Nutrition guidance in The Netherlands: the role of the GP in the translation from population strategy to individual approach.


:An important pitfall of nutritional guidance in medical practice is how to deal with the prevention paradox: a nutritional advice that is good for the population as a whole is not necessarily proven effective for the individual patient. Evidence-based guidelines are needed to support GPs to translate these advices to the individual patient. We illustrate this with two examples: obesity and undernutrition. The Dutch Ministry of Health started a national partnership on overweight. The role of the Dutch College of GPs (NHG) in this process is to insert the GP's perspective and to 'translate' the multidisciplinary guideline into a practice guideline for GPs. A systematic review on nutritional deficiency in general practice in The Netherlands showed a prevalence ranging from 0% to 13%. The 'National Steering Committee Undernutrition' stimulates GPs to pay more attention to undernutrition, in collaboration with the Dutch College of GPs. The Cochrane Primary Health Care Field (Nijmegen) accommodates the Cochrane Diet and Nutrition Sub Field involving the inclusion of evidence from non-randomized studies, which are generally not included in Cochrane Reviews, but which form an important part of the evidence for the role of nutrition. From this international initiative, a national collaboration in The Netherlands between universities, researchers and the Dutch College was founded, which aims to support the foundation of practice-based nutrition counselling in the consulting room.


Fam Pract


Family practice


Drenthen AJ,Van Binsbergen JJ




Has Abstract


2008-12-01 00:00:00










25 Suppl 1


  • Diagnosing acute coronary syndrome in primary care: comparison of the physicians' risk estimation and a clinical decision rule.

    abstract:BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究


    authors: Bruins Slot MH,Rutten FH,van der Heijden GJ,Geersing GJ,Glatz JF,Hoes AW

    更新日期:2011-06-01 00:00:00

  • Consultation for and identification of child and adolescent psychological problems in Dutch general practice.

    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


    authors: Zwaanswijk M,Verhaak PF,van der Ende J,Bensing JM,Verhulst FC

    更新日期:2005-10-01 00:00:00

  • Utility of catastrophizing, body symptom diagram score and history of opioid use to predict future health care utilization after a primary care visit for musculoskeletal pain.

    abstract:BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Rhon DI,Lentz TA,George SZ

    更新日期:2020-02-19 00:00:00

  • Is statistician involvement as co-author associated with reduced time to publication of quantitative research in general medical journals? A bibliometric study.

    abstract:OBJECTIVE:We aimed to compare the number of submissions until acceptance and the time to publication between articles co-authored and articles not co-authored by statisticians. METHODS:We randomly selected 781 articles published in 2016 in 18 high impact factor journals of general internal medicine and primary care. F...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Sebo P,Fournier JP,Maisonneuve H

    更新日期:2019-07-31 00:00:00

  • South Asian patients' views and experiences of clinical trial participation.

    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

    pub_type: 杂志文章


    authors: Hussain-Gambles M

    更新日期:2004-12-01 00:00:00

  • Prognostic value of the ABCD² clinical prediction rule: a systematic review and meta-analysis.

    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


    authors: Galvin R,Geraghty C,Motterlini N,Dimitrov BD,Fahey T

    更新日期:2011-08-01 00:00:00

  • How do GPs diagnose and manage acute infective conjunctivitis? A GP survey.

    abstract:OBJECTIVE:To determine GPs' diagnosis and management of acute infective conjunctivitis (AIC)-one of the commonest but least researched acute infections seen in primary care. METHODS:A postal questionnaire survey of 300 GPs from two Health Authorities in Southern England. RESULTS:236 (78%) GPs returned the questionnai...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Everitt H,Little P

    更新日期:2002-12-01 00:00:00

  • Validation of the Oudega diagnostic decision rule for diagnosing deep vein thrombosis in frail older out-of-hospital patients.

    abstract:OBJECTIVE:We aimed to validate the Oudega diagnostic decision rule-which was developed and validated among younger aged primary care patients-to rule-out deep vein thrombosis (DVT) in frail older outpatients. METHODS:In older patients (>60 years, either community dwelling or residing in nursing homes) with clinically ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Schouten HJ,Koek HL,Oudega R,van Delden JJ,Moons KG,Geersing GJ

    更新日期:2015-02-01 00:00:00

  • Shared decision making in hypertension: the impact of patient preferences on treatment choice.

    abstract:BACKGROUND:Recent guidelines for treatment of hypertension advocate a multifactorial approach based on absolute risk of a cardiovascular event. However, this does not take any account of individual patient values or preferences for health outcomes that result from having hypertension. OBJECTIVE:Our aim was to investig...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Montgomery AA,Harding J,Fahey T

    更新日期:2001-06-01 00:00:00

  • Barriers and facilitators to GP-patient communication about emotional concerns in UK primary care: a systematic review.

    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


    authors: Parker D,Byng R,Dickens C,Kinsey D,McCabe R

    更新日期:2020-09-05 00:00:00

  • Overall use of proctoscopy in general practice and possible relation to the stage of rectal cancer.

    abstract::Data from the Danish National Health Service records on activities of each of 146 general practices in the county of North Jutland, Denmark, were studied to determine whether the use of proctoscopy influenced the stage at which cancer of the rectum was recognized. Information for all patients in the county who receive...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Sørensen HT,Ejlersen E,Møller-Petersen J,Rasmussen HH,Olesen F

    更新日期:1992-06-01 00:00:00

  • Effects of an intervention (SÄKLÄK) on prescription of potentially inappropriate medication in elderly patients.

    abstract:Background:Polypharmacy is known to increase the risk for drug-related problems, and some drugs, potentially inappropriate medications (PIMs), are especially troublesome. Objective:To analyse the effects on prescription of PIMs of the SÄKLÄK project, an intervention model created to improve medication safety for elder...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Lenander C,Bondesson Å,Viberg N,Jakobsson U,Beckman A,Midlöv P

    更新日期:2017-04-01 00:00:00

  • Failure to improve appropriateness of referrals to adult community mental health services--lessons from a multi-site cluster randomized controlled trial.

    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

    pub_type: 杂志文章,多中心研究,随机对照试验


    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

  • Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: a multiple case study.

    abstract:BACKGROUND:Primary health care (PHC)-based reforms have had different results in Latin America. Little attention has been paid to the enablers of collective action capacities required to produce a comprehensive PHC approach. OBJECTIVE:To analyse the enablers of collective action capacities to transform health systems ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究


    authors: Báscolo EP,Yavich N,Denis JL

    更新日期:2016-06-01 00:00:00

  • Keeping families of heroin addicts together: results of 13 months' intake for community detoxification and rehabilitation at a family centre for drug users.

    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


    authors: Keen J,Oliver P,Rowse G,Mathers N

    更新日期:2000-12-01 00:00:00

  • Inter-clinician eConsults without programmatic incentives or requirements: a qualitative study of primary care provider perspectives.

    abstract:BACKGROUND:Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. OBJE...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Zallman L,Fisher CF,Ladner S,Mengistu K,Rapaport AB,Bor D,He Z,Sawady J,Stavert R,Nardin R,Bajracharya A,Pels R,Sayah A

    更新日期:2020-09-05 00:00:00

  • Do clinical findings in lower respiratory tract infection help general practitioners prescribe antibiotics appropriately? An observational cohort study in general practice.

    abstract:BACKGROUND:Antibiotics are over-prescribed for lower respiratory tract infection (LRTI). The influence of clinicians' history and examination findings on antibiotic prescribing for LRTI has not been directly assessed, and the extent to which these clinical findings predict appropriate antibiotic prescribing is unknown....

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Hopstaken RM,Butler CC,Muris JW,Knottnerus JA,Kester AD,Rinkens PE,Dinant GJ

    更新日期:2006-04-01 00:00:00

  • Diagnosing skin disease in primary care: a qualitative study of GPs' approaches.

    abstract:BACKGROUND:Skin diseases are a common reason for consulting a GP. This regular occurrence happens despite most GPs' lack of knowledge and training in skin disease. OBJECTIVES:We aimed to explore different diagnostic approaches of GPs in patients presenting with a dermatological problem. In addition, we aimed to identi...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Rübsam ML,Esch M,Baum E,Bösner S

    更新日期:2015-10-01 00:00:00

  • Climacteric complaints in the community.

    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

    pub_type: 杂志文章


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

    更新日期:2001-04-01 00:00:00

  • A score for assessing the risk of first-time adolescent pregnancy.

    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


    authors: Santos MI,Rosário F

    更新日期:2011-10-01 00:00:00

  • Medical and lay views of irritable bowel syndrome.

    abstract:OBJECTIVES:The purpose of this study was to investigate doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur. METHODS:A qualitative study was undertaken involving in-depth, semi-structured interviews that were tape-recorded,...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Dixon-Woods M,Critchley S

    更新日期:2000-04-01 00:00:00

  • What dimensions underlie patient responses to the General Practice Assessment Survey? A factor analytic study.

    abstract:BACKGROUND:Patient self-report measures of primary care are being used increasingly for quality assessment and improvement. The General Practice Assessment Survey (GPAS) is a widely used measure. However, it is important that the measures used are valid and interpretable. Factor analysis is a useful method to assist in...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Bower P,Mead N,Roland M

    更新日期:2002-10-01 00:00:00

  • Identifying patients who access musculoskeletal physical therapy: a retrospective cohort analysis.

    abstract:BACKGROUND:Musculoskeletal conditions are common and cause high levels of disability and costs. Physical therapy is recommended for many musculoskeletal conditions. Past research suggests that referral rates appear to have increased over time, but the rate of accessing a physical therapist appears unchanged. OBJECTIVE...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Sharpe JA,Martin BI,Fritz JM,Newman MG,Magel J,Vanneman ME,Thackeray A

    更新日期:2020-10-12 00:00:00

  • The assessment of genetic risk of breast cancer: a set of GP guidelines.

    abstract:BACKGROUND:Assessing a genetic risk for developing breast cancer is not an easy task for a GP. Current expert guidelines for referring and counselling women with a family history positive for breast cancer are complex and difficult to apply in general practice, and have only two strategies (to refer or not to refer for...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: de Bock GH,Vliet Vlieland TP,Hageman GC,Oosterwijk JC,Springer MP,Kievit J

    更新日期:1999-02-01 00:00:00

  • My health, myself: a qualitative study on motivations for effective chronic disease self-management among community dwelling adults.

    abstract:BACKGROUND:Chronic diseases continue to be a significant cause of morbidity and mortality despite modifiable risk factors. This suggests that current primary healthcare provision needs to delve beyond patient education, to understand the motivators that drive patients to undertake chronic disease self-management. Under...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Hadi MD,Lin YP,Chan EY

    更新日期:2020-11-28 00:00:00

  • Is COPD a rare disease? Prevalence and identification rates in smokers aged 40 years and over within general practice in Germany.

    abstract:BACKGROUND:According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries. general practice is a good place to survey unbiased prevalence rates. Ten studies done in general practice over the last 20 years found prevalence rates among smoke...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Gingter C,Wilm S,Abholz HH

    更新日期:2009-02-01 00:00:00

  • Development and validation of a concise scale for assessing patient experience of primary care for adults in Japan.

    abstract:BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Aoki T,Fukuhara S,Yamamoto Y

    更新日期:2020-02-19 00:00:00

  • Research in general practice: international problems--international solutions.

    abstract::Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of u...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Howie JG

    更新日期:1994-12-01 00:00:00

  • An international comparative family medicine study of the Transition Project data from the Netherlands, Malta, Japan and Serbia. An analysis of diagnostic odds ratios aggregated across age bands, years of observation and individual practices.

    abstract:INTRODUCTION:This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Soler JK,Okkes I,Oskam S,van Boven K,Zivotic P,Jevtic M,Dobbs F,Lamberts H,Transition Project.

    更新日期:2012-06-01 00:00:00

  • Diagnostic performance and clinical feasibility of a point-of-care test for respiratory viral infections in primary health care.

    abstract:Background:Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective:The purpose of our study was to determine the diagnostic performance and cl...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Bruning AHL,de Kruijf WB,van Weert HCPM,Willems WLM,de Jong MD,Pajkrt D,Wolthers KC

    更新日期:2017-09-01 00:00:00