Abstract:
OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The aim of this study is to gain more insight into GP's management of dizziness in older patients, including FRID evaluation and adjustment. DESIGN:Data were derived from electronic medical records, obtained over a 12-month period in 2013. SETTING:Forty-six Dutch general practices. PATIENTS:The study sample comprised of 2812 older dizzy patients of 65 years and over. Patients were identified using International Classification of Primary Care codes and free text. MAIN OUTCOME MEASURES:Usual care was categorized into wait-and-see strategy (no treatment initiated); education and advice; additional testing; medication adjustment; and referral. RESULTS:Frequently applied treatments included a wait-and-see strategy (28.4%) and education and advice (28.0%). Additional testing was performed in 26.8%; 19.0% of the patients were referred. Of the patients 87.2% had at least one FRID prescription. During the observation period, GPs adjusted the use of one or more FRIDs for 11.7% of the patients. CONCLUSION:This study revealed a wide variety in management strategies for dizziness in older adults. The referral rate for dizziness was high compared to prior research. Although many older dizzy patients use at least one FRID, FRID evaluation and adjustment is scarce. We expect that more FRID adjustments may reduce dizziness and dizziness-related impairment. Key Points It is important to know how general practitioners manage dizziness in older patients in order to assess potential cues for improvement. This study revealed a wide variety in management strategies for dizziness in older patients. There was a scarcity in Fall Risk Increasing Drug (FRID) evaluation and adjustment. The referral rate for dizziness was high compared with previous research.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Stam H,Harting T,Sluijs Mv,van Marum R,Horst Hv,Wouden JC,Maarsingh ORdoi
10.3109/02813432.2016.1160634subject
Has Abstractpub_date
2016-06-01 00:00:00pages
165-71issue
2eissn
0281-3432issn
1502-7724journal_volume
34pub_type
杂志文章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::The school health records of 302 persons from the village of Röros, Norway, were scrutinized concerning the notes made by the author when performing a routine school health examination of all the subjects, then aged 16, in the years 1970-73. The notes concerning assessment of posture, findings on muscle palpation, sub...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013957
更新日期:1985-11-01 00:00:00
abstract::In this report a review is given on research and development work in primary health care (PHC) in Sweden. PHC has by tradition been very weak in Sweden. As a result of the new Health Care Act of 1983, however, PHC has entered an era of rapid development. A brief historical description of primary health care research a...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013926
更新日期:1985-05-01 00:00:00
abstract::One hundred and fifty women who brought a home-voided urine sample to a general practitioner were asked at the same consultation to provide another sample under controlled conditions. Seventy-three women had lower urinary tract symptoms and 77 were asymptomatic. The two samples were analysed for pyuria (greater than o...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994960
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVE:To assess the importance of long-term doctor-patient relationship, and to assess the effect of long-term treatment with beta-blockers of hypertensive women. DESIGN:A 25-year follow-up study of hypertensive women, compared with participants in a prospective population study of women of the same age. SETTING:...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134399750002520
更新日期:1999-09-01 00:00:00
abstract:UNLABELLED:OBJECTIVE--To compare general practitioners' routines regarding iron supplementation in pregnancy with national recommendations. DESIGN:Mailed questionnaire to general practitioners. SETTING:A county in western Norway. SUBJECTS:184 general practitioners. MAIN OUTCOME MEASURES:Descriptive registration of ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994841
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in Mar...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134300448788
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To find a method for quality assessment in primary health care and to apply this method on a defined disease. DESIGN:General practitioners and hospital doctors worked out a programme for evaluating the quality of outpatient care of patients with insulin treated diabetes as one of five tracers. An expert comm...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.3109/02813439709018494
更新日期:1997-06-01 00:00:00
abstract::OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2011.562363
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To study associations between dairy fat intake and development of central obesity. DESIGN:A prospective population-based cohort study with two surveys 12 years apart. SETTING:Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS:1782 men (farmers ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2012.757070
更新日期:2013-06-01 00:00:00
abstract::In Iceland a problem oriented medical record system for primary health care has been developed. A contact-form is used to record data on all contacts between the inhabitants in a district and the health center. A minicomputer is used for retrieval and analysis. One rural health center using this system has been succes...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017714
更新日期:1984-11-01 00:00:00
abstract::During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994902
更新日期:1993-03-01 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: The objective of this study was to investigate the psychosocial consequences of receiving false-positive colorectal cancer (CRC) screening results, following a positive immunochemical faecal occult blood test. Design, setting, and subjects: We conducted a qualitative study with four semi-structured focus gr...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1608040
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:
更新日期:2002-06-01 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::The present study investigates the feasibility of the clinical differentiation between patients with beta-haemolytic streptococcal pharyngitis from those with pharyngitis caused by other agents, based on the patients' symptoms, symptom duration, and the clinical findings. Twenty-four general practitioners recruited 22...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438809009320
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVE:To assess the effect of workplace-oriented dietary intervention on serum lipids. DESIGN:A cohort study. Screening for blood lipids and subsequent dietary intervention performed at a ferro-alloy factory where all the workers have at least one meal per working day served by the factory kitchen. SETTING:Employ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439409003682
更新日期:1994-06-01 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::Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" pea...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438809009294
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 g...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430510031324
更新日期:2005-12-01 00:00:00
abstract::Physical work load was assessed by doctors and patients to have contributed to the health problems leading to sickness certification in 48.4% of 1413 patients certified sick by 118 general practitioners in Buskerud county, Norway (1986). Correspondingly, psychological factors were considered contributory in 32.1%. The...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994927
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To assess the effect on referral rate when GPs are given a better opportunity to send their patients to specialists for consultation. DESIGN:Intervention study with a control group. SETTING AND SUBJECTS:A 34-month experiment in the City of Turku. The experimental group consisted of 10 GPs working in municip...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134301750235295
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. DESIGN:A cross-sectional community based study. SETTING:Karlskrona community situated on the Swedish south-east coast with...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430500428919
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2010.501235
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:This paper investigated patients' experiences of disease and self-care as well as perceptions of the general practitioner's role in supporting patients with impaired self-care ability. DESIGN:Qualitative interviews with 13 patients with type 2 diabetes, concurrent chronic diseases, and impaired self-care abi...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1487436
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To study awareness of having lesbian women in the consultation among general practitioners (GPs) and their knowledge of lesbian health-related issues. DESIGN:A mailed questionnaire study using closed and open-ended questions, with an analysis using both quantitative and qualitative methods. SETTING:The city...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302321004845
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430902759663
更新日期:2009-01-01 00:00:00
abstract::Freshly prepared quality control materials of different kinds were distributed by cars to all the public health centers, sanatoria and mother and child stations in Oslo. The recipients, who were unaware of the correct values, analysed each sample once without delay and reported the results back to our laboratory. A la...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014825
更新日期:1986-09-01 00:00:00
abstract:OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430701706568
更新日期:2007-12-01 00:00:00