Abstract：
OBJECTIVE:Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely to suffer from MDE and therefore qualified for systematic diagnostic screening. DESIGN:Cross-sectional survey of primary care patients assessed through depression screening questionnaires and GP consultations. SETTING:A total of 676 general practices in Denmark, Finland, Norway, and Sweden. Subjects. A total of 8879 unselected primary care patients. MAIN OUTCOME MEASURES:sensitivity, specificity, and Youden Index of the GPs' diagnoses of depression and psychiatric caseness versus patients' MDE status. RESULTS:The proportion of primary care patients receiving a false-positive diagnosis of depression by their GP ranged from 12.4% to 25.2% depending on country. The corresponding numbers for the false-negative diagnoses were 0.9-2.5% [corrected]. Among patients with MDE, GPs recognize the disease in 56-75% of cases. However, GPs recognize as many as 79-92% of patients with MDE as "psychiatric cases". CONCLUSIONS:This report confirms that misclassifications of MDE are common in the primary care setting. In addition, it shows that psychiatric caseness is a valid marker for the presence of MDE in primary care patients. This relationship should be considered in future screening recommendations.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Ostergaard SD,Foldager L,Allgulander C,Dahl AA,Huuhtanen MT,Rasmussen I,Munk-Jørgensen Pdoi
10.3109/02813432.2010.501235subject
Has Abstractpub_date
2010-12-01 00:00:00pages
211-5issue
4eissn
0281-3432issn
1502-7724journal_volume
28pub_type
杂志文章abstract：OBJECTIVE:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,评审
doi：10.1080/02813432.2016.1249065
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abstract：:Objective: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. Design: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. Setting: ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608629
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication. DESIGN:An epidemiological survey using a questionnaire. SETTING:The county of Jämtland in northern Sweden. SUBJECTS:3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-y...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750003278
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439709035024
更新日期：1997-12-01 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 the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices. INTERVENTION:Nurse-led structured diabetes care with a protocol, record ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.797178
更新日期：2013-06-01 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 analyse the outcome of exercise testing and myocardial perfusion scintigraphy (MPS) in primary care patients with chest pain of new onset. DESIGN:Prospective, observational. Patients aged 20-79 years, consulting due to chest pain of new onset, were enrolled consecutively. SETTING:Three primary care healt...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430601116249
更新日期：2007-06-01 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：STUDY OBJECTIVE:The aim of the study was to investigate the relationship between morbidity in early childhood and gender, birth order, and social class. DESIGN:The study used data collected in the Nijmegen Continuous Morbidity Registration. All presented morbidity and a number of personal data were available. SETTING...
journal_title：Scandinavian journal of primary health care
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doi：10.3109/02813439209014047
更新日期：1992-06-01 00:00:00
abstract：:During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439308994902
更新日期：1993-03-01 00:00:00
abstract：:The present study investigates the feasibility of the clinical differentiation between patients with beta-haemolytic streptococcal pharyngitis from those with pharyngitis caused by other agents, based on the patients' symptoms, symptom duration, and the clinical findings. Twenty-four general practitioners recruited 22...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438809009320
更新日期：1988-11-01 00:00:00
abstract：BACKGROUND:A clinical communicative method designed to promote the doctor's understanding of women's "undefined" disorders is presented and discussed. The method is composed of key questions, which are problem-oriented speech acts, inviting the patient to share with the doctor her conception of illness. The questions a...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,评审
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更新日期：1994-06-01 00:00:00
abstract：OBJECTIVE:How do physician visits vary when GPs are given the opportunity to send their patients to private specialists for consultation rather than simply to hospital outpatient clinics. DESIGN:An experimental study. SETTING AND SUBJECTS:In the City of Turku, 3 populations were served over 34 months by different ser...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430310001671
更新日期：2003-06-01 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
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journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609014832
更新日期：1986-11-01 00:00:00
abstract：OBJECTIVE:To investigate the public knowledge of cardiovascular risk factors including hyperlipidaemia, and attitudes to changes in lifestyle and to the role of the primary health care in preventive work. DESIGN:Postal questionnaire. SETTING:A physically defined area in south-western Stockholm. SUBJECTS:1000 randoml...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996739
更新日期：1995-03-01 00:00:00
abstract：:In a multipractice prevalence study of uncomplicated urinary tract infection (UTI) in primary health care (PHC), with 355 episodes in 302 individuals during one month, 93% of the episodes occurred in females and Escherichia coli was the dominating causative organism (77%). Most episodes of UTI (84%) were acute and ass...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438709014000
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abstract：OBJECTIVE:To investigate the prevalence of headache and its association with lifestyle among schoolchildren and to test an intervention programme. DESIGN:A cross-sectional survey of all pupils in the school who were asked to complete a questionnaire about headache and lifestyle factors. SETTING:School health care at ...
journal_title：Scandinavian journal of primary health care
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doi：10.1080/028134301750235349
更新日期：2001-06-01 00:00:00
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journal_title：Scandinavian journal of primary health care
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doi：10.3109/02813438909103670
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journal_title：Scandinavian journal of primary health care
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abstract：OBJECTIVE:To assess the incidence of whiplash associated disorders (WAD) after minor whiplash injuries in car accidents. DESIGN:A cohort defined by means of a health-care-based registration of traffic injuries and followed up by postal questionnaire after 12 months. SETTING:Primary and hospital care in a Swedish midd...
journal_title：Scandinavian journal of primary health care
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doi：10.1080/028134300453359
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVE:Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING:Cross-sectional register-based study on all patients with ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1569369
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To analyse the patterns of antibiotic prescription in the treatment of acute pharyngitis among a group of general practitioners (GPs). DESIGN:From the records of their patients, 11 specialists in general practice have collected post hoc data on their patients and on acute pharyngitis in the period from Octob...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
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更新日期：2000-03-01 00:00:00
abstract：:Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" pea...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438809009294
更新日期：1988-05-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to describe patients' experience of yoga as a treatment for hypertension, as well as their experience of living with hypertension. DESIGN:Qualitative interview study Method and materials: In 2013-2014, in southern Sweden, patients with hypertension from three health care centres were...
journal_title：Scandinavian journal of primary health care
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doi：10.1080/02813432.2017.1397318
更新日期：2017-12-01 00:00:00
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：:A written inquiry was undertaken to explore the expectations towards primary care physicians (general practitioners), as expressed by patients, local health board members and health centre staff members. Treatment without delay was given top priority both by patients and board members, while continuity of care was con...
journal_title：Scandinavian journal of primary health care
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doi：10.3109/02813438509013949
更新日期：1985-11-01 00:00:00
abstract：OBJECTIVE:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430701760789
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:To explore the negative predictive value (NPV), positive predictive value (PPV), sensitivity, and specificity of natriuretic peptides, cut-off levels, and the impact of gender and age in elderly patients with systolic heart failure (HF). DESIGN:Cross-sectional exploratory study. SETTING:One primary healthca...
journal_title：Scandinavian journal of primary health care
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doi：10.3109/02813430903345074
更新日期：2010-03-01 00:00:00
