Family practice
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Shifting tasks from General practitioners (GPs) to practice nurses (PNs) could help address the shortage of GPs in Europe. Internationally, PN-led care (PNLC) is feasible and offers similar health outcomes to usual care. However, PN-led consultations (PN-cons) or as PN-led dosage changes for permanent medication (PN-DCPM) are uncommon in German general practice offices (GPO). ⋯ Participants showed openness towards PN-cons and were more reserved towards PN-DCPM in German GPO. Further quantitative studies should assess how acceptance and rejection of PN-led care are distributed among patients, GPs, and PNs.
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Despite the increasing presence of women in US medical schools over the past 25 years, gender equity in medical leadership remains elusive. This qualitative study delves deeper into definitions of institutional leadership roles, who they are designed for, and how women currently contribute in unrecognized and uncompensated leadership positions. ⋯ Increasing the number of women in leadership positions can be achieved through innovative leadership models that prioritize collaboration, flexibility, and work-life balance. Organizations must revise definitions of leadership to expand it to include the valuable, unrewarded work women undertake that advance their goals and overall patient health.
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The lack of an adequate primary care physician workforce has been a decades-long challenge facing the delivery of healthcare in the United States of America (USA). Previous research has highlighted how strengthening the nation's primary care infrastructure is a critical part of improving the nation's health. ⋯ But, little attention has been focused on how the primary care workforce may affect health disparities. This commentary highlights the importance of the provision of primary care services for populations that experience health disparities, ways that the primary care workforce shortage affects these populations, and potential solutions to expand the reach of the current workforce and to build a diverse workforce to meet the growing needs of the increasingly diverse US population.
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Healthcare providers often lack awareness, knowledge, and confidence in managing vulvodynia, which can lead to difficulties with diagnosis and treatment for individuals with the condition. ⋯ An online educational toolkit tailored to community-based primary care settings supports the management of patients with vulvodynia by family physicians. Our findings lay the foundation for the upscaling of this tool.
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Randomized Controlled Trial
The relationship between self-care preparedness and quality of life in a 3-year-follow-up: a study in primary health care.
Measuring self-care preparedness may enable better support for patients in general practice. ⋯ Those patients who managed to increase their SCPI over the study period experienced an improvement in HRQoL.