Filtered By:
Management: General Practices

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 10428 results found since Jan 2013.

HIV indicator condition-guided testing to reduce the number of undiagnosed patients and prevent late presentation in a high-prevalence area: a case-control study in primary care
Conclusions This study revealed many opportunities for HIV indicator condition-guided testing in primary care. As yet, however, HIV indicator conditions are not exploited as triggers for early HIV testing.
Source: Sexually Transmitted Infections - October 20, 2015 Category: Sexual Medicine Authors: Joore, I. K., Arts, D. L., Kruijer, M. J., Moll van Charante, E. P., Geerlings, S. E., Prins, J. M., van Bergen, J. E. Tags: Editor's choice, General practice / family medicine, Drugs: infectious diseases, HIV/AIDS, HIV / AIDS, Gonorrhoea, Syphilis, HIV infections Clinical Source Type: research

Estimated cost per HIV infection diagnosed through routine HIV testing offered in acute general medical admission units and general practice settings in England
ConclusionsExpanded HIV testing may be more cost‐efficient in ACUs than in GPs as a consequence of a shorter offer time, higher patient uptake, higher HIV positivity and lower diagnostic test costs. As cost per new HIV diagnosis reduces at higher HIV positivity, expanded HIV testing should be promoted in high HIV prevalence areas.
Source: HIV Medicine - September 23, 2015 Category: Infectious Diseases Authors: KJ Ong, AC Thornton, M Fisher, R Hutt, S Nicholson, A Palfreeman, N Perry, G Stedman‐Bryce, P Wilkinson, V Delpech, A Nardone Tags: Original Research Source Type: research

Missed opportunities to offer HIV tests to high-risk groups during general practitioners STI-related consultations: an observational study
Conclusions In one-third of the STI-related consultations of persons from high-risk groups, no HIV test was performed in primary care, which is lower than previously reported. Risk-based testing has intrinsic limitations and implementation of new additional strategies in primary care is warranted.
Source: BMJ Open - January 21, 2016 Category: Journals (General) Authors: Joore, I. K., Reukers, D. F. M., Donker, G. A., van Sighem, A. I., Op de Coul, E. L. M., Prins, J. M., Geerlings, S. E., Barth, R. E., van Bergen, J. E. A. M., van den Broek, I. V. Tags: Open access, General practice / Family practice, Infectious diseases, Public health, Sexual health, HIV AIDS Research Source Type: research

Missed opportunities for HIV testing of patients diagnosed with an indicator condition in primary care in Catalonia, Spain
Conclusions The study highlights the persistence of missed opportunities for HIV testing within PC in Catalonia. Urgent engagement with PC professionals is required in order to increase HIV testing and prevent late HIV diagnoses.
Source: Sexually Transmitted Infections - July 19, 2016 Category: Sexual Medicine Authors: Agusti, C., Montoliu, A., Mascort, J., Carrillo, R., Almeda, J., Elorza, J. M., Aragon, M., Casabona, J. Tags: Epidemiologic studies, General practice / family medicine, Drugs: infectious diseases, HIV/AIDS, HIV / AIDS, HIV infections Health services research Source Type: research

Expanded HIV testing in high‐prevalence areas in England: results of a 2012 audit of sexual health commissioners
ConclusionsNot all high HIV prevalence areas in England have fully implemented testing guidelines. Scale‐up of existing programmes and continued expansion of testing into new settings will be necessary to achieve this.
Source: HIV Medicine - October 31, 2013 Category: Infectious Diseases Authors: T Hartney, I Kennedy, P Crook, A Nardone Tags: Short Communication Source Type: research

BASHH STI and HIV courses
The British Association of Sexual Health and HIV (BASHH) has a long history of delivering high-quality postgraduate training in sexually transmitted infections (STI) and HIV. The range of courses, workshops and training days are aimed to meet the training needs of all those working in sexual health and HIV, be they in primary care or in specialist services. The BASHH STI and HIV course has been well established for many years, and has be designed and developed to deliver the knowledge and skills required for clincians working at a more ‘specialist’ level than, for example, the STI Foundation (STIF) course. The ...
Source: Sexually Transmitted Infections - May 14, 2014 Category: Sexual Medicine Authors: McDonald, C. Tags: General practice / family medicine, Drugs: infectious diseases, HIV/AIDS, HIV / AIDS, HIV infections BASHH column Source Type: research

Promotion of rapid testing for HIV in primary care (RHIVA2): a cluster-randomised controlled trial
This study is registered with ClinicalTrials.gov, number ISRCTN63473710. Findings 40 of 45 (89%) general practices agreed to participate: 20 were assigned to the intervention group (44 971 newly registered adult patients) and 20 to the control group (38 464 newly registered adult patients), between April 19, 2010, and Aug 31, 2012. Intervention practices diagnosed 32 people with HIV versus 14 in control practices. Mean CD4 count at diagnosis was 356 cells per μL (SD 254) intervention practices versus 270 (SD 257) in control practices (adjusted difference of square root CD4 count 3·1, 95% CI −1·2 to 7·4; p=0·16)...
Source: The Lancet HIV - April 29, 2015 Category: Infectious Diseases Source Type: research

Feasibility of HIV Universal Voluntary Counseling and Testing in a Thai General Practice Clinic
An HIV transmission prevention program incorporating universal voluntary counseling and testing (UVCT) was conducted in a general practice (GP) clinic of a Thai hospital. Of the 494 participating patients, 356 (72%) accepted HIV-UVCT. Independent factors associated with HIV-UVCT acceptance included participating in the program after office hours (4-8 pm; P < .001), living with domestic partner with no marriage (P = .01), and having primary school education or less (P = .02). The main reasons for declining HIV-UVCT were time constraint (38%) and perceiving self as no risk (35%). Among the 356 patients undergoing HIV-UVCT...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Khawcharoenporn, T., Apisarnthanarak, A., Chunloy, K., Smith, K. Tags: HIV Testing & amp;amp; Diagnosis Source Type: research

Understanding HIV-positive patients' preferences for healthcare services: a protocol for a discrete choice experiment
Introduction While the care of HIV-positive patients, including the detection and management of comorbidities, has historically been provided in HIV specialist outpatient clinics, recent years have seen a greater involvement of non-HIV specialists and general practitioners (GPs). The aim of this study is to determine whether patients would prefer to see their GP or HIV physician given general symptoms, and to understand what aspects of care influence their preferences. Methods/analysis We have developed and piloted a discrete choice experiment (DCE) to better understand patients' preferences for care of non-HIV-related ac...
Source: BMJ Open - July 17, 2016 Category: Journals (General) Authors: Youssef, E., Cooper, V., Miners, A., Llewellyn, C., Pollard, A., Lagarde, M., Sachikonye, M., Sabin, C., Foreman, C., Perry, N., Nixon, E., Fisher, M. Tags: Open access, Evidence based practice, General practice / Family practice, Health services research, HIV AIDS Protocol Source Type: research

A 'test and treat prevention strategy in Australia requires innovative HIV testing models: a cohort study of repeat testing among 'high-risk men who have sex with men
Conclusions Repeat testing among high-risk MSM in Australia remains unacceptably low, with recent modest increases in testing unlikely to deliver meaningful prevention impact. Removing known barriers to HIV testing is needed to maximise the potential benefit of test and treat-based HIV prevention.
Source: Sexually Transmitted Infections - August 18, 2016 Category: Sexual Medicine Authors: Wilkinson, A. L., El-Hayek, C., Spelman, T., Fairley, C. K., Leslie, D., McBryde, E. S., Hellard, M., Stoove, M. Tags: Epidemiologic studies, General practice / family medicine, Drugs: infectious diseases, HIV/AIDS, HIV / AIDS, HIV infections Epidemiology Source Type: research

Missed opportunities for earlier diagnosis of HIV in patients who presented with advanced HIV disease: a retrospective cohort study
Conclusions Missed opportunities to early diagnosis of HIV occur in primary and secondary care. Lack of national guidelines, lack of knowledge regarding CIDs and communication barriers with patients may contribute to a late diagnosis of HIV.
Source: BMJ Open - November 9, 2016 Category: Journals (General) Authors: Levy, I., Maor, Y., Mahroum, N., Olmer, L., Wieder, A., Litchevski, V., Mor, O., Rahav, G. Tags: Open access, General practice / Family practice, Public health, HIV AIDS Research Source Type: research

Cost-effectiveness of screening for HIV in primary care: a health economics modelling analysis
Publication date: Available online 30 July 2017 Source:The Lancet HIV Author(s): Rebecca F Baggaley, Michael A Irvine, Werner Leber, Valentina Cambiano, Jose Figueroa, Heather McMullen, Jane Anderson, Andreia C Santos, Fern Terris-Prestholt, Alec Miners, T Déirdre Hollingsworth, Chris J Griffiths Background Early HIV diagnosis reduces morbidity, mortality, the probability of onward transmission, and their associated costs, but might increase cost because of earlier initiation of antiretroviral treatment (ART). We investigated this trade-off by estimating the cost-effectiveness of HIV screening in primary care. Methods We...
Source: The Lancet HIV - July 31, 2017 Category: Infectious Diseases Source Type: research

Republished: Mainstreaming HIV services for men who have sex with men: the role of general practitioners
Mainstreaming HIV services for men who have sex with men: The role of general practitioners General practitioners (GPs) and other primary care doctors around the world have a strong potential for providing quality HIV prevention, testing and treatment for men who have sex with men, as advocated by the recent WHO guideline.1 As the HIV epidemic becomes more focused on chronic disease care in many parts of the world, a number of primary care issues come to the forefront of clinical HIV service delivery. GPs have advantages in providing HIV services because of their position as trusted, community-based, long-term advocates fo...
Source: Postgraduate Medical Journal - March 12, 2013 Category: Journals (General) Authors: Wong, W. C. W., Kidd, M. R., Tucker, J. D. Tags: Liver disease, Sexual transmitted infections (viral), General practice / family medicine, Immunology (including allergy), Drugs: infectious diseases, HIV/AIDS, Stroke, Hypertension, Communication, Ethics, Legal and forensic medicine Republished editoria Source Type: research

Unlocking the potential: longitudinal audit finds multifaceted education for general practice increases HIV testing and diagnosis
Conclusions The training intervention has been found to significantly increase general practice HIV testing rates in the absence of financial incentives. Positivity rates are substantially higher than that found in pilots of screening in London, suggesting that the training nurtured and supplemented complex clinical skills.
Source: Sexually Transmitted Infections - April 12, 2013 Category: Sexual Medicine Authors: Pillay, T. D., Mullineux, J., Smith, C. J., Matthews, P. Tags: Epidemiologic studies, Open access, General practice / family medicine, Drugs: infectious diseases, HIV/AIDS, Reproductive medicine, Condoms, HIV / AIDS, HIV infections, Screening (epidemiology), Screening (public health) Education Source Type: research

Republished: Unlocking the potential: longitudinal audit finds multifaceted education for general practice increases HIV testing and diagnosis
Conclusions The training intervention has been found to significantly increase general practice HIV testing rates in the absence of financial incentives. Positivity rates are substantially higher than that found in pilots of screening in London, suggesting that the training nurtured and supplemented complex clinical skills.
Source: Postgraduate Medical Journal - January 21, 2014 Category: Journals (General) Authors: Pillay, T. D., Mullineux, J., Smith, C. J., Matthews, P. Tags: Sexual transmitted infections (viral), Open access, General practice / family medicine, Immunology (including allergy), Drugs: infectious diseases, HIV/AIDS, Reproductive medicine, Epidemiology Original article Source Type: research