Investigating the leading reasons for primary health care encounters and its implications for health care in Trinidad and Tobago. A systematic review

Khan, Raveed; Khan, Abuzar; Mohammed, Ishmail; Dan, Farhaana; Cooper, Valtio; Charles, Sherise; Charles, Nkese; Clarke, Whitney; Clarke, Jeniece; Creary, Devonia; Chankersingh, Ashley

doi:10.4103/jfmpc.jfmpc_1803_21

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…3 Internationally and in Germany, the most common RFEs in general practice are headache, abdominal and back pain, respiratory complaints (ie, coughs) and fever. [4][5][6][7][8][9][10] The RFE determines the content of consultation and the consultation decision. The most common contents of consultations in general practice in Germany and internationally are hypertension, diabetes, myalgia or bronchitis.…”

Section: Open Accessmentioning

confidence: 99%

“…In contrast, the resulting diagnosis of the presented problem is documented in medical terms (ICD-10) and defined by the GP 3. Internationally and in Germany, the most common RFEs in general practice are headache, abdominal and back pain, respiratory complaints (ie, coughs) and fever 4–10. The RFE determines the content of consultation and the consultation decision.…”

Section: Introductionmentioning

confidence: 99%

“…The RFE determines the content of consultation and the consultation decision. The most common contents of consultations in general practice in Germany and internationally are hypertension, diabetes, myalgia or bronchitis 7 8 10 11. Discussions about test results, medication-related consultations as well as psychosocial problems and lifestyle issues complement the spectrum of consultation contents in the general practice 3 4 10–12.…”

Section: Introductionmentioning

confidence: 99%

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Saxon Epidemiological Study in General Practice-6 (SESAM-6): protocol of a cross-sectional study

Gräfe,

Liebig,

Deutsch

et al. 2024

BMJ Open

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IntroductionGeneral practitioners (GPs) are mostly the first point of contact for patients with health problems in Germany. There is only a limited epidemiological overview data that describe the GP consultation hours based on other than billing data. Therefore, the aim of Saxon Epidemiological Study in General Practice-6 (SESAM-6) is to examine the frequency of reasons for encounter, prevalence of long-term diagnosed diseases and diagnostic and therapeutic decisions in general practice. This knowledge is fundamental to identify the healthcare needs and to develop strategies to improve the GP care. The results of the study will be incorporated into the undergraduate, postgraduate and continuing medical education for GP.Methods and analysisThis cross-sectional study SESAM-6 is conducted in general practices in the state of Saxony, Germany. The study design is based on previous SESAM studies. Participating physicians are assigned to 1 week per quarter (over a survey period of 12 months) in which every fifth doctor–patient contact is recorded for one-half of the day (morning or afternoon). To facilitate valid statements, a minimum of 50 GP is required to document a total of at least 2500 doctor–patient contacts. Univariable, multivariable and subgroup analyses as well as comparisons to the previous SESAM data sets will be conducted.Ethics and disseminationThe study was approved by the Ethics Committee of the Technical University of Dresden in March 2023 (SR-EK-7502023). Participation in the study is voluntary and will not be remunerated. The study results will be published in peer-reviewed scientific journals, preferably with open access. They will also be disseminated at scientific and public symposia, congresses and conferences. A final report will be published to summarise the central results and provided to all study participants and the public.

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Section: Open Accessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Saxon Epidemiological Study in General Practice-6 (SESAM-6): protocol of a cross-sectional study

Gräfe,

Liebig,

Deutsch

et al. 2024

BMJ Open

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Reasons for encounter in video contacts at a Danish out-of-hours primary care service: a questionnaire study

Nebsbjerg,

Bomholt,

Vestergaard

et al. 2024

BMJ Open

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ObjectiveTo investigate reasons for encounter in telephone triage contacts to an out-of-hours primary care service for which general practitioners (GPs) use video consultations (video contact), overall and stratified for patient age and time of day.DesignA cross-sectional questionnaire study among GPs doing telephone triage in an out-of-hours primary care service. The questionnaire was integrated into the electronic patient registration system, popping up after every third video contact. This setup automatically linked patient register data, including age and sex, with the questionnaire data.SettingThe study was conducted from 5 September 2022 to 21 December 2022 at the out-of-hours primary care service in the Central Denmark Region.Participants649 volunteer GPs who answered 2452 questionnaires.Main outcome measuresReasons for encounter in video contacts registered with codes from International Classification of Primary Care (ICPC) coding system, V.2 (ICPC-2).ResultsGPs doing telephone triage in out-of-hours primary care used video contacts for a broad range of ICPC-2 codes within few ICPC-2 chapters. 83% of all reasons for encounter were due to symptoms in chapters S ‘Skin’ (34.5%), R ‘Respiratory’ (21.8%), A ‘General and unspecified’ (14.7%) and L ‘Musculoskeletal’ (12.0%) in the ICPC-2 classification system. Video contacts concerning skin and musculoskeletal symptoms were more frequent among older children and adults compared with young children. Respiratory symptoms and general and unspecified symptoms dominated by fever were more frequent among video contacts for young children compared with older children and adults.ConclusionOur study suggests a focused use of video contacts in an out-of-hours primary care setting; the majority of registered ICPC-2 codes were within few ICPC-2 chapters.

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The Added Value of Using Video in Out-of-Hours Primary Care Telephone Triage Among General Practitioners: Cross-Sectional Survey Study

Nebsbjerg,

Bomholt,

Vestergaard

et al. 2024

JMIR Hum Factors

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Background Many countries have introduced video consultations in primary care both inside and outside of office hours. Despite some relational and technical limitations, general practitioners (GPs) have reported the benefits of video use in the daytime as it provides faster and more flexible access to health care. Studies have indicated that video may be specifically valuable in out-of-hours primary care (OOH-PC), but additional information on the added value of video use is needed. Objective This study aimed to investigate triage GPs’ perspectives on video use in GP-led telephone triage in OOH-PC by exploring their reasons for choosing video use and its effect on triage outcome, the decision-making process, communication, and invested time. Methods We conducted a cross-sectional questionnaire study among GPs performing telephone triage in the OOH-PC service in the Central Denmark Region from September 5, 2022, until December 21, 2022. The questionnaire was integrated into the electronic patient registration system as a pop-up window appearing after every third video contact. This setup automatically linked background data on the contact, patient, and GP to the questionnaire data. We used descriptive analyses to describe reasons for and effects of video use and GP evaluation, stratified by patient age. Results A total of 2456 questionnaires were completed. The most frequent reasons for video use were to assess the severity (n=1951, 79.4%), to increase the probability of self-care (n=1279, 52.1%), and to achieve greater certainty in decision-making (n=810, 33%) (multiple answers were possible for reasons of video use). In 61.9% (n=1516) of contacts, the triage GPs anticipated that the contact would have resulted in a different triage outcome if video had not been used. Use of video resulted in a downgrading of severity level in 88.3% (n=1338) of cases. Triage GPs evaluated the use of video as positive in terms of their decision-making process (n=2358, 96%), communication (n=2214, 90.1%), and invested time (n=2391, 97.3%). Conclusions Triage GPs assessed that the use of video in telephone triage did affect their triage outcome, mostly by downgrading the level of care needed. The participating triage GPs found video in OOH-PC to be of added value, particularly in communication and the decision-making process.

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Investigating the leading reasons for primary health care encounters and its implications for health care in Trinidad and Tobago. A systematic review

Cited by 3 publications

References 21 publications

Saxon Epidemiological Study in General Practice-6 (SESAM-6): protocol of a cross-sectional study

Saxon Epidemiological Study in General Practice-6 (SESAM-6): protocol of a cross-sectional study

Reasons for encounter in video contacts at a Danish out-of-hours primary care service: a questionnaire study

The Added Value of Using Video in Out-of-Hours Primary Care Telephone Triage Among General Practitioners: Cross-Sectional Survey Study

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