The place of information and communication technology-mediated consultations in primary care: GPs' perspectives.


BACKGROUND:New information and communication technologies such as email and text messaging have been shown to be useful in some aspects of primary care service delivery. Little is known about Scottish GPs' attitudes towards the adoption of these technologies as routine consultation tools. OBJECTIVES:To explore GPs' perceptions of the potential place of new non-face-to-face consultation technologies in the routine delivery of primary care; to explore GPs' perceived barriers to the introduction of these technologies and to identify the processes by which GPs feel that new consultation technologies could be incorporated into routine primary care. METHODS:Qualitative interview study: 20 in-depth semi-structured interviews carried out with maximum variation sample of GPs across Scotland. RESULTS:Whilst the face-to-face consultation was seen as central to much of the clinical and diagnostic work of primary care, many GPs were conditionally willing to consider using new technologies in the future, particularly to carry out administrative or less complex tasks and therefore maximize practice efficiency and patient convenience. Key considerations were access to appropriate training, IT support and medico-legal guidance. CONCLUSIONS:GPs are conditionally willing to use new consultation media if clinically appropriate and if medico-legal and technical support is available.


Fam Pract


Family practice


Hanna L,May C,Fairhurst K




Has Abstract


2012-06-01 00:00:00














  • A national general practice census: characteristics of rural general practices.

    abstract:OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Gabhainn SN,Murphy AW,Kelleher C

    更新日期:2001-12-01 00:00:00

  • Availability and acceptance of health education among socially 'at risk' pregnant women attending health centres in Belfast.

    abstract::This study highlights the large number of pregnant women in Belfast who fall into the 'at risk' category based on socioeconomic factors and suggests a need for greater emphasis on health education by professionals in both the fields of health and education in order to improve the knowledge and change the attitudes and...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: McKnight A,Merrett JD

    更新日期:1986-06-01 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


    authors: Cutting WA,Ludlam M

    更新日期:1984-06-01 00:00:00

  • Systematic review and meta-analysis of randomized controlled trials evaluating primary care-based interventions to promote breastfeeding in low-income women.

    abstract:BACKGROUND:Given the benefits of breastfeeding (BF), health care institutions recommend that a child should be breastfed for the first 6 months of its life. However, differences between social groups as regards BF behaviour are very prevalent. OBJECTIVES:To identify effective programmes that can be implemented by GPs ...

    journal_title:Family practice

    pub_type: 杂志文章,meta分析,评审


    authors: Ibanez G,de Reynal de Saint Michel C,Denantes M,Saurel-Cubizolles MJ,Ringa V,Magnier AM

    更新日期:2012-06-01 00:00:00

  • Tests for Helicobacter pylori infection: a critical appraisal from primary care.

    abstract:BACKGROUND:Testing of patients for Helicobacter pylori infection is common in primary care settings. The accuracy of such tests has been assessed and critical appraisal of this literature can inform the clinical management of patients suspected of being infected with H. pylori METHODS:Literature evaluating the accurac...

    journal_title:Family practice

    pub_type: 杂志文章,评审


    authors: Roberts AP,Childs SM,Rubin G,de Wit NJ

    更新日期:2000-08-01 00:00:00

  • Impact of day care on dementia patients--costs, well-being and relatives' views.

    abstract::Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 mont...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Wimo A,Wallin JO,Lundgren K,Rönnbäck E,Asplund K,Mattsson B,Krakau I

    更新日期:1990-12-01 00:00:00

  • Effects of secondary prevention clinics on health status in patients with coronary heart disease: 4 year follow-up of a randomized trial in primary care.

    abstract:BACKGROUND:The long-term effects of disease management programmes for coronary heart disease on health status are unknown. In a randomized trial of nurse-led secondary prevention clinics, we found significantly improved health status at 1 year. Participants were followed-up again at 4 years to determine if improvements...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Murchie P,Campbell NC,Ritchie LD,Deans HG,Thain J

    更新日期:2004-10-01 00:00:00

  • 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 specialist...

    journal_title:Family practice

    pub_type: 杂志文章


    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

    更新日期:2010-08-01 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 health service barriers in the management of co-morbid diabetes and chronic kidney disease in primary care: a mixed-methods exploration.

    abstract:BACKGROUND:Co-morbid diabetes and chronic kidney disease (CKD) are common in primary care but health care can be suboptimal. OBJECTIVE:In this multi-centre mixed-methods study, we investigated GPs' perspectives on health service barriers in managing diabetes and CKD as an initial step towards health care improvement. ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究


    authors: Lo C,Teede H,Ilic D,Russell G,Murphy K,Usherwood T,Ranasinha S,Zoungas S

    更新日期:2016-10-01 00:00:00

  • House calls in Lebanon: reflections on personal experience.

    abstract:BACKGROUND:Home health services play an important role in decreasing hospital admissions and physicians' medical house calls play an integral role in home health services. There is no national survey of physicians' house call practice in the Lebanon. OBJECTIVES:The aim of this study was to provide some information abo...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Sarru E,Abyad A

    更新日期:1998-12-01 00:00:00

  • Screening of depression in patients with chronic medical diseases in a primary care setting.

    abstract:BACKGROUND:Patients with chronic medical diseases may have depression that is not recognized by their primary care physicians. OBJECTIVES:We aimed to examine the application of Zung's Self-Rating Depression Scale (SDS) in the screening of depression in primary care patients with chronic medical diseases in a Chinese p...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Leung KK,Lue BH,Lee MB,Tang LY

    更新日期:1998-02-01 00:00:00

  • Maintained effect of a training program on attitudes towards depression in family physicians.

    abstract:Background:Family doctors' (FD) attitudes likely play an important role in the recognition and management of depression. Objective:The purpose of the study was to prospectively analyse the short-term and long-term impact of a specifically designed training program on attitudes towards depression among FDs. Methods:A ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Manzanera R,Lahera G,Álvarez-Mon MÁ,Alvarez-Mon M

    更新日期:2018-01-16 00:00:00

  • Clinic staff attitudes towards the use of mHealth technology to conduct perinatal depression screenings: a qualitative study.

    abstract:BACKGROUND:The use of mHealth technology is an innovative approach for screening low-income mothers for depression. Past studies show that the use of technology removes barriers such as literacy issues, language challenges, concerns about privacy and lack of transportation and can also increase reliability. However, li...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Pineros-Leano M,Tabb KM,Sears H,Meline B,Huang H

    更新日期:2015-04-01 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


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

    更新日期:2006-08-01 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

  • 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


    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

  • Variability in the detection and monitoring of chronic patients in primary care according to what is registered in the electronic health record.

    abstract:BACKGROUND:The electronic health record (EHR) allows a detailed study of the primary care consultations and assessment of variability among physicians regarding the implementation of practices for prevention, detection and monitoring of chronic diseases. OBJECTIVES:To describe the variability in the detection and surv...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Aizpuru F,Latorre A,Ibáñez B,Garcia KL,Vergara I,Pz de Arriba J,Samper R,López-Picado A,Apiñaniz A,Bilbao JL

    更新日期:2012-12-01 00:00:00

  • Will shared decision making between patients with chronic musculoskeletal pain and physiotherapists, osteopaths and chiropractors improve patient care?

    abstract:BACKGROUND:Chronic musculoskeletal pain (CMP) is treated in primary care by a wide range of health professionals including chiropractors, osteopaths and physiotherapists. AIMS:To explore patients and chiropractors, osteopaths and physiotherapists' beliefs about CMP and its treatment and how these beliefs influenced ca...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Parsons S,Harding G,Breen A,Foster N,Pincus T,Vogel S,Underwood M

    更新日期:2012-04-01 00:00:00

  • Health problems in people with intellectual disability in general practice: a comparative study.

    abstract::In a GP database, 318 people with intellectual disability (ID) appeared to have 2.5 times more health problems than people without ID. This short report deals with the nature of the health problems. Consequences for health care policy are discussed. ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: van Schrojenstein Lantman-De Valk HM,Metsemakers JF,Haveman MJ,Crebolder HF

    更新日期:2000-10-01 00:00:00

  • Who gets mental health treatment from the GP? Results from the Israel National Epidemiological Mental Health Survey.

    abstract:BACKGROUND:In view of the pending mental health (MH) reform, an increase in demand of MH services is expected. Primary care physicians will presumably be involved in meeting this expected increased demand. OBJECTIVES:To identify the preferable route of service use of populations with MH problems based on data from the...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Lerner Y,Levinson D

    更新日期:2012-10-01 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

  • 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


    authors: Thornquist E

    更新日期:1992-06-01 00:00:00

  • Maxillary sinusitis in adults: an evaluation of placebo-controlled double-blind trials.

    abstract:BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Stalman W,van Essen GA,van der Graaf Y,de Melker RA

    更新日期:1997-04-01 00:00:00

  • Can we measure the ankle-brachial index using only a stethoscope? A pilot study.

    abstract:BACKGROUND:Ankle-brachial index (ABI) is an excellent method for the diagnosis of peripheral arterial disease (PAD) when it is performed with Doppler. However, this device is not always available for primary care physicians. The ABI measured with stethoscope is an easy alternative approach, but have not been proved to ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Carmo GA,Mandil A,Nascimento BR,Arantes BD,Bittencourt JC,Falqueto EB,Ribeiro AL

    更新日期:2009-02-01 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

  • Do doctors pay attention to the religious beliefs of their patients? A survey amongst Dutch GPs.

    abstract:BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Kuyck WG,de Wit NJ,Kuyvenhoven MM

    更新日期:2000-06-01 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


    authors: Ernst E

    更新日期:2000-12-01 00:00:00

  • Acceptability of a faecal occult blood screening protocol for carcinoma of the colon in family practice.

    abstract::Cancer of the colon is the second most common malignancy in North America and screening methods are needed for diagnosing the lesions at an early stage. Faecal occult blood screening is a method of secondary prevention which is particularly adaptable to the family practice setting. In order to test the feasibility of ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Sangster JF,Gerace TM,Bass MJ

    更新日期:1986-12-01 00:00:00

  • Meeting patient expectations of care: the major determinant of satisfaction with out-of-hours primary medical care?

    abstract:BACKGROUND:Client or consumer expectation is considered to influence their satisfaction with the service provided, but its importance has not been quantified in health care. OBJECTIVE:The aim of this study was to determine the effect of "patient expectations of care" on satisfaction with care provided by out-of-hours ...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: McKinley RK,Stevenson K,Adams S,Manku-Scott TK

    更新日期:2002-08-01 00:00:00