Using intervention mapping to facilitate and sustain return-to work after breast cancer: protocol for the FASTRACS multicentre randomized controlled trial.

Background: Women with breast cancer face many barriers to return to work (RTW) after their cancer. The main objective of the FASTRACS-RCT is to evaluate the impact of the FASTRACS (Facilitate and Sustain Return to Work after Breast Cancer) intervention on the sustainable RTW of breast cancer patients, 12 months after the end of active treatment.

Methods: FASTRACS-RCT is a prospective, national, multicentre, randomized, controlled and open-label study.

[Perception of barriers and facilitators in the continuity of care for precarious migrants in general practice].

Introduction: Continuity of care is essential for the diagnosis and treatment of somatic and mental conditions in precarious migrants. This study explored the barriers and facilitators in the continuity of care provided to precarious migrants in general practice.

Methods: A qualitative study was carried out based on semi-directed interviews with twenty precarious migrants.

Frequency and determinants of technical procedures in French general practice: a cross-sectional study.

Introduction: Technical skills have many areas of application in general practice and are a dimension of medical competence. Several studies have attempted to describe the technical procedures performed in general practice but most had limitations in the data collection process, the scope of the procedures addressed, or the healthcare actors involved. No French comparable data have been published.

Barriers and Facilitators to the Use of Clinical Decision Support Systems in Primary Care: A Mixed-Methods Systematic Review.

Purpose: To identify and quantify the barriers and facilitators to the use of clinical decision support systems (CDSSs) by primary care professionals (PCPs).

Methods: A mixed-methods systematic review was conducted using a sequential synthesis design. PubMed/MEDLINE, PsycInfo, Embase, CINAHL, and the Cochrane library were searched in July 2021.

Improving Primary Health Care Data With : From a Medical to a Person-Centered Perspective.

The World Organization of Family Doctors (WONCA) developed the third edition of the () to support the shift from a medical perspective to a person-centered perspective in primary health care. The previous editions ( and ) allowed description of 3 important elements of health care encounters: the reason for the encounter, the diagnosis and/or health problem, and the process of care. The adds function-related information as a fourth element, thereby capturing most parts of the encounter in a single practical and concise classification.

Barriers and Facilitators to Participation in Health Screening: an Umbrella Review Across Conditions.

Screening is an essential prevention practice for a number of health conditions. However, screening coverage remains generally low. Studies that investigate determinants of screening participation are becoming more common, but oftentimes investigate screening for health conditions in an individualized rather than integrated fashion.

General practitioner gender and use of diagnostic procedures: a French cross-sectional study in training practices.

Objectives: The acceleration in the number of female doctors has led to questions about differences in how men and women practice medicine. The aim of this study was to assess the influence of general practitioner (GP) gender on the use of the three main categories of diagnostic procedures-clinical examinations, laboratory tests and imaging investigations.

Design: Cross-sectional nationwide multicentre study.

General practice and associated health conditions in patients aged 65 years or over.

We aimed at identifying associations of health conditions addressed during general practice consultations involving patients aged 65 years or over, according to sex. This is an ancillary study of the ECOGEN study on the consultation practices of French general practitioners. We studied the 15 most frequent health issues addressed in patients aged 65 years or over and identified the pairs most frequently and strongly associated.

[Health issues of patients aged 65 years or over managed in general practice: which associations are remarkable?].

Introduction: We aimed at identifying the associations of health issues managed in general practice encounters with patients aged 65 years or over, according to their sex.

Methods: Ancillary study of the ECOGEN study on the consultation practice of French general practitioners. We have studied the 15 most frequent health issues managed in patients aged 65 years or over and identified the pairs most frequently and strongly associated.

Comparison of rural and urban French GPs' activity: a cross-sectional study.

Introduction: In various countries, a shortage of general practitioners (GPs) and worrying health statistics on risk factors, morbidity and mortality have been observed in rural areas. However, few comparative data are available on GP activities according to their location. The aim of this study was to analyse French GP activities according to their rural or urban practice location.

Health Profile of Precarious Migrants Attending the Médecins Du Monde's Health and Social Care Centres in France: a Cross-Sectional Study.

The present study aimed to compare the precarious migrants' health problems managed in Médecins du Monde's health and social care centres (CASO) with those of patients attending general practice in France. We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex. Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.

[General practitioners' views on cognitive disorders diagnosis: a qualitative study].

Diagnosis of cognitive disorders is at medical and ethical stake. The aim of an qualitative study based on interviews was to explore the views of general practitioners on this diagnosis. General practitioners are ambivalent about the relevance and temporality of the diagnosis of cognitive disorders, which could be resolved by a shared decision making at each stage of the diagnostic approach.

Evaluation of a guidelines website capitalizing on Finnish content and Belgium interface: A pilot study in French general practice.

No reference point-of-care, web-based medical compendium is available in general practice in France. We have then conducted the experimentation of , a Belgian website of guidelines translated and adapted from the Finnish EBM Guidelines. We collected data from three sources: (i) the website logbook; (ii) a search-specific assessment questionnaire; (iii) a global assessment questionnaire.

[Not Available].

Objective: To describe the unaccompanied minors' reasons for consulting and their health problems managed in a permanence of access to health care (PASS) at the Hospices civils de Lyon.

Methods: Consultation data of the unaccompanied minors cared for in 2016 and 2017 at the Edouard Herriot Hospital PASS, Lyon, were collected and coded according to the International Classification of Primary Care (CISP-2).

Results: The majority of unaccompanied minors were male adolescents from French-speaking sub-Saharan African countries.

Cancer screening and follow-up in general practice: A French nationwide cross-sectional study.

Background: The overall activity of general practitioners (GPs) related to cancer screening and follow-up is poorly documented.

Objectives: To describe cancer screening and follow-up activities carried out in general practice and analyse them according to the socio-economic characteristics of patients.

Methods: We used data from a French nationwide, multicentre, cross-sectional study that described the distribution of health problems managed in general practice and the associated processes of care.

Scope of health problems managed by general practitioners in Mali and France: awaiting practice transition in sub-Saharan Africa?

Background: Minimal data are available on the clinical activity of general practitioners (GPs) in Africa.

Objective: To describe the health problems managed by GPs in Mali as compared with France where epidemiological transition is already advanced.

Methods: A retrospective, multicenter study, conducted in five Malian Community Health Centers.

Men's experience of first fatherhood discovery: a descriptive study based on free hierarchical evocation by associative networks.

: Men's experiences of first-fatherhood discovery differ widely with various circumstances; they were examined according to the intended/unintended occurrence of partner's pregnancy.: An Associative Network study targeted 44 first-time fathers and analysed their reactions to a stimulus-sentence 'In the first days after pregnancy announcement … ': Word-associations formed 19 themes and 5 metathemes. The main metathemes were Emotional (30%), Cognitive (27%) and Relational (23%).

Drug prescription goals in primary care: a cross-sectional study.

Background: Care goals are often implicit, although their identification is a key element of any prescription process. This study aimed to describe the clinical goals of drug prescriptions in general practice, their determinants and the agreement between physicians and patients.

Methods: This was a cross-sectional study conducted by 11 resident trainees acting as observers in 23 general practices.

Breast cancer specialists' perspective on their role in their patients' return to work: A qualitative study.

Objectives This study aimed to explore the views of breast cancer (BC) specialists as to their role in the return-to-work (RTW) process of their BC patients. Methods A qualitative study using semi-structured interviews was conducted in a sample of 20 BC specialists selected according to age, gender, medical specialty (medical oncology, radiation oncology, gynecological surgery), and healthcare organization (regional cancer center, university or private hospital). All interviews were audiotaped and transcribed for qualitative thematic content analysis.

Off-label drug prescriptions in French general practice: a cross-sectional study.

Objectives: Off-label drug prescribing is a public health and economic issue. The aim of this study was to describe off-label prescription in general practice in France, in terms of frequency and nature, and to identify its main determining factors.

Design: Multicentre cross-sectional study SETTING: Twenty-three training general practice offices PARTICIPANTS: All the voluntary patients coming for a medical consultation or visited at home over a cumulative period of 5 days per office between November 2015 and January 2016.

Asthma patients' perception on their care pathway: a qualitative study.

Because of insufficient asthma control in many patients, the collaboration between stakeholders is regarded as a promising strategy to improve asthma outcomes. This study explored the perceptions of French adult asthma patients on their care pathway. We conducted a qualitative study based on the interviews of 30 asthma patients aged 18-40 years, recruited in French primary care.

A multimodal and multidisciplinary program to prevent loss of mobility in patients aged over 70 years: study protocol of a multicenter cluster randomized study in primary care (the PRISME-3P study).

Background: Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to prevent further disabilities. Despite the current lack of guidelines, primary care healthcare providers may have a central role to play in this type of screening.

INN or brand name drug prescriptions: a multilevel, cross-sectional study in general practice.

Purpose: The prescription in International Nonproprietary Names (INN) is a legal obligation for all physicians in France since January 2015. The objective of this study was to analyze the frequency and main factors of INN drug prescribing in general practice.

Methods: Multicenter cross-sectional study conducted with 11 interns acting as observers of 23 GP trainers between November 2015 and January 2016.

Perceptions of French general practitioners and patients regarding dextropropoxyphene withdrawal: a qualitative study.

Objectives: Dextropropoxyphene (DXP), a step 2 analgesic commonly prescribed in France, was withdrawn from the French market in 2011 following a European decision due to its poor risk-benefit ratio. The purpose of this study was to explore the perceptions of French general practitioners (GPs) and patients regarding DXP withdrawal.

Design: Qualitative study based on 26 individual semi-structured interviews.

Developing a Return to Work Intervention for Breast Cancer Survivors with the Intervention Mapping Protocol: Challenges and Opportunities of the Needs Assessment.

Return to work (RTW) is an important step for breast cancer survivors (BCSs). However, they face many barriers that affect particularly women with low socioeconomic status (SES). Health care, workplace, and insurance actors lack knowledge and collaborate poorly.