当前位置： SCI文献检索 > FAMILY PRACTICE期刊下所有文献 > Diverse voices, simple desires: a conceptual design for primary care to respond to depression and related disorders.

Diverse voices, simple desires: a conceptual design for primary care to respond to depression and related disorders.

Abstract：

BACKGROUND:The World Health Organization and the World Organization of Family Doctors have called for 'doable' and 'limited' tasks to integrate mental health into primary care. Little information is provided about tasks GPs can undertake outside of guidelines that suggest to prescribe medication and refer to specialists. OBJECTIVES:The reorder study aimed to gather diverse patient and community perspectives to inform the development of an effective system of depression care. METHOD:Five hundred and seventy-six patients completed computer-assisted telephone interviews. Two hundred and seventy-six community stakeholders completed a modified two round Delphi. Responses were analysed to identify tasks and these were synthesised into a conceptual design. RESULTS:Fifteen core tasks were identified, 5 were agreed upon and a further 10 identified by each group but not agreed upon. Listen, understand and empathize, provide thorough and competent diagnosis and management, follow-up and monitor patients, be accessible and do not rush appointments and provide holistic approach and tailor care to individual needs were agreed on. Other tasks included: develop plans with patients, assess for severity and suicide risk, account for social factors, be well trained in depression care and offer a range of treatment options, appropriate and timely referral, support and reassurance, educate patients about depression, prescribe appropriately and manage medication and be positive and encouraging. CONCLUSIONS:The tasks form the basis of a conceptual design for developing a primary care response to depression. They fit within three domains of care: the relational, competency and systems domains. This illustrates tasks for GPs beyond prescription and referral.

journal_name

Fam Pract

journal_title

Family practice

authors

Palmer V,Gunn J,Kokanovic R,Griffiths F,Shrimpton B,Hurworth R,Herrman H,Johnson C,Hegarty K,Blashki G,Butler E,Johnston-Ata'ata K,Dowrick C

doi

10.1093/fampra/cmq016

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

447-58

issue

4

eissn

0263-2136

issn

1460-2229

pii

cmq016

journal_volume

27

pub_type

杂志文章

相关文献

FAMILY PRACTICE文献大全
  • Sources of information about new drugs and attitudes towards drug prescribing: an international study of differences between primary care physicians.

    abstract：:Doctors in different countries completed a questionnaire relating to the importance they attributed to eight possible sources of information about a new drug, their estimation of patients' expectations of the doctor prescribing drugs under specific circumstances and their therapeutic response to common clinical genera...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/4.2.123

    authors： Hull FM,Marshall T

    更新日期：1987-06-01 00:00:00

  • Shared care in gastroenterology: GPs' views of open access to out-patient follow-up for patients with inflammatory bowel disease.

    abstract：OBJECTIVE:The aim of this study was to ascertain GPs' views about open access to out-patient follow-up for patients with inflammatory bowel disease (IBD). METHODS:Semi-structured interviews and a postal survey were carried out in general practices in West Glamorgan UK, each with at least one IBD patient taking part in...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.1.53

    authors： Cheung WY,Dove J,Lervy B,Russell IT,Williams JG

    更新日期：2002-02-01 00:00:00

  • P-R-A-C-T-I-C-A-L: a step-by-step model for conducting the consultation in general practice.

    abstract：BACKGROUND:It has been shown that when patients are unable to express all their major concerns, they are less likely to follow the physician's prescribed treatment plan and they are less satisfied. On the other hand, the GP has a limited amount of time to elicit all the appropriate information and must ask certain ques...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/14.4.295

    authors： Larsen JH,Risør O,Putnam S

    更新日期：1997-08-01 00:00:00

  • Parental experiences and attitudes regarding the management of acute otitis media--a comparative questionnaire between Finland and The Netherlands.

    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

    pub_type： 杂志文章

    doi：10.1093/fampra/cmp055

    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

  • Patient loneliness in an urban, underserved family medicine residency clinic: prevalence and relationship to health care utilization.

    abstract：BACKGROUND:Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health c...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmaa065

    authors： Hooker SA,Stadem P,Sherman MD,Ricco J

    更新日期：2020-11-28 00:00:00

  • Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice.

    abstract：BACKGROUND:The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES:The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of hi...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmh730

    authors： Mercer SW,McConnachie A,Maxwell M,Heaney D,Watt GC

    更新日期：2005-06-01 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

    doi：10.1093/fampra/cmaa104

    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

  • Examination and communication: a study of first encounters between patients and physiotherapists.

    abstract：:What happens in first encounters between patients and physiotherapists? Videotaped encounters between two patients and their physiotherapists were analysed in depth to try to answer this question. It is advocated that attention must not be restricted to either clinical decision making or communication, but needs to be...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/9.2.195

    authors： Thornquist E

    更新日期：1992-06-01 00:00:00

  • Does spinal manipulation have specific treatment effects?

    abstract：OBJECTIVE:To investigate the question whether or not spinal manipulation is associated with specific treatment effects. METHODS:Literature searches were carried out in Medline, Embase and The Cochrane Library. All sham-controlled trials of spinal manipulation were considered. RESULTS:Seven such studies were located. ...

    journal_title：Family practice

    pub_type： 杂志文章,评审

    doi：10.1093/fampra/17.6.554

    authors： Ernst E

    更新日期：2000-12-01 00:00:00

  • Influence of family on acceptance of influenza vaccination among Japanese patients.

    abstract：BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japa...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/20.2.162

    authors： Takahashi O,Noguchi Y,Rahman M,Shimbo T,Goto M,Matsui K,Asai A,Onishi M,Koyama H,Sawada I,Yoshinaka T,Fukui T

    更新日期：2003-04-01 00:00:00

  • The BeweegKuur programme: a qualitative study of promoting and impeding factors for successful implementation of a primary health care lifestyle intervention for overweight and obese people.

    abstract：BACKGROUND:The aim of the study was to identify promoting and impeding factors for successful implementation of a Dutch primary health care-based lifestyle programme called 'BeweegKuur'. BeweegKuur aims to increase the physical activity and change the diet of people at increased health risk due to overweight or obesity...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmr056

    authors： Helmink JH,Kremers SP,Van Boekel LC,Van Brussel-Visser FN,Preller L,De Vries NK

    更新日期：2012-04-01 00:00:00

  • U-shaped association between mortality and blood pressure in a thirteen-year prospective study.

    abstract：:The present study was performed to investigate the predictive value of casual blood pressure recordings for mortality in a geographically defined population (n = 1917), for which the primary health care services are responsible. Isotonic regression of blood pressure on age was used to define groups with low, medium an...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/3.1.3

    authors： Lindholm L,Lanke J,Bengtsson B

    更新日期：1986-03-01 00:00:00

  • Elderly patients' and GPs' views on different methods for patient involvement: an international qualitative interview study.

    abstract：BACKGROUND:Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their own care, although little is known about their acceptability. OBJECTIVES:The aim of this study was to identify barriers and...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmh733

    authors： Geest TA,Wetzels R,Raposo V,Lopes Ferreira P,Baker R,Wensing M,Olesen F,Improve Research Group.

    更新日期：2005-04-01 00:00:00

  • Qualitative research and the problem of judgement: lessons from interviewing fellow professionals.

    abstract：BACKGROUND:Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work. OBJECTIVE:The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher. METHODS:As part of ...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.3.285

    authors： Chew-Graham CA,May CR,Perry MS

    更新日期：2002-06-01 00:00:00

  • Classification of severity of health problems in family/general practice: an international field trial.

    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

    pub_type： 杂志文章,多中心研究

    doi：10.1093/fampra/13.3.303

    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

  • 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

    doi：10.1093/fampra/9.2.145

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

    更新日期：1992-06-01 00:00:00

  • The effects of patient-centered depression care on patient satisfaction and depression remission.

    abstract：BACKGROUND:While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes. OBJECTIVE:To explore which specific patient-centered aspects of care were best associated with depression imp...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmw068

    authors： Rossom RC,Solberg LI,Vazquez-Benitez G,Crain AL,Beck A,Whitebird R,Glasgow RE

    更新日期：2016-12-01 00:00:00

  • The use of brain natriuretic peptide as a screening test for left ventricular systolic dysfunction- cost-effectiveness in relation to open access echocardiography.

    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

    pub_type： 杂志文章

    doi：10.1093/fampra/cmg513

    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

  • Diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care.

    abstract：Introduction:We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives:Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic ret...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmx020

    authors： Rosses APO,Ben ÂJ,Souza CF,Skortika A,Araújo AL,Carvalho G,Locatelli F,Neumann CR

    更新日期：2017-09-01 00:00:00

  • Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion.

    abstract：OBJECTIVES:Children under 2 years of age with acute otitis media are known to have a relatively poor prognosis. The objective of this study was to assess whether known determinants for recurrent acute otitis media and persistent middle ear effusion after an episode of acute otitis media during childhood also apply to c...

    journal_title：Family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1093/fampra/cmi083

    authors： Damoiseaux RA,Rovers MM,Van Balen FA,Hoes AW,de Melker RA

    更新日期：2006-02-01 00:00:00

  • Incidence, patient characteristics and treatment initiated for GP-diagnosed depression in general practice: results of a 1-year nationwide surveillance study.

    abstract：BACKGROUND:Despite its public health significance, data about depression in general practice are often unavailable. OBJECTIVE:To study (i) the incidence of GP-diagnosed depression during 2008, (ii) associations between patient characteristics, appraised severity and initiated treatment, (iii) GPs' usual care compared ...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cms024

    authors： Boffin N,Bossuyt N,Declercq T,Vanthomme K,Van Casteren V

    更新日期：2012-12-01 00:00:00

  • Variations in cardiac interventions: doctors' practices and views.

    abstract：OBJECTIVES:To investigate referral rates for cardiac interventions by clinical specialty, to document doctors' reasons for referrals and to explore doctors' perceptions of the factors that influenced their clinical decisions. STUDY DESIGN:Doctors completed a clinical decision-making exercise involving, in total, 6093 ...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmi125

    authors： Bowling A,Harries C,Forrest D,Harvey N

    更新日期：2006-08-01 00:00:00

  • Health and the Internet--changing boundaries in primary care.

    abstract：BACKGROUND:Little is known about the frequency with which information from the Internet is presented by patients within primary care consultations or the subsequent impact that it may have on those consultations. OBJECTIVES:The aims of this study were to describe the frequency with which Internet information was prese...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmh215

    authors： Malone M,Harris R,Hooker R,Tucker T,Tanna N,Honnor S

    更新日期：2004-04-01 00:00:00

  • Making the best of breast feeding.

    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

    authors： Cutting WA,Ludlam M

    更新日期：1984-06-01 00:00:00

  • Multimorbidity patterns in a primary care population aged 55 years and over.

    abstract：BACKGROUND:To support the management of multimorbid patients in primary care, evidence is needed on prevalent multimorbidity patterns. OBJECTIVE:To identify the common and distinctive multimorbidity patterns. METHODS:Clinical data of 120480 patients (≥55 years) were extracted from 158 general practices in 2002-11. Pr...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmv037

    authors： Sinnige J,Korevaar JC,Westert GP,Spreeuwenberg P,Schellevis FG,Braspenning JC

    更新日期：2015-10-01 00:00:00

  • How can adherence to lipid-lowering medication be improved? A systematic review of randomized controlled trials.

    abstract：OBJECTIVE:Poor patient adherence to lipid-lowering medication is a major contributory factor in the lack of success in treating hyperlipidaemia. The objective of this review was to assess the effect of adherence-enhancing interventions for lipid-lowering medication. DESIGN:Systematic review of randomized controlled tr...

    journal_title：Family practice

    pub_type： 杂志文章,评审

    doi：10.1093/fampra/cmm030

    authors： Schedlbauer A,Schroeder K,Fahey T

    更新日期：2007-09-01 00:00:00

  • 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

    doi：10.1093/fampra/cmq116

    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

  • Research trials in general practice: towards a focus on clinical practice.

    abstract：:With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...

    journal_title：Family practice

    pub_type： 临床试验,杂志文章,评审

    doi：10.1093/fampra/4.4.311

    authors： Aldridge D,Pietroni P

    更新日期：1987-12-01 00:00:00

  • Assessing family history of heart disease in primary care consultations: a qualitative study.

    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

    authors： Hall R,Saukko PM,Evans PH,Qureshi N,Humphries SE

    更新日期：2007-10-01 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

    doi：10.1093/fampra/cmr100

    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