We compared the impact of accessing healthcare (1) by telehealth (via telephone or video) vs face-to-face; and (2) by telephone vs video telehealth care, on escalation to emergency care. We searched Medline, Embase and Cochrane CENTRAL to 24 July 2023; and conducted a citation analysis [...]
Risk-based stratified care involves selecting treatments according to a participant's risk of persistent disabling pain, to maximise treatment benefit and reduce potential harm and wasted resources associated with unnecessary interventions. The STarTBack approach is a widely known and investigated example of a risk-based stratified care [...]
Lifestyle factors — smoking, alcohol consumption, inadequate dietary levels of fruit and vegetables — are major risk factors for chronic medical conditions. The importance of clinicians encouraging people to modify their lifestyles is emphasised in many guidelines. A study that included 4716 American adults found that patient-reported [...]
Non-drug interventions are recommended for chronic condition prevention and management yet are underused in clinical practice. Understanding barriers and enablers to using non-drug interventions may help implement non-drug interventions in primary care. We aimed to conduct an overview of reviews to identify and summarise common [...]
Low health literacy is associated with worse health outcomes, including for cardiovascular disease (CVD). However, general practitioners (GPs) have limited support to identify and address patient health literacy needs in CVD prevention consultations. This study explored GPs’ experiences of patient health literacy needs during CVD [...]
This randomised case vignette study showed that having access to a chart that graphs percentile kidney function (eGFR) by age was associated with more appropriate management review periods for the patient cases with reduced kidney function. In the case of the older woman with stable [...]
Deprescribing is the process of a healthcare professional reducing or stopping an inappropriate medication. Statins, commonly prescribed to prevent cardiovascular events, pose uncertain benefits and potential harms for older adults, making deprescribing a preference-sensitive decision. Deprescribing studies typically ask general questions about deprescribing preferences; however, [...]
This study aimed to evaluate whether voluntary and mandatory prescription drug monitoring program (PDMP) use in Victoria, Australia, had an impact on prescribing behaviour, focusing on individual patients' prescribed opioid doses and transition to prescribing of nonmonitored medications.
Integrated care models such as this Community Diabetes Clinic can be feasible when enabled by virtual care. This case study demonstrated a promising integrated model that was acceptable to both health providers and patient with improved clinical outcomes. Future research could investigate the feasibility of [...]
The number of older people is increasing worldwide and public expenditure on residential aged care facilities (ACFs) is expected to at least double, and possibly triple, by 2050. Co‐ordinated and timely care in residential ACFs that reduces unnecessary hospital transfers may improve residents' health outcomes [...]