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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
39 articles
Newest firstBackground Cannabis use is rising among adults, yet few users receive structured medical supervision. Older users face unique risks necessitating specialized oversight. Given their longitudinal relationships and detailed understanding of patients' health and goals, primary care providers are well-positioned to guide decisions and education about medical cannabis (MC). Further, because of their expertise in managin…
Open article record in new tab ↗BackgroundTwo-thirds of Dutch cardiovascular risk management (CVRM) for patients at risk of cardiovascular disease is delivered in primary care practices. While individual risk scores are increasingly used during consultation, a population-level structure for risk-based patient outreach is not currently available. We therefore developed the PROSPERA programme, a multilevel intervention comprising population-level…
BackgroundChat-based digital clinics are increasingly integrated into public primary care. This study evaluates a 24/7 chat-based digital clinic integrated into Harjun terveys, Paijat-Hame, Finland. MethodsData from 2,796,976 primary care encounters recorded between 2019 and 2025 were used to examine care patterns following the digital clinics introduction. ResultsCoverage fell from 36.5% in 2019 to 32.1% in 2020,…
Open article record in new tab ↗BackgroundStrong management capacity is essential for effective primary healthcare (PHC) service delivery and health system strengthening [1]. The AURUM Management Development Programme (MDP) was implemented to strengthen district and PHC leadership in the Western Cape province of South Africa. This study explored the contextual barriers and enabling conditions influencing the scalability of the programme within d…
IntroductionPractice coaching is increasingly used to strengthen quality improvement (QI) capacity in primary healthcare (PHC) systems in low- and middle-income countries (LMICs), yet the causal pathways through which it shifts provider behaviour, and the systemic conditions that enable or constrain those pathways, remain under-theorised. Using a theory-based qualitative evaluation, we examined how and why a pract…
IntroductionSexual and reproductive health (SRH) is an essential component of primary healthcare (PHC). Advancing person-centred SRH promotes gender equality and ensures women and girls access high-quality care that respects their autonomy. This umbrella review synthesises key findings on existing person-centred SRH interventions in primary care settings, globally. MethodsSearches were conducted in five bibliometr…
Open article record in new tab ↗In humanitarian crises, health services focus on acute lifesaving care, and the needs of patients with chronic, progressive, and/or life-limiting illnesses are usually neglected. To address this gap, the International Organization for Migration (IOM) has been implementing an integrated palliative care service model: Palliative Care Integrated into Primary Healthcare (PALLI-PHC). This study aims to assess service o…
BackgroundTreatment outcomes and satisfaction improve when healthcare decisions align with patient preferences. However, little is known about general health preferences in older adults, and eliciting patient preferences is time consuming. AimTo describe the distribution of preferences for healthcare in general, and associations between preferences and patient characteristics in adults aged 50 years and over in En…
Open article record in new tab ↗Background While cannabis use is prevalent among people with HIV (PWH), factors associated with higher-risk use require further study. We examined factors (mental health, sociodemographics, substance use, HIV clinical markers) associated with risk for cannabis use disorder (CUD) among PWH who used cannabis. Methods Participants included adult (≥ 18 years old) PWH from 3 HIV primary care clinics in Kaiser Permanent…
Open article record in new tab ↗Background Substance use is a high-impact biopsychosocial problem in Chile, where 21% of adults have experienced a severe alcohol use episode. In the past year, the prevalence rates were 12.5% for marijuana, 0.8% for cocaine, and 0.4% for cocaine base paste. Cannabis prevalence in Chile is higher than the global (4.2%) and South American (3.58%) averages. Cocaine prevalence in Chile is lower than in South America…
Aim To understand patterns of cannabis use and self-management experiences in patients with chronic disease during the post-legalization period in Thailand and to quantify such experiences and perceptions. Background Patients with chronic disease are a population in which disease self-management is potentially involved with the use of complementary and alternative medicines (CAMs). The recent changes in cannabis r…
ObjectiveArtificial intelligence (AI) and machine learning (ML) are widely used in healthcare, primarily for clinical tasks like diagnostics and decision support. However, their role in organization- and system-level processes, such as resource allocation and workforce planning, remains underexplored. This scoping review aims to review AI and ML applications at the meso- and macro-levels of primary health care (PH…
Open article record in new tab ↗BackgroundThe Latin America and the Caribbean (LAC) region will face future public health emergencies due to pandemics, natural disasters, migration, economic crisis or other unforeseen events. These events disrupt healthcare service coverage with consequences for morbidity, mortality and economic productivity. This study aimed to estimate the health and economic cost of potential future health system shocks, as a…
Background Clinical practice guidelines (CPGs) synthesize high-quality information to support evidence-based clinical practice. In primary care, numerous CPGs must be integrated to address the needs of patients with multiple risks and conditions. The BETTER program aims to improve prevention and screening for cancer and chronic disease in primary care by synthesizing CPGs into integrated, actionable recommendation…
Persons with HIV (PWH) experience high levels of pain. We examined the relationship of pain severity with use of cannabis and prescription opioids among PWH. This cross-sectional study evaluated associations between self-reported pain (moderate/severe vs mild/none) and cannabis and prescription opioid use in a primary care sample of PWH enrolled in an alcohol use treatment study at Kaiser Permanente, San Francisco…
Purpose Healthcare providers often hesitate to discuss medical cannabis (MC) due to limited understanding, risks and benefits, and misinformation. This reluctance is notable with older adult patients, despite MC's potential benefits. This study investigates whether primary care providers (PCPs) routinely inquire about MC when treating older adults and the frequency of such inquiries. Methods A 23-question survey w…
Open article record in new tab ↗Background Medical cannabis use and public acceptance in the United States have increased over the past 25 years. However, access to medical cannabis remains limited, particularly for underserved populations. To understand how patients experience medical cannabis accessibility, we measured medical cannabis use and barriers to use after medical cannabis certification in an urban safety-net academic medical center.…
Key messagesO_LISecondary analysis of data from the Nigeria States Health Investment Project showed improvements in facility autonomy, budget control, and management practices in experimental (PBF and DFF) districts much more so than in control districts. C_LIO_LISupportive supervision, including use of a quantified checklist, contributed to improvements in facility readiness to provide services and clinical produ…
Open article record in new tab ↗Introduction and AimDiabetes is a global health emergency with increasing prevalence and diabetes-associated morbidity and mortality. One of the challenges in optimising diabetes care is translating research advances in this heterogenous disease into clinical care. A potential solution is the introduction of precision medicine approaches into diabetes care. We aim to develop a digital platform called intelligent D…
ObjectivesThis study aims to measure the effect of Construction of Healthcare Consortium (CHC) on the allocation and equity of human resources (HR) for primary health care (PHC) in China, at the same time, it provides some data to support the governments policies improvement in the next stage. MethodsChanges in the equity of allocation of HR for PHC by population are demonstrated through a three-stage approach to…
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