Abstract:
BACKGROUND:The incidence of cancer as well as survival rates for it are increasing. It is debated whether care in the chronic phase of cancer can be positioned in primary care due to doubts about capacity and workload. OBJECTIVE:To estimate GPs' extra consultation time if they assume responsibility for the care in the chronic phase of cancer. METHOD:Retrospective cohort study. Estimation of extra consultation time by quantifying prevalence, incidence, survival, number of chronic cancer patients, current practice contacts and registration of risk factors in patients with all types of cancers. RESULTS:The most prevalent types of cancer (with 5-year survival rates) are as follows: breast cancer (91.5%), colorectal cancer (63.8%), prostate cancer (78.3%), melanoma (91.9%) and bladder and urinary tract cancer (77.3%). Primary care practices include ~32 chronic cancer patients, with a potential extra consultation time of ~19 hours per year per 1000 patients. One-third (35%) are already in a chronic disease management programme and 57% were diagnosed >5 years ago. Registration of risk factors for cancer is incomplete, but of better quality when comorbidity is present. CONCLUSION:Numbers of chronic cancer patients and possible time investment by primary care professionals in the case of a substitution scenario should not be a limiting factor for transition of follow-up from secondary to primary care, as most of the patients were diagnosed >5 years ago and a large proportion of these patients are already monitored in an existing chronic care programme.
journal_name
Fam Practjournal_title
Family practiceauthors
van Dipten C,Olde Hartman TC,Biermans MC,Assendelft WJdoi
10.1093/fampra/cmv098subject
Has Abstractpub_date
2016-02-01 00:00:00pages
4-9issue
1eissn
0263-2136issn
1460-2229pii
cmv098journal_volume
33pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.4.383
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives' possible psychiatric vulnerabilities. The availability of evidence-base...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmp046
更新日期:2009-10-01 00:00:00
abstract:Background:Singapore's health care system is strained by the health care needs of a rapidly aging population. The unprecedented collaboration between a public hospital and a private family practice to set up the Family Medicine Clinic (FMC) to co-manage patients with chronic disease is an example of efforts to shift ca...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy007
更新日期:2018-09-18 00:00:00
abstract:BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr066
更新日期:2012-02-01 00:00:00
abstract::There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.3.263
更新日期:1993-09-01 00:00:00
abstract:BACKGROUND:Influenza (flu) is an acute viral infection of the respiratory tract, which can lead to serious complications for individuals within at-risk groups. Evidence indicates that aspects of organization and delivery within GP practices can have an influence on the rates of flu vaccination uptake. Positive deviance...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmw016
更新日期:2016-06-01 00:00:00
abstract::A cohort study investigated the specific outcomes of a health education coursed carried out by recently graduated physicians in an urban primary care setting in Israel. Questionnaires were used to study the effects of the programme on knowledge and awareness concerning antibiotic usage. The results showed a significan...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.1.27
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND AND AIMS:Palpitations are a common presentation in primary care. Guidelines have been developed to identify patients with palpitations who require further assessment by a cardiologist in secondary care. However, patients that do not meet guideline thresholds for referrals are still referred to secondary care...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa094
更新日期:2020-09-12 00:00:00
abstract:BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz046
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:The GP often has a primary function in assessing pigmented skin lesions in Denmark. No data are available on the diagnostic accuracy of this process. OBJECTIVE:We aimed to study the sensitivity, specificity and positive prognostic value of the diagnosis made by 27 trained or trainee GPs. METHOD:We tested t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.6.619
更新日期:1999-12-01 00:00:00
abstract::Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of u...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/11.4.351
更新日期:1994-12-01 00:00:00
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
doi:10.1093/fampra/19.4.333
更新日期:2002-08-01 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:BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.4.419
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Advance care planning (ACP) has been gaining prominence for its perceived benefits for patients in enhancing patient autonomy and ensuring high-quality end-of-life-care. Moreover, it has been postulated that ACP has positive effects on families and health professionals and their relationship with the patient...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cms063
更新日期:2013-04-01 00:00:00
abstract::Recently, we published data of a 2 year randomized controlled study in which the effects of continuous versus symptomatic bronchodilator treatment in patients with moderate asthma or chronic bronchitis were investigated. The results showed that FEV1 decline in the continuously treated group was significantly larger th...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/9.4.397
更新日期:1992-12-01 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
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmm030
更新日期:2007-09-01 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::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
doi:10.1093/fampra/3.4.246
更新日期:1986-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:A cross-sectional survey was conducted amongst patients who consulted for upper respiratory tract infections (URTI) at 22 private practitioners' offices. METHOD:A total of 505 adult patients and 504 guardians (parents or grandparents of child patients) completed a self-administered questionnai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/13.3.229
更新日期:1996-06-01 00:00:00
abstract::Our objective was to determine what family physicians need in their doctor's bag for urgent and non-urgent house calls. In a prospective survey, family physicians completed a structured report form after consecutive house calls, recording what equipment they needed for each. Thirteen doctors from two urban practices, ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.4.430
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:Primary health care (PHC)-based reforms have had different results in Latin America. Little attention has been paid to the enablers of collective action capacities required to produce a comprehensive PHC approach. OBJECTIVE:To analyse the enablers of collective action capacities to transform health systems ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmw038
更新日期:2016-06-01 00:00:00
abstract::In order to determine the views of General Practice attenders on death and dying, a survey was conducted using a questionnaire with nine questions on aspects of death and dying. There were 4117 respondents with an average age of 36.4 years, who attended 10 general practices. A control group of 100 patients was employe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.4.356
更新日期:1991-12-01 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::For the past 5 years there has been an intensive debate and a number of conflicting guidelines suggesting what general practitioners (GPs) should do to screen and manage hyperlipidaemia. At a WONCA seminar in Vancouver in 1992, policies and guidelines from Canada, the UK, The Netherlands, New Zealand, Hong Kong and th...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.4.431
更新日期:1993-12-01 00:00:00
abstract::This paper investigates sources of job satisfaction and dissatisfaction in general practice and identifies pressures and difficulties experienced by general practitioners in their work. The study revealed widespread job satisfaction based on three separate (but independent) aspects of general practice: clinical, psych...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/5.2.83
更新日期:1988-06-01 00:00:00
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
doi:10.1093/fampra/cms019
更新日期:2012-12-01 00:00:00
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
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/fampra/cmn025
更新日期:2008-06-01 00:00:00
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
doi:10.1093/fampra/18.2.189
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz038
更新日期:2020-02-19 00:00:00