Abstract:
OBJECTIVES:We aimed to examine the factors that were most stressful for new principals in inner-city general practice. In addition, given the concerns about retention of new principals, to ascertain whether high perceived stress translated into regret that they had joined their practice and factors that might protect from regret. METHODS:A questionnaire survey, within an inner-city Health Authority. The subjects were 101 GPs appointed as principals between 1992 and 1995. RESULTS:Eighty-three out of 101 GPs replied. The greatest sources of stress were, in order, patient expectations, fear of complaint, out-of-hours stress and fear of violence. Although these stresses were scored highly, 61% expressed no regret at having joined their practice with just 4% reporting considerable regret. Stress within the partnership and stress arising from patient expectations accounted for 23% of the variation in regret. Holders of the MRCGP were significantly protected against regret; there was no evidence that other factors such as medical positions outside the practice, membership of a young principals support group, fundholding status or training practices offered significant protection against regret. CONCLUSION:Despite reported difficulties in recruiting new young principals to the inner-city-and despite their reported high levels of stress-few have regrets about their decision to join their practice. For those who did regret joining their practice, the three principal associations were partnership stress, patient expectations and not possessing the MRCGP. Each of these factors may be amenable to intervention by policies geared to improve GP retention.
journal_name
Fam Practjournal_title
Family practiceauthors
Ashworth M,Armstrong Ddoi
10.1093/fampra/16.1.18subject
Has Abstractpub_date
1999-02-01 00:00:00pages
18-22issue
1eissn
0263-2136issn
1460-2229journal_volume
16pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:Recent guidelines for treatment of hypertension advocate a multifactorial approach based on absolute risk of a cardiovascular event. However, this does not take any account of individual patient values or preferences for health outcomes that result from having hypertension. OBJECTIVE:Our aim was to investig...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.3.309
更新日期:2001-06-01 00:00:00
abstract::The articles reviewed for this issue of 'Selections' concern potential therapies to prevent osteoporosis and cardiovascular disease in postmenopausal women. Each therapy is controversial and provokes more questions than answers. The most benign intervention is the administration of calcium to postmenopausal women whos...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.3.288
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Smokers vary in their readiness to try stopping smoking, but there currently are no objective tools for identifying smokers' consulting behaviours which indicate their level of motivation to try stopping smoking. OBJECTIVE:The aim of this study was to investigate the construct validity and inter-observer re...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.2.154
更新日期:2002-04-01 00:00:00
abstract:Background:The Highlands and the Western Isles are the two most remote and rural areas of Scotland, with many medical practices in areas where pharmacies would not be viable. Recent regulations state that that dispensing medical practices in these areas must receive pharmacist support for patients who would benefit. O...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx014
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. OBJECTIVES:To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz052
更新日期:2020-03-25 00:00:00
abstract::In November 1991 69% of a random sample of 998 Danish general practitioners (GPs) participated in a survey by anonymously filling in a mailed questionnaire concerning the way in which they use health education in their practices. Among the participating GPs, 97% used health education material. The study showed differe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/11.1.35
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this systematic review with meta-analysis is to determine the predictive value of the ABCD ²at 7 and 90 days across three strata of risk. Background. The risk of stroke after transient ischaemic attack (TIA) is significant. The ABCD ²clinical prediction rule is designed to predict early risk of...
journal_title:Family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmr008
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Pre-school children are frequent users of health services, but little contemporary data are available describing their symptoms or why they consult. OBJECTIVE:To describe symptom and consultation prevalence in pre-school children and to identify the socio-demographic factor or factors associated with consul...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi035
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To determine GPs' diagnosis and management of acute infective conjunctivitis (AIC)-one of the commonest but least researched acute infections seen in primary care. METHODS:A postal questionnaire survey of 300 GPs from two Health Authorities in Southern England. RESULTS:236 (78%) GPs returned the questionnai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.6.658
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Heart failure due to left ventricular systolic dysfunction (LVSD) has a high prevalence in the adult population but is difficult to diagnose accurately on clinical grounds in the community. Early diagnosis is important as effective treatments are available to reduce morbidity and mortality. Echocardiography ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmg513
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Acute otitis media is a common disease, particularly among children. The importance of a correct diagnosis is crucial, especially as unjustified prescription of antibiotics has become a major problem in clinical praxis. OBJECTIVES:Our aim was to evaluate the predictive value of different otological findings...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/15.2.133
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz038
更新日期:2020-02-19 00:00:00
abstract::Our objective was to determine what family physicians need in their doctor's bag for urgent and non-urgent house calls. In a prospective survey, family physicians completed a structured report form after consecutive house calls, recording what equipment they needed for each. Thirteen doctors from two urban practices, ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.4.430
更新日期:1995-12-01 00:00:00
abstract::The construction and development of a questionnaire which measures the attitudes of general practitioners towards their role in the medical care system is described. Factor analytic procedures identified seven reliable factor-based subscales. The subscales measured attitudes towards: a psychological orientation to pat...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/4.3.192
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND:The approach to health and disease can either be salutogenic (origins of health) or pathogenic (disease causing), which thus makes recovery a concept featuring several different angles. Antonovsky, with his concept of salutogenesis, tried to reach a more complete understanding of its favourable effects on he...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.5.515
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:The combined influence of psychological distress, family dysfunction and social support on primary care consultation (PCC) remains unclear. OBJECTIVE. To build an explanatory model of PCC concerning users' psychosocial factors. METHODS:We undertook a multicentre, prospective cohort study of a random sample ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmm059
更新日期:2007-12-01 00:00:00
abstract:INTRODUCTION:This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr100
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:There has been a continued trend towards undertaking primary care-based research but the characteristics and generalizability of practices that participate in such research are not well known. OBJECTIVE:To compare research active and non-active practices in terms of practice demographics, disease prevalence...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm065
更新日期:2008-02-01 00:00:00
abstract::The practice of breast feeding has declined throughout the world, at first in the developed countries and now also in the developing countries. Although there is some return to breast feeding in industrialized countries, it is mostly by the privileged and better educated women. This article discusses the importance of...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/1.2.69
更新日期:1984-06-01 00:00:00
abstract::The functional status of patients was determined during an acute attack of asthma requiring medical intervention. Patients were recruited during two months from general practice: all 28 patients consulting for an acute asthma attack were invited to take part: four refused or were withdrawn from follow up. Matched cont...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.4.404
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:The North Trent scheme to address the problem of GPs whose performance gives cause for concern was implemented in 1997. This paper describes the structure and process of the scheme and evaluates the main outcomes. METHODS:We used non-participant observation and semi-structured interviews with representative...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.2.123
更新日期:2001-04-01 00:00:00
abstract::A survey of family practice residency programme directors in the United States was undertaken to look at the impact of malpractice and malpractice insurance on residency education. Of 385 programmes 276 (71.7%) responded to the 20 question survey. The results indicated a mean rate of 0.043 claims per resident or facul...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.2.146
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:There is evidence both that a doctor's own well-being is closely associated with efficiency and positive attitude to patients, and that levels of stress, anxiety and depression in doctors are rising. OBJECTIVES:This postal survey aimed to measure anxiety and depression levels in general practitioners in 199...
journal_title:Family practice
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa138
更新日期:2020-12-19 00:00:00
abstract:BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh720
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.3.230
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:In recent years, the Chinese government has introduced a new system called the integrated health care system to deepen health care reform and enhance the capacity of the primary health care services. OBJECTIVE:We aimed to investigate the perceptions and opinions of general practitioners (GPs) on the integra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa088
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:In recent years, we have investigated both patients' and family doctors' communicative characteristics towards nutrition communication in general practice with several qualitative and quantitative studies. A sound comparison of the survey results between both conversation partners has not been made before. ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn061
更新日期:2008-12-01 00:00:00
abstract:Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be disc...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx074
更新日期:2018-01-16 00:00:00
abstract:BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of a...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/cmi016
更新日期:2005-06-01 00:00:00