Understanding the work of general practitioners: a social science perspective on the context of medical decision making in primary care.

abstract：BACKGROUND:In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in ...

journal_title：BMC family practice

authors： Boffin N,Bossuyt N,Vanthomme K,Van Casteren V

更新日期：2010-06-25 00:00:00

abstract：BACKGROUND:Self-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support patients in changing their behaviour, the structured behaviour change Activate intervention was develo...

journal_title：BMC family practice

authors： Westland H,Koop Y,Schröder CD,Schuurmans MJ,Slabbers P,Trappenburg JCA,Vervoort SCJM

更新日期：2018-12-12 00:00:00

abstract：BACKGROUND:Detection of cancer in general practice is challenging because symptoms are diverse. Even so-called alarm symptoms have low positive predictive values of cancer. Nevertheless, appropriate referral is crucial. As 85% of cancer patients initiate their cancer diagnostic pathway in general practice, a Continuing...

journal_title：BMC family practice

authors： Toftegaard BS,Bro F,Falborg AZ,Vedsted P

更新日期：2017-03-21 00:00:00

abstract：BACKGROUND:Many lifestyle interventions for patients with prediabetes or type 2 diabetes mellitus (T2DM) have been investigated in randomised clinical trial settings. However, the translation of these programmes into primary care seems challenging and the prevalence of T2DM is increasing. Therefore, there is an urgent ...

journal_title：BMC family practice

authors： Linmans JJ,Spigt MG,Deneer L,Lucas AE,de Bakker M,Gidding LG,Linssen R,Knottnerus JA

更新日期：2011-09-13 00:00:00

abstract：BACKGROUND:Cooperatives delivering out of hours care in the Netherlands are hesitant about the use of expert systems during triage. Apart from the extra costs, cooperatives are not sure that quality of triage is sufficiently enhanced by these systems and believe that call duration will be prolonged drastically. No figu...

journal_title：BMC family practice

authors： Ong RS,Post J,van Rooij H,de Haan J

更新日期：2008-02-13 00:00:00

abstract：BACKGROUND:The vast majority of patients with diabetes have multiple chronic conditions, increasing complexity of care; however, clinical practice guidelines, interventions, and public reporting metrics do not adequately address the interaction of these multiple conditions. To advance the understanding of diabetes clin...

journal_title：BMC family practice

authors： Magnan EM,Gittelson R,Bartels CM,Johnson HM,Pandhi N,Jacobs EA,Smith MA

更新日期：2015-03-28 00:00:00

abstract：BACKGROUND:During an influenza epidemic prompt diagnosis of influenza is important. This diagnosis however is still essentially based on the interpretation of symptoms and signs by general practitioners. No single symptom is specific enough to be useful in differentiating influenza from other respiratory infections. Ou...

journal_title：BMC family practice

authors： Michiels B,Thomas I,Van Royen P,Coenen S

更新日期：2011-02-09 00:00:00

abstract：BACKGROUND:General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health pr...

journal_title：BMC family practice

authors： Rivière M,Toullic Y,Lerouge P,Blanchon T,Leroyer A,Plancke L,Prazuck T,Melchior M,Younès N

更新日期：2020-07-02 00:00:00

abstract：BACKGROUND:Overuse of proton pump inhibitors (PPIs) - frequently used for relieving symptoms of gastroesophageal reflux disease (GORD) - raises long-term safety concerns, warranting evidence-based non-drug interventions. We conducted a systematic review to evaluate the effect of head-of-bed elevation on relieving sympt...

journal_title：BMC family practice

authors： Albarqouni L,Moynihan R,Clark J,Scott AM,Duggan A,Del Mar C

更新日期：2021-01-19 00:00:00

abstract：BACKGROUND:The health of doctors who work in primary care is threatened by workforce and workload issues. There is a need to find and appraise ways in which to protect their mental health, including how to achieve the broader, positive outcome of well-being. Our primary outcome was to evaluate systematically the resear...

journal_title：BMC family practice

authors： Murray M,Murray L,Donnelly M

更新日期：2016-03-24 00:00:00

abstract：BACKGROUND:An open, constructive safety culture is key in healthcare since it is seen as a main condition for patient safety. Studies have examined culture improvement strategies in hospitals. In primary care, however, not much is known about effective strategies to improve the safety culture yet. The purpose of this s...

journal_title：BMC family practice

authors： Verbakel NJ,Langelaan M,Verheij TJ,Wagner C,Zwart DL

更新日期：2013-08-29 00:00:00

abstract：BACKGROUND:Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health ...

journal_title：BMC family practice

authors： Hayward RA,Jordan KP,Croft P

更新日期：2012-02-16 00:00:00

abstract：BACKGROUND:Accreditation is a widespread tool for quality management in health care. However, there is lack of research on the impact of accreditation, particularly in general practice. This study explores how general practitioners and their staff experienced the impact of a mandatory accreditation program in Denmark. ...

journal_title：BMC family practice

authors： Kousgaard MB,Thorsen T,Due TD

更新日期：2019-10-28 00:00:00

abstract：BACKGROUND:Antibiotics are being overprescribed in ambulant care, especially for respiratory tract infections (RTIs). Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. We aimed to determine items of importance for the ant...

journal_title：BMC family practice

authors： Coenen S,Michiels B,Van Royen P,Van der Auwera JC,Denekens J

更新日期：2002-09-09 00:00:00

abstract：BACKGROUND:The prevention of type 2 diabetes is a recognised health care priority globally. Within the United Kingdom, there is a lack of research investigating optimal methods of translating diabetes prevention programmes, based on the promotion of a healthy lifestyle, into routine primary care. This study aims to est...

journal_title：BMC family practice

authors： Yates T,Davies MJ,Henson J,Troughton J,Edwardson C,Gray LJ,Khunti K

更新日期：2012-05-29 00:00:00

abstract：BACKGROUND:Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the c...

journal_title：BMC family practice

authors： Halcomb EJ,Salamonson Y,Davidson PM,Kaur R,Young SA

更新日期：2014-03-25 00:00:00

abstract：BACKGROUND:The prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This st...

journal_title：BMC family practice

authors： Newbould J,Burt J,Bower P,Blakeman T,Kennedy A,Rogers A,Roland M

更新日期：2012-07-25 00:00:00

abstract：BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...

journal_title：BMC family practice

authors： Bennett RJ,Fletcher S,Conway N,Barr C

更新日期：2020-05-14 00:00:00

abstract：BACKGROUND:Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need in people with stroke. AIM:We aimed to explore, refine and test the feasibility and acceptability of...

journal_title：BMC family practice

authors： Turner GM,Mullis R,Lim L,Kreit L,Mant J

更新日期：2019-01-04 00:00:00

abstract：BACKGROUND:There is extensive evidence of health inequality across ethnic groups. Inequity is a complex social phenomenon involving several underlying factors, including ethnic discrimination. In the field of health care, it has been established that ethnic discrimination stems partially from bias or prejudice on the p...

journal_title：BMC family practice

authors： Lepièce B,Reynaert C,van Meerbeeck P,Lorant V

更新日期：2014-05-09 00:00:00

abstract：:Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of r...

journal_title：BMC family practice

authors： Moffat K,Mercer SW

更新日期：2015-10-14 00:00:00

abstract：BACKGROUND:As in other countries, there is concern and some fragmentary evidence that GPs' central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gives a systematic account of GPs' involvement in accident care from 2008 to 2016 and identifies chang...

journal_title：BMC family practice

authors： Höglinger M,Knöfler F,Schaumann-von Stosch R,Scholz-Odermatt SM,Eichler K

更新日期：2020-06-05 00:00:00

abstract：BACKGROUND:General practitioners (GPs) and patients find it difficult to talk about risk of future disease, especially when patients have asymptomatic conditions, and treatment options are unlikely to cause immediate perceptible improvements in well-being. Further studies in risk communication training are needed. AIM...

journal_title：BMC family practice

authors： Kirkegaard P,Edwards AG,Hansen B,Hansen MD,Jensen MS,Lauritzen T,Risoer MB,Thomsen JL

更新日期：2010-09-22 00:00:00

abstract：BACKGROUND:The benefit of a "diagnosis" of pre-diabetes in very elderly patients is debated. How clinicians manage pre-diabetic blood results in these patients is unknown. This study aims to understand how clinicians are "diagnosing" older patients with pre-diabetic blood parameters. METHODS:Semi-structured interviews...

journal_title：BMC family practice

authors： Burch P,Blakeman T,Bower P,Sanders C

更新日期：2019-06-29 00:00:00

abstract：BACKGROUND:Physicians' interpersonal performance is critical in medical practice, especially primary care practice. The General Practice Assessment Questionnaire (GPAQ) was developed in the United Kingdom to evaluate the quality of primary care from the viewpoint of patients. This questionnaire highlights the evaluatio...

journal_title：BMC family practice

authors： Kijima T,Akai K,Matsushita A,Hamano T,Onoda K,Yano S,Nabika T,Ishibashi Y,Kumakura S

更新日期：2018-11-28 00:00:00

abstract：BACKGROUND:Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and d...

journal_title：BMC family practice

authors： Putnam W,Burge FI,Lawson B,Cox JL,Sketris I,Flowerdew G,Zitner D

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. METHODS:Internet based survey of 3081 primary care physicians, recruited via ...

journal_title：BMC family practice

authors： Rehm J,Prieto JA,Beier M,Duhot D,Rossi A,Schulte B,Zarco J,Aubin HJ,Bachmann M,Grimm C,Kraus L,Manthey J,Scafato E,Gual A

更新日期：2016-09-08 00:00:00

abstract：BACKGROUND:Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT ...

journal_title：BMC family practice

authors： Gröndal H,Hedin K,Strandberg EL,André M,Brorsson A

更新日期：2015-07-04 00:00:00

abstract：BACKGROUND:Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health a...

journal_title：BMC family practice

authors： Glynn LG,O'Riordan C,MacFarlane A,Newell J,Iglesias AA,Whitford D,Cantillon P,Murphy AW

更新日期：2009-05-11 00:00:00

abstract：BACKGROUND:General Practice Co-Operatives provide most out of hours care in communities in Ireland. Limited data exists on patient complaints. This study reports on complaints at Kildare and West Wicklow Doctors on Call ('K Doc'), a GP Co-Operative in Ireland, examining the impact of a formal risk reduction strategy im...

journal_title：BMC family practice

authors： Barragry RA,Varadkar LE,Hanlon DK,Bailey KF,O'Dowd TC,O'Shea BJ

更新日期：2016-07-21 00:00:00