- Patient experiences of shared decision making with primary care clinical pharmacists. [Journal Article]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: Patients reported high levels of SDM with PCCPs. Experiences were driven mainly by perceptions and beliefs rather than demographics or clinical complexity, suggesting PCCPs engage patients equitably and strengthen collaborative medication decision making.
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- Implementation of an evidence-based app to improve healthcare for female urinary incontinence: identification of implementation strategies using the consolidated framework for implementation research-expert recommendations for implementation change matching tool. [Journal Article]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: Effective implementation of an evidence-based digital app for urinary incontinence in primary care requires improved awareness, knowledge, and support for healthcare professionals, as well as better structural integration of digital health tools into routine practice. Broader policy and societal shifts toward acceptance of eHealth are also needed. We also translated barriers into five tailored, theory-informed strategies addressing clinician education, patient engagement, workflow integration, financing, and collaboration between general practice and community pharmacy settings across the Netherlands in routine care implementation.
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- Entry into long-term care disrupts primary care continuity-but only at entry: a national cohort study of transitional and post-entry continuity in facility- and home-based care in Australia. [Journal Article]
- CONCLUSIONS: Entry into facility-based long-term care substantially disrupts established primary care relationships, but continuity is rapidly re-established after entry. The greater disruption observed in metropolitan areas suggests that factors beyond relocation, such as primary care availability and delivery models, shape transitional continuity. These findings identify long-term care entry as a key intervention point while indicating that post-entry care models effectively consolidate continuity.
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- Information theory and diagnostic reasoning in primary care: a framework for navigating uncertainty. [Journal Article]
- This is an overview of how information theory offers a rigorous and intuitive framework for understanding diagnostic reasoning in primary care. Primary care clinicians frequently encounter patients early in their illness trajectory, when symptoms are vague, evolving, or non-specific, creating high diagnostic uncertainty. Information theory, through its core concepts of entropy, information conten…
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- Excessive polypharmacy and complicated medication regimen are associated with Physicians' perceived burden in home healthcare: a multicenter cross-sectional study. [Multicenter Study]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: In home healthcare, excessive polypharmacy and complex medication regimens were significantly associated with increased physician burden. These findings underscore the potential benefits of optimizing pharmacotherapy through interprofessional collaboration with community pharmacists to reduce physician workload. Further research is required to identify effective interventions for mitigating this burden. Clinical trial registration: UMIN000056282.
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- An innovative hybrid cognitive behavioral therapy for insomnia approach to insomnia treatment: a retrospective chart review study. [Journal Article]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: DrLullaby's hybrid approach resulted in a significant reduction of insomnia symptoms and sleep medication dosage. Virtual delivery of tech-enabled CBT-I, alongside sleep medication tapering, may be a viable referral option for family medicine clinicians who otherwise lack access to the first-line insomnia treatment.
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- Feasibility of measuring walking speed in a diabetes clinic in primary care. [Journal Article]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: Timed walk was the most feasible and acceptable to patients and staff. Results were similar on average to accelerometry and treadmill.
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- Moving from a clinical trial to routine care: a qualitative analysis of primary care physicians' experiences with interventions to promote shared decision making for colorectal cancer screening in older adults. [Journal Article]Fam Pract. 2026 Oct 06; 43(6).FP
- CONCLUSIONS: Overall, PCPs perceived the SDM training and reminders as supporting a more nuanced and individualized approach to CRC screening conversations with older adults. To enable broader scale-up in primary care, these interventions should minimize burden on PCPs by streamlining integration into existing workflows.
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- Bridging perspectives on antimicrobial resistance: a survey of Belgian general practitioners, dentists, and infectious disease specialists. [Journal Article]Fam Pract. 2026 Jul 31; 43(5).FP
- CONCLUSIONS: This study highlights both shared concerns and differing perspectives regarding AMR among three major outpatient stakeholders involved in antibiotic use. Despite broad awareness of AMR, important gaps remain in stewardship knowledge, prescribing perceptions, and confidence in current interventions. To our knowledge, this is among the first studies to directly compare GPs, dentists, and ID specialists within a single framework.
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- A retrospective evaluation of antibiotic prescribing for recurrent urinary tract infection prophylaxis in adults in general practice. [Journal Article]Fam Pract. 2026 Jul 31; 43(5).FP
- CONCLUSIONS: This work has identified several opportunities to improve recurrent UTI management, including optimizing antimicrobial prescribing, ensuring regular clinical review, and accounting for resistant urinary isolates.
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- The role of 6-minute walk test and pulmonary function testing in patients with post COVID-19 condition: a systematic review and meta-analysis. [Systematic Review]
- CONCLUSIONS: This review provides insight into the utilization of PFTs and 6MWT and the frequency of test abnormalities in patients with PCC. Despite existing evidence, there is a need for future studies to assess the diagnostic test accuracy of these tests in PCC.
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- Are general practitioners less likely to recommend treatment when given absolute data on its risks and benefits? A web-based randomized survey. [Randomized Controlled Trial]Fam Pract. 2026 Jul 31; 43(5).FP
- CONCLUSIONS: Doctors should have ready access to both guidelines and absolute data to tailor their advice to individual patients. Care is needed in how information is presented to avoid discouraging evidence-based practice.
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- Situational analysis. [Journal Article]
- Situational analysis is a qualitative method that allows the analyst to examine highly complex and locally specific situations. As primary care evolves to include increasingly specialized and varied interprofessional collaborative and person-centered care teams, this method may prove valuable to understanding how such teams operate. Situational analysis, an offshoot of grounded theory, provides a…
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- The use of the Psychosocial Index in primary care: clinimetric assessment of allostatic overload and biological correlates. [Journal Article]Fam Pract. 2026 Jul 31; 43(5).FP
- CONCLUSIONS: PSI-informed clinimetric assessment identified a primary care subgroup with a coherent psychosocial profile and higher adjusted morning cortisol. These findings provide preliminary support for the clinical utility and biological correspondence of PSI-based AO assessment.
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- Digital gamification in chronic pain management in adulthood: a systematic review. [Systematic Review]Fam Pract. 2026 Jul 31; 43(5).FP
- CONCLUSIONS: Gamification, particularly virtual reality and feedback-driven interventions, shows promise in reducing chronic pain and enhancing motivation. However, heterogeneity in design, limited long-term data, and risk of bias highlight the need for interventions evaluated in high-quality randomized controlled trials with longer follow-up periods. Future research should explore personalized gamification strategies and underlying mechanisms to optimize chronic pain management.
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