XML Women & Family Health News

What core primary health care services should be available to Australians living in rural and remote communities?

published about 20 hours ago
Background: Australians living in rural and remote areas experience poorer access to primary health care (PHC) and poorer health outcomes compared to metropolitan populations. Current health reform in Australia aims to ensure all Australians, regardless of where they live, have access to essential PHC services. However, at a national level policy makers and health planners lack an evidence-based set of core PHC services to assist in implementing this goal. Methods: A Delphi method was used to reach consensus on an ... more

Practice guidelines in the context of primary care, learning and usability in the physicians' decision-making process - a qualitative study

published 1 day ago
Background: Decision-making is central for general practitioners (GP). Practice guidelines are important tools in this process but implementation of them in the complex context of primary care is a challenge. The purpose of this study was to explore how GPs approach, learn from and use practice guidelines in their day-to-day decision-making process in primary care.MethodA qualitative approach using focus-group interviews was chosen in order to provide in-depth information. The participants were 22 GPs with a median of seven years of ... more

Drug prescription by telephone consultation in Danish out-of-hours primary care: a population-based study of frequency and associations with clinical severity and diagnosis

published 1 day ago
Background: Danish general practitioners (GPs) answer all calls to the out-of-hours primary care service. About 60% of the calls are terminated on the telephone through provision of medical advice and prescription of medication. Nevertheless, little is known about the prescription patterns of telephone consultations, such as prescription frequency and indications for drug use. Our aim was to examine the characteristics of patients and GPs in telephone consultations resulting in drug prescription. Methods: The study was based on a 12-month survey ... more

Lippes Loop intrauterine device left in the uterus for 50 years: case report

published Thu, Aug 14 2014 19:00 GMT
Background: The first Lippes Loop intrauterine device (IUD) was introduced in 1962. It was a plastic double "S" loop, a trapezoid shaped IUD that closely fit around the contours of the uterine cavity, reducing the incidence of expulsion. This IUD was commonly used from the 1960's to the 1980's. Some authors state that the IUD can be left in the uterine cavity for an indefinite amount of time. Prolonged use of this device was common, however, it was associated with ... more

Simplified follow-up after medical abortion using a low-sensitivity urinary pregnancy test and a pictorial instruction sheet in Rajasthan, India - study protocol and intervention adaptation of a randomised control trial

published Thu, Aug 14 2014 19:00 GMT
Background: The World Health Organisation suggests that simplification of the medical abortion regime will contribute to an increased acceptability of medical abortion, among women as well as providers. It is expected that a home-based follow-up after a medical abortion will increase the willingness to opt for medical abortion as well as decrease the workload and service costs in the clinic. Methods: This study protocol describes a study that is a randomised, controlled, non-superiority trial. Women screened to participate in the ... more