Podcasts about primary care research

Today, we're speaking to Professor Helen Atherton, Professor of Primary Care Research at the University of Southampton. Title of paper: Supporting patients to use online services in general practice: focused ethnographic case studyAvailable at: https://doi.org/10.3399/BJGP.2024.0137Use of, and access to, online services are increasing within general practice in England. Current approaches to digital facilitation as observed in this study, appeared to be ad hoc and fitted around multiple services. Reception staff were key to supporting patients to use these platforms, but training, resources and support for such staff were not readily available. Enabling patients to have the best chance of using online services requires vision, strategy and investment of time and money. As practices and patients increasingly use online approaches to healthcare provision, practices should be mindful of patient groups who may find accessing services online to be a challenge and who thus require targeted help and support.

In this episode, we talk to Professor Paul Little, Professor in Primary Care Research at the University of Southampton.Title of paper: A randomised controlled trial of a digital intervention (Renewed) to support symptom management, wellbeing and quality of life in cancer survivorsAvailable at: https://doi.org/10.3399/BJGP.2023.0262There are increasing numbers of cancer survivors who have finished their primary treatment whose quality of life remains consistently poor over years. There is limited robust evidence for pragmatic, brief interventions to support cancer survivors in primary care - which is where most participants are managed, and where resources are increasingly stretched. Cancer survivors quality of life improved with detailed generic online support. Robustly developed bespoke digital support provided limited additional benefit for cancer survivors in the short term, but modest additional longer term benefit in enabling symptom management and self-rated health, and with significantly reduced costs to the health service.

The BJGP podcast is back for a new season! Today, we're speaking to Professor Joanne Reeve, who is a GP and Professor of Primary Care Research at Hull York Medical School. Joanne has published an editorial in the recent January edition of the BJGP titled, ‘Standing up for general practice', and today we're going to speak about this article and what it means to be a GP. Title of paper: Standing up for general practiceAvailable at: https://doi.org/10.3399/bjgp25X740373

In this week's edition of the Healthcare Experience Matters Podcast, we take an in-depth look at some of the (often overlooked) benefits of medical scribes and their positive impact on the patient experience. We are excited to welcome Dr. Christine Meyer, an internal medicine physician, back to our program for today's episode. This is the second appearance of Dr. Meyer on our weekly podcast series. In addition to her being a passionate advocate for driving excellent patient experiences, she is the founder of Christine Meyer, MD, and Associates (CMMD), a practice with over 20 providers, 20,000 patients, and two buildings in the Philadelphia metro region. As mentioned, in her previous podcast interview episode with us entitled, Driving Excellent Patient Experiences by Improving the Little Things, she attributes the success of CMMD to the emphasis her team has placed on ensuring a top-notch patient experience for everyone who walks in the door. The growth of CMMD is not because of traditional advertising or marketing campaigns, but due to the positive word-of-mouth generated by patients at her clinic. Medical Scribes in Primary Care *Research on the use of medical scribes in the primary care setting has linked medical scribes to heightened productivity and efficiency, elevated healthcare provider satisfaction, and, in numerous instances, increased levels of patient satisfaction. This sentiment is corroborated by the stories told by Dr. Meyer in today's podcast. She joined our show to shed light on the often-underestimated advantages of incorporating medical scribes into the clinical setting. Medical scribes at CMMD not only document patient visits in real-time but also serve as an extension of the clinician, allowing Dr. Meyer to maintain eye contact and enhance the overall patient-provider interaction in general. Medical Scribe Logistics The discussion touches on the logistical aspects of hiring medical scribes, revealing that CMMD often hires pre-med or medical students seeking valuable experience during a gap year. Dr. Meyer emphasizes the dual benefits of this arrangement as patients receive more personalized care and detailed post-visit summaries, while clinicians experience a significant reduction in workload and stress. The conversation extends to the unique relationships formed between patients and scribes, where patients of CMMD often reach out to scribes for clarification on post-visit instructions. Dr. Meyer acknowledges the costliness of implementing such a system but highlights its impact on both patient satisfaction and clinician efficiency. As the discussion unfolds, Dr. Meyer addresses the misconception that medical scribes must have a traditional medical or patient care background, revealing that individuals with diverse healthcare-related degrees, including healthcare business, can excel in the role. This insightful conversation explores the multifaceted benefits of medical scribes, showcasing how they elevate the patient's experience while gaining invaluable patient care knowledge inside the clinic. For any medical student or aspiring medical trainees in the eastern Pennsylvania region who may be interested, Dr. Meyer invites you to reach out and join her expanding team. You can send her an email at Christine@ChristineMeyerMD.com to learn more! Sources Ziemann M, Erikson C, Krips M. The Use of Medical Scribes in Primary Care Settings: A Literature Synthesis. Med Care. 2021 Oct 1;59(Suppl 5):S449-S456. doi: 10.1097/MLR.0000000000001605. PMID: 34524242; PMCID: PMC8428869.

Doctors Sara and Lisa talk to a GP involved in Primary Care Research Dr Imran Ghafoor and Ewa Grzegorska, a Research Support Facilitator from the National Health and Clinical Research Institute about Research in Primary Care. We talk through Dr Ghafoor's journey into being part of Primary Care Research, what embarking on Research Projects in Primary Care might look like, from the straightforward to the more involved, and some of the practicalities and financial considerations.  You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources:  If you want to contact the research Team from today Directly: Researchsupport.CRNGM@NIHR.ac.uk or  I.gafoor1@NHS.net National Institute of Health and Care Research: https://www.nihr.ac.uk/ Clinicians wanting to Train up in Research Initial Training Module Good Clinical Practice (through National Institute for Health and Care Research): https://www.nihr.ac.uk/health-and-care-professionals/learning-and-support/good-clinical-practice.htm Implementation of inclisiran in UK primary care for patients with atherosclerotic cardiovascular disease (ASCVD) or ASCVD-risk equivalents: rationale and design of VICTORION-Spirit, a pragmatic phase IIIb, randomised controlled study: https://www.ijclinicaltrials.com/index.php/ijct/article/view/672 Safety and Efficacy of Dexpramipexole in Eosinophilic Asthma (EXHALE): A randomized controlled trial (mentioned and not published yet): https://pubmed.ncbi.nlm.nih.gov/37277072/ National Institute of Health and Care Research List of Possible Studies of Interest: https://bepartofresearch.nihr.ac.uk/results/search-results Some Primary Care professionals may also want to be a participant in research (which in itself is a nice way to see what it's all about). The best way to do this is to go to https://www.researchforthefuture.org/  ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

In this episode, we talk to Dr Liz Sturgiss, who is an Associate Professor of Primary Care Research at the School of Primary and Allied Health Care at Monash University in Melbourne, Australia.Paper: Multifaceted intervention to increase the delivery of alcohol brief interventions in primary care: a mixed-methods process analysisAvailable at: https://doi.org/10.3399/BJGP.2022.0613Brief interventions can reduce alcohol- related harm when delivered in general practice, but there is an implementation gap in routine clinical practice. The REACH programme, which includes resources for patients, clinicians, and clinics, can improve alcohol recording in the general practice setting. Enhanced alignment between national policy and clinical need can support preventive health innovations through existing channels. When appropriately resourced and supported, general practice can deliver alcohol brief interventions in daily practice.

In this episode, we talk to Charlie Coombs who is a medical student and School for Primary Care Research intern working at University College London. Title of paper: Opportunities, challenges and implications of primary care micro-teams for patients and healthcare professionals: an international systematic reviewAvailable at: https://doi.org/10.3399/BJGP.2022.0545The number of GP practices in the UK has overall reduced, whilst individual practice size lists have increased. This systematic review uses a framework analysis to synthesis the current literature available around micro-teams as a potential intervention to mitigate compromised care in larger practices. This review highlights micro-teams as a structure of general practice to promote accessible healthcare delivery and moderate losses to continuity. Further research in whether continuity can be offered by a team instead of an individual is warranted in the implementation of micro-teams.

In this "Andrew Only" episode, we discuss Dr. Reichert's approach to diabetes management and thoughts on exercise and nutrition as medicine. We also discuss the LIBERATE study, as randomized controlled trial that Dr. Reichert is leading and is currently enrolling people with Type 2 diabetes in London, Ontario. The study uses continuous glucose monitoring, fitness tracking and health coaching to better control diabetes. Dr. Reichert's Bio: Dr. Sonja Reichert is a primary care physician, Associate Professor and clinical researcher in the Department of Family Medicine, Schulich School of Medicine & Dentistry at Western University, London, Ontario, Canada. She primarily works at the St. Joseph's Primary Care Diabetes Support Program, where she has a focused practice in diabetes, as well as at the St. Joseph's Family Medical Clinic in general family medicine. Dr. Reichert is the current Dr. Brian W. Gilbert Research Chair (Western University) in Primary Care Research, with a focus on diabetes, multi-morbidity, and the integration of exercise as medicine into patients' lives, all observed through the primary care lens. Dr. Reichert has published several peer-reviewed articles and is a current contributor to the Diabetes Canada Clinical Practice Guidelines. She is an award-winning teacher (Best Adjunct Non-Core Family Medicine Teacher Award from Western University) and director of Western's PGY3 Enhanced Skills Chronic Disease Management Program. Her passion for teaching extends to a variety of students including Post Graduate (Family Physician Residents), and Graduate (Masters and Doctoral) candidates. Dr. Reichert holds a BSc in Kinesiology from the University of Waterloo, an MSc in Exercise Physiology from the University of Toronto and an MD from McMaster University. To participate in Dr. Reichert's LIBERATE study: Email: liberate@lawsonresearch.com Phone: 519-646-6000 ext. 67230 Our Website: https://www.liberatediabetes.ca/ Purchase Tommy's MetFlex-Rx Diet Book: https://amzn.to/2ZUeMBm Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ Dr.Appleton's Website: https://andrewappletonmd.ca/

Today, we talk to Professor Paul Little, who is Professor of Primary Care Research within Medicine at the University of Southampton. Paul and his team conducted a study looking at the effectiveness of antibiotics for chest infections in children. Title of paper: Antibiotic effectiveness for children with lower respiratory infections: prospective cohort and trialAvailable at: https://doi.org/10.3399/BJGP.2022.0239Antibiotics are commonly prescribed for children with chest infections, but prescribing antibiotics fuels antibiotic resistance which is one of the major global public health threats. There is little randomised evidence, and trials commonly recruit selected populations which undermines their applicability. In a cohort of unwell children antibiotics for chest infections were not effective in significantly shortening the illness, and increased side effects. GP's should support parents to self-manage at home and communicate clearly on when and how to seek medical help if they continue to be concerned.

As the North American Primary Care Research Group (NAPCRG) celebrates its 50th anniversary, Dr Nick Pimlott hosts Dr Vivian Ramsden in a chat about the organization's success and plans for the future. Dr Ramsden, NAPCRG's incoming president and the first nurse to serve in the role, shares insights about the evolution of patient-led research and the value of relationships in this work. Read Dr Ramsden's commentary, “Fiftieth anniversary of NAPCRG,” in the September 2022 issue of Canadian Family Physician.

What do you know about it and how are you preparing for it? Understand why these changes happened How will the college help us with this new annual CPD program Host: David Lim | Total Time: 29 min Guest: A/Prof Charlotte Hespe, Head, General Practice and Primary Care Research, School of Medicine, Sydney, The University of Notre Dame Australia Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Professor Jane Gunn is a General Practitioner, PhD graduate, and Dean of the Faculty of Medicine, Dentistry and Health Sciences at The University of Melbourne. Professor Gunn's distinguished career as an academic has seen her work as Head of the Department of General Practice, Deputy Head of the Melbourne Medical School, and the inaugural Chair of Primary Care Research at The University of Melbourne. Professor Gunn's leadership in traversing the research-practice gap has raised the profile and rigour of primary care research in Australia and in 2016 saw her election to the position of Fellow of the Australian Academy of Health and Medical Sciences.   Diagnosis, Management and Outcomes of Depression in the Primary Care Setting (The Diamond 10-year Cohort Study) - https://medicine.unimelb.edu.au/research-groups/general-practice-research/mental-health-program/outcomes-of-depression    Matching depression management to severity prognosis in primary care: results of the Target-D randomised controlled trial - https://bjgp.org/content/71/703/e85    10 Of The Best - Showcasing significant projects that support the improvement of human health NHMRC Research Projects (Twelfth Edition) - https://www.nhmrc.gov.au/sites/default/files/documents/attachments/publications/10_of_the_best_12th_ed.pdf   Moving from “let's fix them” to “actually listen”: the development of a primary care intervention for mental-physical multimorbidity - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06307-5   The Joint Effect of Physical Multimorbidity and Mental Health Conditions Among Adults in Australia - https://www.cdc.gov/pcd/issues/2020/20_0155.htm 

In this episode Kristi Milley continues her conversation with Professor Jon Emery, Herman Chair of Primary Care Research at the University of Melbourne, and Director of PC4. And Professor Michael Jefford, Medical Oncologist and Director of the Australian Cancer Survivorship Centre at the Peter MacCallum Centre. Jon and Michael are part of a team of experts who have published a series of three papers around Cancer Survivorship in the Lancet. And for those of you who aren't in research, The Lancet would be the silver medallist at the Olympics in medical journals. Today, we're discussing the first two papers in the series: management of clinical issues experienced by survivors, and improved models of care for cancer survivors.

Today we are speaking with Professor Jon Emery, Herman Chair of Primary Care Research at the University of Melbourne, and Director of PC4. And Professor Michael Jefford, Medical Oncologist and Director of the Australian Cancer Survivorship Centre at the Peter MacCallum Centre. Jon and Michael are part of a team of experts who have published a series of three papers around Cancer Survivorship in the Lancet. And for those of you who aren't in research, The Lancet would be the silver medallist at the Olympics in medical journals. Today, we're discussing the first two papers in the series: management of clinical issues experienced by survivors, and improved models of care for cancer survivors.

Show notes 翻訳本「プライマリ・ケア研究　何を学びどう実践するか」の刊行を記念してAntaa様で行われたウェビナーの内容を許可を頂いてPodcastにしました。 獨協医科大学の志水太郎先生とともに『病院総合診療医×診療所プライマリ・ケア医による研究の可能性』というテーマでお話ししています。 ・日本の総合診療領域の臨床研究を盛り上げるための戦略 ・今後、日本の病院総合診療医と診療所家庭医でどの様な研究をしていくのがよいか ・JPCA学術大会のSpecial Interest Groupの話 などについて語っています。 書籍の内容はこちら https://note.com/chiryo1920/m/m89731bbb1686 書籍の購入はこちら https://www.amazon.co.jp/%E3%83%97%E3%83%A9%E3%82%A4%E3%83%9E%E3%83%AA%E3%83%BB%E3%82%B1%E3%82%A2%E7%A0%94%E7%A9%B6-%E4%BD%95%E3%82%92%E5%AD%A6%E3%81%B3%E3%81%A9%E3%81%86%E5%AE%9F%E8%B7%B5%E3%81%99%E3%82%8B%E3%81%8B-%E9%87%91%E5%AD%90-%E6%83%87/dp/4525041315

Shoe notes 翻訳本「プライマリ・ケア研究　何を学びどう実践するか」の刊行を記念してAntaa様で行われたウェビナーの内容を許可を頂いてPodcastにしました。 Oyabunとともに「これからのプライマリ・ケア研究」について語っています。 ・本を翻訳することについて ・日本のプライマリ・ケア研究を発展させるためにOyabunがどんな戦略を取ってきたか ・最近プライマリ・ケア研究盛り上がっているのでは？という話 ・日本のプライマリ・ケア研究はどこへ向かうべきか？ ・オーディエンスの方からの質問 などについて話しています。 書籍の内容はこちら https://note.com/chiryo1920/m/m89731bbb1686 書籍の購入はこちら https://www.amazon.co.jp/%E3%83%97%E3%83%A9%E3%82%A4%E3%83%9E%E3%83%AA%E3%83%BB%E3%82%B1%E3%82%A2%E7%A0%94%E7%A9%B6-%E4%BD%95%E3%82%92%E5%AD%A6%E3%81%B3%E3%81%A9%E3%81%86%E5%AE%9F%E8%B7%B5%E3%81%99%E3%82%8B%E3%81%8B-%E9%87%91%E5%AD%90-%E6%83%87/dp/4525041315

In this episode, meet Jamie DeMore, research manager of the Primary and Integrated Health Care Research Network (PIHCIN), who will share his experience working with patient partners. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at www.spor-pihci.com.

In this episode, meet patient partner Mpho Begin. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at www.spor-pihci.com.

In this episode, meet patient partner Shaneel Pathak. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at www.spor-pihci.com.

In this episode, meet patient partner Joan Cranston. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at www.spor-pihci.com.

In this episode we talk to Dr Sharon Dixon, GP and researcher, at the Nuffield Department of Primary Care Health Sciences, University of Oxford. The research was funded by the NIHR School of Primary Care Research. Paper: Navigating possible endometriosis in primary care: a qualitative study of GP perspectives https://doi.org/10.3399/BJGP.2021.0030 (https://doi.org/10.3399/BJGP.2021.0030) There are documented time lags between women presenting to primary care with symptoms suggesting endometriosis and receiving a diagnosis. It has been suggested that increasing GPs awareness will improve this situation. As GPs perspectives on these care journeys are not known, how best to educate health professionals to reduce delays in diagnosis is unclear. Even with awareness of the possibility of endometriosis, GP accounts suggest that journeys are complex and can involve navigating significant uncertainties, including when managing women whose symptoms are well controlled with primary care treatment or who do not want to have referral or operative investigation.

In this episode, meet patient partner Olive Bryanton. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at spor-pihci.com.

This episode is bilingual (French/English)! In this episode, meet patient partner Karina Prévost. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at spor-pihci.com. *For the english version, skip to 07:56

In this episode, meet patient partner Lynne Mansell. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at spor-pihci.com.

In this episode, meet patient partner Roger Stoddard. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at spor-pihci.com.

Like other chronic conditions, the symptoms of osteoarthritis tend to fluctuate. About 25-30% of people suffering from knee osteoarthritis also suffer from what we call OA “flares” or “exacerbations”. These “flares” are often described as temporary episodes of increased pain, stiffness and swelling, which may also be accompanied by other physical and psychological symptoms. “Flares” can cause considerable disruption to daily activities, sleeping and concentration and is a common complaint from those presenting to health professionals. Despite this, there is little known about what causes flares and how we can best manage them. On today’s episode of Joint Action, we will be speaking to Dr Martin Thomas to learn more about “flares”, their triggers and how to best manage them. Dr Martin Thomas is a clinical academic, working as a Research Fellow in the School of Medicine at Keele University in the UK and as a Specialist Musculoskeletal Physiotherapist in the NHS. After completing a degree in Human Movement Science at the University of Liverpool and a Masters in Sport Psychology from Liverpool John Moores University, he went on to qualify as a physiotherapist in 2007, also from the University of Liverpool. In 2009 he moved to Keele to undertake a PhD on the clinical epidemiology of symptomatic midfoot osteoarthritis. As a post-doctoral researcher, his primary focus is on leading and developing web-based cohort studies using self-controlled methodologies to examine flares of osteoarthritis. His flares work was funded by the NIHR through its School for Primary Care Research and through an Integrated Clinical Academic Programme Clinical Lectureship from the NIHR and Health Education England (www.nihr.ac.uk).RESOURCESInfographic on flaresCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! See acast.com/privacy for privacy and opt-out information.

This series is about Research For You, By You, a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network, and the people who work with them.

In this episode, meet patient partner Kent Cadogan Lofstgard. This series is about research for you, by you; a podcast dedicated to learning more about patient and community partners and patient-oriented primary care research in Canada. The Primary and Integrated Health Care Innovations Network is proud to present this podcast, with a focus on public representation in health. Join us to discover who our community partners are in our Network and the people who work with them. Learn more about our current research activities, events and members' implication at spor-pihci.com.

In this episode we talk to Dr Professor Alastair Hay from the Centre for Academic Primary Care, NIHR School for Primary Care Research, Bristol Medical School at the University of Bristol in the UK. Editorial: Point-of-care testing for respiratory infections during and after COVID-19 by Hannah V Thornton, Tanzeela Khalid and Alastair D Hay Read the editorial: https://doi.org/10.3399/bjgp20X713561 (https://doi.org/10.3399/bjgp20X713561) Alastair is an academic GP with a long interest in management of acute infections and the use of antibiotics in primary care and he leads a research group down in Bristol. He talks about attitudes and understanding of COVID testing; point-of-care testing; recent research on multiviral testing; and the use of CRP and how it fits into clinical care. He also tells us the research he would like to do in the future to help move this area of clinical practice forward.

In this episode I am talking to Dr Emma Sowden about heart failure with preserved ejection fraction. Emma is a research associate at the NIHR School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester. The title of the paper is: Understanding the management of heart failure with preserved ejection fraction: a qualitative multiperspective study Read the paper: https://doi.org/10.3399/bjgp20X713477 (https://doi.org/10.3399/bjgp20X713477) The type of heart failure called heart failure with preserved ejection fraction (HFpEF) is more common in older people with multiple long-term conditions. Although it is increasing in prevalence, it lacks evidence-based treatments. Research is needed to understand how to improve the management of patients with the condition. This study aimed to develop a detailed understanding of the perspectives of patients (including some relatives/carers), as well as primary and secondary care clinicians to inform the development of an improved model of care. The study found there were difficulties surrounding the timely identification of HFpEF and a widespread lack of understanding and awareness of the condition, which had the potential to influence approaches to management. There is a need to raise public and clinical awareness of HFpEF and develop a clear set of accepted practices concerning its management.

In this episode I am talking to Dr Bethany Bareham who is a research associate at the Population Health Sciences Institute at Newcastle University and she is funded by the School of Primary Care Research postdoctoral launching fellowship. The title of her paper is: Managing older people's perceptions of alcohol-related risk: a qualitative exploration in Northern English primary care Read the paper: https://doi.org/10.3399/bjgp20X713405 (https://doi.org/10.3399/bjgp20X713405) Different types of information and experiences affect older people's perceptions of alcohol's effects and their decisions for alcohol use. This study suggests that older people may struggle to recognise risks associated with drinking, unless ill health or screening results indicate that they may be experiencing alcohol-related harm. Older people's perceptions that their drinking is ‘sensible', or where their health has become difficult for them to manage, are challenges to be navigated in supporting healthier decisions. Primary care practitioners can help older people to recognise individual risks and the potential benefits of making healthier drinking decisions to maintain their quality of life.

We talk to Dr Daniel Stow about research into end-of-life recognition in older people. Daniel is a Research Associate at the Population and Health Sciences Institute, Newcastle University. He is funded by the School of Primary Care Research postdoctoral launching fellowship. Research title: Timing of GP end-of-life recognition in people aged ≥75 years: retrospective cohort study using data from primary healthcare records in England Read the paper:https://doi.org/10.3399/bjgp20X713417 ( https://doi.org/10.3399/bjgp20X713417) Identification of end of life can be challenging for clinicians, particularly in older people living with frailty. In this study, fewer than half of people aged ≥75 years who died had a code in their electronic health record (EHR) to suggest that their death was anticipated by their GP. End-of-life codes in EHRs were entered near to death (median 4 months prior). In the minority of older decedents (aged ≥75 years) for whom end of life was recognised, only a small proportion were on the palliative care register or had their preferences for place of care or death recorded.

Academic GPのAokiさんをむかえて、最近Annals of Family Medicineに掲載された論文を中心に、様々な角度からPrimary Care Researchについて語り合いました。取り上げた論文などのリンクは以下をご参照ください。 ------------------------------------------------- Comparison of Primary Care Experience in Hospital-Based Practices and Community-Based Office Practices in Japan https://www.annfammed.org/content/18/1/24 Redesigning Primary Care to Address the COVID-19 Pandemic in the Midst of the Pandemic https://www.annfammed.org/content/18/4/349 A Nationwide Flash-Mob Study for Suspected Acute Coronary Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827655/ Using Machine Learning to Predict Primary Care and Advance Workforce Research https://www.annfammed.org/content/18/4/334 Validation of the Computerized Adaptive Test for Mental Health in Primary Care https://www.annfammed.org/content/17/1/23.long Principles of patient and public involvement in primary care research, applied to mental health research. A keynote paper from the EGPRN Autumn Conference 2017 in Dublin https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990950/

The increased reliance of health systems on the digital record as the primary mechanism for storing data on consultations and other health interactions has opened new opportunities for research, healthcare innovation, and health policy. The electronic health record (eHR) is now ubiquitous in many countries, in hospital and primary care settings, and in some countries their health systems in terms of reporting patient care activity are essentially 'paperless'. Health systems globally are also facing accelerating challenges as they seek to deliver better value healthcare against the background of increasing levels of chronic disease, ageing populations, financial pressures and demands on public spending. Digital health tools and services are held up to be part of the solution to these challenges, potentially offering low-cost and patient-centred solutions. There has been huge investment in Big Data research in health, particularly in relation to digitised imaging and automated reporting and predictive modelling using phenotypic and increasingly genetic data. There have also been similar gains in more applied research that explores the potential of accessing the huge quantum of data held in the eHR, and linkage of these data to other national or regional databases, such as mortality records or cancer data. This session will explore some of the applications for routine data research, illustrated by projects that have resulted in research success and better healthcare. This will include the exemplars of using large eHR platforms and prescribing data platforms to create infrastructure for i) common disease surveillance, such as the UK RCGP RSC; ii) generation and validation of disease risk assessment tools, such as QRisk scores; iii) pragmatic electronic follow up trials; iv) within practice systems dashboard feedback reports, eg data normalised to regional and national rates on prescribing and investigation physician activity; v) traditional epidemiological linkage studies; and vi) linkage to long term phenotypic follow up of established disease cohorts. Richard Hobbs is Nuffield Professor of Primary Care at the University of Oxford, and Head of the Nuffield Department of Primary Care Health Sciences. He has served a decade as National Director of the National Institute for Health Research's School for Primary Care Research and was Director of the NHS Quality and Outcomes Framework (QOF) Review panel from 2005-09. He has served many national and international scientific and research funding boards in UK, Ireland, Canada, and WHO, including the BHF Council, British Primary Care Cardiovascular Society, and the ESC Council for Cardiovascular Primary Care. He currently chairs the European Primary Care Cardiovascular Society, a WONCA Special Interest Group. He is one of the world's leading academics in primary care, and has developed at Oxford one of the largest and most highly ranked centres for academic primary care globally. He has also made major contributions to growing primary care academic capacity, in terms of people development and research networks. A highly cited primary care clinical scientist, he has authored over 450 peer reviewed publications, has an h-index of 90, with over 63000 citations (36000 since 2013) and 81 papers cited over 100 times, 14 papers cited over 1000 times and 7 papers with over 2000 citations. He has an outstanding track record in cardiovascular research, delivering trials that changed international guidelines and practice, especially in the areas of stroke prevention in atrial fibrillation (BAFTA, SAFE, and SMART trials), heart failure burden and diagnosis (ECHOES and REFER trials), and hypertension self-management (TASMINH series). He is only the fifth ever recipient of the RCGP Discovery Prize in 2018 (an occasional award made since 1953) and received an inaugural Distinguished Researcher Shine Prize plus Best Presentation Prize at the WONCA World Congress in 2018. He was awarded a CBE for services to medical research in the 2018 New Year's Honours. This talk was held as part of the Big Data Epidemiology course which is part of the Evidence-Based Health Care Programme.

The increased reliance of health systems on the digital record as the primary mechanism for storing data on consultations and other health interactions has opened new opportunities for research, healthcare innovation, and health policy. The electronic health record (eHR) is now ubiquitous in many countries, in hospital and primary care settings, and in some countries their health systems in terms of reporting patient care activity are essentially 'paperless'. Health systems globally are also facing accelerating challenges as they seek to deliver better value healthcare against the background of increasing levels of chronic disease, ageing populations, financial pressures and demands on public spending. Digital health tools and services are held up to be part of the solution to these challenges, potentially offering low-cost and patient-centred solutions. There has been huge investment in Big Data research in health, particularly in relation to digitised imaging and automated reporting and predictive modelling using phenotypic and increasingly genetic data. There have also been similar gains in more applied research that explores the potential of accessing the huge quantum of data held in the eHR, and linkage of these data to other national or regional databases, such as mortality records or cancer data. This session will explore some of the applications for routine data research, illustrated by projects that have resulted in research success and better healthcare. This will include the exemplars of using large eHR platforms and prescribing data platforms to create infrastructure for i) common disease surveillance, such as the UK RCGP RSC; ii) generation and validation of disease risk assessment tools, such as QRisk scores; iii) pragmatic electronic follow up trials; iv) within practice systems dashboard feedback reports, eg data normalised to regional and national rates on prescribing and investigation physician activity; v) traditional epidemiological linkage studies; and vi) linkage to long term phenotypic follow up of established disease cohorts. Richard Hobbs is Nuffield Professor of Primary Care at the University of Oxford, and Head of the Nuffield Department of Primary Care Health Sciences. He has served a decade as National Director of the National Institute for Health Research’s School for Primary Care Research and was Director of the NHS Quality and Outcomes Framework (QOF) Review panel from 2005-09. He has served many national and international scientific and research funding boards in UK, Ireland, Canada, and WHO, including the BHF Council, British Primary Care Cardiovascular Society, and the ESC Council for Cardiovascular Primary Care. He currently chairs the European Primary Care Cardiovascular Society, a WONCA Special Interest Group. He is one of the world's leading academics in primary care, and has developed at Oxford one of the largest and most highly ranked centres for academic primary care globally. He has also made major contributions to growing primary care academic capacity, in terms of people development and research networks. A highly cited primary care clinical scientist, he has authored over 450 peer reviewed publications, has an h-index of 90, with over 63000 citations (36000 since 2013) and 81 papers cited over 100 times, 14 papers cited over 1000 times and 7 papers with over 2000 citations. He has an outstanding track record in cardiovascular research, delivering trials that changed international guidelines and practice, especially in the areas of stroke prevention in atrial fibrillation (BAFTA, SAFE, and SMART trials), heart failure burden and diagnosis (ECHOES and REFER trials), and hypertension self-management (TASMINH series). He is only the fifth ever recipient of the RCGP Discovery Prize in 2018 (an occasional award made since 1953) and received an inaugural Distinguished Researcher Shine Prize plus Best Presentation Prize at the WONCA World Congress in 2018. He was awarded a CBE for services to medical research in the 2018 New Year's Honours. This talk was held as part of the Big Data Epidemiology course which is part of the Evidence-Based Health Care Programme.

第36回Reflective Podcastは，若手のプライマリ・ケア研究者としてこの数年多くの業績をあげているAokiくんを迎えて，彼の論文をいくつか取り上げてディスカッションをしました。まさに真正（Genuine）なプライマリ・ケア，総合診療，家庭医療の研究とは何かを浮き彫りにしています。 　今回はFace-to-Faceで2本のダイナミックマイク（Shureとゼンハイザー）をZOOM H6というPCMレコーダーに直接つないで収録しています。収録場所の関係で環境音が若干入っていますが，ご容赦ください。 　なお，今回取り上げたAoki君が筆頭著者の論文は以下の４つです。リンク先からPDFファイルをダウンロードすることができます。 ＊「プライマリ・ケア施設の第三者評価：諸外国の現状と我が国への示唆」 https://www.jstage.jst.go.jp/article/generalist/41/4/41_179/_article/-char/ja/?fbclid=IwAR1ioABQ5tL8xs9yV5RgsHd9vym1fhMkWf0TKlj4l5BMbIWwKWyExEx4AAY ＊「Multimorbidity patterns in relation to polypharmacy and dosage frequency: a nationwide, cross-sectional study in a Japanese population」 https://www.nature.com/articles/s41598-018-21917-6?fbclid=IwAR2_houuERwVmmgCM0gXjZ-LnSDsPuDepyDPYPB1arEyMNYJdIs53-TPqps ＊「Social Isolation and Patient Experience in Older Adults」 http://www.annfammed.org/content/16/5/393?fbclid=IwAR2quGqeM8vyFCT4JJanF1O1ZGwVdSB-nMdxtUlDU2TsqUBKE7a3AcO08xo ＊「Effect of Patient Experience on Bypassing a Primary Care Gatekeeper: a Multicenter Prospective Cohort Study in Japan」 https://link.springer.com/article/10.1007%2Fs11606-017-4245-1?fbclid=IwAR1CAN-sDqxv-OrbCmCPukUrE6LARAA4eb0Ao69eyg1Cf54UI1lVlyyMAs0

Primary Care Research With Prof. Philip Evans by NIHR

Professor Aziz Sheikh, Professor of Primary Care Research & Development and Co-Director of the University's Centre for Population Health Scientist, delivers the third lecture in the 2014 Medical Detectives series entitled, "The Sign of Three: Progress Report on an Investigation into the Epidemic of Itch, Sneeze and Wheeze". In this lecture, Professor Sheikh will present a summary of the main culprits identified to-date and share his thoughts on where the investigation should now focus attention. Recorded on 23 October 2014, at the University of Edinburgh's Anatomy Lecture Theatre.

Aokiさんを迎えての第17回。およそ2ヶ月ぶりの配信になります。 取り上げた話題は・・・ ＊京都での研究生活 ＊京都での暮らし ＊プライマリ・ケア研究の英語論文作成のワークフロー ＊MultimobidityとComplex Intervention ＊プライマリ・ケアの質測定 ＊在宅医療の測定に値するアウトカムとはなにか ＊混合研究法 ＊家庭医療のクリニカルメソッドの開発 ＊ナース・プラクティショナー ＊研究者ネットワークの構築 収録環境 スカイプ経由で直接ZOOMH6に録音しています。 マイクはAoki君はヘッドセット，オヤブンはShure SM58を使用。

Download Animals are known to indulge in psychoactive compounds. Humans are not the only species who like to become intoxicated. From bees drinking to fermented nectars to reindeer of the Siberian tundra eating Amanita muscaria mushrooms, Aaron and Andras find a creative way to start a conversation about drug policy, harm reduction, and psychedelics. Aaron and Andras have started a company that produces tshirts depicting cute animals doing drugs. While this may seem like a way to promote drug use using cute animals, Aaron and Andras have a deeper meaning, which is about starting a conversation and trying to shift the cultural narrative about drug use. If you want to get one of your own t-shirts, use the coupon code: PSYCHEDELICSTODAY25 to receive 25% off your purchase!                                [youtube https://www.youtube.com/watch?v=iVqObIauPJA] Enroll Today! Show Notes/Links Cute Animals Doing Drugs  Coupon Code: PSYCHEDELICSTODAY25 Animals and Psychedelics: The Natural World and the Instinct to Alter Consciousness Shamanic Origins of Christmas [youtube https://www.youtube.com/watch?v=MkCS9ePWuLU] About Cute Animals Doing Drugs Cute Animals Doing Drugs was created by two friends to raise awareness around these issues, support drug policy reform, and encourage honest conversations about drugs in everyday life. We believe individuals have the right to sovereignty over their own consciousness and that there is no reason to deny any adult the safe and beneficial use of psychoactive substances. We believe social and political change can start from the bottom-up. Our apparel serves as a conversation-starter and a fun, unique way to show your support for an increasingly important social issue. Cute Animals Doing Drugs is here to call attention to these issues, support psychedelic research, encourage drug policy reform, and promote cognitive liberty for all. We also donate 10% of our pre-tax profits to MAPS, the Drug Policy Alliance, and other drug-related non-profit organizations. Check out our current line of apparel here. Andras L Andras L is a cofounder of Cute Animals Doing Drugs Apparel, an initiative intended to help shift societal perceptions around drug use. Cute Animals builds on his previous work as a director on the board of Canadian Students for Sensible Drug Policy, where he advocated for the advancement of harm reduction and evidence-based drug policy reform. He is especially focused on reversing harmful policies and combating stigma. Andras graduated with an M.Sc. in Primary Care Research from McGill University and now researches infectious disease. Aaron  Aaron co-founded Cute Animals Doing Drugs Apparel with Andras in the summer of 2017. He finished his BA at McGill University in 2014 and has since been traveling the world and working online. Aaron has a longstanding fascination with psychedelics, and is particularly interested in the subjective elements of psychedelics experience as well as the potential broad social impact of mainstreaming psychedelic use, especially in spiritual contexts. He writes about personal development, spirituality, and psychedelic experience at freedomandfulfilment.com.

Dr. Kamal R. Mahtani, Deputy Director of the Centre for Evidence-Based Medicine, in conversation with Professor Richard Hobbs, Head of Nuffield Department of Primary Care Health Sciences, University of Oxford. Dr. Kamal R. Mahtani, Deputy Director of the Centre for Evidence-Based Medicine, in conversation with Professor Richard Hobbs, Head of Nuffield Department of Primary Care Health Sciences, Director of NIHR Collaboration for Leadership in Applied Health Research and Care, and National Director of NIHR School for Primary Care Research. Trust the Evidence is a new podcast series presenting conversations with individuals interested in improving healthcare through the use of better evidence. Send us your thoughts and feedback: cebm@phc.ox.ac.uk. Edited and produced by Alice Rollinson.

Professor Aziz Sheikh, Professor of Primary Care Research & Development and Co-Director of the University's Centre for Population Health Scientist, delivers the third lecture in the 2014 Medical Detectives series entitled, "The Sign of Three: Progress Report on an Investigation into the Epidemic of Itch, Sneeze and Wheeze". In this lecture, Professor Sheikh will present a summary of the main culprits identified to-date and share his thoughts on where the investigation should now focus attention. Recorded on 23 October 2014, at the University of Edinburgh's Anatomy Lecture Theatre.

Professor Aziz Sheikh, Professor of Primary Care Research & Development and Co-Director of the University's Centre for Population Health Scientist, delivers the third lecture in the 2014 Medical Detectives series entitled, "The Sign of Three: Progress Report on an Investigation into the Epidemic of Itch, Sneeze and Wheeze". In this lecture, Professor Sheikh will present a summary of the main culprits identified to-date and share his thoughts on where the investigation should now focus attention. Recorded on 23 October 2014, at the University of Edinburgh's Anatomy Lecture Theatre.

Dr. Paul Little MD is Professor of Primary Care Research at Southampton University in England and was the lead Investigator of a recent large scale study that concluded that the Alexander Technique is an effective method of helping people with chronic and recurrent back pain. The study was published in 2008 in the British Medical Journal. Dr. Little summarizes the study and gives suggestions for back pain sufferers and for primary care physicians who treat people with back pain. Dr. Little is interviewed by Robert Rickover, an Alexander Technique teacher in Lincoln, Nebraska and Toronto, Canada. Robert's website: alexandertechniquenebraska.com For more information about the Alexander Technique, including links to the back pain study and information on finding a teacher anywhere in the world: alexandertechnique.com