Walk-in clinics in Quebec, Canada: patients and doctors do not agree on appropriateness of visits.

abstract：BACKGROUND:Non-clinical factors impact on decisions about whether to refer a patient from primary care to specialist mental health services. The aim of this study was to investigate whether introducing a standardized assessment of severity improves agreement on referrals. METHODS:Multi-site mixed-method cluster random...

journal_title：Family practice

authors： Slade M,Gask L,Leese M,McCrone P,Montana C,Powell R,Stewart M,Chew-Graham C

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Studies examining the impact nurse prescribing have largely focused on the efficacy of the service. It was suggested in pro-prescribing policy arguments that extending the nursing role to include prescribing would increase job satisfaction. This assertion has not been fully explored. OBJECTIVES:To investiga...

journal_title：Family practice

authors： Cousins R,Donnell C

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. OBJECTIVE:Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. METHODS:We conducted a cross-sectional study of a...

journal_title：Family practice

authors： Ballesta-Ors J,Clua-Espuny JL,Gentille-Lorente DI,Lechuga-Duran I,Fernández-Saez J,Muria-Subirats E,Blasco-Mulet M,Lorman-Carbo B,Alegret JM

更新日期：2020-09-05 00:00:00

abstract：BACKGROUND:Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. OBJECTIVE:Identify the determinants of a visit to the gener...

journal_title：Family practice

authors： Rotival J,Yordanov Y,Thiebaud PC,Pelletier-Fleury N,Jacquet E,Debuc E,Pateron D,Naouri D

更新日期：2019-03-20 00:00:00

abstract：BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...

journal_title：Family practice

authors： Stein AT,Harzheim E,Costa M,Busnello E,Rodrigues LC

更新日期：2002-04-01 00:00:00

abstract：OBJECTIVES:Our aim was to determine the probability of correctly diagnosing urinary tract infections (UTIs) from urinary symptoms and signs, studying their sensitivity, specificity and likelihood ratio (LR) when clinical history, signs and reactive strip test results are taken into account. METHODS:An epidemiological ...

journal_title：Family practice

authors： Medina-Bombardó D,Seguí-Díaz M,Roca-Fusalba C,Llobera J,dysuria team.

更新日期：2003-04-01 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

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

abstract：BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...

journal_title：Family practice

authors： Fletcher K,Mant J,Roalfe A,Hobbs FD

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Guidelines for type 2 diabetes care in general practice are well known and accepted, but the implementation falls short. OBJECTIVE:To implement these guidelines by introducing a diabetes support service (DSS) to support the care delivered by the GP. METHODS:A controlled, non-randomised study with delayed i...

journal_title：Family practice

authors： Meulepas MA,Braspenning JC,de Grauw WJ,Lucas AE,Harms L,Akkermans RP,Grol RP

更新日期：2007-02-01 00:00:00

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

authors： Hull FM,Marshall T

更新日期：1987-06-01 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

authors： Nettles A,Belton A

更新日期：2010-06-01 00:00:00

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

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

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Persistent health inequalities in relation to both health care experiences and health outcomes continue to exist among patients identifying with a marginalized sexual orientation (MSO). OBJECTIVE:To compare the patterns of sexual orientation disclosure within primary care in England over a 5-year period. M...

journal_title：Family practice

authors： Cross H,Llewellyn CD

更新日期：2020-10-19 00:00:00

abstract：BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and t...

journal_title：Family practice

authors： Renzi C,Mastroeni S,Mannooranparampil TJ,Passarelli F,Pasquini P

更新日期：2011-06-01 00:00:00

abstract：:Attitudes among general practitioners to confidentiality were studied in Denmark in 1980 and in 1984 and in France in 1980 using mailed questionnaires. A number of typical situations in general practice were described. The doctors were asked whether they would disclose information about the patient in the situations d...

journal_title：Family practice

authors： Mabeck CE

更新日期：1985-12-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to estimate the frequency of albuminuria in patients with and without diabetes mellitus, answering the question: 'How relevant for general practice are epidemiological findings that albuminuria is a significant risk indicator for the development of cardiovascular syndromes?'. METHO...

journal_title：Family practice

authors： Mlacak B,Jaksić Z,Vuletić S

更新日期：1999-12-01 00:00:00

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

authors： Schedlbauer A,Schroeder K,Fahey T

更新日期：2007-09-01 00:00:00

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

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

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND:People with learning disabilities have become increasingly exposed to health risk with the move to community living. Yet, health promotion is poorly developed with a heavy reliance on primary care. OBJECTIVES:To elicit the perceptions of people with learning disabilities, carers and care workers regarding r...

journal_title：Family practice

authors： Young AF,Chesson RA,Wilson AJ

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Recent medical guidelines for acute low back pain (aLBP) are unevenly followed. Based on financial criteria or associated with a desirability bias, studies incompletely describe the actual management provided by general practitioners (GPs) in terms of diagnosis, treatment and prevention of progression toward...

journal_title：Family practice

authors： Lorenzo A,Schildt P,Lorenzo M,Falcoff H,Noel F

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Patient experience and satisfaction are important indicators of quality in health care. Little is known about where to prioritize efforts to improve patient satisfaction. OBJECTIVES:To investigate patient satisfaction with primary care, as part of the Quality and Costs of Primary Care in Europe study in Eng...

journal_title：Family practice

authors： Sirdifield C,Godoy Caballero A,Windle K,Jackson C,McKay S,Schäfer W,Siriwardena AN

更新日期：2016-04-01 00:00:00

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

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

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

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

更新日期：2020-11-28 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

authors： Morris CJ,Cantrill JA,Weiss MC

更新日期：2001-12-01 00:00:00

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

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

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

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

更新日期：1992-06-01 00:00:00

abstract：BACKGROUND:Regular aspirin is beneficial after myocardial infarction (MI). Community-based surveys appear to show unsatisfactory uptake of aspirin after MI. This could be due to over-the-counter (OTC) use not being recorded. In a pilot study in one practice, 39% of patients on aspirin after MI used OTC preparations. In...

journal_title：Family practice

authors： Hopper S,Pierce M

更新日期：1998-04-01 00:00:00

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

authors： Gabhainn SN,Murphy AW,Kelleher C

更新日期：2001-12-01 00:00:00

abstract：BACKGROUND:Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority re...

journal_title：Family practice

authors： Psenka TM,Freedy JR,Mims LD,DeCastro AO,Berini CR,Diaz VA,Jarrett JB,Steyer TE

更新日期：2020-11-28 00:00:00

abstract：BACKGROUND:The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS:To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out i...

journal_title：Family practice

authors： Godwin M,Lam M,Birtwhistle R,Delva D,Seguin R,Casson I,MacDonald S

更新日期：2010-04-01 00:00:00