Background: The views of primary health care providers concerning their willingness to consult with under-16-year-old adolescent patients without the presence of a parent or guardian are not well documented. Many young people believe they have to be aged over 16 years to see their general practitioner (GP) alone. Confidentiality is a major concern for young people. It is important that more is known about the willingness of GPs and practice nurses (PNs) to offer unaccompanied consultations without known parental consent.
Aim: To provide information on the willingness of GPs and PNs to consult with under-16-year-olds and whether policies exist in general practices to facilitate access by unaccompanied under-16-year-olds.
Study Design: Cross-sectional study using a postal questionnaire.
Setting: Seventeen general practices in the West of Cornwall.
Method: All GPs, PNs and receptionists were sent questionnaires.
Results: The overall response rate was 79% (166/209 questionnaires). The majority of GPs and PNs (91%) were willing to consult with unaccompanied under-16-year-olds. A substantial number of primary health care team members are not aware of the existence of any practice policy on access. Only 41% of receptionists, 46% of PNs and 38% of GPs were aware of a definite practice policy.
Conclusions: GPs and PNs are willing to consult with under-16-year-olds without a parent or guardian being present. Many practices in this region do not appear to have policies in place to guide health professionals on under-16 access issues.
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http://dx.doi.org/10.1783/147118903101198105 | DOI Listing |
BJGP Open
January 2025
Department of Primary and Long-term Care, University Medical Center Groningen, Groningen, Netherlands.
Background: In individuals with depression a vicious circle tends to occur in which depressive symptoms cause an unhealthy lifestyle, which reversibly causes an increase in depressive symptoms; both of which are associated with a decreased life expectancy. A potential way to break this circle entails a multicomponent lifestyle intervention (MLI).
Aim: Exploring the barriers and facilitators for an MLI in patients with depressive symptoms from the perspective of general practitioners (GP), chronic disease practice nurses (CD-PN), mental health nurses (MHN), lifestyle coaches (LC) and patients (PT).
Fam Pract
January 2025
Medical Faculty of the Martin Luther-University Halle-Wittenberg, Institute of General Practice and Family Medicine, Magdeburgerstr. 8, D-06120, Halle (Saale), Germany.
Background: Shifting tasks from General practitioners (GPs) to practice nurses (PNs) could help address the shortage of GPs in Europe. Internationally, PN-led care (PNLC) is feasible and offers similar health outcomes to usual care. However, PN-led consultations (PN-cons) or as PN-led dosage changes for permanent medication (PN-DCPM) are uncommon in German general practice offices (GPO).
View Article and Find Full Text PDFEur J Gen Pract
December 2024
Department of General Practice, Erasmus MC Medical University Center Rotterdam, The Netherlands.
Background: Overweight and obesity in children is a major health problem. General practice might be a promising setting for identifying and for the first steps in the management of overweight and obesity in children.
Objective: To explore opinions, needs and preferences about the role of general practice in the management of overweight and obesity in children from the perspectives of Dutch general practitioners (GPs), practice nurses (PNs) and parents of children with and without overweight.
Br J Gen Pract
February 2025
Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, the Netherlands.
Background: Diagnostic testing is prevalent among children with persistent non-specific symptoms (PNS), and both undertesting and overtesting have negative consequences for child and society. Research in adults with PNS has shown that GPs use diagnostic testing for reasons other than diagnosis, but comparable research has not, to the best of our knowledge, been conducted in children. Understanding GPs' perspectives of testing decisions in children could provide insights into mechanisms of undertesting and overtesting.
View Article and Find Full Text PDFBMC Prim Care
April 2024
Amsterdam UMC, location VUmc, Department of General Practice, Boelelaan 1117, Amsterdam, The Netherlands.
Background: The management of persons with multimorbidity challenges healthcare systems tailored to individual diseases. A person-centred care approach is advocated, in particular for persons with multimorbidity. The aim of this study was to describe the co-creation and piloting of a proactive, person-centred chronic care approach for persons with multimorbidity in general practice, including facilitators and challenges for successful implementation.
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