Abstract:
RATIONALE, AIMS AND OBJECTIVES:Occupational violence is increasingly recognized as a problem in general practice, and has been suggested as adversely affecting general practitioners' (GPs) provision of services to patients. The aim of this study was to investigate the association of experiences of violence and perceptions of risk of violence with provision of after-hours GP care and home visits. METHOD:A questionnaire-based cross-sectional survey of GPs in three Australian Urban Divisions of General Practice was used. RESULTS:Five hundred and twenty-eight GPs completed the survey (response rate 49%). Of the GPs surveyed, 63.7% were subjected to some form of violence in the previous 12 months. Risk of violence influenced 10.2% of GPs' delivery of in-hours home visits and 22.0% of GPs' delivery of after-hours home visits. A further 4.7% of GPs reported not performing after-hours home visits at all during the previous 12 months because of safety concerns. On logistic regression, gender, location of practice and country of medical qualification were significantly associated with provision of in-hours and after-hours home visits. Experience of violence during the previous 12 months was not significantly associated with provision of home visits. CONCLUSIONS:This study's finding of GPs' self-reported restriction of practice and withdrawal from home visits and after-hours calls in response to risk of violence represents a significant primary health care issue. GPs' decision to provide after-hours calls and home visits is complex, and the finding of lack of significant association of experiences of violence with provision of home visits and after-hours calls is likely to be due to the cross-sectional nature of the study.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Magin PJ,Adams J,Sibbritt DW,Joy E,Ireland MCdoi
10.1111/j.1365-2753.2007.00864.xsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
336-42issue
2eissn
1356-1294issn
1365-2753pii
JEP864journal_volume
14pub_type
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-06-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2020-05-07 00:00:00
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更新日期:2012-10-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/jep.13337
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To use structured implicit review following large-scale explicit audit of antipsychotic polyprescribing to: (1) determine the true rate of antipsychotic polytherapy that deviated from best practice for schizophrenia treatment; and (2) assess whether explicit antipsychotic polytherapy criterion was appropriate...
journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/j.1365-2753.2008.01084.x
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pub_type: 杂志文章
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,多中心研究
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更新日期:2005-02-01 00:00:00
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2005-04-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,评审
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journal_title:Journal of evaluation in clinical practice
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更新日期:2013-04-01 00:00:00
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