Aging with HIV: Clinical, Functional and Care-Pathway Challenges in Primary Care – A Cross-Sectional Study of Adults Aged 65 and Older, followed at the University Hospital of Besançon, France

Therapeutic advances have significantly improved outcomes for people living with HIV (PLWH), whose life expectancy is now close to that of the general population. As this cohort ages, clinicians increasingly face complex medical and social issues such as comorbidities, polypharmacy, frailty, reduced autonomy, and persistent stigma. With traditional infectious-disease–centered follow-up reaching its limits, reconsidering a…

Primary care-led home palliative sedation for refractory seizure in a previously independent 94-year-old woman

Population ageing increases the number of frail older adults with advanced illnesses where hospital care offers limited benefit. Primary Care is often the only service able to provide continuous, person-centred end-of-life care. This case describes a home-based palliative approach for a 94-year-old woman with probable glioblastoma, highlighting symptom control, family support, and palliative sedation.

The Critical Role of Family Medicine Continuity in the Diagnosis of Guillain–Barré Syndrome

Guillain–Barré Syndrome (GBS) may initially present with mild, nonspecific neurological symptoms. Early emergency department evaluations often appear normal, leading to missed diagnoses. In contrast, family physicians who know patients longitudinally can detect subtle deviations from baseline. This case illustrates how an unexpected administrative visit enabled early recognition of GBS in primary care.

From Theory to Practice: Building Sustainable Healthcare into Medical Training

Sustainability in healthcare is increasingly recognised as a vital competency for future medical professionals. The General Medical Council (GMC) guidance underscores the importance of understanding the broader determinants of health, including environmental impacts, to deliver high-quality, sustainable care. Climate change, resource depletion, and environmental degradation are directly linked to the global burden of disease, making…

SMART solutions for primary care to overcome access barriers: sharing experiences with e-health across Europe

The strategic use of technology has significant potential to strengthen continuity of care and reduce health inequalities in primary care. Key areas include remote consulting, wearable devices, and, increasingly, point-of-care ultrasonography (POCUS). Remote consultations can bridge geographical gaps and improve timely access, while wearable devices enable remote monitoring of physiological parameters relevant to chronic disease…

Equity and humanism in digital primary care: a literature review

In recent years, primary healthcare systems have undergone rapid digital transformation, including the expansion of telemedicine, electronic health records, and mobile health applications. These developments aim to enhance access, efficiency, and continuity of care. However, concerns remain regarding their implications for equity, patient liberty, and humanistic values—core principles of General Practice and Family Medicine.