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[Integration of physician assistants into primary care: Acceptance and concerns among general practitioners].
Z Evid Fortbild Qual Gesundhwes
December 2024
Institut für Allgemeinmedizin, Medizinische Fakultät, Universität Duisburg-Essen, Essen, Deutschland. Electronic address:
Background: Strategies to counteract the impending and in some places already existing shortage of general practitioners (GPs) are being discussed in Germany. One approach could be to establish interprofessional teams in GP practices by integrating physician assistants (PAs).
Question: Can GPs imagine employing a PA in their practice and if so, under what conditions?
Methods: In March/April 2023, about 5,000 GPs in North Rhine-Westphalia (NRW), who work in a region with a care level of < 100 %, and about 1,000 GPs from Saxony-Anhalt were asked to take part in an online-based survey.
Prevalence of falls and associations with family functioning among community-dwelling older adults in Guangzhou, China.
Front Public Health
December 2024
School of Public Health, Southern Medical University, Guangzhou, China.
Introduction: Falls are the primary cause of unintentional fatalities among individuals aged 65 and older. Enhancing research on fall prevention among older adults is an urgent priority. Consequently, this study aims to investigate the prevalence and influencing factors of falls among community-dwelling older adults in Guangzhou, China, with a particular emphasis on the impact of family functioning.
View Article and Find Full Text PDFAdaptive and Behavioral Profiles in Down Syndrome and Co-Occurring Autism Spectrum Disorder: A Case-Control Study.
Autism Res
December 2024
Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Down syndrome (DS) is the most frequent genetic cause of intellectual disability (ID). Individuals with DS exhibit an elevated risk of other neurodevelopmental disorders, including autism spectrum disorder (ASD). The primary objective of this study was to explore the clinical characteristics of co-occurring ASD in children and adolescents with DS using a case-control approach.
View Article and Find Full Text PDFDifficulty in financing fracture care in south-western Nigeria: a prospective cohort study of predictors and recommendations for improvement.
BMC Public Health
December 2024
Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo, Nigeria.
Background: Bone fractures remain a significant global public health issue despite preventive measures, leading to substantial health and economic consequences. Effective treatment options are difficult to access in most sub-Saharan African countries, leading to reliance on unqualified practitioners and resulting in serious complications that worsen poverty. In Nigeria, the main challenge is the need for out-of-pocket payment for healthcare, which is the primary method of health financing.
View Article and Find Full Text PDF[Osteoarthritis: Degenerative changes or adaptive changes? Brief pain advice in primary care].
Aten Primaria
December 2024
Fisioterapia Atención Primaria, Madrid, España.
Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.
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