The British journal of general practice : the journal of the Royal College of General Practitioners
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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.
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Meta Analysis
Osteoporosis and fracture as risk factors for self-harm and suicide: a systematic review and meta-analysis.
Increase in presentations of self-harm to primary care, a risk factor of suicide, has led to a growing interest in identifying at-risk populations. ⋯ Patients with vertebral fractures, a risk potential factor for suicide, may benefit from clinical case finding for mood disorders with personalised primary care management. However, because of the limited number and quality of studies and mixed findings, further examination of these associations is warranted.
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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.