Abstract：
OBJECTIVES:To investigate the relationship between the length of a medical consultation in a general practice setting and the biopsychosocial information obtained by the physician, and to explore the characteristics of young physicians obtaining comprehensive, especially psychosocial information. DESIGN:A prospective, longitudinal follow-up study. SETTING:Videotaped consultations with standardized patients on two occasions were scored for the amount of biopsychosocial information obtained. Consultation length was recorded in minutes. Subjects. Final-year (T-1) medical school students (n = 111) participated in the project. On completion of their internship one and a half years later (T-2), 62 attended a second time, as young physicians. MAIN OUTCOME MEASURES:Content lists. RESULTS:Pearson's r correlations between content and length at T-1 and T-2 were 0.27 and 0.66, respectively (non-overlapping confidence intervals). Psychosocial content increased significantly when consultations exceeded 13 minutes (15 minutes scheduled). Physicians using more than 13 minutes had previously, as hospital interns, perceived more stress in the emergency room and had worked in local hospitals. CONCLUSIONS:A strong association was found between consultation length and information, especially psychosocial information, obtained by the physicians at internship completion. This finding should be considered by faculty members and organizers of the internship period. Further research is needed to detect when, during the educational process, increased emphasis on communication skills training would be most beneficial for students/residents, and how the medical curriculum and internship period should be designed to optimize young physicians' use of time in consultations.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Gude T,Vaglum P,Anvik T,Bærheim A,Grimstad Hdoi
10.3109/02813432.2012.751698subject
Has Abstractpub_date
2013-03-01 00:00:00pages
31-5issue
1eissn
0281-3432issn
1502-7724journal_volume
31pub_type
杂志文章abstract：OBJECTIVE:To determine how often patients with musculoskeletal (MSK) complaints prescribed a non-steroidal anti-inflammatory drug (NSAID) subsequently consult their general practitioner (GP) with a non-serious adverse drug reaction (ADR). DESIGN:Cohort study. SETTING:A healthcare database containing the electronic GP...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2015.1067513
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To study factors of importance for infants' use of health and medical care. DESIGN:We studied the medical records of the mother during pregnancy (at the health centre, at the antenatal clinics, and at the department of obstetrics and gynaecology) and of her infant during the first 18 months of life (at the h...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439609024173
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1499514
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVES:To examine the access, workload, duties, commitments and quality standards of primary care physicians (GPs) resulting from out-of-hours service. SETTING:All GPs (n = 96) in rural Iceland. MAIN OUTCOME MEASURES:Answers to a postal survey. RESULTS:The participation rate was 80%. The GPs estimated that in 97...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134300750018945
更新日期：2000-06-01 00:00:00
abstract：:Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during t...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909087232
更新日期：1989-10-01 00:00:00
abstract：:Objective: Explore the perceptions of patients and health care professionals about patients' ideas, concerns, expectations (ICE), and satisfaction in consultations with general practitioners (GPs), district nurses (DNs) and physiotherapists (PTs).Design: Cross-sectional questionnaire study of participants in planned c...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/02813432.2019.1684430
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.811943
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:To investigate the prevalence of adverse reactions to food and food allergy in Icelandic and Swedish 18-month-old children. DESIGN:Prospective multicentre comparative study. SETTING:Primary health care centres in Sweden and Iceland. SUBJECTS:A total of 324 children in Iceland and 328 in Sweden who attended...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134399750002863
更新日期：1999-03-01 00:00:00
abstract：OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510015259
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:To compare prospectively the effect of manual treatment such as manipulation, specific mobilization, muscle stretching, auto-traction, and cortisone injections with standardized conventional but optimized activating treatment by primary health care teams. DESIGN:Prospective controlled multicentre trial with ...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.3109/02813439308994908
更新日期：1993-06-01 00:00:00
abstract：:A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750002945
更新日期：1998-12-01 00:00:00
abstract：:Objective: It is generally expected that the growth of the older population will lead to an increase in the use of health care services. The aim was to examine the changes in the number of visits made to general practitioners (GP) by the older age groups, and whether such changes were associated with changes in mortal...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1684426
更新日期：2019-12-01 00:00:00
abstract：:Objective: To examine health service (HS) utilization profiles among a non-depressive population and patients with depressive symptoms (DS) with and without clinical depression. Design, subjects and setting: The study population was based on primary care patients with DS scoring ≥10 in the 21-item Beck Depression Inve...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1639904
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVE:To describe the management of dyslipidaemia in patients with high risk of cardiovascular disease (CVD) and patients with a history of CVD identified by screening for diabetes in general practice in Denmark, concentrating on prescription of lipid-lowering drugs. Moreover, to analyse predicting factors for star...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813430903335216
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:The aim was to analyse differences between female and male general practitioners (GPs) in health status and lifestyle and compared with the general population in health-related quality of life. DESIGN:A simple random sample of 1004 GPs from the whole of Sweden (71.2%) participated in a survey in May 1996 abo...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002692
更新日期：1999-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1523993
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997089
更新日期：1996-12-01 00:00:00
abstract：OBJECTIVE:To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN:Prescription register study. SETTING:Norwegian nationwide prescriptions socio-economic and disability status data. METHODS...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2017.1358436
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:Approximately 98% of Danish citizens are listed with a general practice which they consult for medical advice. Although 85% of the population contact their general practitioner (GP) every year, little is known about these contacts. The aim of the present paper is to gain updated knowledge about patients' reas...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2012.679230
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN:Parallel-group controlled pragmatic pilot trial. SUBJECTS:There was a total of 83 patie...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813432.2019.1569415
更新日期：2019-03-01 00:00:00
abstract：:Demonstration of significant bacteriuria by quantitative culture of a urine specimen by use of dip-slides is a well proved diagnostic procedure in general practice. Susceptibility testing from urine specimens by use of dip-slides or agar-plates seems likewise easy to perform in general practice, but commercial methods...
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 find out whether family or working conditions is most important for mood in different ages in women. DESIGN:Prospective study. SETTING:Göteborg, Sweden, population about 430,000. SUBJECTS:Representative samples of a general population of women, born in 1930 (n = 276), 1942 (n = 93) and 1954 (n = 61), ex...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430410006486
更新日期：2004-06-01 00:00:00
abstract：:This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isola...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439308994912
更新日期：1993-06-01 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：OBJECTIVE:To evaluate barriers to adherence to hypertension guidelines among publicly employed general practitioners (GPs). DESIGN:Questionnaire-based survey distributed to GPs in 24 randomly selected primary care centres in the Region of Skåne in southern Sweden. SUBJECTS:A total of 109 GPs received a self-administe...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430802202111
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:To describe the occurrence of "health realists", "health pessimists" and "health optimists" in a non-patient population by identifying cases of concordance and discordance between doctor-evaluated health and self-evaluated health and to describe the distribution of selected life-style-related physiological ri...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1080/02813430410000941
更新日期：2004-09-01 00:00:00
abstract：:This study explores the diagnostic process of general practitioners confronted with ill-defined and ambiguous complaints, which eventually appeared to be caused by a malignancy. Three aspects were rated: (a) the adequacy of the initial problem definition; (b) the carefulness of further diagnostic methods; and (c) how ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909103670
更新日期：1989-03-01 00:00:00
abstract：:A prospective evaluation was made of an algorithm for a selective use of throat swabs in patients with sore throat in general practice. The algorithm states that a throat swab should be obtained (a) in all children younger than 15 years; (b) in patients aged 15 years or more who have pain on swallowing and at least th...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014077
更新日期：1992-12-01 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
pub_type： 杂志文章
doi：10.3109/02813439209014047
更新日期：1992-06-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to gain a deeper knowledge and understanding of experiences of antihypertensive drug treatment. DESIGN:Interview study. SETTING:A primary health care centre in western Sweden. METHOD:Qualitative interviews and analyses through systematic text condensation described by Malter...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2014.982365
更新日期：2014-12-01 00:00:00
