Error and safety in primary care: no clear boundaries.

abstract：BACKGROUND:Bacterial vaginosis (BV) is the commonest cause of vaginal discharge, and its association with obstetric and gynaecological complications is being recognized increasingly. It was our impression that BV was poorly understood and underdiagnosed in family practice. OBJECTIVE:The aim of this study was to explor...

journal_title：Family practice

authors： Langsford MJ,Dobbs FF,Morrison GM,Dance DA

更新日期：2001-06-01 00:00:00

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

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

更新日期：2007-04-01 00:00:00

abstract：:Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 mont...

journal_title：Family practice

authors： Wimo A,Wallin JO,Lundgren K,Rönnbäck E,Asplund K,Mattsson B,Krakau I

更新日期：1990-12-01 00:00:00

abstract：BACKGROUND:Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work. OBJECTIVE:The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher. METHODS:As part of ...

journal_title：Family practice

authors： Chew-Graham CA,May CR,Perry MS

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. OBJECTIVE:Identify the determinants of a visit to the gener...

journal_title：Family practice

authors： Rotival J,Yordanov Y,Thiebaud PC,Pelletier-Fleury N,Jacquet E,Debuc E,Pateron D,Naouri D

更新日期：2019-03-20 00:00:00

abstract：BACKGROUND:The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES:The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of hi...

journal_title：Family practice

authors： Mercer SW,McConnachie A,Maxwell M,Heaney D,Watt GC

更新日期：2005-06-01 00:00:00

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

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

abstract：BACKGROUND:Guidelines for type 2 diabetes care in general practice are well known and accepted, but the implementation falls short. OBJECTIVE:To implement these guidelines by introducing a diabetes support service (DSS) to support the care delivered by the GP. METHODS:A controlled, non-randomised study with delayed i...

journal_title：Family practice

authors： Meulepas MA,Braspenning JC,de Grauw WJ,Lucas AE,Harms L,Akkermans RP,Grol RP

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to ascertain GPs' views about open access to out-patient follow-up for patients with inflammatory bowel disease (IBD). METHODS:Semi-structured interviews and a postal survey were carried out in general practices in West Glamorgan UK, each with at least one IBD patient taking part in...

journal_title：Family practice

authors： Cheung WY,Dove J,Lervy B,Russell IT,Williams JG

更新日期：2002-02-01 00:00:00

abstract：:A cohort study investigated the specific outcomes of a health education coursed carried out by recently graduated physicians in an urban primary care setting in Israel. Questionnaires were used to study the effects of the programme on knowledge and awareness concerning antibiotic usage. The results showed a significan...

journal_title：Family practice

authors： Hermoni D,Friedman M,Morel D,Mankuta D,Sivan A,Porter B

更新日期：1989-03-01 00:00:00

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

authors： Stewart M

更新日期：1984-03-01 00:00:00

abstract：BACKGROUND:Over-the-counter (OTC) medicines are increasingly used for self-medication, but such products can be misused/abused. OBJECTIVES:The aim of this study was to investigate the general public's opinion and perceptions of OTC medicines, including the misuse/abuse of such preparations. METHODS:Data were collecte...

journal_title：Family practice

authors： Wazaify M,Shields E,Hughes CM,McElnay JC

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Little is known about doctors' decision-making processes in prescribing antidepressants and how this is handled. OBJECTIVE:To describe and understand doctors' strategies in prescribing mood-modifying drugs, especially when confronted with challenging patients or situations. METHODS:Face-to-face interviews ...

journal_title：Family practice

authors： Kapmeyer A,Meyer C,Kochen MM,Himmel W

更新日期：2006-02-01 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: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：OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...

journal_title：Family practice

authors： Gabhainn SN,Murphy AW,Kelleher C

更新日期：2001-12-01 00:00:00

abstract：:To determine whether patients read and remembered health promotion messages displayed in waiting rooms, 600 patients in a UK general practice were given a self-complete questionnaire. Two notice-boards carried between 1 to 4 topics over four study periods. Three-hundred and twenty-seven (55%) of subjects responded. Tw...

journal_title：Family practice

authors： Wicke DM,Lorge RE,Coppin RJ,Jones KP

更新日期：1994-09-01 00:00:00

abstract：:For the past 5 years there has been an intensive debate and a number of conflicting guidelines suggesting what general practitioners (GPs) should do to screen and manage hyperlipidaemia. At a WONCA seminar in Vancouver in 1992, policies and guidelines from Canada, the UK, The Netherlands, New Zealand, Hong Kong and th...

journal_title：Family practice

authors： Rosser WW,Palmer WH,Fowler G,Lamberts H,Thomson A,Lam C,Frame PS

更新日期：1993-12-01 00:00:00

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

authors： Humair JP,Buchs CR,Stalder H

更新日期：2002-08-01 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:Given the benefits of breastfeeding (BF), health care institutions recommend that a child should be breastfed for the first 6 months of its life. However, differences between social groups as regards BF behaviour are very prevalent. OBJECTIVES:To identify effective programmes that can be implemented by GPs ...

journal_title：Family practice

authors： Ibanez G,de Reynal de Saint Michel C,Denantes M,Saurel-Cubizolles MJ,Ringa V,Magnier AM

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:It is generally considered that a significant proportion of 'inappropriate' demand for GP services is generated by consultations for minor ailments. How GPs manage minor ailments is likely to affect how patients perceive and handle similar illnesses in the future. Whilst this potentially has significant impl...

journal_title：Family practice

authors： Morris CJ,Cantrill JA,Weiss MC

更新日期：2001-12-01 00:00:00

abstract：BACKGROUND:Evaluation of health care contacts from first events alone often misses large amounts of potentially important data and may produce different results than evaluation of all data including recurrent events. OBJECTIVE:We aim to bring the different methodological approaches for analysing longitudinal health ca...

journal_title：Family practice

authors： Thomsen JL,Parner ET

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Physicians often encounter patients using alcohol as self-medication, but studies on community level are scarce. Because of alcohol-medicine interactions, it is important to know also all self-medication used. OBJECTIVE:To describe alcohol use as self-medication by people aged over 75 years. METHODS:The ho...

journal_title：Family practice

authors： Aira M,Hartikainen S,Sulkava R

更新日期：2008-12-01 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:In China, the government has encouraged the participation of private sector facilities in primary care to improve health care quality. OBJECTIVE:We compare health care utilization patterns among patients who select private versus public community health centres (CHCs) for reimbursed outpatient services. ME...

journal_title：Family practice

authors： Shen M,He W,Li L,Wu Y

更新日期：2020-11-28 00:00:00

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

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

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:Home health services play an important role in decreasing hospital admissions and physicians' medical house calls play an integral role in home health services. There is no national survey of physicians' house call practice in the Lebanon. OBJECTIVES:The aim of this study was to provide some information abo...

journal_title：Family practice

authors： Sarru E,Abyad A

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Advance care planning (ACP) has been gaining prominence for its perceived benefits for patients in enhancing patient autonomy and ensuring high-quality end-of-life-care. Moreover, it has been postulated that ACP has positive effects on families and health professionals and their relationship with the patient...

journal_title：Family practice

authors： Rhee JJ,Zwar NA,Kemp LA

更新日期：2013-04-01 00:00:00

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

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