Abstract:
OBJECTIVE:To evaluate the usefulness of medical audit of GPs' antibiotic prescription habits. DESIGN:Medical audit according to the APO method. Registration of antibiotic prescriptions for respiratory tract infections during a 3 year period. Intervention with courses, visits to the laboratory, and distribution of recommendations concerning diagnosis and treatment of respiratory infections. SETTING:24 Danish GPs in cooperation with Audit Project Odense (APO) and Department of Clinical Microbiology, Odense University Hospital. 207 GPs acted as controls. MAIN OUTCOME MEASURES:Changes in the number of antibiotic prescriptions and in the penicillin/broad-spectrum antibiotic ratio. RESULTS:The proportion of antibiotic prescriptions was reduced during the investigation period, but a similar reduction was found in the control groups. Only for acute sinusitis was a lasting decrease not found in the control groups recorded. The penicillin/broad-spectrum antibiotic ratio increased in the intervention group (1.33 in 1992, 1.94 in 1993 and 2.70 in 1995). This increase was significantly higher than in the control groups. The change was seen for acute sinusitis, bronchitis, and pneumonia, but not for acute otitis media or acute tonsillitis. The changes induced from 1992 to 1993 were maintained or increased from 1993 to 1995 although the educational measures had stopped. CONCLUSION:Medical audit according to the APO method is a useful tool for inducing and maintaining desirable changes in GPs' prescription habits.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Munck AP,Gahrn-Hansen B,Søgaard P,Søgaard Jdoi
10.1080/028134399750002629subject
Has Abstractpub_date
1999-09-01 00:00:00pages
185-90issue
3eissn
0281-3432issn
1502-7724journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499590
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To find out whether family or working conditions is most important for mood in different ages in women. DESIGN:Prospective study. SETTING:Göteborg, Sweden, population about 430,000. SUBJECTS:Representative samples of a general population of women, born in 1930 (n = 276), 1942 (n = 93) and 1954 (n = 61), ex...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430410006486
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:General practitioner (GP) involvement may be instrumental in obtaining successful palliative cancer trajectories. The aim of the study was to examine associations between bereaved relatives' evaluation of palliative cancer trajectories, place of death, and GP involvement. DESIGN:Population-based, cross-secti...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2010.505316
更新日期:2010-09-01 00:00:00
abstract::The mortality from ischaemic heart disease is higher in predominantly rural northern and western Sweden than in the more urban eastern and southern districts. This study was performed in a small semirural area in mid-Sweden with lower mortality from ischaemic heart disease in middle-aged men and higher mortality in mi...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439109018515
更新日期:1991-09-01 00:00:00
abstract::This paper first explores what Health for All (HFA) means as a policy goal. It calls for major changes in health care. In the European Region of WHO, 38 targets show how approaches to health problems, lifestyles, environment, health care and support measures (e.g., planning, management and training) should be changed ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014026
更新日期:1992-03-01 00:00:00
abstract::Patients and general practitioners in northern Norway were asked their opinion on the doctors' use of a white coat in the consultation. 51.9% of the patients wanted their doctor not to wear a white coat, whereas 11.7% of the doctors never wore one. 5.7% of the doctors' staff members never wore a white coat. The patien...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994937
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence of adverse reactions to food and food allergy in Icelandic and Swedish 18-month-old children. DESIGN:Prospective multicentre comparative study. SETTING:Primary health care centres in Sweden and Iceland. SUBJECTS:A total of 324 children in Iceland and 328 in Sweden who attended...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134399750002863
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To examine care organization and practice behaviour in hypertension care among Swedish general practitioners. DESIGN:A postal questionnaire followed by a structured interview, in a two-step study design. SETTING:Uppsala-Orebro region in mid-Sweden (population 1.9 mill.) PARTICIPANTS:General practitioners e...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994828
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:The aim was to analyse differences between female and male general practitioners (GPs) in health status and lifestyle and compared with the general population in health-related quality of life. DESIGN:A simple random sample of 1004 GPs from the whole of Sweden (71.2%) participated in a survey in May 1996 abo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134399750002692
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:To study the trend in premature mortality (before 75 years of age) from ischaemic heart disease (IHD) in a Swedish primary health care district compared to communities of similar demographic situation and all Sweden. DESIGN:Mortality from IHD in men and women was compared between the community of Habo and ot...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302317282707
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To investigate the public knowledge of cardiovascular risk factors including hyperlipidaemia, and attitudes to changes in lifestyle and to the role of the primary health care in preventive work. DESIGN:Postal questionnaire. SETTING:A physically defined area in south-western Stockholm. SUBJECTS:1000 randoml...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996739
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813432.2016.1249065
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:How do physician visits vary when GPs are given the opportunity to send their patients to private specialists for consultation rather than simply to hospital outpatient clinics. DESIGN:An experimental study. SETTING AND SUBJECTS:In the City of Turku, 3 populations were served over 34 months by different ser...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430310001671
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication. DESIGN:An epidemiological survey using a questionnaire. SETTING:The county of Jämtland in northern Sweden. SUBJECTS:3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-y...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003278
更新日期:1998-06-01 00:00:00
abstract::Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during t...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909087232
更新日期:1989-10-01 00:00:00
abstract::Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse regarding the health consequences when medically indicated HEMS missions are cancelled and the pa...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1608056
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To evaluate barriers to adherence to hypertension guidelines among publicly employed general practitioners (GPs). DESIGN:Questionnaire-based survey distributed to GPs in 24 randomly selected primary care centres in the Region of Skåne in southern Sweden. SUBJECTS:A total of 109 GPs received a self-administe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430802202111
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN:Comparison of self-reported and assessed medical and odontological variables. SETTING:The School of Dentistry, Karolinska Institute. SUBJECTS:Sixty-seven patients, referred ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003043
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:To study associations between dairy fat intake and development of central obesity. DESIGN:A prospective population-based cohort study with two surveys 12 years apart. SETTING:Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS:1782 men (farmers ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2012.757070
更新日期:2013-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of the study was to investigate the relationship between morbidity in early childhood and gender, birth order, and social class. DESIGN:The study used data collected in the Nijmegen Continuous Morbidity Registration. All presented morbidity and a number of personal data were available. SETTING...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014047
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1117283
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To identify elements of clinical information beyond the area of knowledge presented in medical textbooks, but used by the general practitioner when confronted with the acutely and severely ill child. DESIGN:Focus group approach. SETTING:A course for teachers in General Practice at the Division for General P...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439709043425
更新日期:1997-03-01 00:00:00
abstract::Insulin resistance was evaluated in 807 middle-aged subjects at a health survey, with use of an index measured in 75 g oral glucose tolerance tests. The mean value of insulin resistance was higher in a hypertensive group than among the normotensives, independent of body mass index, physical activity, smoking sex, age,...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439109026582
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:To assess the importance of long-term doctor-patient relationship, and to assess the effect of long-term treatment with beta-blockers of hypertensive women. DESIGN:A 25-year follow-up study of hypertensive women, compared with participants in a prospective population study of women of the same age. SETTING:...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134399750002520
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:Low plasma (p)-albumin and p-calcium concentrations are associated with increased mortality in hospitalised patients. There are few studies addressing this in primary care. Low p-calcium has been associated with mortality, but it is not known whether this applies to p-albumin. Could p-albumin and p-calcium be...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1843809
更新日期:2020-12-01 00:00:00
abstract::The aim of the study was to evaluate the efficiency of different strategies of intervention to reduce prescription of hypnotics/sedatives in general practice. All 356 general practitioners in the county of Aarhus, Denmark, were divided in three groups. One group received personal information at meetings, another recei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994941
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:To analyse the outcome of exercise testing and myocardial perfusion scintigraphy (MPS) in primary care patients with chest pain of new onset. DESIGN:Prospective, observational. Patients aged 20-79 years, consulting due to chest pain of new onset, were enrolled consecutively. SETTING:Three primary care healt...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430601116249
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence of headache and its association with lifestyle among schoolchildren and to test an intervention programme. DESIGN:A cross-sectional survey of all pupils in the school who were asked to complete a questionnaire about headache and lifestyle factors. SETTING:School health care at ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134301750235349
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:This study aimed at evaluating the diagnostic accuracy of a consumer model acoustic reflectometer in the hands of parents in the detection of middle-ear fluid among children. DESIGN:Prospective diagnostic study according to STARD guidelines. Acoustic reflectometry recorded by the parents was compared with ot...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430903072165
更新日期:2009-01-01 00:00:00