Evidence
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Most people caring for relatives with dementia experience loneliness

Around two-thirds of family carers of people with dementia experience loneliness. Almost half are moderately lonely and a fifth are severely lonely, reports one of the first large scale studies to look at this issue. Carers who felt lonely tended to have lower wellbeing, smaller social networks, and more stress associated with caregiving. A poor-quality ...

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Most patients leaving hospital in India are given inadequate medical information

A lack of medical information could make it more difficult for patients to recover after they are discharged from hospital. Patients with long term conditions such as cancer or diabetes, called chronic non-communicable diseases (NCDs), need repeated visits to doctors. Surveys in India included hundreds of patients with NCDs and showed that only half receive ...

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Asthma patients with a history of opioid use have worse outcomes

A new study of asthma patients with and without a history of drug misuse found that rates of attendance at an annual asthma review were poor across the whole group. Rates of flu vaccination, which is recommended for people with asthma, were also generally low. However, patients with a history of opioid use disorders (OUD) ...

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Combined drug and psychological therapies may be most effective for depression

The most effective treatment for adults with moderate depression is likely to be a combination of antidepressant drugs and psychological interventions. A new summary provides the strongest evidence to date that the combination of treatments work better than either alone. The most recent advice from National Institute for Health and Care Excellence (NICE) comes in ...

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Ambulance staff who respond to suicides need more support

UK ambulance staff report lasting and troubling memories of being called to suicides. But in a small qualitative study, they said there was little acknowledgment in the workplace that such events are traumatic. This is important since someone exposed to suicide is known to be themselves at greater risk of suicide. Each worker interviewed had ...

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Interactive dashboard identifies patients at risk of unsafe prescribing in a flexible and sustainable way

The Salford Medication Safety Dashboard (SMASH) was successfully used in general practices with the help of on-site pharmacists. SMASH is a web application that flags up a list of patients who are potentially at risk from medicines they have been prescribed.  There was an initial period of increased workload when SMASH was used to review ...

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Public health messages on alcohol need to consider how and why people drink, not just how much

Public health messages about alcohol could be more effective if they reflect how and why patients drink, rather than simply focusing on how much alcohol is being consumed. There may be a need for more relevant public health campaigns to raise awareness of the long-term consequences of heavy drinking.   GPs can help patients reduce their ...

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GPs who make the most urgent referrals for cancer see the fewest cancer deaths among their patients

GP practices across England vary in how frequently they make urgent referrals for suspected cancer. Patients from general practices which make the most urgent referrals are more likely to have their cancer diagnosed at an early stage. A new study found that they are about 4% less likely to die within 5 years. This is ...

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Therapists and patients have good quality interactions during telephone sessions

The quality of interactions between therapists and their patients is as good by telephone as in face-to-face sessions. A review of the evidence found little difference in the interaction regardless of how therapy was delivered. Telephone sessions were shorter but measures such as empathy and attentiveness, as well as patients’ readiness to disclose information, was ...

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Patients are often unsatisfied with the explanation they receive when something goes wrong

Patients have a legal right to know when something goes wrong with their care. But previous research has shown that they do not always get a satisfactory explanation. Researchers in Leeds and Bradford explored the expectations and challenges faced by both patients and healthcare professionals in talking about clinical errors. They found patients and professionals ...

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