Abstract:
:Emotional problems are an important component of general morbidity in primary care settings. Research on the sensitivity of primary care physicians to such problems is, however, scanty. This study examines the prevalence of emotional problems among 776 patients in primary care clinics in Israel using the GHQ-28 and as detected by their physicians. Hypotheses were tested relating to physician and practice characteristics and the extent to which they affect the matching of the two methods of problem identification. Using the GHQ, 69% of the patients were classified as 'cases'; physicians identified 31% of the patients as 'cases'. Specialist status in family medicine, interest and belief in the importance of emotional health, good communication, a low patient load and familiarity with the patient all predicted a better match of physician classification to GHQ-defined 'caseness'. The implications of these findings for ongoing medical education are briefly discussed.
journal_name
Fam Practjournal_title
Family practiceauthors
Shiber A,Maoz B,Antonovsky A,Antonovsky Hdoi
10.1093/fampra/7.3.195subject
Has Abstractpub_date
1990-09-01 00:00:00pages
195-200issue
3eissn
0263-2136issn
1460-2229journal_volume
7pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:Physicians often encounter patients using alcohol as self-medication, but studies on community level are scarce. Because of alcohol-medicine interactions, it is important to know also all self-medication used. OBJECTIVE:To describe alcohol use as self-medication by people aged over 75 years. METHODS:The ho...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn065
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:The association between hypoalbuminaemia and a new diagnosis of cancer is as yet unknown. OBJECTIVE:This study aimed to assess whether unexplained hypoalbuminaemia was associated with an increased risk of subsequent new cancer diagnosis within the next 12 months. METHODS:A cohort study was performed using ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmw051
更新日期:2016-10-01 00:00:00
abstract::There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.4.366
更新日期:1993-12-01 00:00:00
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
更新日期:2007-10-01 00:00:00
abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx123
更新日期:2018-07-23 00:00:00
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
doi:10.1093/fampra/cmw121
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml073
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Adolescent obesity calls for evidence-based treatment approaches given its long-term physical and psychosocial consequences. However, research shows there are many problems in the translation of scientific evidence into practice. OBJECTIVE:The aim of this study was to develop science- and practice-based rec...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmr086
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:It is generally considered that a significant proportion of 'inappropriate' demand for GP services is generated by consultations for minor ailments. How GPs manage minor ailments is likely to affect how patients perceive and handle similar illnesses in the future. Whilst this potentially has significant impl...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.6.581
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmh703
更新日期:2005-02-01 00:00:00
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
更新日期:2020-11-28 00:00:00
abstract:Background:Late-life depression often coincides with chronic somatic diseases and, consequently, with polypharmacy, which may complicate medical treatment. Objective:To determine the associations between patients diagnosed with late-life depression in primary care and multimorbidity and polypharmacy. Methods:This cro...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx018
更新日期:2017-09-01 00:00:00
abstract::This paper describes some of the barriers to caring for people with HIV and AIDS by general practitioners. It is based on a review of the literature and on interviews with individuals. The first section examines the reasons given by interviewees for their involvement in HIV and AIDS care. The next section discusses th...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/10.1.8
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:The ankle-brachial index (ABI), i.e. the ratio of the ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD) and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients. OBJECTIVE:To assess the diagn...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn035
更新日期:2008-08-01 00:00:00
abstract:Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00
abstract::Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.1.61
更新日期:1992-03-01 00:00:00
abstract::The construction and development of a questionnaire which measures the attitudes of general practitioners towards their role in the medical care system is described. Factor analytic procedures identified seven reliable factor-based subscales. The subscales measured attitudes towards: a psychological orientation to pat...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/4.3.192
更新日期:1987-09-01 00:00:00
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
更新日期:2020-10-12 00:00:00
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
doi:10.1093/fampra/cmu068
更新日期:2015-02-01 00:00:00
abstract::In the UK, policy changes in primary health care research and development have led to the establishment of primary care research networks. These organizations aim to increase research culture, capacity and evidence base in primary care. As publicly funded bodies, these networks need to be accountable. Organizational s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.5.540
更新日期:2001-10-01 00:00:00
abstract::In response to the UK Government's proposal to increase the proportion of general practitioner income accruing from capitation payments the General Medical Services Committee of the British Medical Association has called for an extension of fee for item of service provision in general practice. In this paper the alloc...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/5.4.265
更新日期:1988-12-01 00:00:00
abstract::Before implementing a guideline, reassurance is needed that the guideline is valid, reproducible and reliable. A method for assessing guideline validity has now been developed for general use. Guideline producers need to consider suitable strategies for implementing their guidelines. When designing and evaluating a gu...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.suppl_1.s3
更新日期:2000-02-01 00:00:00
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
doi:10.1093/fampra/7.4.279
更新日期:1990-12-01 00:00:00
abstract:Background:Previous evidence of race disparities in smoking cessation treatment has been limited to mostly survey studies which increase the potential for recall bias. We examined if African American versus white patients in primary care are less likely to receive any treatment or if race disparities are specific to th...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmx099
更新日期:2018-03-27 00:00:00
abstract::Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn102
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa138
更新日期:2020-12-19 00:00:00
abstract:BACKGROUND:There has been little research carried out on the prevalence and types of sexual dysfunction in the general population, although the indications are that such problems are relatively common. Most common sexual problems are potentially treatable. However GPs have estimated the prevalence of sexual problems to...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/15.6.519
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:During their specialty training, Dutch GP trainees work at a GP under the supervision of a GP trainer. Research suggests that the patient mix of GP trainees differs from that of their trainers. Receptionists assign patients to either the trainee or the trainer, thereby influencing the patient mix of the trai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq102
更新日期:2011-06-01 00:00:00
abstract::The articles reviewed for this issue of 'Selections' concern potential therapies to prevent osteoporosis and cardiovascular disease in postmenopausal women. Each therapy is controversial and provokes more questions than answers. The most benign intervention is the administration of calcium to postmenopausal women whos...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.3.288
更新日期:1991-09-01 00:00:00
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
更新日期:2009-12-01 00:00:00