The British journal of general practice : the journal of the Royal College of General Practitioners
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Observational Study
Chronic disease management in patients with intellectual disabilities: a matched study in Dutch general practice.
Disease management programmes (DMPs) aim to deliver standardised, high- quality care to patients with chronic diseases. Although chronic diseases are common among people with intellectual disabilities (ID), this approach may be suboptimal for meeting their care needs. ⋯ Although DMPs do not specifically address the needs of patients with both chronic illness and ID, these patients do not seem underserved in the management of chronic diseases in terms of consultation, medication, and tests.
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Randomized Controlled Trial
Treatment burden for people experiencing homelessness with a recent non-fatal overdose: a questionnaire study.
People experiencing homelessness (PEH) who have problem drug use have complex medical and social needs, with barriers to accessing services and treatments. Their treatment burden (workload of self-management and impact on wellbeing) remains unexplored. ⋯ In a socially marginalised patient group at high risk of drug overdose, the PETS showed a very high level of treatment burden and highlights the profound impact of self-management work on wellbeing and daily activities. Treatment burden is an important person-centred outcome to help compare the effectiveness of interventions in PEH and merits inclusion in future trials as an outcome measure.
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Social prescribing involves referral of patients from primary care to link workers, who work with them to access appropriate local voluntary and community sector services. ⋯ Careful consideration of how social prescribing is implemented within primary care is required if it is to provide the support needed by those living in disadvantaged circumstances.