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Mane, Anil Sham Rao. "Knowledge, Attitude and practice of general medical practitioners and specialty physicians regarding diseases of electrolyte imbalances." Scholars Journal of Applied Medical Sciences 4, no. 7 (July 2016): 2460–63. http://dx.doi.org/10.21276/sjams.2016.4.7.31.
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Tinkle, JD. "AIDS and the podiatric medical practice." Journal of the American Podiatric Medical Association 85, no. 8 (August 1, 1995): 420–27. http://dx.doi.org/10.7547/87507315-85-8-420.
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The number of patients with HIV (human immunodeficiency virus) and AIDS (acquired immune deficiency syndrome) has increased to the point that every podiatric physician in this country will be treating patients who are HIV positive, knowingly or not. Podiatric physicians continue to be part of the medical team that must bear responsibility for the rapid changes in HIV education. Attention must be focused on educating physicians about all aspects of this disease, especially the primary and secondary diseases of AIDS and new treatments and their side effects. Sterile technique and universal precautions have now taken on new importance.
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Ilic, N. "Psychosomatic diseases and depression with general practice physicists." European Psychiatry 26, S2 (March 2011): 380. http://dx.doi.org/10.1016/s0924-9338(11)72088-0.
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The psychosomatic diseases belong to the group of the most spread disorders in the contemporary medical practice. Answer to the question--what is the spread of those disorders and depression with general practice physicists, we have looked for by means of a research performed in February 2008 in the Health Centers Nis and “Vozdovac”-Belgrade. As the research instruments, we have used an anonymous questionnaire about the psychosomatic diseases and depressivity self-estimation scale (ZUNG). Those papers were filled by 36 of physicists and general practitioners, male and female, aged 30-55 years. The thirteen of the total 36 polled doctors (36.11%) were found to be affected by psychosomatic diseases. Ten doctors suffer from hypertension (76.92%), two of them has ulcer (15.38%) and one doctor have diabetes (7.69%). Two of them are found not to be depressive (15.38%),three ones are depressive in remission (23.07%), four doctors are depressive with other disorders (30.76%),and four of them need depression medical treatment (30.76).The depression in total number of polled doctors (36) is distributed as follows:Four without depression (11.11%), eight with depression in remission (22.22%), eighteen with depression followed by other disorders (50%) and six of pooled showed depression that needs medical treatment (16.66%).In the polled group, that offered psychosomatic illness, there is one third with depression that need medical treatment (30.76%)-this is two-times more (in percents) than of those in the total number of polled doctors (16.66%).
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Sharma, S., J. Jones, and M. Stewart. "P621 Secure Electronic Document Signing Uptake in Biologic Prescribing for Immune Mediate Diseases." Journal of Crohn's and Colitis 16, Supplement_1 (January 1, 2022): i547. http://dx.doi.org/10.1093/ecco-jcc/jjab232.747.
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Abstract Background The COVID-19 pandemic drastically impacted workflows in gastroenterology practice. Physicians managing immune-mediated diseases (IMDs) must complete special authorization (SA) and prescription renewal (Rx) forms for patients on biologic therapy. This adds significant administrative burden potentially leading to delays in therapy initiation and care continuity. Historically, document completion has largely been paper-based, with forms faxed between patient support programs (PSPs) and physician offices. The use of secure electronic document signing (SEDS) platforms during the pandemic has allowed physicians to receive and complete documents digitally. The aim of the project was to evaluate the impact of SEDS-based biologic documentation on clinical practice in order to 1) Determine if the use of SEDS platforms increased timeliness of document returns compared to traditional workflows 2) Assess whether SEDS usage is acceptable and sustainable and 3) Assess MD satisfaction with SEDS platforms. Methods This was a retrospective audit of SEDS and paper-based biologic document workflows from a single PSP (Abbvie Care). Outcomes of interest were the number of documents completed monthly using SEDS, new monthly users, and the number of active monthly users between April 1, 2020-March 31, 2021. Time (days) to SEDS completion (vs. paper process) was determined by reviewing timepoint data for SA and Rx documents from May 2019-January 2020 (‘pre- SEDS’) and for SEDS documents from May 2020-January 2021(‘SEDS’). The return time (RT) was defined as the time between date sent to a physician’s office by the PSP to the date returned to the PSP. Documents in the pre-SEDS cohort with a RT exceeding 30 days were excluded. Results In total, 5573 SA and Rx documents were completed by 383 physicians using the SEDS platform from April 2020-March 2021. A mean of 14.6 (sd 21.8) documents were signed per physician. The number of monthly electronic documents processed increased from 104 in April 2020 to 800 in March 2021. Active monthly users increased from 24 in April 2020 to 213 in March 2021 (31 new users monthly). A total of 19,387 paper documents were processed during the ‘pre-SEDS’ period and 3,317 electronic documents processed in the ‘SEDS’ period. The mean RT in the ‘pre-SEDS’ period was 8.03 days (sd 8.2) and the ‘SEDS’ period was 1.11 days (sd 2.6). Conclusion This data demonstrates acceptability, appropriateness, and improved processing efficiency of an SEDS platform improving timeliness of patient care. Next steps in this research include surveying physicians to understand the work-flow impact of SEDS, functionality, long-term sustainability, satisfaction and impacts on disease related outcomes.
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Sharma, S., J. Jones, and M. Stewart. "A84 SECURE ELECTRONIC DOCUMENT SIGNING UPTAKE IN BIOLOGIC PRESCRIBING FOR IMMUNE MEDIATED DISEASES." Journal of the Canadian Association of Gastroenterology 5, Supplement_1 (February 21, 2022): 97–98. http://dx.doi.org/10.1093/jcag/gwab049.083.
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Abstract Background The COVID-19 pandemic drastically impacted workflows in gastroenterology practice. Physicians managing immune-mediated diseases (IMDs) must complete special authorization (SA) and prescription renewal (Rx) forms for patients on biologic therapy. This adds significant administrative burden potentially leading to delays in therapy initiation and care continuity. Historically, document completion has largely been paper-based, with forms faxed between patient support programs (PSPs) and physician offices. Disruption of normal office processes during the pandemic necessitated the movement of existing paper-based workflows online. The use of secure electronic document signing (SEDS) platforms has allowed physicians to receive and complete documents digitally. Aims To evaluate the impact of SEDS-based biologic documentation on clinical practice. Objectives were 1) to determine if the use of SEDS platforms increased timeliness of document returns compared to traditional workflows 2) assess whether SEDS usage is acceptable and sustainable and 3) assess MD satisfaction with SEDS platforms. Methods This was a retrospective audit of SEDS and paper-based biologic document workflows from a single PSP (Abbvie Care). Outcomes of interest were the number of documents completed monthly using SEDS, new monthly users, and the number of active monthly users between April 1, 2020-March 31, 2021. Time (days) to SEDS completion (vs. paper process) was determined by reviewing timepoint data for SA and Rx documents from May 2019-January 2020 (‘pre- SEDS’) and for SEDS documents from May 2020-January 2021(‘SEDS’). The return time (RT) was defined as the time between date sent to a physician’s office by the PSP to the date returned to the PSP. Documents in the pre-SEDS cohort with a RT exceeding 30 days were excluded Results In totality, 5573 SA and Rx documents were completed by 383 physicians using the SEDS platform from April 2020-March 2021. A mean of 14.6 (sd 21.8) documents were signed per physician. The number of monthly electronic documents processed increased from 104 in April 2020 to 800 in March 2021. Active monthly users increased from 24 in April 2020 to 213 in March 2021 (31 new users monthly). A total of 19,387 paper documents were processed during the ‘pre-SEDS’ period and 3,317 electronic documents processed in the ‘SEDS’ period. The mean RT in the ‘pre-SEDS’ period was 8.03 days (Sd 8.2) and the ‘SEDS’ period was 1.11 days (sd 2.6). Conclusions This data demonstrates acceptability, appropriateness, and improved processing efficiency of a SEDS platform improving timeliness of patient care. Next steps in this research include surveying physicians to understand the work-flow impact of SEDS, functionality, long-term sustainability, satisfaction and impacts on disease related outcomes. Funding Agencies None
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Khan, Asaduzzaman, David Plummer, Rafat Hussain, and Victor Minichiello. "Sexual risk assessment in general practice: evidence from a New South Wales survey." Sexual Health 4, no. 1 (2007): 1. http://dx.doi.org/10.1071/sh06012.
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Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
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Willging, Abbygale M., Elvis Castro, and Jun Xu. "Physician–patient communication in vascular surgery: Analysis of encounters in academic practice." SAGE Open Medicine 10 (January 2022): 205031212211224. http://dx.doi.org/10.1177/20503121221122414.
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Objective: To assess physician–patient communication in vascular consults with the aim of identifying areas for improvement. Introduction: Shared decision-making in clinical consults can enhance patient outcomes. Its potential benefits are significant in vascular surgery, where decisions are dependent on the patient’s definition of quality of life and outcomes are influenced by significant lifestyle changes. Methods: In this qualitative cross-sectional study, encounters between five vascular surgeons and their patients with two asymptomatic vascular diseases were audio recorded, transcribed, and analyzed for validated sociolinguistic statistics. The nine-item shared decision-making questionnaire was used to gauge subjective patient perspective. Results: Physicians spent an average of 19 min and 28 s (±8:55) per consult and an average of 12 min and 7 s talking to the patient (±6:33). Physicians used formalized language about 10.3 times an encounter (±8.39), checked for understanding 6.4 times (±4.84), and asked more close-ended than open-ended questions (10.5 ± 6.15 versus 4.6 ± 2.37). Physicians accounted for 46.34% of utterances (±6%) and averaged 5.8 interruptions per encounter (±4). Patients and company accounted for 53.66% of total utterances (±6%) and averaged 10.1 clarification questions (±9.78). The average nine-item shared decision-making questionnaire Likert-type score per patient was 2.82 on a range of −3 to +3 (±0.33), with positive numbers indicating agreement. On average, patients strongly (+2) or completely (+3) agreed that physicians covered the nine criteria. Conclusion: The 9-item shared decision-making questionnaire data showed that patients mostly felt their physician was adequate in exhibiting shared decision-making behaviors. However, physicians asked closed-ended questions that elicited “yes/no” or brief responses, continuously interrupted patient narratives, and rarely checked for understanding from their patients. These subliminal behaviors restrict patient participation in shared decision-making and may be corrected via longitudinal intervention.
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Arias, Jalayne J. "Becoming the Standard: How Innovative Procedures Benefitting Public Health are Incorporated into the Standard of Care." Journal of Law, Medicine & Ethics 39, S1 (2011): 102–5. http://dx.doi.org/10.1111/j.1748-720x.2011.00578.x.
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Physicians’ resistance to implementing innovative medical procedures due to a perceived risk of liability can adversely affect the public’s health. This resistance prevents public access to procedures that could better treat communicable or chronic diseases. Innovative procedures, for the purpose of this article, are medical practices that require physicians to modify current clinical approaches to treating or diagnosing a patient’s condition and incorporate: (1) newly developed tests, treatments, drugs or devices (e.g., genetic screening to identify drug sensitivities to reduce adverse drug reactions); or (2) novel methods not commonly used by a majority of physicians (e.g., partner delivered therapy to treat an intimate partner for a communicable disease or advanced prescription of naloxone to patients prone to an opioid overdose). Innovative procedures do not include treatments provided during clinical research or those beyond a physician’s scope of practice.
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Furrow, Barry R. "Quality Control in Health Care: Developments in the Law of Medical Malpractice." Journal of Law, Medicine & Ethics 21, no. 2 (1993): 173–92. http://dx.doi.org/10.1111/j.1748-720x.1993.tb01241.x.
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Physicians and institutional providers face expanding liability exposure today, in spite of state tort reform legislation and public awareness of the costs of malpractice for providers. Standards of practice are evolving rapidly; new medical technologies are being introduced at a rapid rate; information is proliferating as to treatment efficacy, patient risk, and diseases generally. Tort standards mirror this change. As medical standards of care evolve, they provide a benchmark against which to measure provider failure. The liability exposure of physicians is affected by (1) the generation of data, including outcomes data usable to profile physician practice, and statistical data that allows for predictions as to treatment efficacy, and patient prognosis; (2) obligations to inform patients and third parties of risk created by contagious disease and other sources of harm; (3) obligations of physicians to disclose risks that the provider creates for the patient; (4) obligations to disclose conflicts of interest arising out of the practice setting; and (5) duties arising from new epidemiological knowledge.
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Al-Hashimi, Dalal Adnan, Khaldoon Al-Roomi, and Adel Salman Al-Sayyad. "Reasons for under-reporting of notifiable communicable diseases in the Kingdom of Bahrain: a health-centers based survey." Journal of the Bahrain Medical Society 25, no. 2 (2022): 75–79. http://dx.doi.org/10.26715/jbms.25_2_3.
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Background: Poor compliance by physicians with communicable diseases reporting is a worldwide phenomenon. In Bahrain, there are limited data regarding thoroughness and completeness of the current communicable diseases reporting system. Objective: To identify reasons for noncompliance with reporting of notifiable communicable diseases by primary health care physicians practicing in the Ministry of Health (MoH) primary health care centers. Methods: This is a cross-sectional study. Two hundred and forty-one self-administered questionnaires were distributed to all primary health care physicians practicing in all primary care health centers of the Ministry of Health. The questionnaires included items regarding socio-demographic and practice-related characteristics, self-reported practice related to communicable diseases reporting and reasons for noncompliance with reporting requirements. Results: The response rate was 93%; the mean age of the respondents was 43 ±8.36 years. The period of experience in clinical practice ranged from 1 to 35 years with a mean of 12.84 ± 7.86 years. Lack of feedback on notified cases, forgot to notify, and not sure of diagnosis were cited by more than half of the physicians as reasons for noncompliance with communicable diseases reporting. Conclusion: The findings suggest that there are several reasons for noncompliance with reporting requirements. Revising the current notification procedure to resolve some of the reasons is vital to enhance communicable diseases reporting in Bahrain.
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AL-Mohaithef, Mohammed. "Development, validation and reliability of a questionnaire for assessment of physician's knowledge, attitude and practices (KAPs) regarding foodborne diseases in the Kingdom of Saudi Arabia." F1000Research 10 (June 14, 2021): 470. http://dx.doi.org/10.12688/f1000research.52997.1.
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Background: The burden of foodborne illness is considered to be high across the world. Based on the Knowledge-Attitude-Practice (KAP) model, physician’s awareness is essential for conducting individualized treatments, thus reducing the burden of foodborne illness. However, there have been no validated questionnaires specific to the awareness of physicians with foodborne diseases. This study aims to develop and validate a KAP questionnaire for physicians to assess their awareness about the diagnosis and management of foodborne illness. Methods The questionnaire was developed in three phases: a comprehensive literature review, face and content validity, followed by a reliability test by internal consistency. A cross-sectional study was designed in Abha, Saudi Arabia. Physicians (n=125) were opportunistically recruited from both public and private primary healthcare centers. The questionnaire’s content and validity were confirmed by experts in their corresponding fields. After signing the informed consent, the study participants received the questionnaire to evaluate their KAPs on foodborne diseases. Results: A total of 160 physicians from both public and private primary health care centers were approached to enrol 125 study participants into the survey (response rate 78.13%). Of the 31 items designed for assessing the KAP of physicians on foodborne illnesses, three items were excluded after Cronbach’s α analysis. In total, 29 items were included in the final set of the questionnaire. Results of different validity and reliability analyses suggest the questionnaire has a high face and content validity as well as good reliability in internal consistency and stability. Conclusions: This study introduces a newly developed questionnaire with good reliability and validity values that can assess physician’s awareness of foodborne disease. The awareness questionnaire, as a study instrument, had a favourable acceptance among physicians. It is a sound method for evaluating and measuring levels of foodborne disease-related awareness among physicians in Abha, Saudi Arabia.
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AL-Mohaithef, Mohammed. "Development, validation and reliability of a questionnaire for assessment of physician's knowledge, attitude and practices (KAPs) regarding foodborne diseases in the Kingdom of Saudi Arabia." F1000Research 10 (September 20, 2021): 470. http://dx.doi.org/10.12688/f1000research.52997.2.
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Background: The burden of foodborne illness is considered to be high across the world. Based on the Knowledge-Attitude-Practice (KAP) model, physician’s awareness is essential for conducting individualized treatments, thus reducing the burden of foodborne illness. However, there have been no validated questionnaires specific to the awareness of physicians with foodborne diseases. This study aims to develop and validate a KAP questionnaire for physicians to assess their awareness about the diagnosis and management of foodborne illness. Methods The questionnaire was developed in three phases: a comprehensive literature review, face and content validity, followed by a reliability test by internal consistency. A cross-sectional study was designed in Abha, Saudi Arabia. Physicians (n=125) were opportunistically recruited from both public and private primary healthcare centers. The questionnaire’s content and validity were confirmed by experts in their corresponding fields. After signing the informed consent, the study participants received the questionnaire to evaluate their KAPs on foodborne diseases. Results: A total of 160 physicians from both public and private primary health care centers were approached to enrol 125 study participants into the survey (response rate 78.13%). Of the 31 items designed for assessing the KAP of physicians on foodborne illnesses, three items were excluded after Cronbach’s α analysis. In total, 29 items were included in the final set of the questionnaire. Results of different validity and reliability analyses suggest the questionnaire has a high face and content validity as well as good reliability in internal consistency and stability. Conclusions: This study introduces a newly developed questionnaire with good reliability and validity values that can assess physician’s awareness of foodborne disease. The awareness questionnaire, as a study instrument, had a favourable acceptance among physicians. It is a sound method for evaluating and measuring levels of foodborne disease-related awareness among physicians in Abha, Saudi Arabia.
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Seal, Brian S., Susan H. Foltz Boklage, and Carl V. Asche. "Treatment and characteristics of patients treated for hepatocellular carcinoma (HCC) by physician types in the United States." Journal of Clinical Oncology 30, no. 4_suppl (February 1, 2012): 375. http://dx.doi.org/10.1200/jco.2012.30.4_suppl.375.
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375 Background: This study provides a description of the characteristics of patients treated for HCC and how they differ in terms of those treated by 1 type of physician vs. those treated by ≥ 2 physicians. Methods: This was a longitudinal, retrospective analysis of claims from the Thomson Reuters MarketScan database for patients treated for incident HCC. The patients were selected based upon those being treated for malignant neoplasm’s of the liver as their primary diagnosis (ICD-9 code 155.00) and they were required to have continuous eligibility around their initial liver cancer incidence data for 6 months prior and ≥ 12 months subsequent to treatment. Excluded were those having evidence of HCC and any other type of tumor in the prior 6 months. The study period was from 01/01/2006 until 06/30/2010. Descriptive analysis was used to draw comparisons between patients seen by 1 vs. ≥ 2 specialists. Results: 967 patients were analyzed, of whom 631were seen by 1 and 336 were seen by ≥2 physicians. The groups were similar except for age (75.8% of 1 physician were aged 45 to 64 years vs. 89.9% ≥ 2 physicians), gender (55.8% males for the 1 vs. 75.3% ≥2 physicians), not having Hepatitis C (75.4% in the 1 vs. 57.4% ≥2 physicians), not having Cirrhosis (70.4% in the 1 vs. 56.3% ≥2 physicians), not having other diseases of the liver (56.6% in the 1 vs. 47.6% ≥2 physicians), not having chemotherapy (92.6% in the 1 vs. 71.4% ≥2 physicians), not having TAE (86.2% in the 1 vs. 60.7% ≥2 physicians), not having ablation (95.3% in the 1 vs. 84.2% ≥2 physicians), and not having resection (93.3% in the 1 vs. 84.2% ≥2 physicians). The top physicians consulted were: Internal Medicine (16.3%); Medical Doctor (16.03%); Gastroenterology (14.37%); Multispecialty Physician Group (13.65%); Oncology/Hematology (13.35%); Family Practice (9.41%); and Surgeon (7.86%). Conclusions: It was found that the HCC patients treated by 1 vs. ≥ 2 physicians were younger, predominantly female [Odds Ratio (OR) of 1.977], less likely to have Hepatitis C (OR of 0.649], and less likely to have ≥ 1 selected treatment (OR of 0.224). The patients were seen by Internal Medicine, General Medical, Multispecialty Groups, and Family Practice more often than Oncologists.
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Abu-rish, Eman Y., Eman R. Elayeh, and Michael J. Browning. "Physicians’ knowledge, attitudes and practices towards Zika virus infection in Jordan." Journal of Infection in Developing Countries 13, no. 07 (July 31, 2019): 584–90. http://dx.doi.org/10.3855/jidc.11356.
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Introduction: Zika virus (ZIKAV) disease is a public health problem of international concern. Recent evidence has documented imported ZIKAV cases into the Middle East and the existence of ZIKAV-transmitting mosquitoes in Jordan. However, limited data exist on the role of physicians in public awareness in this regard. This study aimed to assess ZIKAV knowledge, attitudes and counseling practices (KAP) of general physicians and gynecologists in Amman, Jordan.
Methodology: In this cross-sectional study, a structured paper-based questionnaire was completed by 119 participants during 2016-2017.
Results: Only 4.2% of the physicians correctly addressed ZIKAV-complication questions. A misconception of considering direct contact between individuals and breastfeeding as modes of ZIKAV transmission was observed. Only one participant correctly recognized that isolation of infected or exposed persons is not recommended. Having at least five years of experience in medical practice was the only factor that was significantly associated with a high knowledge score (P-value=0.011). Although prevention measures are the sole method to control ZIKAV spread, only 50% of participants believed in the efficacy of such measures. Despite a quarter of participants perceiving ZIKAV as a threat to their patients, none of them have counseled a patient in this regard before. The presence of an evidence of ZIKAV in Jordan and health authorities' recommendations were the most important predictors for adoption of counseling practice.
Conclusions: General physicians and gynecologists in Jordan had several gaps in knowledge of key aspects of ZIKAV disease, and there is a need for specific training programs of physicians and gynecologists.
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Rynkiewich, Katharina, Kruthika Uttla, and Leila Hojat. "Instant Gratification and Overtreating to Be Safe: Perceptions of U.S. Intensive Care Unit Pharmacists and Residents on Antimicrobial Stewardship." Antibiotics 11, no. 9 (September 9, 2022): 1224. http://dx.doi.org/10.3390/antibiotics11091224.
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Antimicrobial stewardship programs have been associated with numerous impacts on medical practice including reductions in costs, antimicrobial resistance, and adverse events. While antimicrobial stewardship is now considered an essential element of medical practice, the understandings of the value of antimicrobial stewardship among medical practitioners vary. Additionally, non-physician practitioners are regularly left out of antimicrobial stewardship interventions targeting antimicrobial decision-making. Here, we contribute the perspective from resident physicians and specialists in pharmacy regarding their involvement in antimicrobial prescribing. Notably, our semi-structured interviews with 10 residents and pharmacy specialists described their limited autonomy in the clinical setting. However, the participants regularly worked alongside primary antimicrobial decision-makers and described feeling pressure to overtreat to be safe. The clear rationales and motivations associated with antimicrobial prescribing have a noticeable impact on physicians in training and non-physician practitioners, and as such, we argue that antimicrobial stewardship interventions targeting primary antimicrobial decision-makers are missing an opportunity to address the breadth of antimicrobial prescribing culture. By looking at the perspectives and rationales of physicians in training and non-physician practitioners, we can see evidence that the act of antimicrobial prescribing is impacted by individuals on all levels of the hierarchies present in medical practice.
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Busse, Reinhard, Michael Hoopmann, and Friedrich Wilhelm Schwartz. "WHICH FACTORS DETERMINE THE USE OF DIAGNOSTIC IMAGING TECHNOLOGIES FOR GASTROINTESTINAL COMPLAINTS IN GENERAL MEDICAL PRACTICE?" International Journal of Technology Assessment in Health Care 15, no. 4 (October 1999): 629–37. http://dx.doi.org/10.1017/s0266462399015421.
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Objective: Even though gastrointestinal complaints are among the most frequent reasons to contact general medical practioners, little is known about the actual care of these patients, especially the use of diagnostic imaging technologies.Methods: In a network of 57 family practitioners and 29 general internists in Lower Saxony, Germany, 1,217 contacts with patients with gastrointestinal diseases (16%, gastritis; 12%, gastroenteritis; 6%, cholelithiasis; 5% each, ulcus ventriculi and duodeni, and 14%, no final diagnosis) were documented. The effects of patient and physician/practice side factors on the use of ultrasonography and radiography were modeled using multivariate logistic regression.Results: For ultrasonography, diagnosis and ownership of an ultrasound unit (odds ratio [OR] = 3.33) were highly significant predictors (p < .0001), followed by unknown diagnosis at beginning of contact (OR = 1.92; p = .0019), physician specialty (OR for internists = 1.89; p = .0025), and severity (p = .0085). For radiography, ownership of an ultrasound unit was the most significant factor (OR = 0.34; p < .0001), followed by severity (p < .0009), ownership of x-ray apparatus (OR = 2.56; p = .0025), physician specialty (OR for internists = 1.98; p = .0358), and unknown diagnosis at beginning of contact (OR = 1.79; p = .0451). Not significant were age and sex of patient and diagnosis for radiography.Conclusions: Physicians use diagnostic imaging technologies for patients with gastrointestinal complaints according to severity and knowledge about the diagnosis, but ownership of technology is the most predictive factor.
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Arya, Varun, Ramya Shenoy Kudpi, and Nikita Rungta. "Periodontal Disease as a Risk Factor for Cardiovascular Disease - A Questionnaire Survey among Physicians." Journal of Medicine 22, no. 1 (January 14, 2021): 7–11. http://dx.doi.org/10.3329/jom.v22i1.51384.
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Introduction: Periodontal infections have been documented to influence coronary heart diseases such as angina, myocardial infarction, atherosclerosis and other systemic conditions like stroke, diabetes mellitus and preterm low birth weight babies. Over the last two decades, several studies have reported associations between periodontitis and cardiovascular disease (CVD). The association is now a part of the dental school curriculum and periodontology. However, in contrast, this important aspect is missing in the medical school curriculum and not many physicians are aware of the role periodontal disease plays in CVD.
Aim: To assess the knowledge and practices of physicians of Mangalore City, South India, on periodontal disease as a risk factor in Cardiovascular Diseases (CVD).
Methodology: A questionnaire survey was carried out to assess physicians’ knowledge and practices in the city of Mangalore, South India. The physicians were divided into four groups as follows: Group I - Physicians associated with medical colleges; Group II – Sole private practitioners; Group III - Physicians associated with medical colleges and having their private practice; Group IV - Post-graduate students. A Chi-square test was applied to test the difference between knowledge and practices among the groups.
Results: Out of a total of 106 physicians, 56 (52.3%) participated in the survey. Periodontal disease was considered to be a risk factor in CVD by 87.5% (n=47) respondents and 96.4% (n=54) respondents stated that bleeding/enlargement of the gingivae was a sign of periodontal infection. Only 40% (n=23) of the respondents asked about oral problems during general check-up.
Conclusions: The knowledge regarding the periodontal disease as a risk factor in CVD was high, however, the application of the knowledge in routine medical check-ups was observed to be less.
J MEDICINE JAN 2021; 22 (1) : 7-11
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Jang, J. H., S. Wu, D. Kirzner, C. Moore, A. Tong, L. McCreight, R. Stewart, K. Green, and A. McGeer. "Physicians and hand hygiene practice: a focus group study." Journal of Hospital Infection 76, no. 1 (September 2010): 87–89. http://dx.doi.org/10.1016/j.jhin.2010.04.021.
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Unterkircher, Alois. "Außer Konkurrenz? Strategien der Inanspruchnahme einer Südtiroler Landarztpraxis um 1890 bei Erkrankungen von Kindern." Gesnerus 69, no. 1 (November 11, 2012): 158–77. http://dx.doi.org/10.1163/22977953-06901010.
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Who was responsible for the treatment of sick children in the countryside during the second half of the 19th century? This paper investigates the medical complaint accusing the rural population of only reluctantly bringing their sick offspring to academic physicians. The following analyses the role Franz v. Ottenthal (1818–1899), a ‘representative’ of a private rural medical practice, played in the specialised medical market attending to childhood diseases. An exemplary survey of Ottenthal’s medical records for patients from the age of one to 14 years throughout the 1890s has shown that children contributed a relevant percentage of the whole of the physician’s patient distri - bution. It may therefore be assumed that Ottenthal knew how to successfully merchandise his specific therapies. On the demand side, however, parents of sick children were not solely reliant upon this physician. Evidence from the medical records provides information as to when parents regarded medical self-help as no longer supporting the recovery of their children, the cures of lay healers failed, or cases when parents were not satisfied with the therapeutic treatments other physicians had to offer and therefore consulted Ottenthal.
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Nepal, Richa, Bharosha Bhattarai, Abhishek Bhandari, Bishow Nath Adhikari, Rhishikesh Nepal, and Nimesh Khanal. "Knowledge, Attitude and Practice Regarding Kidney Diseases among Primary Care Physicians working in Nepal." Journal of Advances in Internal Medicine 11, no. 1 (September 9, 2022): 1–9. http://dx.doi.org/10.3126/jaim.v11i1.48039.
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Background: Medical officers and resident doctors as primary care physicians (PCPs) are the first contact health care providers to most of the kidney disease patients in Nepal. This study intends to assess knowledge, attitude and practice regarding kidney diseases among these nonnephrology doctors, working in different health institutes all over Nepal. Methods: This was a descriptive, cross sectional, questionnaire based study, conducted over the span of 12 weeks among the primary care physicians. The Ethical Review Board of Nepal Health Research Council had approved our protocol prior to starting the study. An arbitrary scoring system was used to classify knowledge, attitude and practice scores as: 0 to <50% - Poor score, 50% to <75% - Moderate score, ≥ 75% - Good score. Data was entered in Microsoft Excel and analyzed using IBM Statistical Package for the Social Sciences version 25. Results: Out of 239 PCPs enrolled in our study, 41 (17%) obtained good knowledge scores, 124 (51.8%) obtained good attitude scores and 198 (82.8%) obtained good practice scores. None of the study participants had negative attitude towards kidney diseases. The mean scores obtained in our study were 23.03±4.49 for knowledge, 17.64±2.30 for attitude and 6.27±1.24 for practice domains out of total score of 37, 24, and 8 respectively. Conclusions: Our study demonstrated that the majority of PCPs had obtained moderate to poor knowledge scores regarding kidney diseases. However, the majority had a positive attitude and good practice regarding kidney diseases in our study.
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Paik, Karen, Matthew A. Lines, Pranesh Chakraborty, Sara D. Khangura, Maureen Latocki, Walla Al-Hertani, Catherine Brunel-Guitton, et al. "Health Care for Mitochondrial Disorders in Canada: A Survey of Physicians." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 46, no. 6 (August 7, 2019): 717–26. http://dx.doi.org/10.1017/cjn.2019.240.
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ABSTRACT:Background:An improved understanding of diagnostic and treatment practices for patients with rare primary mitochondrial disorders can support benchmarking against guidelines and establish priorities for evaluative research. We aimed to describe physician care for patients with mitochondrial diseases in Canada, including variation in care.Methods:We conducted a cross-sectional survey of Canadian physicians involved in the diagnosis and/or ongoing care of patients with mitochondrial diseases. We used snowball sampling to identify potentially eligible participants, who were contacted by mail up to five times and invited to complete a questionnaire by mail or internet. The questionnaire addressed: personal experience in providing care for mitochondrial disorders; diagnostic and treatment practices; challenges in accessing tests or treatments; and views regarding research priorities.Results:We received 58 survey responses (52% response rate). Most respondents (83%) reported spending 20% or less of their clinical practice time caring for patients with mitochondrial disorders. We identified important variation in diagnostic care, although assessments frequently reported as diagnostically helpful (e.g., brain magnetic resonance imaging, MRI/MR spectroscopy) were also recommended in published guidelines. Approximately half (49%) of participants would recommend “mitochondrial cocktails” for all or most patients, but we identified variation in responses regarding specific vitamins and cofactors. A majority of physicians recommended studies on the development of effective therapies as the top research priority.Conclusions:While Canadian physicians’ views about diagnostic care and disease management are aligned with published recommendations, important variations in care reflect persistent areas of uncertainty and a need for empirical evidence to support and update standard protocols.
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Menapace, Marcello. "Scientific Ethics applied to Medicine." General medicine and Clinical Practice 2, no. 1 (May 21, 2019): 01–03. http://dx.doi.org/10.31579/2639-4162/015.
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General medicine is the study of the science that allows physicians to deal with the prevention, diagnosis and treatment of adult diseases in human beings. Since medicine is the science or practice of the diagnosis, treatment, and prevention of disease.
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Jun, Jeany Kim. "The Role of Pharmacy Through Collaborative Practice in an Ambulatory Care Clinic." American Journal of Lifestyle Medicine 13, no. 3 (February 8, 2017): 275–81. http://dx.doi.org/10.1177/1559827617691721.
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Pharmacists have been practicing in ambulatory care environments managing patients with chronic illnesses since the 1970s. The US Surgeon General and the Centers for Disease Control and Prevention support pharmacists working in collaboration with physicians to optimize medication outcomes, improve patient satisfaction, and lower health care costs. Through collaborative practice agreements, pharmacists are able to work as part of a health care team with access to electronic health records, and they assist busy physicians manage patients with chronic diseases such as diabetes. This article will review the different types of ambulatory care practice settings, what is included in a collaborative practice agreement, the credentialing and privileging of pharmacists working in such environments, the qualifications of pharmacists, the scope of practice, and some challenges for reimbursement.
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De Marchi, Fabiola, Elena Contaldi, Luca Magistrelli, Roberto Cantello, Cristoforo Comi, and Letizia Mazzini. "Telehealth in Neurodegenerative Diseases: Opportunities and Challenges for Patients and Physicians." Brain Sciences 11, no. 2 (February 13, 2021): 237. http://dx.doi.org/10.3390/brainsci11020237.
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Telehealth, by definition, is distributing health-related services while using electronic technologies. This narrative Review describes the technological health services (telemedicine and telemonitoring) for delivering care in neurodegenerative diseases, Alzheimer’s disease, Parkinson’s Disease, and amyotrophic lateral Sclerosis, among others. This paper aims to illustrate this approach’s primary experience and application, highlighting the strengths and weaknesses, with the goal of understanding which could be the most useful application for each one, in order to facilitate telehealth improvement and use in standard clinical practice. We also described the potential role of the COVID-19 pandemic to speed up this service’s use, avoiding a sudden interruption of medical care.
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Wahner-Roedler, Dietlind L., Ann Vincent, Peter L. Elkin, Laura L. Loehrer, Stephen S. Cha, and Brent A. Bauer. "Physicians' Attitudes Toward Complementary and Alternative Medicine and Their Knowledge of Specific Therapies: A Survey at an Academic Medical Center." Evidence-Based Complementary and Alternative Medicine 3, no. 4 (2006): 495–501. http://dx.doi.org/10.1093/ecam/nel036.
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The purpose of this study was to evaluate the attitudes of physicians at an academic medical center toward complementary and alternative medicine (CAM) therapies and the physicians' knowledge base regarding common CAM therapies. A link to a Web-based survey was e-mailed to 660 internists at Mayo Clinic in Rochester, MN, USA. Physicians were asked about their attitudes toward CAM in general and their knowledge regarding specific CAM therapies. The level of evidence a physician would require before incorporating such therapies into clinical care was also assessed. Of the 233 physicians responding to the survey, 76% had never referred a patient to a CAM practitioner. However, 44% stated that they would refer a patient if a CAM practitioner were available at their institution. Fifty-seven percent of physicians thought that incorporating CAM therapies would have a positive effect on patient satisfaction, and 48% believed that offering CAM would attract more patients. Most physicians agreed that some CAM therapies hold promise for the treatment of symptoms or diseases, but most of them were not comfortable in counseling their patients about most CAM treatments. Prospective, randomized controlled trials were considered the level of evidence required for most physicians to consider incorporating a CAM therapy into their practice. The results of this survey provide insight into the attitudes of physicians toward CAM at an academic medical center. This study highlights the need for educational interventions and the importance of providing physicians ready access to evidence-based information regarding CAM.
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Troshina, E. A., E. A. Panfilova, M. S. Mikhina, I. V. Kim, E. S. Senyushkina, A. A. Glibka, B. M. Shifman, et al. "Clinical practice guidelines for acute and chronic thyroiditis (excluding autoimmune thyroiditis)." Problems of Endocrinology 67, no. 2 (May 18, 2021): 57–83. http://dx.doi.org/10.14341/probl12747.
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Acute and chronic thyroid diseases are the most frequently detected disorders being second only to diabetes mellitus.The World Health Organization points out that thyroid diseases’ incidence tends to grow every year. The present paper consists of clinical practice guidelines that consider etiology, clinical course, diagnostics and treatment of acute and chronic inflammatory thyroid diseases (except those of autoimmune type).The clinical practice guidelines provide an important working tool for clinicians including specialty physicians and medical experts. Containing structured and concise information on the specific nosology, diagnostic methods and treatment tips these guidelines allow medical specialists to quickly resolve difficulties and choose the most efficient and personalized treatment (following strict principles of evidence-based medicine at the same time).The clinical practice guidelines were drawn up by highly-skilled professional team of specialty physicians approved by the Expert Council of Russian Federation’s Health Department. These guidelines contain the most complete and up-to-date information required to diagnose acute and chronic thyroiditis, provide patient care and treatment.The working group publishes the present paper in the professional journal dealing with endocrinology topics to improve healthcare quality and refine treatment of acute and chronic thyroiditis (autoimmune thyroiditis excluded). It is advisable to acquaint as many endocrinology and general (family) medicine specialists as possible with the full text of these clinical guidelines.
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Agnihotri, Neha T., and Paul A. Greenberger. "Unproved and controversial methods and theories in allergy/immunology." Allergy and Asthma Proceedings 40, no. 6 (November 1, 2019): 490–93. http://dx.doi.org/10.2500/aap.2019.40.4278.
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Unproved methods and controversial theories in the diagnosis and management of allergy/immunology are those that lack scientific credibility. Some definitions are provided for perspective, as in chronic medical conditions, frequently nonscientifically based treatments are developed that can have a profound psychological effect on the patients in the absence of objective physical benefit. Standard practice uses methods of diagnosis and treatment used by reputable physicians in a particular subspecialty or primary care practice, with the understanding that diagnosis and treatment options are consistent with established mechanisms of conditions or diseases. Conventional medicine (Western or allopathic medicine) is that which is practiced by the majority of physicians, osteopaths, psychologists, registered nurses, and physical therapists. Complementary medicine involves diverse practices or products that are used with the practice of conventional medicine, such as using acupuncture in addition to opioids for pain relief. Alternative medicine implies use of complementary practices in place of conventional medicine. Unproved and controversial methods and theories do not have supporting data, validation, or sufficient scientific scrutiny, and they should not be used in the practice of allergy/immunology. Some examples of unproven theories about allergic/immunologic conditions include allergic toxemia, idiopathic environmental intolerance, and toxic disease from indoor molds. Unconventional diagnostic methods for allergic conditions include cytotoxic tests, provocation-neutralization, electrodermal diagnosis, applied kinesiology assessments, chemical analysis of body fluids, and serum immunoglobulin G (IgG) or IgG4 testing. Unproven treatments and intervention methods for allergic/immunologic conditions include acupuncture, homeopathy, halotherapy, and autogenous urine injections.
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Abdullah, Marwah Yakoop, Samaher Ali Alshehri, Haneen Ali Mahnashi, Saeed Saad Alshahrani, Shahad Saad Alkhaldi, Saad Munawwikh Alshammari, Renad Sultan Alotaibi, et al. "Role of primary care physician in health promotion and education." International Journal Of Community Medicine And Public Health 9, no. 12 (November 28, 2022): 4705. http://dx.doi.org/10.18203/2394-6040.ijcmph20223234.
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Undisputedly, healthy behaviours and lifestyles have a positive impact on health outcomes, and its individual, social, environmental, and cultural determinants are well understood. Primary care physicians can effectively intervene with patients to encourage healthy behaviour through numerous chances. Regular clinical practice includes health promotion as a necessary element. Health systems can support a person's health requirements through primary health care, including illness prevention, treatment, palliative care, and more. This approach also guarantees that the delivery of healthcare is centred on patients' needs and supports their preferences. Regular care must incorporate health promotion strategies if the healthcare system is to be effective. Giving individuals the information, they need to improve and take better control of their health is the goal of health promotion. Primary care physicians are the immediate contact with the community which makes them the ideal candidates for health promotion and education. The purpose of this research is to review the available information about the role of primary care physician in health promotion and education. Health promotion and education is necessary for the prevention of diseases as it aids in educating population regarding diseases and risk factors. Also, because of its accessibility to care and continuity of treatment, primary healthcare is in a prime position to potentially intervene to modify unhealthy habits. Primary care physicians being first line of contact plays a key role in this regard. Although further research is needed for the implementation of health promotion and education strategies by primary care physicians.
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Avdeev, Sergey N., Alexander V. Emelyanov, Zaurbek R. Aisanov, Alexander I. Sinopalnikov, Daria S. Fomina, Natalia M. Nenasheva, Igor V. Leshchenko, et al. "Problems and opportunities to improve diagnosis of asthma and chronic obstructive pulmonary disease in Russia: resolution of advisory board." Terapevticheskii arkhiv 94, no. 4 (May 26, 2022): 524–29. http://dx.doi.org/10.26442/00403660.2022.04.201487.
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Asthma and chronic obstructive pulmonary disease remain major problems of medicine, and still there is need to improve the level and quality of diagnosis of these diseases. Primary care physicians (general practitioners, therapists) should be involved widely and actively in this process. To simplify the diagnosis, special questionnaires have been developed, they can be used in a real clinical practice. Only this approach will bring statistical data closer to the true prevalence of these diseases and improve quality of their treatment.
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Petroff, David, Olaf Bätz, Katrin Jedrysiak, Anja Lüllau, Jan Kramer, Hjördis Möller, Renate Heyne, Burkhard Jäger, Thomas Berg, and Johannes Wiegand. "From Screening to Therapy: Anti-HCV Screening and Linkage to Care in a Network of General Practitioners and a Private Gastroenterology Practice." Pathogens 10, no. 12 (December 2, 2021): 1570. http://dx.doi.org/10.3390/pathogens10121570.
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(1) Background: Low rates of hepatitis C virus (HCV) diagnosis and sub-optimal linkage to care constitute barriers toward eliminating the infection. In 2012/2013, we showed that HCV screening in primary care detects unknown cases. However, hepatitis C patients may not receive further diagnostics and therapy because they drop out during the referral pathway to secondary care. Thus, we used an existing network of primary care physicians and a practice of gastroenterology to investigate the pathway from screening to therapy. (2) Methods: HCV screening was prospectively included in a routine check-up of primary care physicians who cooperated regularly with a private gastroenterology practice. Anti-HCV-positive patients were referred for further specialized diagnostics and treatment if indicated. (3) Results: Seventeen primary care practices screened 1875 patients. Twelve individuals were anti-HCV-positive (0.6%), six of them reported previous antiviral HCV therapy, and one untreated patient was HCV-RNA-positive (0.05% of the population). None of the 12 anti-HCV-positive cases showed up at the private gastroenterology practice. Further clinical details of the pathway from screening to therapy could not be analyzed. (4) Conclusions: The linkage between primary and secondary care appears to be problematic in the HCV setting even among cooperating partners, but robust conclusions require larger datasets.
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P. V. Poliovyi. "Prevention and diagnostics of diseases of the oral cavity of pregnant women." Bukovinian Medical Herald 17, no. 1 (65) (February 2, 2013): 90–91. http://dx.doi.org/10.24061/2413-0737.xvii.1.65.2013.22.
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The paper presents data, dealing with the prevention and diagnostics of stomatological diseases in gravidas. It is demonstrated that the level of the stomatological morbidity grows significantly during gestation. It has been established that health education of physicians of the stomatological practice requires an extensive introduction into maternity welfare clinics for the purpose of preventing and treating diseases of the oral cavity.
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Dennis, Madison, Mary Jane Salpeter, and Susy Hota. "Low Awareness but Positive Attitudes Toward Fecal Transplantation in Ontario Physicians." Canadian Journal of Infectious Diseases and Medical Microbiology 26, no. 1 (2015): 30–32. http://dx.doi.org/10.1155/2015/496437.
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BACKGROUND: Despite mounting evidence supporting fecal transplantation (FT) as a treatment for recurrentClostridium difficileinfection (CDI), adoption into clinical practice has been slow.OBJECTIVE: To determine the health literacy and attitudes of academic physicians in Toronto and infectious disease physicians in Ontario toward FT as a treatment for recurrent CDI, and to determine whether these are significant barriers to adoption.METHODS: Surveys were distributed to 253 general internists, infectious diseases specialists, gastroenterologists and family physicians.RESULTS: The response rate was 15%. More than 60% of physicians described themselves as being ‘not at all’ or ‘somewhat’ familiar with FT. Of the 76% of physicians who had never referred a patient for FT, the most common reason (50%) was lack of awareness of where to access the treatment. The ‘ick factor’ accounted for only 13% of reasons for not referring. No respondent believed that the procedure was too risky to consider.CONCLUSION: Despite general poor health literacy on FT, most physicians sampled share similar positive attitudes toward the treatment.
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Gamage, Prasanna J., Saran Seker, Jessica Orchard, David Humphries, Kylie Fitzgerald, and Jane Fitzpatrick. "Insights into the complexity of presentation and management of patients: the Sport and Exercise Physician’s perspective." BMJ Open Sport & Exercise Medicine 7, no. 4 (November 2021): e001228. http://dx.doi.org/10.1136/bmjsem-2021-001228.
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ObjectivesSport and Exercise Physicians represent a relatively new specialty focusing on exercise in complex diseases including musculoskeletal diseases. Our objective was to describe the characteristics, type and complexity of patient presentations, their management strategies and referral information in Australian practice.MethodsA cross-sectional study including a cohort of 11 senior Sport and Exercise Physicians in Australia studied all new patient consultations within an 8-week period. Data were analysed relating to presentation, referral source, follow-up referrals, and patient management strategies.ResultsData from 419 patients were recorded. The majority, 97% (n=406), had musculoskeletal conditions, 53% (n=222) had one or more associated comorbidities and 47% (n=195) had ongoing symptoms for >12 months. Most patients, 82% (n=355), were referred by general practitioners. Prior consultations included physiotherapy 72% (n=301) and orthopaedic 20% (n=85). A multidisciplinary network of referrals from Sport and Exercise Physicians was observed, including 210 referrals to 9 allied health specialities and 61 referrals to 17 medical specialities. Over 74% (n=311) of patients received exercise-based intervention as part of the treatment plan, including 57% (n=240) physician managed exercise interventions.ConclusionOur work shines a light on the nature and complexity of the role of Sport and Exercise Physicians in an Australian practice context. Findings will assist in implementing measures to promote patient care at the community level in managing musculoskeletal conditions. Sport and exercise medicine stakeholders and government policy makers can use this information in developing appropriate programmes to support patients and create integrated sport and exercise medicine services for the community.
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J., Tobih, Oyewole A., Tobih D., Olajide A., and Esan T. "The Practice of Patient Education by Attending Physicians in Southwest Nigeria." African Journal of Biology and Medical Research 6, no. 1 (January 3, 2023): 9–23. http://dx.doi.org/10.52589/ajbmr-kalbt5ij.
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Background: The value of patient education involves an improved understanding of their medical conditions, diagnosis, disease, or disability. However, the challenge of educating patients is multi-faceted, considering the complexity of many diseases, limited health literacy and a limited number of available doctors to tend to the long awaiting patient queue. Objective: This study aimed to assess the practice of patients’ education of their illnesses by the treating physician in different practice settings, specialties, contact, duration of admission, the eventuality of death and post-mortem. Method: The study was a cross-sectional descriptive design conducted among 449 medical doctors. A self-administered semi-structured pretested questionnaire was administered to all cadres of physicians in four health centres selected randomly in the southwest, Nigeria. The data collected were analysed using SPSS version 25 and results were presented in descriptive statistics and inferential statistics with the level of significance set at p = < 0.05. Result: The majority (57.0%) of the respondents were within the age range of 25-40. The highest respondent cadres were registrars and medical officers 224 (49.9%). Of the total participants, 140 reported seeing over 40 patients per week. It was observed that 95.9% did explain to the patients the impressions of their symptoms at first contact. However, the percentage of respondents reduced markedly when giving the next appointment, 58.8%. Also, 86.6% always explain the need for hospital admission, 76.4% explained options of surgery while only 28.3% discussed mistakes/complications from the procedures. Conclusion: There were a lot of gaps in the patient’s understanding of their illnesses as imparted by the attending physicians. The gap increases after the first contact both in knowledge and understanding on the part of the patient which may be one of the major factors responsible for poor compliance and cooperation on the part of the patient which ultimately hinders the optimum delivery of effective and efficient health care. This in effect affects the overall health status of the community and society.
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Aksenova, V. А., N. I. Klevno, A. V. Kazakov, A. D. Pakhlavonova, E. A. Sokolskaya, S. M. Kavtarashvili, V. A. Romanenko, and N. S. Stepanenko. "Parasitic infections in the practice of a phthisiologist (clinical case)." CHILDREN INFECTIONS 21, no. 4 (November 25, 2022): 62–66. http://dx.doi.org/10.22627/2072-8107-2022-21-4-62-66.
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Parasitic infections are widespread throughout the world and are especially common in childhood. The absence of pathognomonic symptoms in liver diseases is characteristic. We presented clinical observation with asymptomatic echinococcosis with damage to the respiratory organs and liver. During the fluorographic examination, changes in the lungs were revealed, in connection with which she was sent for a consultation with a phthisiatrician. In the TB hospital, with the help of a comprehensive examination and modern telemedicine technologies, changes were identified in lungs and in the liver. This clinical observation showed that it is necessary to conduct a comprehensive examination before prescribing specific anti-tuberculosis treatment. Increasing physicians' knowledge of parasitic diseases could increase the early detection.
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Jadhav, Uday, and Arun Purohit. "Hypertension and beyond in Indian clinical practice study: a nationwide survey assessing knowledge, attitude and practices of physicians." International Journal of Advances in Medicine 8, no. 11 (October 26, 2021): 1701. http://dx.doi.org/10.18203/2349-3933.ijam20214132.
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Background: Hypertension is the leading cause for the ever-increasing burden of mortality due to stroke and cardiovascular diseases (CVD). Treatments are complicated due to comorbidities and can lead to patient noncompliance. Patients with low existing cardiovascular risk are prone to have higher lifetime cardiovascular risk, which timely assessment necessary.Methods: A digital cross-sectional survey questionnaire about knowledge, attitude and practice habits regarding cardiovascular risk assessment was administered to 400 physicians and cardiologists across India. The questionnaire assessed various topics such as practice of hypertension diagnosis and treatment based on guidelines, cardiovascular risk calculators, occurrence of comorbidities and patient awareness on cardiovascular risk prevention.Results: Out of the 400 physicians, 398 completed the survey. About 52% physicians considered presence of multiple risk factors as vital for having cardiovascular risk. American college of cardiology/American heart association (ACC/AHA) calculator was preferred by 51.6% study participants. Cardiovascular risk estimation was vital for treatment-related decision-making according to 71% participants, while only 7.7% participants calculated cardiovascular risk in >90% of their patients. Approximately 44% survey participants calculated cardiovascular risk in hypertensive patients with 2 additional risk factors, while 5.6% calculated it in >70% hypertensive patients without comorbidities. About 46.6% participants reported that 30%-50% of their patients were on fixed-dose combinations of two antihypertensive medications.Conclusions: Findings from the study indicate predisposition of medical professionals towards having a risk assessment tool designed for the Indian population to timely assess and forestall long-term effects of cardiovascular risk in hypertensive patients.
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Ross, Tricia M. "Sacred Medicine and the Bible: Thomas Bartholin’s On Biblical Diseases (1672)." Early Science and Medicine 24, no. 1 (May 1, 2019): 90–116. http://dx.doi.org/10.1163/15733823-00241p03.
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Abstract The Danish physician Thomas Bartholin, famous for his work as an anatomist, also nourished a career-long interest in accounts of medicine in the Bible that resulted in a series of books on the topic. His final such work, On Biblical Diseases (De morbis biblicis, 1672) attracted a wide readership and was regarded by contemporaries as a model of an early modern practice called medicina sacra, the analysis of biblical accounts of disease and healing. Taking Biblical Diseases as a focal point, I investigate methods and goals of early modern study of medicine in the Bible. Setting out early influences that shaped Bartholin’s development, I demonstrate connections between his work and its precursors. Examining Biblical Diseases itself, I indicate how Bartholin deployed contemporary medical, philological, theological, and historical knowledge to scrutinize biblical accounts. A brief glance at the reception of Biblical Diseases reveals that theologians and physicians alike utilized Bartholin’s work and how it influenced subsequent studies of medicine in the Bible.
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Hofherr, Louise K., Diane P. Francis, J. Rex Astles, and William O. Schalla. "Results of a Physician Survey on Ordering Viral Load Testing." Archives of Pathology & Laboratory Medicine 127, no. 4 (April 1, 2003): 446–50. http://dx.doi.org/10.5858/2003-127-0446-roapso.
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Abstract Objective.—To profile physicians' practices, utilization, and understanding of human immunodeficiency virus type 1 RNA (viral load) testing and the laboratory's role in this testing. Design.—Cross sectional study using a 34-item self-report survey mailed to physicians identified as requesting viral load testing, with follow-up mailings to nonresponders. Participants.—A sampling of US physicians specializing in infectious diseases, internal medicine, and family practice associated with high, medium, and low human immunodeficiency virus/acquired immunodeficiency syndrome incidence areas. Results.—Most respondents using viral load results were infectious diseases specialists practicing in urban areas. The reasons most frequently given for requesting viral load testing were (1) to assist in patient follow-up or monitoring (75.4%), and (2) to initiate/guide therapy (62.5%). Respondents indicated that the interpretation and use of viral load results presented difficulty in the areas of patient treatment and in determining what change from baseline was clinically significant. Few respondents used the testing laboratory pathologist as a resource for interpreting viral load test results. Conclusions.—Our study indicates that physicians have questions about (1) the meaning of viral load tests, (2) how often to monitor the viral load, and (3) what change from baseline of the viral load is significant. Few physicians avail themselves of the expertise available in the laboratory for testing viral loads and interpreting such results.
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Rabin, David L. "Improving Office-based Physicians' Prevention Practices for Sexually Transmitted Diseases." Annals of Internal Medicine 121, no. 7 (October 1, 1994): 513. http://dx.doi.org/10.7326/0003-4819-121-7-199410010-00007.
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DeLacy, Margaret. "Influenza Research and the Medical Profession in Eighteenth-Century Britain." Albion 25, no. 1 (1993): 37–66. http://dx.doi.org/10.2307/4051039.
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The depiction of influenza as a separate species of disease first became common during the eighteenth century. During that period, physicians developed competing theories about its etiology (causation) and transmission, including the theory that influenza was contagious. Theories of contagion were held by an increasing number of physicians during the course of the eighteenth century, although the issue remained a contested one, as symbolized by the publication of two separate reports on the epidemic of 1782 by the Royal College of Physicians and the Society for Promoting Medical Knowledge: reports that differed on the question of transmission.It was because this issue was not settled by an overwhelming preponderance of the evidence that physician's views on this question had political implications that reflect the political and social fissures underlying medical practice in the eighteenth century. This article will examine the political, social, religious, and educational factors that influenced the initiative to investigate influenza as a separate disease, and will argue that these factors also influenced the readiness of some groups of physicians to entertain the hypothesis of contagion in the face of conflicting information. It will also suggest that the divergence of opinion on epidemic diseases reflected the social and educational differences between the graduates of English universities who were eligible for Fellowship in the College of Physicians, and the often equally distinguished “outsiders” who had obtained their medical degrees from other institutions, and who formed competing medical associations.
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Chan, Derek, David Gracey, Michael Bailey, Deborah Richards, and Brad Dalton. "Screening and management of cardiovascular disease in Australian adults with HIV infection." Sexual Health 10, no. 6 (2013): 495. http://dx.doi.org/10.1071/sh13009.
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Background Cardiovascular disease (CVD) is common in HIV infection. With no specific Australian guidelines for the screening and management of CVD in HIV-infected patients, best clinical practice is based on data from the general population. We evaluated adherence to these recommendations by primary care physicians who treat HIV-infected patients. Methods: Primary care physicians with a special interest in HIV infection were asked to complete details for at least 10 consecutive patient encounters using structured online forms. This included management practices pertaining to blood pressure (BP), blood glucose, electrocardiogram, lipid profile and CVD risk calculations. We assessed overall adherence to screening and follow-up recommendations as suggested by national and international guidelines. Results: Between May 2009 and March 2010, 43 physicians from 25 centres completed reporting for 530 HIV-infected patients, of whom 93% were male, 25% were aged 41–50 years and 83% were treated with antiretrovirals. Risk factors for CVD were common and included smoking (38%), hyperlipidaemia (16%) and hypertension (28%). In men aged >40 years and women aged >50 years without evidence of ischaemic heart disease, only 14% received a CVD risk assessment. Lipid and BP assessments were performed in 87% and 88% of patients, respectively. Conclusions: This Australian audit provides unique information on the characteristics and management of HIV and CVD in clinical practice. We have found a high burden of risk for CVD in HIV-infected Australians, but current screening and management practices in these patients fall short of contemporary guidelines.
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Kharitonova, L. A., K. I. Grigoriev, I. M. Osmanov, S. N. Borzakova, E. V. Skorobogatova, V. A. Shashel, S. Yu Matalaeva, and D. A. Shurygina. "Digestive comorbidity in pediatrics." Experimental and Clinical Gastroenterology 1, no. 1 (March 17, 2021): 166–75. http://dx.doi.org/10.31146/1682-8658-ecg-185-1-166-175.
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Rationale. In recent decades, the number of children has increased with chronic diseases characterized by systemic lesions and frequent involvement of the digestive tract, complicating the diagnosis and choice of therapeutic strategy. As the number of diseases in a child increases, the cost of diagnosis and treatment grows exponentially. Given the comorbidity, physicians prescribe multiple medications (polypragmasy), which can lead to adverse effects.First-line physicians often lack the knowledge about the clinical and therapeutic features of managing comorbid patients. Practical healthcare lacks a “team strategy” for these patients’ treatment, leading to ineffective management of patients by subspecialist physicians significantly affecting the prognosis of the disease and even the life of the patient. The “narrowly specialized” model of medicine is inadequate. An integrative model of healthcare should replace it. Meanwhile, there are currently no international and national recommendations for this problem focused on the needs of “first line” physicians, including pediatric specialists. All the above urged us to provide an in-depth study of this problem in the current literature.The aim of this literature review was to study the frequency and structure of comorbid conditions in pediatric practice to optimize their diagnostics, therapeutic tactics, and the development of preventive measures.Results and discussion. The structure of comorbidity differs in different age categories. The comorbidity in children depends mainly on the genetically programmed disorders of metabolism and functioning of cells and tissues, disorders of nutritional status, infectious factors, and interference (pathogenetic relationship of diseases). Understanding the etiology and pathogenesis of comorbid conditions in children, one should identify the Chronic Noncommunicable Diseases formation risk groups and develop a plan for their prevention. Prevention of comorbid chronic noncommunicable diseases should be carried out as part of the “full life cycle”, from the antenatal period (the health of the future mother) to adolescence, using an integrative approach (impact on the child’s physical and mental condition) with teaching patients and their parents the basics of proper diet, healthy lifestyle, sufficient physical activity, and positive attitude.Knowledge of causal and complicated comorbidity will contribute to the development of optimal diagnostic tactics for the search of the root cause and the selection of efficient therapy for trigger disease, which will avoid polypragmasy. The pediatric physician should play the primary role in the follow-up of comorbid patients. It is necessary to expand the competencies of the pediatric physician with the revision of approaches to his professional training.The development of clinical guidelines and algorithms for the management of comorbid patients and the collaboration of physicians of various specialties (formation of multidisciplinary teams), while observing the principle of “one doctor”, will significantly improve the quality of medical care for comorbid patients, which will improve their quality of life and significantly decrease the cost of rehabilitation measures.
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Katz, Sophie E., Milner Staub, Youssoufou Ouedraogo, Christopher D. Evans, Marion A. Kainer, Marie R. Griffin, and Ritu Banerjee. "Population-based assessment of patient and provider characteristics influencing pediatric outpatient antibiotic use in a high antibiotic-prescribing state." Infection Control & Hospital Epidemiology 41, no. 3 (January 15, 2020): 331–36. http://dx.doi.org/10.1017/ice.2019.338.
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AbstractObjective:To identify patient and provider characteristics associated with high-volume antibiotic prescribing for children in Tennessee, a state with high antibiotic utilization.Design:Cross-sectional, retrospective analysis of pediatric (aged <20 years) outpatient antibiotic prescriptions in Tennessee using the 2016 IQVIA Xponent (formerly QuintilesIMS) database.Methods:Patient and provider characteristics, including county of prescription fill, rural versus urban county classification, patient age group, provider type (nurse practitioner, physician assistant, physician, or dentist), physician specialty, and physician years of practice were analyzed.Results:Tennessee providers wrote 1,940,011 pediatric outpatient antibiotic prescriptions yielding an antibiotic prescribing rate of 1,165 per 1,000 population, 50% higher than the national pediatric antibiotic prescribing rate. Mean antibiotic prescribing rates varied greatly by county (range, 39–2,482 prescriptions per 1,000 population). Physicians wrote the greatest number of antibiotic prescriptions (1,043,030 prescriptions, 54%) of which 56% were written by general pediatricians. Pediatricians graduating from medical school prior to 2000 were significantly more likely than those graduating after 2000 to be high antibiotic prescribers. Overall, 360 providers (1.7% of the 21,798 total providers in this dataset) were responsible for nearly 25% of both overall and broad-spectrum antibiotic prescriptions; 20% of these providers practiced in a single county.Conclusions:Fewer than 2% of providers account for 25% of pediatric antibiotic prescriptions. High antibiotic prescribing for children in Tennessee is associated with specific patient and provider characteristics that can be used to design stewardship interventions targeted to the highest prescribing providers in specific counties and specialties.
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Bublii, T. D., and L. I. Dubovaya. "CLINICAL MANIFESTATIONS OF MEASLES IN GENERAL DENTAL PRACTICE." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 19, no. 2 (July 19, 2019): 155–58. http://dx.doi.org/10.31718/2077-1096.19.2.155.
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Despite of general tendency towards the decrease in the incidence of measles and rubella in recent years, there have been registered several outbreaks of these infections among young adults and adolescents at present. This case report describes a clinical case of measles suspected at the dental examination. The aim of this study is to make a clinical diagnosis of the patient and to draw attention of the dental professional and general physicians to the relevance of this problem. The prodromal phase of measles can be quite variable and mimic the clinical picture of other diseases, as it happened in our case, when the patient went to the dental office for symptoms of acute serous periodontitis.
Belsky — Filatov — Koplik’s spots are reported to usually appear in 37.7-64.3% of cases (at the beginning of the measles rash period). In 57.5% of cases there is spot enanthema on the soft palate mucosa. Our patient presented only signs of acute catarrhal stomatitis. We would like to emphasize that 100% of patients with measles have catarrhal syndrome manifested with moderate signs of nasopharyngitis (nasal congestion, sore throat, dry cough), and only 42.8% suffer from conjunctivitis. This makes it difficult to diagnose this disease in its early period or to make differential diagnosis in the prodromal phase. An infected person can transmit the virus within 4 days before and after the rash appears that is very dangerous for surrounding people and for healthcare workers in particular. When making a diagnosis, it is important to remember that measles is a clinical diagnosis, and there is no opportunity to carry out an indicative rapid diagnosis (as with the flu), therefore every doctor should consider the issue of timely vaccination, and promotes preventive and educational work among the population.
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Zoorob, Roger J., Glenn N. Jones, Arch G. Mainous, and Michael D. Hagen. "Practice Patterns for Peptic Ulcer Disease: Are Family Physicians Testing for H. pylori?" Helicobacter 4, no. 4 (December 1999): 243–48. http://dx.doi.org/10.1046/j.1523-5378.1999.99292.x.
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Tikkinen, Kari A. O., Jarno Rutanen, Allen Frances, Brea L. Perry, Brittany B. Dennis, Arnav Agarwal, Amna Maqbool, et al. "Public, health professional and legislator perspectives on the concept of psychiatric disease: a population-based survey." BMJ Open 9, no. 6 (June 2019): e024265. http://dx.doi.org/10.1136/bmjopen-2018-024265.
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ObjectiveTo assess which mental health-related states of being are perceived as diseases by psychiatrists, non-psychiatric physicians, nurses, parliament members and laypeople.Design and settingA population-based, mailed survey in Finland.ParticipantsRespondents from a random sample of 3000 laypeople, 1500 physicians, 1500 nurses and all 200 members of the parliament (MPs) of Finland.Primary outcome measuresRespondents’ perspectives on 20 mental health-related states of being as diseases, measuring the extent of agreement with the claim: ‘[This state of being] is a disease’.ResultsOf the 6200 people approached, we received 3259 eligible responses (53%). Two conditions (schizophrenia and autism) were considered to be diseases by at least 75% and two states (grief and homosexuality) were considered not to be diseases by at least 75% in each group. A majority (at least 50% in each group) considered seven states as diseases (anorexia, attention deficit hyperactivity disorder, bulimia, depression, generalised anxiety disorder, panic disorder and personality disorder) and three not to be diseases (absence of sexual desire, premature ejaculation and transsexualism). In six states, there was a wide divergence of opinion (alcoholism, drug addiction, gambling addiction, insomnia, social anxiety disorder and work exhaustion). Psychiatrists were significantly more inclined to considering states of being as diseases relative to other groups, followed by non-psychiatric physicians, nurses, MPs and laypeople.ConclusionsRespondents agreed that some conditions, such as schizophrenia and autism, are diseases and other states, such as grief and homosexuality, are not; for others, there was considerable disagreement. Psychiatrists are more inclined to consider mental health-related states of being as diseases compared with other physicians, who, in turn, are more inclined than other constituencies. Understanding notions of disease may underlie important debates in public policy and practice in areas of mental health and behaviour, and have implications for resource allocation and stigma.
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Dukes, Kimberly, Julia Walhof, Poorani Sekar, Rajeshwari Nair, Hiroyuki Suzuki, Daniel Suh, Stacey Hockett Sherlock, et al. "92. Clinical Decision-Making about Chronic Antibiotic Suppression after Prosthetic Joint Infection Treatment: Qualitative Insights for Antibiotic Stewardship." Open Forum Infectious Diseases 8, Supplement_1 (November 1, 2021): S161. http://dx.doi.org/10.1093/ofid/ofab466.294.
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Abstract Background Patients who develop prosthetic joint infections (PJI) may be prescribed chronic antibiotic suppression (CAS) ( > 6 months of antibiotics) after initial antibiotic treatment for the PJI. Patients at low risk of recurrent infection may be good targets for antibiotic stewardship. De-implementation of CAS could potentially reduce the emergence of antibiotic resistant organisms and decrease antibiotic-associated adverse events. Our ongoing study aims to characterize clinical decision-making processes about CAS prescribing and identify points for antibiotic stewardship interventions to stop CAS prescribing for patients who will not benefit. Methods We conducted semi-structured interviews with 33 physicians and nurses at 8 Veterans Affairs hospitals, chosen for variation in hospital size, complexity, region, and CAS prescribing. Interviewees included orthopedic surgeons, infectious disease (ID) physicians, hospital epidemiologists, nurses, nurse managers, and primary care physicians (PCPs). We conducted inductive, consensus-based thematic analysis on interview transcripts, using the program MAXQDA. Results Participants reported a complex decision-making process that included a range of collaborative approaches with other clinicians and patients. Their risk-benefit calculation for CAS usually included the type of revision surgery performed, the evidence base, the organism, and patient factors. Surgeons and ID physicians, the primary CAS prescribers, collaborated variably and sometimes consulted pharmacists or antibiotic stewards. Participants emphasized the importance of clinician autonomy and buy-in to order to effect practice change based on evidence, rather than top-down policies. They identified other significant time points that occurred before or after the CAS prescribing decision (initial PJI treatment decisions, follow-up appointments) and identified other decision makers about CAS maintenance (e.g., patients, PCPs). (See Figure 1). Figure 1. Decision Points Relevant to Prescribing or Maintenance of Chronic Antibiotic Suppression after PJI. PJI, prosthetic joint infection; ID, Infectious Diseases physician; PCP, primary care physician; IV, intravenous Conclusion Interventions to optimize CAS prescribing should incorporate clinician concerns about prescriber autonomy and a preference for collaborative decision-making as well as understanding the range of decision makers across time. Disclosures Daniel Suh, MS MPH, General Electric (Shareholder)Merck (Shareholder)Moderna (Shareholder)Smile Direct Club (Shareholder) Bruce Alexander, PharmD, Bruce Alexander Consulting (Independent Contractor) Andrew Pugely, MD, MBA, Globus Medical (Research Grant or Support)Medtronic (Consultant)United Healthcare (Consultant) Marin Schweizer, PhD, 3M (Grant/Research Support)PDI (Grant/Research Support)
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Ravindra, B. S., Deepak Lahoti, and Kinsuk Das. "Epidemiology and treatment practices of chronic cholestatic liver disease in India: a physician survey-based study." International Journal of Scientific Reports 9, no. 1 (December 27, 2022): 17–27. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20223372.
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Background: Chronic cholestatic liver disease (CCLD) constitutes an intricate array of liver diseases in India. A physician-based survey was conducted to understand the prevalence, current treatment approaches, and gaps in the management of CCLD in India. Methods: A total of 215 physicians participated to complete a questionnaire comprising 35 questions related to the prevalence and current treatment of CCLD and assess gaps in its management. Results: Most physicians (53.5%) reported liver disorders with cholestasis to be prevalent in 10-20% of patients, while 34.9% reported their prevalence in 21-30% of patients. Alcoholic liver disease with cholestasis (CCLD [ALD]) was reported in 10-20% of patients and 21-30% of patients by 33.5% and 37.2% of physicians, respectively. Drug-induced liver disease with cholestasis (CCLD [DILI]) was reported to be present in 5-10% of patients by 34.9% of physicians. Ursodeoxycholic acid (UDCA) was found to be used by 60% physicians in >50% of patients with CCLD (ALD), commonly for a period of 4-12 weeks (48.4% physicians), while it was used for 12-24 weeks by 38.1% physicians in CCLD (DILI); for both conditions, the preferred dose was 10-15 mg/kg body weight. UDCA was reported to have good tolerability and efficacy by most physicians for both conditions. Conclusions: In light of scarce data on CCLD prevalence and management approaches in India, the present survey findings provide useful insights on its prevalence in India and support the use of UDCA therapy for the management of its symptoms.
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Tipton, Charles M. "The history of “Exercise Is Medicine” in ancient civilizations." Advances in Physiology Education 38, no. 2 (June 2014): 109–17. http://dx.doi.org/10.1152/advan.00136.2013.
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In 2007, the American College of Sports Medicine, with endorsement from the American Medical Association and the Office of the Surgeon General, launched a global initiative to mobilize physicians, healthcare professionals and providers, and educators to promote exercise in their practice or activities to prevent, reduce, manage, or treat diseases that impact health and the quality of life in humans. Emerging from this initiative, termed Exercise Is Medicine, has been an extensively documented position stand by the American College of Sports Medicine that recommended healthy adults perform 150 min of moderate dynamic exercise per week. The purpose of this article is to demonstrate the foundation for this global initiative and its exercise prescription for health and disease prevention has roots that began in antiquity more than two millennia ago. Individuals and concepts to remember are that Susruta of India was the first “recorded” physician to prescribe moderate daily exercise, Hippocrates of Greece was the first “recorded” physician to provide a written exercise prescription for a patient suffering from consumption, and the global influence of Galen from Rome combined with his recommendation on the use of exercise for patients in the management of disease prevailed until the 16th century. Historically intertwined with these concepts was exercise being advocated by select physicians to minimize the health problems associated with obesity, diabetes, and inactivity.
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Kalra, Sanjay, Asit Mittal, Roheet M. Rathod, Colette Pinto, Rahul Rathod, and Amey Mane. "Knowledge, Attitude and Practice for Pruritus Management in Physicians and Patients with Diabetes." Clinics and Practice 12, no. 1 (January 5, 2022): 27–36. http://dx.doi.org/10.3390/clinpract12010004.
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Pruritus is a common dermatological condition observed in patients with diabetes, making it a dermatometabolic condition. Being multiaethiological, pruritis is caused by autoimmune, genetic, infectious and various systemic diseases. The present survey aimed to understand the knowledge, attitude and practice toward pruritus among Indian physicians and patients with diabetes presenting with pruritus. A telephonic, cross-sectional, qualitative survey was conducted among physicians and patients across five cities in India from July–August 2020. An open-ended discussion guide was used for the interview; the data were analyzed to check for common themes and trends. A majority of the consulting physicians (CPs) believed that uncontrolled diabetes is the main causal factor for pruritus in patients with diabetes and reported that currently there are no standard tests or treatment guidelines for its management. CPs emphasized proper monitoring and counseling to overcome current challenges. Patients reported a negative impact of pruritus on their daily activities and quality of life. The survey concluded that poor management of diabetes is one of the main causal factors for patients with diabetes presenting with pruritus in India. CPs emphasized controlling diabetes along with symptomatic treatment. For patients, pruritus has multifaceted effects on their health, overall well-being, and quality of life.