Identifying health service barriers in the management of co-morbid diabetes and chronic kidney disease in primary care: a mixed-methods exploration.

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: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：: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

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

更新日期：1987-03-01 00:00:00

abstract：BACKGROUND:Chronic diseases continue to be a significant cause of morbidity and mortality despite modifiable risk factors. This suggests that current primary healthcare provision needs to delve beyond patient education, to understand the motivators that drive patients to undertake chronic disease self-management. Under...

journal_title：Family practice

authors： Hadi MD,Lin YP,Chan EY

更新日期：2020-11-28 00:00:00

abstract：BACKGROUND:Complaints possibly caused by arrhythmias are frequently seen in general practice. It is unclear to what extent such complaints can differentiate between arrhythmias and other pathology in general practice. OBJECTIVES:We aimed to assess the value of symptoms (a) in diagnosing arrhythmias in general practice...

journal_title：Family practice

authors： Zwietering PJ,Knottnerus JA,Rinkens PE,Kleijne MA,Gorgels AP

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Adolescent pregnancy is an important health issue. Prevention programs are usually aimed at the prevention of repeat pregnancy, ignoring the adolescents at risk of becoming pregnant for the first time. OBJECTIVES:To analyse if socio-economic status, family type and mother's age at first pregnancy are risk f...

journal_title：Family practice

authors： Santos MI,Rosário F

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:This study examined the effect of measuring blood pressure below subjects' rolled-up sleeves, over the sleeve, or on the bare arm. This is an important day-to-day issue for the busy GP. METHODS:The sample consisted of 201 subjects in family practice clinics and residents of a senior citizens' home. A digita...

journal_title：Family practice

authors： Kahan E,Yaphe J,Knaani-Levinz H,Weingarten MA

更新日期：2003-12-01 00:00:00

abstract：OBJECTIVE:This study aimed to examine if providing feedback to the doctor can improve patient-doctor concordance (PDC) on health problems and treatments. METHODS:The study was carried out in a hospital-based primary care service in a lower socioeconomic status (SES) region of metropolitan Melbourne, Australia. A summa...

journal_title：Family practice

authors： Liaw ST,Young D,Farish S

更新日期：1996-10-01 00:00:00

abstract：:Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...

journal_title：Family practice

authors： Arborelius E,Bremberg S

更新日期：1992-03-01 00:00:00

abstract：BACKGROUND:The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES:The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of hi...

journal_title：Family practice

authors： Mercer SW,McConnachie A,Maxwell M,Heaney D,Watt GC

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:In 2010, a new telephone service, NHS 111, was piloted to improve access to urgent care in England. A unique feature is the use of non-clinical call takers who triage calls with computerized decision support and have access to clinical advisors when necessary. Aim. To explore users' acceptability of NHS 111....

journal_title：Family practice

authors： O'Cathain A,Knowles E,Turner J,Nicholl J

更新日期：2014-04-01 00:00:00

abstract：:A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the...

journal_title：Family practice

authors： Toop LJ,Thorpe CW,Fright R

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:There is evidence both that a doctor's own well-being is closely associated with efficiency and positive attitude to patients, and that levels of stress, anxiety and depression in doctors are rising. OBJECTIVES:This postal survey aimed to measure anxiety and depression levels in general practitioners in 199...

journal_title：Family practice

authors： Chambers R,Campbell I

更新日期：1996-04-01 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：:Recent years have seen a growing recognition of the appropriateness of qualitative methods in family practice. This has been paralleled by an upsurge of interest in focus group discussions as a method. Drawing on the experience of using focus groups with general practice teams as one component of a multi-method study ...

journal_title：Family practice

authors： Barbour RS

更新日期：1995-09-01 00:00:00

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

authors： Hanna L,May C,Fairhurst K

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...

journal_title：Family practice

authors： Geneau R,Lehoux P,Pineault R,Lamarche PA

更新日期：2007-04-01 00:00:00

abstract：Background:There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective:To examine how tea...

journal_title：Family practice

authors： Blumenthal KJ,Chien AT,Singer SJ

更新日期：2018-12-12 00:00:00

abstract：:This paper presents a method for assessing the doctor-patient interaction in terms of its patient-centredness. Patient-centredness was defined in terms of doctor responses which enabled patients to express all of their reasons for coming, including symptoms, thoughts, feelings and expectations. The method was tested a...

journal_title：Family practice

authors： Henbest RJ,Stewart MA

更新日期：1989-12-01 00:00:00

abstract：BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...

journal_title：Family practice

authors： Kuyck WG,de Wit NJ,Kuyvenhoven MM

更新日期：2000-06-01 00:00:00

abstract：BACKGROUND:Assessing a genetic risk for developing breast cancer is not an easy task for a GP. Current expert guidelines for referring and counselling women with a family history positive for breast cancer are complex and difficult to apply in general practice, and have only two strategies (to refer or not to refer for...

journal_title：Family practice

authors： de Bock GH,Vliet Vlieland TP,Hageman GC,Oosterwijk JC,Springer MP,Kievit J

更新日期：1999-02-01 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：OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHOD...

journal_title：Family practice

authors： Moral RR,Alamo MM,Jurado MA,de Torres LP

更新日期：2001-02-01 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:Overweight and obesity have negative health effects. Primary care clinicians are best placed to intervene in weight management. Previous reviews of weight loss interventions have included studies from specialist settings. The aim of this review was to estimate the effect of behavioural interventions delivere...

journal_title：Family practice

authors： Booth HP,Prevost TA,Wright AJ,Gulliford MC

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Depression is more prevalent among women and people with low socio-economic status. Uncertainties exist about how general practitioner (GP) depression care varies with patients' social position. OBJECTIVE:To investigate associations between patients' gender and educational status combined and GP depression ...

journal_title：Family practice

authors： Riiser S,Haukenes I,Baste V,Smith-Sivertsen T,Hetlevik Ø,Ruths S

更新日期：2020-11-05 00:00:00

abstract：BACKGROUND:Little is known about doctors' decision-making processes in prescribing antidepressants and how this is handled. OBJECTIVE:To describe and understand doctors' strategies in prescribing mood-modifying drugs, especially when confronted with challenging patients or situations. METHODS:Face-to-face interviews ...

journal_title：Family practice

authors： Kapmeyer A,Meyer C,Kochen MM,Himmel W

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Early diagnosis of cancer is an important challenge in general practice. Symptoms are the most common starting points. OBJECTIVE:To assess the association between symptoms presented and subsequent cancer. DESIGN:A cohort study of all patients seen consecutively by GPs. Prospective recording of cancer diagn...

journal_title：Family practice

authors： Ingebrigtsen SG,Scheel BI,Hart B,Thorsen T,Holtedahl K

更新日期：2013-04-01 00:00:00

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

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

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Endometriosis is an invalidating gynaecological condition in women of reproductive age, and a frequent cause of infertility. Unfortunately, the condition is characterized by a long interval between onset of symptoms and diagnosis. GPs in the Netherlands are educated to provide basic gynaecological care and s...

journal_title：Family practice

authors： van der Zanden M,Teunissen DAM,van der Woord IW,Braat DDM,Nelen WLDM,Nap AW

更新日期：2020-02-19 00:00:00