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'Meet and greets' are common among FPs in NS and result in some patients not being accepted into practice. More research is needed to understand the intentions, processes, and outcomes of 'meet and greets'. We recommend that practice scope be made clear to prospective patients before their first visit, which may eliminate the need for 'meet and greets'.

Previous research has shown that cancer patients lack knowledge about treatments particularly for reproductive system cancers. Focusing on prostate cancer, we explored how the language used to describe treatments and their side effects is understood by both men and women. Since the language around prostate cancer is often euphemised to reduce distress and stigma, our aim was to elucidate how language (e.g. hormone therapy vs. androgen deprivation therapy) affects both patients' and partners' attitudes towards treatment decision making. We surveyed 690 male and female cancer patients and non-patients through an online questionnaire. A large proportion of participants did not understand the terminology used to describe prostate cancer treatments. Most did not know that the terms 'chemical castration', 'hormonal therapy' and 'androgen deprivation' are synonymous. Male respondents stated that they would more readily agree to hormonal therapy than to castration to treat prostate cancer and felt significantly more strongly than women about how androgen deprivation therapy, described in various terms, affected masculinity. Men and women differed substantially in their opinion about the impact of androgen deprivation. For patients and partners to make informed decisions and cope effectively with treatment side effects, it is important that healthcare practitioners provide accurate information using language that is unambiguous.

OBJECTIVES:To determine whether socio-economic status (SES) and presence of a chronic condition are associated with the response a prospective patient receives when seeking a family physician (FP).METHODS: Scripted telephone calls (indicating higher or lower SES and presence or absence of a chronic condition) were made to all 327 FP offices in Nova Scotia (NS) requesting an appointment. The main outcome measures were the responses to callers seeking a FP: being accepted for an appointment or being offered further assistance if not accepted (e.g., walk-in clinic, alternative provider, and telehealth), as well as the callers' perception of the experience as positive, negative, or neutral.RESULTS: Only 9.9% of offices accepted callers as new patients. There were no statistically significant differences by SES or chronic condition in the proportion of calls resulting in an appointment. Callers indicating high SES were more likely to be provided further assistance than those with low SES (p = 0.06), and callers indicating a chronic condition reported a better overall experience than those without (p = 0.03).CONCLUSION: First contact accessibility for prospective new patients was low across NS. Lower SES was associated with fewer offers of additional assistance than higher SES. This is particularly troubling since those with lower SES may need additional support as they may have less access to resources and networks that could provide support. This study signals the need to improve general and equitable accessibility to primary care providers.KEY WORDS: Primary health care; general practice; chronic disease; social class; access to health care; health equity La traduction du résumé se trouve à la fin de l'article.

We investigated via a survey the relationship between hand clasping, arm folding, and handedness. We aimed to provide new data on degree of preference for each of these lateralities. We also examined the relative importance of thumb position versus interdigitisation of the fingers in determining one's comfort in a hand-clasping position. We explored this in the context of the fact that sensory acuity is greater for the thumb than other fingers, suggesting that preference for how the fingers are intermeshed may be more influenced by thumb than finger position. Lastly we performed an exploratory analysis to determine if self-reported menstrual phase-known to influence turning bias-also influences hand clasping, arm folding or the strength of one's handedness. Our study suggests that lateral preferences for hand clasping, arm folding, and handedness are independent. However, the degrees of lateral preference for hand clasping and arm folding are correlated. Our exploration of the relative importance of thumbs versus fingers to hand clasping revealed some trends that were not statistically significant, but worth future exploration. Our data on menstrual phase showed a reduced strength of preference for arm folding in mid-luteal females versus non-mid-luteal females.