The British journal of general practice : the journal of the Royal College of General Practitioners
-
Fewer than 1% of UK general practice consultations occur by video. ⋯ Efforts to introduce video consultations in general practice should focus on situations where this modality has a clear relative advantage (for example, strong patient or clinician preference, remote localities, out-of-hours services, nursing homes).
-
Low-value pharmaceutical care exists in general practice. However, the extent among Dutch GPs remains unknown. ⋯ The results show that the prevalence of low-value pharmaceutical GP care varies among these three clinical problems. Significant variation in inappropriate prescribing exists between different types of pharmaceutical care - and GP practices.
-
Observational Study
Intra-abdominal cancer risk with abdominal pain: a prospective cohort primary care study.
Quantifying cancer risk in primary care patients with abdominal pain informs diagnostic strategies. ⋯ Abdominal pain increases intra-abdominal cancer risk nearly fourfold in men aged ≥70 years, exceeding the 3% threshold warranting investigation. This threshold is surpassed for the >60 years age group only with additional features. These results will help direct appropriate referral and testing strategies for patients based on their demographic profile and reporting features. The authors suggest non-invasive strategies first, such as faecal immunochemical testing, with safety-netting in a shared decision-making framework.