Abstract:
BACKGROUND:Pre-school children are frequent users of health services, but little contemporary data are available describing their symptoms or why they consult. OBJECTIVE:To describe symptom and consultation prevalence in pre-school children and to identify the socio-demographic factor or factors associated with consultations for those symptoms. METHODS:Prospective cohort study of 13,617 pre-school children living in south-west England. Parents completed questionnaires asking about symptoms and consultations for those symptoms at six, 18, 30, 42 and 57 months. RESULTS:During the pre-school years, all children experienced one or more symptoms, most commonly cold, cough, high temperature, vomiting or diarrhoea. Ninety seven percent consulted a doctor at least once, most commonly for cough, high fever and/or earache. Lower parity was most strongly and consistently associated with higher consultation rates. CONCLUSIONS:Fever, respiratory and gastro-intestinal symptoms are a normal part of pre-school life. Research of acute conditions in young children could focus on the most common symptoms leading to consultation, namely cough, fever and earache. Efforts to support parents' help seeking decision making might usefully be targeted at first time parents.
journal_name
Fam Practjournal_title
Family practiceauthors
Hay AD,Heron J,Ness A,ALSPAC study team.doi
10.1093/fampra/cmi035subject
Has Abstractpub_date
2005-08-01 00:00:00pages
367-74issue
4eissn
0263-2136issn
1460-2229pii
cmi035journal_volume
22pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr066
更新日期:2012-02-01 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
pub_type: 杂志文章
doi:10.1093/fampra/18.6.622
更新日期:2001-12-01 00:00:00
abstract:INTRODUCTION:In the last decade of the 20th century, the countries of Central and Eastern Europe (CEE) have experienced rapid changes in health policies. This process was largely supported by international grants. After this support has ended, it is important to keep up with the development, developing its own strategi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn009
更新日期:2008-04-01 00:00:00
abstract::Mothers' beliefs and evaluations of their child's illness were studied in a group of 30 mothers who had consulted a general practitioner because of a cough. Data were collected by tape-recorded semi-structured interviews conducted in their own homes. A major concern for mothers was their fear that their child was goin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.2.193
更新日期:1993-06-01 00:00:00
abstract::The practice of breast feeding has declined throughout the world, at first in the developed countries and now also in the developing countries. Although there is some return to breast feeding in industrialized countries, it is mostly by the privileged and better educated women. This article discusses the importance of...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/1.2.69
更新日期:1984-06-01 00:00:00
abstract:OBJECTIVE:In-depth knowledge of existing practice is required to inform interventions aimed at antibiotic prescribing quality improvement. We set out to describe the presentation, antimicrobial management and associated outcome of adults presenting in general practice with acute cough/lower respiratory tract infection ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr019
更新日期:2011-12-01 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
pub_type: 杂志文章
doi:10.1093/fampra/cmaa088
更新日期:2020-09-07 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
pub_type: 杂志文章
doi:10.1093/fampra/cmq102
更新日期:2011-06-01 00:00:00
abstract::Recently, we published data of a 2 year randomized controlled study in which the effects of continuous versus symptomatic bronchodilator treatment in patients with moderate asthma or chronic bronchitis were investigated. The results showed that FEV1 decline in the continuously treated group was significantly larger th...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/9.4.397
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Adolescent pregnancy is an important health issue. Prevention programs are usually aimed at the prevention of repeat pregnancy, ignoring the adolescents at risk of becoming pregnant for the first time. OBJECTIVES:To analyse if socio-economic status, family type and mother's age at first pregnancy are risk f...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr015
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Depression is more prevalent among women and people with low socio-economic status. Uncertainties exist about how general practitioner (GP) depression care varies with patients' social position. OBJECTIVE:To investigate associations between patients' gender and educational status combined and GP depression ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa120
更新日期:2020-11-05 00:00:00
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
更新日期:2017-04-01 00:00:00
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
更新日期:1985-03-01 00:00:00
abstract:BACKGROUND:Chronic musculoskeletal pain (CMP) is treated in primary care by a wide range of health professionals including chiropractors, osteopaths and physiotherapists. AIMS:To explore patients and chiropractors, osteopaths and physiotherapists' beliefs about CMP and its treatment and how these beliefs influenced ca...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr083
更新日期:2012-04-01 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
pub_type: 杂志文章,随机对照试验
doi:10.1093/fampra/cmp094
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.3.230
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this systematic review with meta-analysis is to determine the predictive value of the ABCD ²at 7 and 90 days across three strata of risk. Background. The risk of stroke after transient ischaemic attack (TIA) is significant. The ABCD ²clinical prediction rule is designed to predict early risk of...
journal_title:Family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmr008
更新日期:2011-08-01 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
pub_type: 杂志文章
doi:10.1093/fampra/17.6.484
更新日期:2000-12-01 00:00:00
abstract::Mental health problems are underdiagnosed in general practice, primarily because they are often somatized and the patient reports only physical symptoms. These somatized symptoms are responsible for a large percentage of the frequent attenders in general practice. Palpitations are among those somatized symptoms. Here ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh618
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:We aimed to describe the clinical and psycho-socio-familial features of patients with widespread chronic musculoskeletal pain (WCMP)/fibromyalgia (FM) in primary care settings. To detect differences and similarities between both 'entities'. METHODS:An observational study was carried out with a newcoming cli...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/14.3.242
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE:To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi045
更新日期:2005-10-01 00:00:00
abstract::Before implementing a guideline, reassurance is needed that the guideline is valid, reproducible and reliable. A method for assessing guideline validity has now been developed for general use. Guideline producers need to consider suitable strategies for implementing their guidelines. When designing and evaluating a gu...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.suppl_1.s3
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:There has been a continued trend towards undertaking primary care-based research but the characteristics and generalizability of practices that participate in such research are not well known. OBJECTIVE:To compare research active and non-active practices in terms of practice demographics, disease prevalence...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm065
更新日期:2008-02-01 00:00:00
abstract:Background:Late-life depression often coincides with chronic somatic diseases and, consequently, with polypharmacy, which may complicate medical treatment. Objective:To determine the associations between patients diagnosed with late-life depression in primary care and multimorbidity and polypharmacy. Methods:This cro...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx018
更新日期:2017-09-01 00:00:00
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
更新日期:1997-02-01 00:00:00
abstract::The aim of this study was to investigate how much inter- and intrareviewer agreement there was with regard to the classification of research designs and the assessment of the methodological quality of research reports. This was done by means of formal criteria and criteria relating to content. Three successive reliabi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.1.93
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the role of tympanometry for diagnosis, treatment and follow-up of otitis media in general practice. METHODS:The results from otoscopy performed by 40 physicians in general practice in Vejle County, Denmark were combined with the clinical condition and this was recorded ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.4.317
更新日期:2000-08-01 00:00:00
abstract::In order to determine the views of General Practice attenders on death and dying, a survey was conducted using a questionnaire with nine questions on aspects of death and dying. There were 4117 respondents with an average age of 36.4 years, who attended 10 general practices. A control group of 100 patients was employe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.4.356
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:Current primary prevention guidelines recommend the assessment of family history of coronary heart disease (CHD) to identify at-risk individuals. OBJECTIVE:To examine how clinicians and patients understand and communicate family history in the context of CHD risk assessment in primary care. METHODS:A quali...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm037
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. OBJECTIVE:To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care. DESIGN:Systematic review and qualitative synthesis....
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa002
更新日期:2020-09-05 00:00:00