Abstract：
OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total of 541 GPs participated (50%). MAIN OUTCOME MEASURES:Responses to three scenarios in which patients consulted regarding their family history and risk of bowel cancer, breast cancer, and cystic fibrosis. RESULTS:Most GPs correctly identified the patients' risk of bowel cancer, recommended regular colonoscopy, advised lifestyle changes, and did not refer to the genetic clinic. GPs who were qualified for longer were more likely to recommend colonoscopy and less likely to advise lifestyle changes. With the breast cancer patient GPs adopted a cautious approach; most would refer to the genetic and mammography clinics. With the cystic fibrosis example, most correctly identified the patient's risk of carrying the gene, would refer to the genetic clinic, and would encourage the patient to discuss the risk with his partner. In general, doctors were unsure, but would pass on genetic information to insurance companies if requested. CONCLUSION:The study suggests that, in most cases, general practitioners correctly identify at-risk individuals but there may still be some uncertainty regarding referrals. The results suggest that ways of educating GPs should be explored. Educational interventions should be linked to a greater understanding of factors involved in referral (including the influence of gender and experience). The guidelines provided to GPs in relation to the provision of genetic information to insurance companies may need to be reviewed in some countries.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
McCann S,MacAuley D,Barnett Ydoi
10.1080/02813430510015259subject
Has Abstractpub_date
2005-06-01 00:00:00pages
109-14issue
2eissn
0281-3432issn
1502-7724pii
Q48002L74GPW16U7journal_volume
23pub_type
杂志文章abstract：:This paper first explores what Health for All (HFA) means as a policy goal. It calls for major changes in health care. In the European Region of WHO, 38 targets show how approaches to health problems, lifestyles, environment, health care and support measures (e.g., planning, management and training) should be changed ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014026
更新日期：1992-03-01 00:00:00
abstract：OBJECTIVE:To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN:A semi-structured telephone survey on four risk factors; blood pressure, ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750003124
更新日期：1998-09-01 00:00:00
abstract：:The mortality from ischaemic heart disease is higher in predominantly rural northern and western Sweden than in the more urban eastern and southern districts. This study was performed in a small semirural area in mid-Sweden with lower mortality from ischaemic heart disease in middle-aged men and higher mortality in mi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439109018515
更新日期：1991-09-01 00:00:00
abstract：OBJECTIVE:To assess the effect of workplace-oriented dietary intervention on serum lipids. DESIGN:A cohort study. Screening for blood lipids and subsequent dietary intervention performed at a ferro-alloy factory where all the workers have at least one meal per working day served by the factory kitchen. SETTING:Employ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439409003682
更新日期：1994-06-01 00:00:00
abstract：OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997089
更新日期：1996-12-01 00:00:00
abstract：:OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2011.562363
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in Mar...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134300448788
更新日期：2000-12-01 00:00:00
abstract：OBJECTIVE:A health economic evaluation of two alternative treatment settings, inpatient care and outpatient care, for acute deep venous thrombosis. DESIGN:A randomised multicentre trial in a defined population in regular clinical practice. SETTING:Hospitals and related health care centres in the Jönköping county coun...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1080/02813430310003543
更新日期：2004-03-01 00:00:00
abstract：OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430902759663
更新日期：2009-01-01 00:00:00
abstract：:The clinical set-up in primary health care, with a specially trained nurse, a dietician, and a chiropodist under the supervision of general practitioners and giving patient education high priority, is evaluated after ten years in practice. Of the 391 patients cared for, 352 had non-insulin-dependent diabetes mellitus,...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439008994925
更新日期：1990-03-01 00:00:00
abstract：:A group of 235 persons (180 adults and 55 children 0-15 years old) recorded symptoms of upper respiratory tract infection daily during two three-month periods (autumn 1986 and spring 1987). Samples for culture were taken from the nasopharynx and throat once during each period. Fifteen per cent of asymptomatic subjects...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909088665
更新日期：1989-12-01 00:00:00
abstract：OBJECTIVE:The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. DESIGN:A cross-sectional community based study. SETTING:Karlskrona community situated on the Swedish south-east coast with...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430500428919
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To test the reliability and validity of morbidity data recorded by general practitioners (family physicians) on structured recording forms in active data collection systems. DESIGN:The consulting general practitioner recorded the problems managed at 347 video-taped doctor-patient contacts. Two observers inde...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134398750003412
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2014.982368
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2016.1160634
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To describe lipid-lowering treatment in a primary care setting and how well target levels are reached. Furthermore, the aim is to describe long-term adherence to treatment. DESIGN:Population-based cross-sectional study with follow-up. SETTING:A total of 139 general practices from three of five Danish region...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2011.629148
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430701706568
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the usefulness of medical audit of GPs' antibiotic prescription habits. DESIGN:Medical audit according to the APO method. Registration of antibiotic prescriptions for respiratory tract infections during a 3 year period. Intervention with courses, visits to the laboratory, and distribution of reco...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002629
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:To examine if abstention from smoking in pregnancy increases with opportunities to limit workload. DESIGN:Cross-sectional study based on self-administered questionnaires to women post partum. SETTING:All maternity wards in Norway, 16 October-26 November 1989. SUBJECTS:5 438 women, or 87.2% of all parturien...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997064
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVE:Feasibility of comparing risk profiles by questionnaire of participants and nonparticipants in a cervical screening programme: does asking information on sexual behaviour by means of a questionnaire lead to high non-response? is the non-response selective (related to participation in the screening) and if so ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439409003700
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.3109/02813439409029247
更新日期：1994-12-01 00:00:00
abstract：:The aim of the study was to describe and evaluate a controlled intervention to achieve more rational and economical drug therapy in general practice. The strategy was based on peer comparison feedback and encouragement of local peer group discussions. Seven districts comprising 53, and 6 districts comprising 55 eligib...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014040
更新日期：1992-03-01 00:00:00
abstract：:A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750002945
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of an intensive pharmaceutical care campaign targeting inappropriate use of triptans. DESIGN:Randomized controlled trial. SETTING:22 community pharmacies in the County of Funen, Denmark. SUBJECTS:A total of 1123 triptan users at intervention pharmacies and 1340 at control pharmacies....
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813430500444916
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:To study factors of importance for participation in parental education within routine child health care. DESIGN:All parents of children born during 1 year were invited by the district nurse to participate in parental education; their participation during the infant year was registered. SETTING:Catchment are...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430310000555
更新日期：2003-03-01 00:00:00
abstract：OBJECTIVE:Low plasma (p)-albumin and p-calcium concentrations are associated with increased mortality in hospitalised patients. There are few studies addressing this in primary care. Low p-calcium has been associated with mortality, but it is not known whether this applies to p-albumin. Could p-albumin and p-calcium be...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2020.1843809
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To investigate the prevalence of adverse reactions to food and food allergy in Icelandic and Swedish 18-month-old children. DESIGN:Prospective multicentre comparative study. SETTING:Primary health care centres in Sweden and Iceland. SUBJECTS:A total of 324 children in Iceland and 328 in Sweden who attended...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134399750002863
更新日期：1999-03-01 00:00:00
abstract：:Objective: The objective of this study was to investigate the psychosocial consequences of receiving false-positive colorectal cancer (CRC) screening results, following a positive immunochemical faecal occult blood test. Design, setting, and subjects: We conducted a qualitative study with four semi-structured focus gr...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608040
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden. DESIGN:Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma m...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002458
更新日期：1999-12-01 00:00:00
