The 'difficult patient' as perceived by family physicians.

abstract：:Attitudes among general practitioners to confidentiality were studied in Denmark in 1980 and in 1984 and in France in 1980 using mailed questionnaires. A number of typical situations in general practice were described. The doctors were asked whether they would disclose information about the patient in the situations d...

journal_title：Family practice

authors： Mabeck CE

更新日期：1985-12-01 00:00:00

abstract：:With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...

journal_title：Family practice

authors： Aldridge D,Pietroni P

更新日期：1987-12-01 00:00:00

abstract：BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...

journal_title：Family practice

authors： Rhon DI,Lentz TA,George SZ

更新日期：2020-02-19 00:00:00

abstract：:Within the past few decades, a growing number of psychiatrists in the UK have moved their outpatient clinics out of their hospital bases and have established liaison-attachment clinics in primary care settings within their catchment areas. This study reports the views of the senior general practitioners who have acces...

journal_title：Family practice

authors： Strathdee G

更新日期：1988-06-01 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

authors： Soler JK,Okkes I,Oskam S,van Boven K,Zivotic P,Jevtic M,Dobbs F,Lamberts H,Transition Project.

更新日期：2012-06-01 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

authors： Nilsson B,Westman G

更新日期：1999-10-01 00:00:00

abstract：BACKGROUND:Endometriosis is an invalidating gynaecological condition in women of reproductive age, and a frequent cause of infertility. Unfortunately, the condition is characterized by a long interval between onset of symptoms and diagnosis. GPs in the Netherlands are educated to provide basic gynaecological care and s...

journal_title：Family practice

authors： van der Zanden M,Teunissen DAM,van der Woord IW,Braat DDM,Nelen WLDM,Nap AW

更新日期：2020-02-19 00:00:00

abstract：BACKGROUND:During their specialty training, Dutch GP trainees work at a GP under the supervision of a GP trainer. Research suggests that the patient mix of GP trainees differs from that of their trainers. Receptionists assign patients to either the trainee or the trainer, thereby influencing the patient mix of the trai...

journal_title：Family practice

authors： de Jong J,Visser MR,Wieringa-de Waard M

更新日期：2011-06-01 00:00:00

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

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

更新日期：2006-02-01 00:00:00

abstract：Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...

journal_title：Family practice

authors： Gimeno-Feliu LA,Calderón-Larrañaga A,Díaz E,Laguna-Berna C,Poblador-Plou B,Coscollar C,Prados-Torres A

更新日期：2017-11-16 00:00:00

abstract：Background:International guidelines on hypertension management do not agree on whether patient characteristics can be used for the first choice of treatment of uncomplicated essential hypertension. Objective:We wanted to identify predictive patient characteristics to the response of two different classes of antihypert...

journal_title：Family practice

authors： van der Wel MC,Biermans M,Akkermans R,Lenders JWM,van Weel C,Deinum J

更新日期：2018-01-16 00:00:00

abstract：:The three papers reviewed for this issue deal with unrelated aspects of hypertension, illustrating the broad range of questions that still exist about optimal diagnosis and management. Physicians have for years been unsure about the efficacy, safety, and impact on morbidity of treating ISH. The result of these concern...

journal_title：Family practice

authors： Kelly R

更新日期：1992-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:A cross-sectional survey was conducted amongst patients who consulted for upper respiratory tract infections (URTI) at 22 private practitioners' offices. METHOD:A total of 505 adult patients and 504 guardians (parents or grandparents of child patients) completed a self-administered questionnai...

journal_title：Family practice

authors： Chan CS

更新日期：1996-06-01 00:00:00

abstract：:General practitioners' perceptions of low back pain (LBP) patients were investigated through a series of in-depth semi-structured interviews, as part of a wider study which also investigated patient perceptions. An exhaustive analysis of the interview transcripts revealed six principal ways in which GPs distinguished ...

journal_title：Family practice

authors： Skelton AM,Murphy EA,Murphy RJ,O'Dowd TC

更新日期：1995-03-01 00:00:00

abstract：INTRODUCTION:Musculoskeletal complaints are very common in primary care settings. Lipid-lowering drugs are one of several causes of musculoskeletal symptoms. However, data showing an association of lipid-lowering drug therapy and increased odds of musculoskeletal complaints in primary care patients are lacking. OBJECT...

journal_title：Family practice

authors： Mosshammer D,Lorenz G,Meznaric S,Schwarz J,Muche R,Mörike K

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and t...

journal_title：Family practice

authors： Renzi C,Mastroeni S,Mannooranparampil TJ,Passarelli F,Pasquini P

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Most individuals with current epilepsy are solely under the care of the primary care team for follow-up care. Government working party recommendations, expert epilepsy panels and patients have also stressed the central role of the GP in follow-up care. Problems in the provision of care in the community have,...

journal_title：Family practice

authors： Thapar AK,Stott NC,Richens A,Kerr M

更新日期：1998-10-01 00:00:00

abstract：BACKGROUND:People with learning disabilities have become increasingly exposed to health risk with the move to community living. Yet, health promotion is poorly developed with a heavy reliance on primary care. OBJECTIVES:To elicit the perceptions of people with learning disabilities, carers and care workers regarding r...

journal_title：Family practice

authors： Young AF,Chesson RA,Wilson AJ

更新日期：2007-12-01 00:00:00

abstract：Background:Previous evidence of race disparities in smoking cessation treatment has been limited to mostly survey studies which increase the potential for recall bias. We examined if African American versus white patients in primary care are less likely to receive any treatment or if race disparities are specific to th...

journal_title：Family practice

authors： Hooks-Anderson DR,Salas J,Secrest S,Skiöld-Hanlin S,Scherrer JF

更新日期：2018-03-27 00:00:00

abstract：:This is a brief exposition of some aspects that we consider important to know about in terms of general health characteristics of Mexico, their relationship to the health system and the critical situation of family medicine in Mexico. In addition, we consider that the bases for solution of this crisis are both adminis...

journal_title：Family practice

authors： Irigoyen-Coria A,Gomez-Clavelina FJ

更新日期：1994-06-01 00:00:00

abstract：BACKGROUND:Heroin addiction is a major public health problem affecting both the addicted individuals and their children, who have been shown to have poor social, educational and health status and to be at higher risk of abuse than their peers. Whilst the antenatal effects of parental drug use and the overall poor outco...

journal_title：Family practice

authors： Keen J,Oliver P,Rowse G,Mathers N

更新日期：2000-12-01 00:00:00

abstract：:There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...

journal_title：Family practice

authors： Tse M,Bridges-Webb C,Bauman A

更新日期：1993-09-01 00:00:00

abstract：BACKGROUND:The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. OBJECTIVE:To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. METHOD:A ...

journal_title：Family practice

authors： Piroulas C,Devillers L,Souty C,Sicsic J,Boisnault P,François M

更新日期：2019-07-31 00:00:00

abstract：BACKGROUND:High blood pressure (BP) is one of the most important risk factors for stroke, and antihypertensive therapy significantly reduces the risk of cardiovascular morbidity and mortality. However, achieving a regulated BP in hypertensive patients is still a challenge. OBJECTIVE:To evaluate the impact of an interv...

journal_title：Family practice

authors： Reuther LØ,Paulsen MS,Andersen M,Schultz-Larsen P,Christensen HR,Munck A,Larsen PV,Damsgaard J,Poulsen L,Hansen DG,Christensen B,Søndergaard J

更新日期：2012-12-01 00:00:00

abstract：:The symptomatic effect of inhaled fenoterol, a beta 2-agonist, 0.2 mg 4 times daily for 7 days, was evaluated in 80 patients with acute bronchitis examined at the Chest Clinic, Department of Medicine, University Hospital of Tromsø. Seventy-three patients completed the trial. End-point FEV1 (% predicted) showed a mean ...

journal_title：Family practice

authors： Melbye H,Aasebø U,Straume B

更新日期：1991-09-01 00:00:00

abstract：BACKGROUND:The ankle-brachial index (ABI), i.e. the ratio of the ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD) and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients. OBJECTIVE:To assess the diagn...

journal_title：Family practice

authors： Migliacci R,Nasorri R,Ricciarini P,Gresele P

更新日期：2008-08-01 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

authors： Chen F,Jiang Q,Lu Z,Cao S

更新日期：2020-09-07 00:00:00

abstract：BACKGROUND:Ethnic minority patients seem to be confronted with barriers when using health services. Yet, care providers are often oblivious to these barriers, although they may share to some extent the burden of responsibility for them. In order to enlighten care providers, as to the potential pitfalls that may exist, ...

journal_title：Family practice

authors： Scheppers E,van Dongen E,Dekker J,Geertzen J,Dekker J

更新日期：2006-06-01 00:00:00

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

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

abstract：:This paper describes the results of a study of the handling of confidentiality by general practitioners. A sample of 272 general practitioners in the eastern part of the Netherlands was interviewed. The general practitioners were presented with 10 cases involving confidentiality and were asked what course of action th...

journal_title：Family practice

authors： Lako CJ,Huygen FJ,Lindenthal JJ,Persoon JM

更新日期：1990-03-01 00:00:00