate whether patients have become more reluctant to open up about their concerns during psychosocial consultations and how GPs respond. Methods: Consultations from previous study samples videotaped between 1977 ... more