XML Women & Family Health News

Patient Safety skills in primary care: a national survey of GP educators

published Wed, Dec 17 2014 06:00 GMT
Background: Clinicians have a vital role in promoting patient safety that goes beyond their technical competence. The qualities and attributes of the safe hospital doctor have been explored but similar work within primary care is lacking. Exploring the skills and attributes of a safe GP may help to inform the development of training programmes to promote patient safety within primary care.PurposeTo determine the views of General Practice Educational Supervisors (GPES) regarding the qualities and attributes of a safe General Practitioner ... more

Does receipt of 5As services have implications for patients¿ satisfaction in India?

published Wed, Dec 17 2014 06:00 GMT
Background: The 5As model for behavior change counseling is an evidence-based counseling approach. This study aims to explore the relationship between patient satisfaction with counseling services and 5As interventions in tobacco cessation. We also investigated the impact of satisfaction with counseling services on patients? intention to quit and recommendation of those services to other tobacco users. Methods: Two cross-sectional surveys were administered among patients and physicians working in primary health care facilities in 12 districts of two states in India. ... more

Swedish general practitioners¿ attitudes towards treatment guidelines ¿ a qualitative study

published Tue, Dec 16 2014 06:00 GMT
Background: Drug therapy in primary care is a challenge for general practitioners (GPs) and the prescribing decision is influenced by several factors. GPs obtain drug information in different ways, from evidence-based sources, their own or others? experiences, or interactions with opinion makers, patients or colleagues. The need for objective drug information sources instead of drug industry-provided information has led to the establishment of local drug and therapeutic committees. They annually produce and implement local treatment guidelines in order to promote ... more

Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study

published Tue, Dec 16 2014 06:00 GMT
Background: Integration of lifestyle promotion in routine primary care has been suboptimal. Coordinated care models (e.g. screening, brief advice and referral to in-house specialized staff) could facilitate lifestyle promotion practice; they have been shown to increase the quality of services and reduce costs in other areas of care. This study evaluates the long-term impact of a coordinated lifestyle promotion intervention with a multidisciplinary team approach in a primary care setting. Methods: A quasi-experimental, cross-sectional design was used to compare three ... more

Anal incontinence, urinary incontinence and sexual problems in primiparous women ¿ a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury

published Tue, Dec 16 2014 06:00 GMT
Background: Obstetric anal sphincter injuries (OASIS) might cause anal incontinence (AI) and sexual dysfunction, and might be associated with urinary incontinence (UI). Episiotomy has been identified both as a risk and a protective factor of OASIS. Lately, episiotomies with specific characteristics have shown to be protective against the risk of OASIS. However, little is known about episiotomy characteristics and pelvic floor dysfunction. This study investigates AI, UI, and sexual problems in primiparous women with episiotomy, comparing women with and without ... more