Medical and lay views of irritable bowel syndrome.

Abstract:

OBJECTIVES:The purpose of this study was to investigate doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur. METHODS:A qualitative study was undertaken involving in-depth, semi-structured interviews that were tape-recorded, transcribed verbatim and analysed using the constant comparative method. The subjects comprised 12 doctors, including six GPs and six gastroenterologists, and 14 patients with IBS. RESULTS:Doctors hold two definitions of IBS, one 'public' and akin to a textbook definition, the other 'private' and including experiential knowledge and absorbed prejudices about IBS patients. Doctors are not universally hostile towards IBS patients, although the views of gastroenterologists may tend to be more pejorative than those of GPs. Most doctors experience frustration with IBS, and this is due as much to medical uncertainty and shortage of effective interventions as to intolerance of the personal characteristics of IBS patients. Doctors distinguish between 'good' and 'bad' IBS patients and manage them accordingly. Many patients tend to find their IBS symptoms very troublesome. Patients are more satisfied if they are taken seriously and helped to manage their symptoms, but many feel that they are labelled as neurotic by the medical profession. They tend to feel stigmatized and let down by doctors. CONCLUSIONS:Better partnerships could be created with patients, and better outcomes for IBS might be achieved, if doctors recognized the impact of medical beliefs about IBS on patients. Doctors should offer IBS patients empowering explanations for their disorder.

journal_name

Fam Pract

journal_title

Family practice

authors

Dixon-Woods M,Critchley S

doi

10.1093/fampra/17.2.108

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

108-13

issue

2

eissn

0263-2136

issn

1460-2229

journal_volume

17

pub_type

杂志文章
  • Frequency of 'warning signs of cancer' in Norwegian general practice, with prospective recording of subsequent cancer.

    abstract:BACKGROUND:Early diagnosis of cancer is an important challenge in general practice. Symptoms are the most common starting points. OBJECTIVE:To assess the association between symptoms presented and subsequent cancer. DESIGN:A cohort study of all patients seen consecutively by GPs. Prospective recording of cancer diagn...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章

    doi:10.1093/fampra/cms065

    authors: Ingebrigtsen SG,Scheel BI,Hart B,Thorsen T,Holtedahl K

    更新日期:2013-04-01 00:00:00

  • Patient experience of primary care and advance care planning: a multicentre cross-sectional study in Japan.

    abstract:Background:Advance care planning (ACP) is becoming increasingly important in the primary care setting because of its positive impact on the end-of-life care. Objective:We aimed to investigate the relationship between patient experience of primary care and ACP. Methods:This cross-sectional study was conducted in 28 pr...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmw126

    authors: Aoki T,Miyashita J,Yamamoto Y,Ikenoue T,Kise M,Fujinuma Y,Fukuma S,Kimachi M,Shimizu S,Fukuhara S

    更新日期:2017-04-01 00:00:00

  • Association between unexplained hypoalbuminaemia and new cancer diagnoses in UK primary care patients.

    abstract:BACKGROUND:The association between hypoalbuminaemia and a new diagnosis of cancer is as yet unknown. OBJECTIVE:This study aimed to assess whether unexplained hypoalbuminaemia was associated with an increased risk of subsequent new cancer diagnosis within the next 12 months. METHODS:A cohort study was performed using ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw051

    authors: Merriel SW,Carroll R,Hamilton F,Hamilton W

    更新日期:2016-10-01 00:00:00

  • The use of classification and regression trees to predict the likelihood of seasonal influenza.

    abstract:BACKGROUND:Individual signs and symptoms are of limited value for the diagnosis of influenza. OBJECTIVE:To develop a decision tree for the diagnosis of influenza based on a classification and regression tree (CART) analysis. METHODS:Data from two previous similar cohort studies were assembled into a single dataset. T...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cms020

    authors: Afonso AM,Ebell MH,Gonzales R,Stein J,Genton B,Senn N

    更新日期:2012-12-01 00:00:00

  • Overall use of proctoscopy in general practice and possible relation to the stage of rectal cancer.

    abstract::Data from the Danish National Health Service records on activities of each of 146 general practices in the county of North Jutland, Denmark, were studied to determine whether the use of proctoscopy influenced the stage at which cancer of the rectum was recognized. Information for all patients in the county who receive...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.2.145

    authors: Sørensen HT,Ejlersen E,Møller-Petersen J,Rasmussen HH,Olesen F

    更新日期:1992-06-01 00:00:00

  • Cardiovascular health check in the elderly in one general practice: does it offer new information and lead to interventions?

    abstract:BACKGROUND:Prevention of cardiovascular disease in the elderly is becoming increasingly important. GPs are in a unique position to initiate preventive interventions in this age group. However, it is not clear which strategy a GP should follow to identify patients at increased cardiovascular risk-case finding or screeni...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/16.4.389

    authors: van den Berg PJ,van Dalsen CL,de Rooij RA,Prins A,Hoes AW

    更新日期:1999-08-01 00:00:00

  • Seen through the patients' eyes: quality of chronic illness care.

    abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx123

    authors: Desmedt M,Vertriest S,Petrovic M,Bergs J,Vrijhoef H,Dessers E,Hellings J,Vandijck D

    更新日期:2018-07-23 00:00:00

  • European primary care surveillance networks: their structure and operation.

    abstract:BACKGROUND:In many European countries, primary care surveillance networks play a role in public health surveillance. OBJECTIVES:To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions thei...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmi118

    authors: Deckers JG,Paget WJ,Schellevis FG,Fleming DM

    更新日期:2006-04-01 00:00:00

  • Long-term follow-up in outpatient clinics. 1: The view from general practice.

    abstract:BACKGROUND:Nearly three-quarters of patients seen in specialist outpatient clinics in England are in follow-up. It has been suggested that the care of many of these patients could be transferred to general practice. OBJECTIVES:We aimed to estimate the proportion of patients in general practice who are in long-term out...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/14.1.24

    authors: Reeve H,Baxter K,Newton P,Burkey Y,Black M,Roland M

    更新日期:1997-02-01 00:00:00

  • Cough sound analysis: a new tool for the diagnosis of asthma?

    abstract::A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/6.2.83

    authors: Toop LJ,Thorpe CW,Fright R

    更新日期:1989-06-01 00:00:00

  • Nurse prescribing in general practice: a qualitative study of job satisfaction and work-related stress.

    abstract:BACKGROUND:Studies examining the impact nurse prescribing have largely focused on the efficacy of the service. It was suggested in pro-prescribing policy arguments that extending the nursing role to include prescribing would increase job satisfaction. This assertion has not been fully explored. OBJECTIVES:To investiga...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr077

    authors: Cousins R,Donnell C

    更新日期:2012-04-01 00:00:00

  • Reflections from organization science on the development of primary health care research networks.

    abstract::In the UK, policy changes in primary health care research and development have led to the establishment of primary care research networks. These organizations aim to increase research culture, capacity and evidence base in primary care. As publicly funded bodies, these networks need to be accountable. Organizational s...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.5.540

    authors: Fenton E,Harvey J,Griffiths F,Wild A,Sturt J

    更新日期:2001-10-01 00:00:00

  • Patient characteristics which are related to the doctor-patient interaction.

    abstract::Audiotapes were made of 140 visits to the offices of family physicians by patients with acute or chronic problems. The tapes were analysed using Bales Interaction Process Analysis to identify interviews which were patient-centred: interviews in which the physician was supportive and encouraged the patient to express h...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/1.1.30

    authors: Stewart M

    更新日期:1984-03-01 00:00:00

  • Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion.

    abstract:OBJECTIVES:Children under 2 years of age with acute otitis media are known to have a relatively poor prognosis. The objective of this study was to assess whether known determinants for recurrent acute otitis media and persistent middle ear effusion after an episode of acute otitis media during childhood also apply to c...

    journal_title:Family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/fampra/cmi083

    authors: Damoiseaux RA,Rovers MM,Van Balen FA,Hoes AW,de Melker RA

    更新日期:2006-02-01 00:00:00

  • The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care.

    abstract:BACKGROUND:Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. OBJECTIVES:The aim of this study was to determine t...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/17.2.159

    authors: Lam CL,Lauder IJ

    更新日期:2000-04-01 00:00:00

  • The clinical and economic burden of fibromyalgia compared with diabetes mellitus and hypertension among Bedouin women in the Negev.

    abstract:BACKGROUND:Fibromyalgia (FM) is a common idiopathic chronic, widespread pain syndrome with tenderness in anatomically defined tender points. OBJECTIVES:The purpose of the present study was to describe and characterize the economic and daily work burden of FM compared with diabetes mellitus and hypertension. METHODS:A...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh411

    authors: Doron Y,Peleg R,Peleg A,Neumann L,Buskila D

    更新日期:2004-08-01 00:00:00

  • Promoting influenza vaccination of elderly patients in primary care.

    abstract:BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/19.4.383

    authors: Humair JP,Buchs CR,Stalder H

    更新日期:2002-08-01 00:00:00

  • Focus on early-career GPs: qualitative evaluation of a multi-faceted educational intervention to improve antibiotic prescribing.

    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

    authors: Deckx L,Anthierens S,Magin PJ,Morgan S,McArthur L,Yardley L,Dallas A,Little P,van Driel ML

    更新日期:2018-01-16 00:00:00

  • Characteristics and perceptions of after-hours callers.

    abstract::After-hours care remains an important aspect of community practice although little is known about the views of either physicians or patients. This study presents an analysis of 12 499 after-hours calls made to a family practice centre over a five-year period, and 798 follow-up telephone interviews conducted with peopl...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/2.1.10

    authors: Evens S,Curtis P,Talbot A,Baer C,Smart A

    更新日期:1985-03-01 00:00:00

  • A multinational study of the factorial structure and other characteristics of the Dartmouth COOP Functional Health Assessment Charts/WONCA.

    abstract:BACKGROUND:The 'Dartmouth COOP Functional Health Assessment Charts/WONCA' constitute a relatively new derived instrument for assessing health status that is specifically intended for use in primary care on a world-wide basis. It needs further validation in its special area of use. OBJECTIVES:Over a range of countries,...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/14.6.478

    authors: Westbury RC,Rogers TB,Briggs TE,Allison DJ,Gérvas J,Shigemoto H,Elford W

    更新日期:1997-12-01 00:00:00

  • Organizing palliative care for rural populations: a systematic review of the evidence.

    abstract:BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmg312

    authors: Evans R,Stone D,Elwyn G

    更新日期:2003-06-01 00:00:00

  • Primary care practice a la carte among GPs: using organizational diversity to increase job satisfaction.

    abstract:BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cml073

    authors: Geneau R,Lehoux P,Pineault R,Lamarche PA

    更新日期:2007-04-01 00:00:00

  • Climacteric complaints in the community.

    abstract:BACKGROUND:At the onset of the climacteric, healthy middle-aged women present with a variety of complaints, especially in general practice. In these first years of entering the menopause, vaginal blood loss alters from irregular periods to complete amenorrhoea. According to these different menstrual patterns, we can di...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.2.189

    authors: Maartens LW,Leusink GL,Knottnerus JA,Smeets CG,Pop VJ

    更新日期:2001-04-01 00:00:00

  • Health and the Internet--changing boundaries in primary care.

    abstract:BACKGROUND:Little is known about the frequency with which information from the Internet is presented by patients within primary care consultations or the subsequent impact that it may have on those consultations. OBJECTIVES:The aims of this study were to describe the frequency with which Internet information was prese...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh215

    authors: Malone M,Harris R,Hooker R,Tucker T,Tanna N,Honnor S

    更新日期:2004-04-01 00:00:00

  • Perspectives on health economics. 3. Economics in action.

    abstract::This paper describes 4 health care studies which illustrate the value of using economic analysis to evaluate health care choices. A Chamberlain undertook an applied health economics study of family planning service costs in a Scottish community. The study revealed that the cost of avoiding an unwanted birth was 320-...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/2.1.4

    authors: Mooney G,Yule B

    更新日期:1985-03-01 00:00:00

  • Pregnant women's ailments and psychosocial conditions.

    abstract::Pregnant women's ailments may cause anxiety and reduce the quality of life. Sixty-five pregnant women were followed prospectively in antenatal care in general practice, and spontaneously reported ailments not associated with serious pregnancy complications were registered prospectively. The vast majority of pregnant w...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.3.270

    authors: Førde R

    更新日期:1992-09-01 00:00:00

  • Can we measure the ankle-brachial index using only a stethoscope? A pilot study.

    abstract:BACKGROUND:Ankle-brachial index (ABI) is an excellent method for the diagnosis of peripheral arterial disease (PAD) when it is performed with Doppler. However, this device is not always available for primary care physicians. The ABI measured with stethoscope is an easy alternative approach, but have not been proved to ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn086

    authors: Carmo GA,Mandil A,Nascimento BR,Arantes BD,Bittencourt JC,Falqueto EB,Ribeiro AL

    更新日期:2009-02-01 00:00:00

  • Treatment options for cutaneous warts in family practice.

    abstract::Natural regression should not be advocated as a treatment option for cutaneous warts, given the infectious nature of this condition. Although there are numerous treatments for this condition reported in the literature, many trials are uncontrolled and many regimens are unsuitable for general practice. Specific treatme...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/5.4.314

    authors: Steele K,Irwin WG

    更新日期:1988-12-01 00:00:00

  • What family physicians need in their doctor's bag.

    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

    authors: Nakar S,Vinker S,Weingarten MA

    更新日期:1995-12-01 00:00:00

  • Disability and quality of life in heart failure patients: a cross-sectional study.

    abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmz017

    authors: García-Olmos L,Batlle M,Aguilar R,Porro C,Carmona M,Alberquilla A,Sánchez-Gómez LM,Monge E,López-Rodríguez AB,Benito L,Baños N,Simón A,Martínez-Álvarez MA,Luque EM,García-Benito C

    更新日期:2019-11-18 00:00:00