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www.mja.com.au | ||
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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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doctorschierling.com
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| | | | | Despite freedom of religion being important enough to be included in the first of our Constitution's ten amendments, the right to decline certain vaccines via religious exemption is frequently trampled on. Despite many declaring vaccine mandates for healthcare workers to be a "public health" issue or that the "science" behind such mandates is settled, neither argument is really true. | |
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www.malcolmrobertsqld.com.au
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| | | | | COVID UNDER QUESTION is a cross-party inquiry into the Government's response to COVID held on 23rd March 2022. COVID Under Question was hosted by Senator Malcolm Roberts (One Nation Federal Senator for Queensland) and attended by Stephen Andrew (One Nation Queensland State MP for Mirani), George Christensen (Federal Nationals MP for Dawson), Gerard Rennick (Federal Liberal Senator for Queensland), Alex Antic (Federal Liberal Senator for South Australia) and Craig Kelly (Federal Palmer United Australia MP... | |
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www.eda.admin.ch
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| | | Switzerland's international cooperation - news, topics, activities and projects, results, services, organisation and approach of the SDC. | ||
