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This finding underlines the necessity to consider merging recommendations in one common, standard and frequently used recommendation by primary care physicians.
This finding underlines the necessity to consider merging recommendations into one common, standard and frequently used recommendation by primary care physicians.
Furthermore, most studies have found that women are more likely to participate if encouraged by their GP [ 13- 19], and one review even concluded that mammography recommendation by primary care providers was one of the most important factors for participation [ 20].
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This finding is consistent with other studies showing a lack of guideline-based dietary recommendations by primary care physicians [ 7].
According to current literature, the lack of adherence to discharge recommendations by primary care doctors is at least partially due to an interface problem between primary and secondary care.
It also supports that previous studies have shown varying levels of impact of USPSTF recommendations on prostate cancer screening recommendations given by primary care providers to their patients 15, 16, 17, 18, 19.
Furthermore, programme effectiveness might benefit from stronger emphasis on direct recommendations to participants, and should not rely too much on the uptake of recommendations by the primary care provider [ 8].
Secondary outcomes reflected adherence to guideline recommendations by the primary care pediatricians and included the proportion of children prescribed controller medications, having maintenance care visits at least twice a year, and an asthma action plan.
Although patients where the ASP recommendations were accepted appeared to have better clinical response at Day 7 post-recommendation, it is plausible that this is confounded by primary physicians preferring ID physicians' recommendations over ASP recommendations in the setting where patients had been more ill or were clinically deteriorating.
Analysis of the actions by primary care teams after recommendations showed that these were acted on in ∼80% of occasions (P = 0.02).
In general these recommendations apply to prevalence of and burden generated by primary headache disorders, mainly migraine and tension-type headache (TTH).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com