Living wishes : a communication campaign encouraging Singapore residents aged 35 to 59 to initiate Advance Care Planning discussions with their elderly parents by Chong, Charlotte Wen Wei, Gouw, Emily Shu Hui, Lee, Phyllis Zhi Ning, Tan, Raelynn Zhi Xuan

“…This paper presents Living Wishes, a communication campaign aimed at increasing Advance Care Planning (ACP) discussions between adults and their elderly parents so that they are better prepared to handle their elderly parents’ end-of-life (EOL) care. …”
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Enhancing care quality and accessibility through digital technology-supported decentralisation of hypertension and diabetes management: a proof-of-concept study in rural Bangladesh by Xie, Wubin, Paul, Rina Rani, Goon, Ian Y., Anan, Aysha, Rahim, Aminur, Hossain, Md Mokbul, Hersch, Fred, Oldenburg, Brian, Chambers, John Campbell, Mridha, Malay Kanti

“…Objective: The critical shortage of healthcare workers, particularly in rural areas, is a major barrier to quality care for non-communicable diseases (NCD) in low-income and middle-income countries. …”
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Examining patient choice and provider competition under the National Health Insurance Fund outpatient cover in Kenya: does it enhance access and quality of care? by Kazungu, J, Barasa, E, Quaife, M, Nonvignon, J

“…Background: While patient choice and provider competition are predicted to influence provider behaviour for enhancing access and quality of care, evidence on provider perceptions and response to patient choice and provider competition is largely missing in low-resource settings such as Kenya. …”

Evaluation of the impact of COVID-19 pandemic on hospital admission related to common infections: Risk prediction models to tackle antimicrobial resistance in primary care by Fahmi, A, Palin, V, Zhong, X, Yang, Y, Watts, S, Ashcroft, DM, Goldacre, B, MacKenna, B, Fisher, L, Massey, J, Mehrkar, A, Bacon, S, the OpenSAFELY Collaborative, Hand, K, van Staa, TP

“…While this study has several limitations, the results indicate that a focus on risk-based antibiotic prescribing could help tackle AMR in primary care.…”

Associations between health literacy and health care utilization and mortality in patients with coexisting diabetes and end-stage renal disease : a prospective cohort study by Griva, Konstantina, Loong, Russel K. L., Nandakumar, Mooppil, Rajeswari, Moothathamby, Khoo, Eric Y. H., Lee, Vanessa Y. W., Kang, Augustine W. C., Osborne, Richard H., Brini, Stefano, Newman, Stanton P.

“…Objectives Health literacy encompasses a broad skill set linked to patients' self-management ability and the complexity of their health care environments. Self-management in the context of multimorbidity is particularly challenging, placing patients at risk of poor clinical outcomes. …”
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Effectiveness of a chronic obstructive pulmonary disease integrated care pathway in a regional health system : a propensity score matched cohort study by Wu, Christine Xia, Hwang, Chi Hong, Tan, Woan Shin, Tai, Kai Pik, Kwek, Lynette Siang Lim, Chee, Thong Gan, Choo, Yee Mun, Phng, Francis Wei Loong, Chua, Gerald Seng Wee

“…Objective: The chronic obstructive pulmonary disease (COPD) integrated care pathway (ICP) programme was designed and implemented to ensure that the care for patients with COPD is comprehensive and integrated across different care settings from primary care to acute hospital and home. …”
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Multiple introductions of NRCS-A Staphylococcus capitis to the neonatal intensive care unit drive neonatal bloodstream infections: a case-control and environmental genomic survey by Lees, EA, Gentry, J, Webster, H, Sanderson, N, Eyre, D, Wilson, D, Lipworth, S, Crook, D, Wong, THN, Mark, A, Jeffery, K, Paulus, S, Young, BC

“…</strong> The Staphylococcus capitis NRCS-A strain has emerged as a global cause of late-onset sepsis associated with outbreaks in neonatal intensive care units (NICUs) whose transmission is incompletely understood.…”

A service evaluation of the implementation of a novel digital intervention for hypertension self-monitoring and management system in primary care (SHIP): protocol for a mixed methods study by Smith, A, Tucker, KL, Barnes, RK, Drakesmith, CW, Agwunobi, A, Bateman, PA, Forbes, A, de Lusignan, S, Ford, GA, Fujiwara, T, Hobbs, FR, Koshiaris, C, Mant, J, McKinstry, B, Pollock, S, Rice, C, Yang, Y, McManus, RJ

“…Aim: The self-monitoring and management service evaluation in primary care (SHIP) study will evaluate a novel digital intervention for hypertension management and medication titration platform (“Hypertension-Plus”) that is currently undergoing initial implementation into primary care in several parts of the UK. …”

Prevalence of diabetic peripheral neuropathy among type 2 diabetes mellitus and its associated factors in a primary care clinic in Malacca: a cross-sectional study by Ali, Hanifatiyah, May, Janarisa Mustar, Yein, Lee Ping, Abdul Rashid, Aneesa

“…This study aimed to determine the prevalence of diabetic peripheral neuropathy among type 2 diabetes mellitus patients and its associated factors in a primary care clinic. Materials and methods: A cross sectional study was done in a government funded primary care clinic in Melaka involving type 2 diabetes mellitus patients aged 18 years and above using a systematic random sampling. …”
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Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care by Zhu, Xiaoli, Lee, Eng Sing, Lim, Phoebe X. H., Chen, Yee Chui, Chan, Frederick H. F., Griva, Konstadina

“…Diabetes mellitus (DM) is a serious threat to global health and diabetic foot ulcers (DFU) remains one of the most common complications of DM1 affecting around 20 million people annually.2 DFUs are complex to treat, take months or years to heal, and the recurrence rates remain high up to 40% within 1 year of healing.3 People with DFUs are at risk of prolonged healing times and hospitalisation, reduced quality of life4, 5 and higher five-year mortality rates.3 Moreover, DFU is a causal factor for up to 85% of patients with diabetes who subsequently undergo lower extremity amputation3, 6 and is a leading cause of global disability.2 Singapore has the highest rate of diabetic lower extremity amputation (DLEA) in the world7 because of DFU and the trend is increasing.8 Additionally, DFU is a substantial clinical and economic burden to health systems in Singapore with escalating healthcare costs corresponding to more proximal amputation levels and high re-admission rates.9 Thus, understanding barriers to managing DFU is vital for improving patient care.…”
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A comparison of sodium-glucose co-transporter 2 inhibitor kidney outcome trial participants with a real-world chronic kidney disease primary care population by Forbes, AK, Hinton, W, Feher, MD, Elson, W, Ordóñez-Mena, JM, Joy, M, Fan, X, Banerjee, D, Cole, NI, Munro, N, Whyte, M, Suckling, RJ, Swift, PA, de Lusignan, S

“…</p> <br> <p><strong>Methods:</strong> A cross-sectional analysis of adults with CKD in English primary care was conducted using the Oxford-Royal College of General Practitioners Clinical Informatics Digital Hub. …”

Patient and healthcare professional perspectives on the Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC): analysis of open-ended responses from patients and healthcare professionals by Kamran, R, Jackman, L, Laws, A, Stepney, M, Harrison, C, Jain, A, Rodrigues, J

“…<p><strong>Importance</strong> Several international calls have been made for evidence-based patient-reported outcome measure (PROM) implementation for gender-affirming care. The Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC) is a resource which can help guide PROM implementation efforts, developed using a three-phase participatory research approach with transgender and gender-diverse (TGD) patients and gender-affirming healthcare professionals. …”

Development of Attention-based Prediction Models for All-cause Mortality, Home Care Need, and Nursing Home Admission in Ageing Adults in Spain Using Longitudinal Electronic Health Record Data by Carrasco-Ribelles, LA, Cabrera-Bean, M, Khalid, S, Roso-Llorach, A, Violán, C

“…Considering longitudinal rather than cross-sectional information from primary care electronic health records (EHRs) can contribute to more informed predictions. …”

Effectiveness of digital education on communication skills among medical students : systematic review and meta-analysis by the digital health education collaboration by Kyaw, Bhone Myint, Posadzki, Pawel, Paddock, Sophie, Car, Josip, Campbell, James, Car, Lorainne Tudor

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Effect of early and later prone positioning on outcomes in invasively ventilated COVID-19 patients with acute respiratory distress syndrome: analysis of the prospective COVID-19 critical care consortium cohort study by Simpkin, AJ, McNicholas, BA, Hannon, D, Bartlett, R, Chiumello, D, Dalton, HJ, Gibbons, K, White, N, Merson, L, Fan, E, Panigada, M, Grasselli, G, Motos, A, Torres, A, Barbé, F, Ng, PY, Fanning, JP, Nichol, A, Suen, JY, Bassi, GL, Fraser, JF, Laffey, JG

“…The COVID-19 Critical Care Consortium has generated one of the largest global datasets on the management and outcomes of critically ill COVID-19 patients. …”

Promoting the implementation of clinical decision support systems in primary care: A qualitative exploration of implementing a Fractional exhaled Nitric Oxide (FeNO)-guided decision support system in asthma consultations by Morton, K, Santillo, M, Van Velthoven, MH, Yardley, L, Thomas, M, Wang, K, Ainsworth, B, Tonkin-Crine, S

“…Participants included asthma nurses, pharmacists, General Practitioners and respiratory nurse specialists involved in conducting asthma reviews in primary care. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. …”

Digital health sensing for personalized dermatology by Spinazze, Pier, Bottle, Alex, Car, Josip

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Examining diabetes management apps recommended from a Google search : content analysis by Jimenez, Geronimo, Lum, Elaine, Car, Josip

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Evaluation of CareStart™ malaria HRP2/pLDH (Pf/PAN) combo rapid diagnostic test for diagnosis of Plasmodium falciparum infection in malaria co-endemic areas in association with parasite density by Christian, M, Ekawati, LL, Pratama, AR, Cahyaningati, S, Bere, HK, Rustam, M, Kalbuadi, I, Andini, J, Yuliana, J, Fadilah, I, Ley, B, Thriemer, K, Price, RN, Sutanto, I, Baird, JK

“…Methods: Blood smears from patients who were screened for PRIMA Clinical Trial (Trial Registration Number: NCT03916003) conducted in East Sumba, Indonesia, and enrolled to its sub-study, ACROSS, were examined for microscopic examination and RDT using CareStart™ Malaria HRP2/pLDH (Pf/PAN) Combo (CareStart™ Pf/Pan RDT). …”

Offline and computer‐based elearning interventions for medical students' education by Hervatis, Vasilis, Semwal, Monika, Dunleavy, Gerard, Car, Lorainne Tudor, Zary, Nabil, Car, Josip, Kyaw, Bhone Myint

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