The British journal of general practice : the journal of the Royal College of General Practitioners
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Many cancer survivors following primary treatment have prolonged poor quality of life. ⋯ Cancer survivors quality of life improved with detailed generic online support. Robustly developed bespoke digital support provides limited additional short term benefit, but additional longer term improvement in global health enablement and symptom management, with substantially lower NHS costs.
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Randomized Controlled Trial Multicenter Study
Early detection of chronic obstructive pulmonary disease in primary care: a randomised controlled trial.
Worldwide, chronic obstructive pulmonary disease (COPD) remains largely underdiagnosed. ⋯ Interventions that can be easily implemented, such as the GOLD questions and COPD coordination, can identify new cases of COPD. Studies are needed to identify the most appropriate case-finding strategies for GPs to detect COPD in primary care for each country.
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Randomized Controlled Trial
Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial.
Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce. ⋯ Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.
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Most cancer diagnostic pathways start from primary care and several factors affect the diagnostic processes. ⋯ A longer symptom duration and presenting without cancer-specific symptoms were associated with GPs assessing the diagnostic process as poor.
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Observational Study
Uptake and adoption of the NHS App in England: an observational study.
Technological advances have led to the use of patient portals that give people digital access to their personal health information. The NHS App was launched in January 2019 as a 'front door' to digitally enabled health services. ⋯ The uptake of the NHS App substantially increased post-lockdown, most significantly after the NHS COVID Pass feature was introduced. An unequal pattern of app registration was identified, and the use of different functions varied. Further research is needed to understand these patterns of inequalities and their impact on patient experience.