Identifying strategies to increase influenza vaccination in GP practices: a positive deviance approach.

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 is a methodological approach that facilitates identification of factors associated with high performance. OBJECTIVE:To use positive deviance to isolate factors associated with high performance by comparing GP practices achieving high and low flu vaccination uptake. METHODS:This was a qualitative study. A total of 18 practice managers and 2 GPs from 20 GP practices participated, 10 with high and low vaccination rates, respectively. Telephone interviews were conducted, audio recorded and fully transcribed. Framework Analysis was used to analyse the data. RESULTS:High uptake practices were more likely than low uptake practices to have a lead member of staff who demonstrated tenacity, have aspirational uptake targets, have developed and used additional prompts within their IT systems to identify eligible patients, have GPs who were opportunistically vaccinating and use phone calls as a first-line strategy to invite patients for vaccination. CONCLUSIONS:This is the first known qualitative study to identify strategies used by UK GP practices to deliver seasonal flu vaccination programmes. It is one of few studies using the robust and novel approach of positive deviance to inform health care recommendations. This approach has offered new and more nuanced insights into GP practice factors associated high flu vaccination uptake beyond those captured through large-scale survey research.

journal_name

Fam Pract

journal_title

Family practice

authors

Newby KV,Parsons J,Brooks J,Leslie R,Inglis N

doi

10.1093/fampra/cmw016

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

318-23

issue

3

eissn

0263-2136

issn

1460-2229

pii

cmw016

journal_volume

33

pub_type

杂志文章,多中心研究
  • Qualitative research and the problem of judgement: lessons from interviewing fellow professionals.

    abstract:BACKGROUND:Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work. OBJECTIVE:The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher. METHODS:As part of ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/19.3.285

    authors: Chew-Graham CA,May CR,Perry MS

    更新日期:2002-06-01 00:00:00

  • Criteria, performance and diagnostic problems in diagnosing acute otitis media.

    abstract:OBJECTIVE:We aimed to assess criteria when diagnosing acute otitis media and related performance in general practice in Denmark. Furthermore, we aimed to identify the scale of and the reasons for diagnostic uncertainty. METHODS:We conducted: (i) a survey among GPs assessing criteria; and (ii) prospective registration ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/16.3.262

    authors: Jensen PM,Lous J

    更新日期:1999-06-01 00:00:00

  • Elderly patients' and GPs' views on different methods for patient involvement: an international qualitative interview study.

    abstract:BACKGROUND:Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their own care, although little is known about their acceptability. OBJECTIVES:The aim of this study was to identify barriers and...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh733

    authors: Geest TA,Wetzels R,Raposo V,Lopes Ferreira P,Baker R,Wensing M,Olesen F,Improve Research Group.

    更新日期:2005-04-01 00:00:00

  • Nutrition guidance in The Netherlands: the role of the GP in the translation from population strategy to individual approach.

    abstract::An important pitfall of nutritional guidance in medical practice is how to deal with the prevention paradox: a nutritional advice that is good for the population as a whole is not necessarily proven effective for the individual patient. Evidence-based guidelines are needed to support GPs to translate these advices to ...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmn074

    authors: Drenthen AJ,Van Binsbergen JJ

    更新日期:2008-12-01 00:00:00

  • Biopsychosocial features of patients with widespread chronic musculoskeletal pain in family medicine clinics.

    abstract:OBJECTIVES:We aimed to describe the clinical and psycho-socio-familial features of patients with widespread chronic musculoskeletal pain (WCMP)/fibromyalgia (FM) in primary care settings. To detect differences and similarities between both 'entities'. METHODS:An observational study was carried out with a newcoming cli...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/14.3.242

    authors: Ruiz Moral R,Muñoz Alamo M,Pérula de Torres L,Aguayo Galeote M

    更新日期:1997-06-01 00:00:00

  • Assessing the functional status during an asthma attack with Dartmouth COOP charts. Validity with respect to the change in asthma.

    abstract::The functional status of patients was determined during an acute attack of asthma requiring medical intervention. Patients were recruited during two months from general practice: all 28 patients consulting for an acute asthma attack were invited to take part: four refused or were withdrawn from follow up. Matched cont...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/8.4.404

    authors: Wong-Chung D,Mateijsen N,West R,Ravell L,van Weel C

    更新日期:1991-12-01 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

    doi:10.1093/fampra/15.1.67

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

    更新日期:1998-02-01 00:00:00

  • Incidence, patient characteristics and treatment initiated for GP-diagnosed depression in general practice: results of a 1-year nationwide surveillance study.

    abstract:BACKGROUND:Despite its public health significance, data about depression in general practice are often unavailable. OBJECTIVE:To study (i) the incidence of GP-diagnosed depression during 2008, (ii) associations between patient characteristics, appraised severity and initiated treatment, (iii) GPs' usual care compared ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cms024

    authors: Boffin N,Bossuyt N,Declercq T,Vanthomme K,Van Casteren V

    更新日期:2012-12-01 00:00:00

  • Disability and quality of life in heart failure patients: a cross-sectional study.

    abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmz017

    authors: García-Olmos L,Batlle M,Aguilar R,Porro C,Carmona M,Alberquilla A,Sánchez-Gómez LM,Monge E,López-Rodríguez AB,Benito L,Baños N,Simón A,Martínez-Álvarez MA,Luque EM,García-Benito C

    更新日期:2019-11-18 00:00:00

  • A primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/fampra/cmp094

    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

  • Consulting room computers and their effect on general practitioner-patient communication.

    abstract:BACKGROUND:in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication....

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq058

    authors: Noordman J,Verhaak P,van Beljouw I,van Dulmen S

    更新日期:2010-12-01 00:00:00

  • The search for person-related information in general practice: a qualitative study.

    abstract:BACKGROUND:General practice is person-focused. Contextual information influences the clinical decision-making process in primary care. Currently, person-related information (PeRI) is neither recorded in a systematic way nor coded in the electronic medical record (EMR), and therefore not usable for scientific use. AIM:...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmv099

    authors: Schrans D,Avonts D,Christiaens T,Willems S,de Smet K,van Boven K,Boeckxstaens P,Kühlein T

    更新日期:2016-02-01 00:00:00

  • Patient characteristics which are related to the doctor-patient interaction.

    abstract::Audiotapes were made of 140 visits to the offices of family physicians by patients with acute or chronic problems. The tapes were analysed using Bales Interaction Process Analysis to identify interviews which were patient-centred: interviews in which the physician was supportive and encouraged the patient to express h...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/1.1.30

    authors: Stewart M

    更新日期:1984-03-01 00:00:00

  • Palpitation referrals from primary care to a secondary care cardiology outpatient clinic: assessing adherence to guidelines.

    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

    authors: Pallikadavath S,Patel R,Sarania R,Ahmad T,Vali Z,Kandala NI,Sandilands A

    更新日期:2020-09-12 00:00:00

  • Development and validation of a concise scale for assessing patient experience of primary care for adults in Japan.

    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

    authors: Aoki T,Fukuhara S,Yamamoto Y

    更新日期:2020-02-19 00:00:00

  • A multinational study of the factorial structure and other characteristics of the Dartmouth COOP Functional Health Assessment Charts/WONCA.

    abstract:BACKGROUND:The 'Dartmouth COOP Functional Health Assessment Charts/WONCA' constitute a relatively new derived instrument for assessing health status that is specifically intended for use in primary care on a world-wide basis. It needs further validation in its special area of use. OBJECTIVES:Over a range of countries,...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/14.6.478

    authors: Westbury RC,Rogers TB,Briggs TE,Allison DJ,Gérvas J,Shigemoto H,Elford W

    更新日期:1997-12-01 00:00:00

  • What family physicians need in their doctor's bag.

    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

    authors: Nakar S,Vinker S,Weingarten MA

    更新日期:1995-12-01 00:00:00

  • Sources of information about new drugs and attitudes towards drug prescribing: an international study of differences between primary care physicians.

    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

    pub_type: 杂志文章

    doi:10.1093/fampra/4.2.123

    authors: Hull FM,Marshall T

    更新日期:1987-06-01 00:00:00

  • Development of hypertension in obese subjects seen in general practice.

    abstract::A group of 317 overweight men and 565 overweight women was compared with an age-matched normal control group of 444 men and 627 women in order to establish whether hypertension was more often recorded in the obese group. This was done by analysing the continuous morbidity registration of four general practices with a ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/4.1.11

    authors: Bakx JC,Seidell JC,Deurenberg P,van den Hoogen HJ

    更新日期:1987-03-01 00:00:00

  • Keeping families of heroin addicts together: results of 13 months' intake for community detoxification and rehabilitation at a family centre for drug users.

    abstract:BACKGROUND:Heroin addiction is a major public health problem affecting both the addicted individuals and their children, who have been shown to have poor social, educational and health status and to be at higher risk of abuse than their peers. Whilst the antenatal effects of parental drug use and the overall poor outco...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/17.6.484

    authors: Keen J,Oliver P,Rowse G,Mathers N

    更新日期:2000-12-01 00:00:00

  • A randomized controlled trial of an intervention designed to improve the care given in general practice to Type II diabetic patients: patient outcomes and professional ability to change behaviour.

    abstract:AIM:Our objective was to evaluate the effect of training in a patient-centred intervention for GPs and practice nurses on outcomes for patients with Type II diabetes. METHODS:We carried out a randomized controlled trial within general practices as the basis for randomization and a before-and-after design for measures ...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/15.3.229

    authors: Pill R,Stott NC,Rollnick SR,Rees M

    更新日期:1998-06-01 00:00:00

  • General practitioner perceptions of low back pain patients.

    abstract::General practitioners' perceptions of low back pain (LBP) patients were investigated through a series of in-depth semi-structured interviews, as part of a wider study which also investigated patient perceptions. An exhaustive analysis of the interview transcripts revealed six principal ways in which GPs distinguished ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/12.1.44

    authors: Skelton AM,Murphy EA,Murphy RJ,O'Dowd TC

    更新日期:1995-03-01 00:00:00

  • An international comparative family medicine study of the Transition Project data from the Netherlands, Malta, Japan and Serbia. An analysis of diagnostic odds ratios aggregated across age bands, years of observation and individual practices.

    abstract:INTRODUCTION:This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr100

    authors: Soler JK,Okkes I,Oskam S,van Boven K,Zivotic P,Jevtic M,Dobbs F,Lamberts H,Transition Project.

    更新日期:2012-06-01 00:00:00

  • Evaluating pharmacist input into the pharmaceutical care of patients in dispensing medical practices in remote and rural areas of Scotland.

    abstract:Background:The Highlands and the Western Isles are the two most remote and rural areas of Scotland, with many medical practices in areas where pharmacies would not be viable. Recent regulations state that that dispensing medical practices in these areas must receive pharmacist support for patients who would benefit. O...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx014

    authors: Stewart D,Anthony B,Morrison C,MacRae Y,Dixon L,Friel E,Yoong E,Cunningham S,MacLure K

    更新日期:2017-08-01 00:00:00

  • Handling of confidentiality in general practice: a survey among general practitioners in The Netherlands.

    abstract::This paper describes the results of a study of the handling of confidentiality by general practitioners. A sample of 272 general practitioners in the eastern part of the Netherlands was interviewed. The general practitioners were presented with 10 cases involving confidentiality and were asked what course of action th...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/7.1.34

    authors: Lako CJ,Huygen FJ,Lindenthal JJ,Persoon JM

    更新日期:1990-03-01 00:00:00

  • Measuring general practitioners' attitudes towards medical care.

    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

    authors: Cockburn J,Killer D,Campbell E,Sanson-Fisher RW

    更新日期:1987-09-01 00:00:00

  • The importance of measuring self-efficacy in patients with diabetes.

    abstract:OBJECTIVES:Self-efficacy is an important factor influencing diabetes self-management behaviours. Previous studies have examined self-efficacy as a general measure in diabetes care for all self-care treatment recommendations together. This current study was designed to examine if low self-efficacy in each of the measure...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq086

    authors: Mishali M,Omer H,Heymann AD

    更新日期:2011-02-01 00:00:00

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

    abstract: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' pe...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr087

    authors: Hanna L,May C,Fairhurst K

    更新日期:2012-06-01 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

    doi:10.1093/fampra/19.4.333

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

    更新日期:2002-08-01 00:00:00

  • Albuminuria, cardiovascular morbidity and mortality in diabetic and non-diabetic subjects in a rural general practice.

    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

    pub_type: 杂志文章

    doi:10.1093/fampra/16.6.580

    authors: Mlacak B,Jaksić Z,Vuletić S

    更新日期:1999-12-01 00:00:00