The narrative approach as an effective single intervention in functional somatic symptoms in a multi-disciplinary referral clinic for primary care frequent attenders.

abstract：OBJECTIVES:The aim of this study was to establish and evaluate a direct access service for laparoscopic sterilization. METHODS:A pragmatic randomized controlled trial was carried out on a total of 232 women referred to Aberdeen Royal Infirmary for sterilization between 1 June 1996 and 31 March 1997, from 57 general pr...

journal_title：Family practice

authors： McKessock L,Smith BH,Scott A,Graham W,Terry PB,Templeton A,Fitzmaurice AE

更新日期：2001-02-01 00:00:00

abstract：BACKGROUND:Overweight and obesity have negative health effects. Primary care clinicians are best placed to intervene in weight management. Previous reviews of weight loss interventions have included studies from specialist settings. The aim of this review was to estimate the effect of behavioural interventions delivere...

journal_title：Family practice

authors： Booth HP,Prevost TA,Wright AJ,Gulliford MC

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:General practice is person-focused. Contextual information influences the clinical decision-making process in primary care. Currently, person-related information (PeRI) is neither recorded in a systematic way nor coded in the electronic medical record (EMR), and therefore not usable for scientific use. AIM:...

journal_title：Family practice

authors： Schrans D,Avonts D,Christiaens T,Willems S,de Smet K,van Boven K,Boeckxstaens P,Kühlein T

更新日期：2016-02-01 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

authors： Bowman MA,Murray JL

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:A methodology is needed for classification of health problems by severity. OBJECTIVES:We aimed to test the Duke Severity of Illness Checklist (DUSOI) for feasibility and usefulness. METHOD:The DUSOI was field tested internationally by 22 family/general practitioners in 9 countries. RESULTS:The DUSOI was f...

journal_title：Family practice

authors： Parkerson GR Jr,Bridges-Webb C,Gervas J,Hofmans-Okkes I,Lamberts H,Froom J,Fischer G,Meyboom-de Jong B,Bentsen B,Klinkman M,de Maeseneer J

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority re...

journal_title：Family practice

authors： Psenka TM,Freedy JR,Mims LD,DeCastro AO,Berini CR,Diaz VA,Jarrett JB,Steyer TE

更新日期：2020-11-28 00:00:00

abstract：BACKGROUND:Patients with chronic medical diseases may have depression that is not recognized by their primary care physicians. OBJECTIVES:We aimed to examine the application of Zung's Self-Rating Depression Scale (SDS) in the screening of depression in primary care patients with chronic medical diseases in a Chinese p...

journal_title：Family practice

authors： Leung KK,Lue BH,Lee MB,Tang LY

更新日期：1998-02-01 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

authors： Sim V,Hampton D,Phillips C,Lo SN,Vasishta S,Davies J,Penney M

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Recruitment of representative samples in primary care research is essential to ensure high-quality, generalizable results. This is particularly important for research using routinely recorded patient data to examine the delivery of care. Yet little is known about how different recruitment strategies influenc...

journal_title：Family practice

authors： Lord PA,Willis TA,Carder P,West RM,Foy R

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...

journal_title：Family practice

authors： Plass AM,Timmermans DR,van der Wal G

更新日期：2005-02-01 00:00:00

abstract：:In a GP database, 318 people with intellectual disability (ID) appeared to have 2.5 times more health problems than people without ID. This short report deals with the nature of the health problems. Consequences for health care policy are discussed. ...

journal_title：Family practice

authors： van Schrojenstein Lantman-De Valk HM,Metsemakers JF,Haveman MJ,Crebolder HF

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Although condom promotion schemes have been widely piloted in UK general practices, there have been no rigorous evaluations of their effectiveness. OBJECTIVES:To see if a practice-based sexual health education intervention increases the number of women having smears who are given condoms and advice on avoid...

journal_title：Family practice

authors： Oakeshott P,Kerry S,Hay S,Hay P

更新日期：2000-02-01 00:00:00

abstract：BACKGROUND:Both treatment guidelines and the amount of antibiotics used for acute otitis media (AOM) vary across western countries. Parental expectations and their awareness of antimicrobial use and resistance, which may also be influenced by the guidelines, are not yet completely known. OBJECTIVE:To compare parental ...

journal_title：Family practice

authors： Tähtinen PA,Boonacker CW,Rovers MM,Schilder AG,Huovinen P,Liuksila PR,Ruuskanen O,Ruohola A

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Non-clinical factors impact on decisions about whether to refer a patient from primary care to specialist mental health services. The aim of this study was to investigate whether introducing a standardized assessment of severity improves agreement on referrals. METHODS:Multi-site mixed-method cluster random...

journal_title：Family practice

authors： Slade M,Gask L,Leese M,McCrone P,Montana C,Powell R,Stewart M,Chew-Graham C

更新日期：2008-06-01 00:00:00

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

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

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives' possible psychiatric vulnerabilities. The availability of evidence-base...

journal_title：Family practice

authors： de Groot M,van der Meer K,Burger H

更新日期：2009-10-01 00:00:00

abstract：Background:Family doctors' (FD) attitudes likely play an important role in the recognition and management of depression. Objective:The purpose of the study was to prospectively analyse the short-term and long-term impact of a specifically designed training program on attitudes towards depression among FDs. Methods:A ...

journal_title：Family practice

authors： Manzanera R,Lahera G,Álvarez-Mon MÁ,Alvarez-Mon M

更新日期：2018-01-16 00:00:00

abstract：BACKGROUND:About 45.2 million people were displaced from their homes in 2012 due to persecution, political conflict, generalized violence and human rights violations. Refugees who endure violence are at increased risk of developing chronic psychiatric disorders such as posttraumatic stress disorder and major depression...

journal_title：Family practice

authors： Shannon PJ

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...

journal_title：Family practice

authors： Stein AT,Harzheim E,Costa M,Busnello E,Rodrigues LC

更新日期：2002-04-01 00:00:00

abstract：BACKGROUND:Pre-diabetes in young people is frequently unrecognized or not treated on time, with the consequent loss of opportunity for diabetes prevention. In Mexico, there is scarce information about the prevalence of pre-diabetes in young adults. OBJECTIVE:To determine the prevalence and risk factors for pre-diabete...

journal_title：Family practice

authors： Ureña-Bogarín EL,Martínez-Ramírez HR,Torres-Sánchez JR,Hernández-Herrera A,Cortés-Sanabria L,Cueto-Manzano AM

更新日期：2015-04-01 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:Patients sometimes have differences of > or =20/10 mmHg in their blood pressure depending on which arm is measured. The prevalence and prognostic value of this finding in general practice are unknown. If these differences are due to peripheral vascular disease, these patients may be at increased risk of card...

journal_title：Family practice

authors： Clark CE,Powell RJ

更新日期：2002-10-01 00:00:00

abstract：OBJECTIVES:The aims of this study were to determine women's perceived risk of menopause-related disease and to understand how this shapes their decisions about taking hormone replacement therapy (HRT) for disease prevention. METHODS:A qualitative study based on analysis of audio-taped semi-structured interviews. The s...

journal_title：Family practice

authors： Ballard K

更新日期：2002-12-01 00:00:00

abstract：:There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...

journal_title：Family practice

authors： Kuyvenhoven M,de Melker R,van der Velden K

更新日期：1993-12-01 00:00:00

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

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

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS:To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out i...

journal_title：Family practice

authors： Godwin M,Lam M,Birtwhistle R,Delva D,Seguin R,Casson I,MacDonald S

更新日期：2010-04-01 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：OBJECTIVES:This paper explores South Asian patients' views and experiences of clinical trial participation, as part of a larger study which sought to assess British South Asian under-representation in clinical trials. METHODS:The study was based on semi-structured interviews with South Asian trial participants in prim...

journal_title：Family practice

authors： Hussain-Gambles M

更新日期：2004-12-01 00:00:00

abstract：:Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-manageme...

journal_title：Family practice

authors： Heisler M

更新日期：2010-06-01 00:00:00

abstract：:While much research has examined the aetiology and treatment of asthma, little work has been done on its social impact. Yet asthma, like any disease, has a social as well as a medical dimension and it is increasingly being recognized that these two dimensions are interlinked. This paper describes a study into the soci...

journal_title：Family practice

authors： Nocon A,Booth T

更新日期：1991-03-01 00:00:00