David Alejandro González‐Chica
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View article: Characteristics of post-acute COVID-19 presentations and healthcare use in Australian general practice and comparisons to those with acute COVID-19 and upper respiratory tract infection
Characteristics of post-acute COVID-19 presentations and healthcare use in Australian general practice and comparisons to those with acute COVID-19 and upper respiratory tract infection Open
Background Post-acute COVID-19 syndrome (long COVID) is recognised internationally as a significant public health issue. Despite a large international literature on these conditions, there are still many gaps in understanding key aspects o…
View article: Cardiometabolic monitoring in children and adolescents prescribed antipsychotics in Australian primary care, 2011 to 2017
Cardiometabolic monitoring in children and adolescents prescribed antipsychotics in Australian primary care, 2011 to 2017 Open
Objective: To determine the extent of cardiometabolic monitoring occurring in children/adolescents 18 years and under receiving antipsychotics in Australian general practice: study period 2011 to 2017. Methods: Retrospective cohort study u…
View article: Trends in diabetes monitoring and control among Aboriginal and Torres Strait Islander Peoples attending general practice in urban and rural locations in Australia: a repeated cross-sectional study using data from a national general practice database (MedicineInsight)
Trends in diabetes monitoring and control among Aboriginal and Torres Strait Islander Peoples attending general practice in urban and rural locations in Australia: a repeated cross-sectional study using data from a national general practice database (MedicineInsight) Open
Objective To determine the proportion of Aboriginal and/or Torres Strait Islander Peoples with diabetes who were monitored according to recommended national guidelines and had their clinical parameters within recommended targets. We also e…
View article: Identifying profiles, trajectories, burden, social and biological factors in 3.3 million individuals with multimorbidity in England
Identifying profiles, trajectories, burden, social and biological factors in 3.3 million individuals with multimorbidity in England Open
Multimorbidity, the co-occurrence of multiple chronic conditions in an individual, has become a global health challenge affecting populations in high-income and low- to middle-income countries. Despite its increasing prevalence, critical g…
View article: Concurrent Prescribing of Opioids and Sedative‐Hypnotic Drugs for Long‐Term Use in Australian General Practice: A Cross‐Sectional Analysis Using <scp>MedicineInsight</scp>
Concurrent Prescribing of Opioids and Sedative‐Hypnotic Drugs for Long‐Term Use in Australian General Practice: A Cross‐Sectional Analysis Using <span>MedicineInsight</span> Open
The number of unintentional deaths involving opioid and/or benzodiazepine use continues to increase in Australia. This study examined patterns of concurrent prescribing of opioids and benzodiazepines/Z‐drugs (BZDs) for long‐term use in Aus…
View article: Effectiveness of patient reminders on influenza vaccination coverage among adults with chronic conditions: A feasibility study in Australian general practices
Effectiveness of patient reminders on influenza vaccination coverage among adults with chronic conditions: A feasibility study in Australian general practices Open
These findings indicate that automated SMS reminders delivered at proximate times to appointments are a low-cost strategy to increase influenza vaccination among adults at higher risk of severe disease attending Australian general practice…
View article: Comparing the Effect of Early Versus Delayed Metformin Treatment on Glycaemic Parameters Among Australian Adults With Incident Diabetes: Evidence Using a National General Practice Database
Comparing the Effect of Early Versus Delayed Metformin Treatment on Glycaemic Parameters Among Australian Adults With Incident Diabetes: Evidence Using a National General Practice Database Open
Early metformin therapy (<3 months) for patients recently diagnosed with diabetes consistently improved HbA1c and FBG levels in the first 24 months of diagnosis.
View article: Antipsychotic prescribing patterns in children and adolescents attending Australian general practice in 2011 and 2017
Antipsychotic prescribing patterns in children and adolescents attending Australian general practice in 2011 and 2017 Open
Background Antipsychotics are increasingly prescribed to children and adolescents worldwide, but little is known about reasons for prescribing. We aimed to examine patterns of paediatric antipsychotic prescribing in Australian primary care…
View article: Australian rural medical students' perceived readiness for work as a junior doctor: A cross‐sectional national survey
Australian rural medical students' perceived readiness for work as a junior doctor: A cross‐sectional national survey Open
Objective To report self‐perceived readiness for work as a junior doctor in a national cohort of rural clinical school students. Design Cross‐sectional study using a self‐report questionnaire. Independent variables included 14 individual r…
View article: Pharmaceutical management of type 2 diabetes among Indigenous Australians living in urban or rural locations: a comparative study using a national general practice database
Pharmaceutical management of type 2 diabetes among Indigenous Australians living in urban or rural locations: a comparative study using a national general practice database Open
Introduction Type 2 diabetes is more prevalent among Aboriginal and Torres Strait Islander Peoples, especially those living in rural than urban areas. However, little is known about how diabetes is managed in different settings. Objective …
View article: Do patients with prediabetes managed with metformin achieve better glycaemic control? A national study using primary care medical records
Do patients with prediabetes managed with metformin achieve better glycaemic control? A national study using primary care medical records Open
Aims To estimate the effectiveness of metformin on glycaemic parameters among participants with incident prediabetes attending Australian general practices. Methods This retrospective cohort study used electronic health records of regular …
View article: General practitioner assessment of lifestyle risk factors for chronic disease: a cross-sectional study in urban, rural and remote South Australia
General practitioner assessment of lifestyle risk factors for chronic disease: a cross-sectional study in urban, rural and remote South Australia Open
Background The assessment and management of the SNAP lifestyle risk factors (smoking, nutrition, alcohol intake and physical activity) is fundamental to primary prevention of chronic disease. This study investigates the prevalence of SNAP …
View article: Who cares about Aboriginal Aged Care? Evidence of home care support needs and use in rural South Australia
Who cares about Aboriginal Aged Care? Evidence of home care support needs and use in rural South Australia Open
Objective To assess awareness, needs and use of Australian Government‐funded home aged care services among Aboriginal and Torres Strait Islander Peoples from rural and remote South Australia. Design Mixed‐method study. Setting Four rural a…
View article: Evaluating the impact of the Adelaide Rural Clinical School longitudinal clinical placement on the rural medical workforce: A retrospective cohort study of graduates, 2004–2019
Evaluating the impact of the Adelaide Rural Clinical School longitudinal clinical placement on the rural medical workforce: A retrospective cohort study of graduates, 2004–2019 Open
Objective To evaluate the contribution of the Adelaide Rural Clinical School (ARCS) longitudinal integrated clerkship to the rural medical workforce. Methods Design : Retrospective cohort study. Setting : Practice location data were source…
View article: Impact of long‐term management with sleep medications on blood pressure: An Australian national study
Impact of long‐term management with sleep medications on blood pressure: An Australian national study Open
Background There is mixed evidence about the impact of long‐term management with hypnotic medications on blood pressure (BP). Aim To estimate the effect of short‐ and long‐term management with benzodiazepine and z‐drugs (BZD) on BP. Method…
View article: Diabetes mellitus monitoring and control among adults in Australian general practice: a national retrospective cohort study
Diabetes mellitus monitoring and control among adults in Australian general practice: a national retrospective cohort study Open
Objectives This study investigated whether the monitoring and control of clinical parameters are better among patients with newly compared with past recorded diabetes diagnosis. Design Retrospective cohort study. Setting MedicineInsight, a…
View article: Ten things I wish I had known about academic primary care
Ten things I wish I had known about academic primary care Open
What does the future hold for academic primary care? Despite building world-leading research infrastructure, and responding to the COVID-19 pandemic, career pathways remain unclear, clinical credibility is questioned, and recruitment is ch…
View article: The Cost of Uncontrolled Blood Pressure in Australian General Practice: A Modelling Study Using Electronic Health Records (MedicineInsight)
The Cost of Uncontrolled Blood Pressure in Australian General Practice: A Modelling Study Using Electronic Health Records (MedicineInsight) Open
The aggregate cost effects of poor blood pressure control in primary care are high, but cost implications at the individual practice level are modest. The potential cost savings improve the potential to design cost-effective interventions,…
View article: Dietary vitamin D and calcium and periodontitis: A population-based study
Dietary vitamin D and calcium and periodontitis: A population-based study Open
Aim This study aimed to explore the relationship between dietary vitamin D and calcium intake and periodontitis among adults and whether it differs from males to females. Methods Cross-sectional analysis of a population-based cohort study …
View article: General practice management of depression among patients with coronary heart disease in Australia
General practice management of depression among patients with coronary heart disease in Australia Open
Background Incident depression is associated with coronary heart disease (CHD) and increased morbidity and mortality. Treatment of depression with antidepressants and psychotherapy can be beneficial for these patients to reduce the risk of…
View article: Trends and patterns of benzodiazepines and Z‐drugs prescriptions in Australian general practice: A national study (2011–2018)
Trends and patterns of benzodiazepines and Z‐drugs prescriptions in Australian general practice: A national study (2011–2018) Open
Introduction We aimed to explore trends and sociodemographic patterns in benzodiazepine (BZD) (by half‐life) and Z‐drugs prescribing in Australian general practice. Methods This open cohort study used de‐identified electronic health record…
View article: 1005 HEALTH-RELATED QUALITY OF LIFE AND FUTURE RISK OF HEALTH OUTCOMES AMONG OLDER ADULTS LIVING IN AUSTRALIA AND THE UNITED STATES
1005 HEALTH-RELATED QUALITY OF LIFE AND FUTURE RISK OF HEALTH OUTCOMES AMONG OLDER ADULTS LIVING IN AUSTRALIA AND THE UNITED STATES Open
Introduction Poor health-related quality of life (HRQoL) is associated with higher morbidity and mortality in patient populations. However, whether HRQoL is associated with health outcomes among community-dwelling older people requires fur…
View article: 1070 IMPACT OF ECONOMIC FACTORS, SOCIAL HEALTH AND RECENT STRESSORS ON PHYSICAL HEALTH-RELATED QUALITY OF LIFE TRAJECTORIES
1070 IMPACT OF ECONOMIC FACTORS, SOCIAL HEALTH AND RECENT STRESSORS ON PHYSICAL HEALTH-RELATED QUALITY OF LIFE TRAJECTORIES Open
Introduction Poorer physical health-related quality of life (HRQoL) has been shown to predict a higher risk of adverse health outcomes including cognitive decline, cardiovascular disease, and mortality among community-dwelling older indivi…
View article: Contemporary Australian socio‐cultural factors and their influence on medical student rural career intent
Contemporary Australian socio‐cultural factors and their influence on medical student rural career intent Open
Objective To understand how contemporary socio‐cultural factors may impact medical students' rural career intent. Design Cross‐sectional study using data from the national Federation of Rural Australian Medical Educators survey. Participan…