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www.mja.com.au | ||
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changingtimes.media
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| | | | | This article has been updated. Latest update 9/7/2024. I started writing this tome in February 2021. I regularly updated the statistics from the adverse event databases and certain other sections, including the one about vaccinating children and adolescents, the section about boosters, and the one about variants, but there are more recent updates about vaccine... | |
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bjgpopen.org
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| | | | | Background Adverse childhood experiences (ACEs) are linked to negative health outcomes in adulthood. Poor engagement with services may, in part, mediate the association between adverse outcomes and ACEs. While appointment recording is comprehensive, it is not yet known if or how ACEs are recorded in the GP clinical record (GPR). Aim To investigate recording of ACEs in the GPR and assess associations between available ACE-related Read codes and missed appointments. Design & setting Retrospective cohort study of 824?374 anonymised GPRs. Nationally representative sample of 136 Scottish general practices; data collected 2013-2016. Method Read codes were mapped onto ACE questionnaire and wider ACE-related domains. Natural language processing (NLP) was used to augment capture of non-Read-coded ACEs. Frequency counts and proportions of mapped codes, and associations of these with defined levels of missing GP appointments, are reported. Results In total, 0.4% of patients had a record of any code that mapped onto the ACE questionnaire, contrasting with survey-reported rates of 47% in population samples. This increased only modestly by including inferred ACEs that related to safeguarding children concerns, wider aspects of ACEs, and adult consequences of ACEs. Augmentation via NLP did not substantially increase capture. Despite poor recording, there was an association between ever having an ACE code recorded and higher rates of missing GP appointments. Conclusion General practices would require substantial support to implement the recording of ACEs in the GPR. This study adds to the evidence that patients who often miss appointments are more likely to be socially vulnerable. | |
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dailydeclaration.org.au
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| | | | | TGA head John Skerritt has played a huge role in Australia's response to COVID-19, but he is not medical and has never treated a patient. | |
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andymaypetrophysicist.com
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| | | By Andy May No one doubts that Americans have lost faith in our government bureaucracy and the news media. The Pew Research Center, as well as other polls, confirm that public trust in the government has cratered, as shown in the image above. It rebounded during the Reagan and Clinton presidencies but has remained very... | ||
