Abstract：
:This study explores the diagnostic process of general practitioners confronted with ill-defined and ambiguous complaints, which eventually appeared to be caused by a malignancy. Three aspects were rated: (a) the adequacy of the initial problem definition; (b) the carefulness of further diagnostic methods; and (c) how the suspicion of malignancy originated. These three aspects, which were strongly connected, seem to be parts of a diagnostic approach with two polar extrems: a critical style and a biased style. Characteristic of a critical style is full awareness of detail, careful observations, consideration of ambiguous symptoms, and consciousness that the correct diagnosis is often other than the one initially judged most likely. The opposite, the biased style, is characterized by little alertness for detail, less careful observations, and overinterpretation of facts supporting the initial hypotheses.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Kuyvenhoven MM,Spreeuwenberg C,Touw-Otten FWdoi
10.3109/02813438909103670subject
Has Abstractpub_date
1989-03-01 00:00:00pages
43-8issue
1eissn
0281-3432issn
1502-7724journal_volume
7pub_type
杂志文章abstract：OBJECTIVE:To analyse which interventions are effective in influencing morbidity, quality of life, and healthcare utilization of frequently attending patients (FAs) in primary care. METHODS:A systematic literature search was performed for articles describing interventions on FAs in primary care (Medline, Embase, and Ps...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,评审
doi：10.1080/02813430802112997
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1499590
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN:Prescription register study. SETTING:Norwegian nationwide prescriptions socio-economic and disability status data. METHODS...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2017.1358436
更新日期：2017-09-01 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 determine how often patients with musculoskeletal (MSK) complaints prescribed a non-steroidal anti-inflammatory drug (NSAID) subsequently consult their general practitioner (GP) with a non-serious adverse drug reaction (ADR). DESIGN:Cohort study. SETTING:A healthcare database containing the electronic GP...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2015.1067513
更新日期：2015-01-01 00:00:00
abstract：:Objective: The purpose of this research was to analyze psychometric information in the Brief Child Abuse Potential Inventory (BCAP) in a Finnish general population sample. Design: A self-report survey of parents in a primary health care setting and a hospital setting was used to evaluate the use of the BCAP. Setting: ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608629
更新日期：2019-06-01 00:00:00
abstract：:Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1639909
更新日期：2019-09-01 00:00:00
abstract：:During one year, 1979-80, all the contacts between the 836 inhabitants of Upernavik town and the local medical officers were recorded. In the 737 native Greenlanders 1006 contacts (41%) were caused by infectious diseases, representing 705 episodes of disease. The number of contacts per episode of disease was similar i...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438509013939
更新日期：1985-09-01 00:00:00
abstract：:A Regional Health University is planned at the University of Linköping, Sweden. To evaluate new educational principles, a trial project was carried out in which medical and nursing students trained together in a two-week full-time course aimed at patient-oriented clinical social medicine and epidemiological field work...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438509013940
更新日期：1985-09-01 00:00:00
abstract：OBJECTIVE:To investigate the prevalence of adverse reactions to food and food allergy in Icelandic and Swedish 18-month-old children. DESIGN:Prospective multicentre comparative study. SETTING:Primary health care centres in Sweden and Iceland. SUBJECTS:A total of 324 children in Iceland and 328 in Sweden who attended...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/028134399750002863
更新日期：1999-03-01 00:00:00
abstract：:Insulin resistance was evaluated in 807 middle-aged subjects at a health survey, with use of an index measured in 75 g oral glucose tolerance tests. The mean value of insulin resistance was higher in a hypertensive group than among the normotensives, independent of body mass index, physical activity, smoking sex, age,...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439109026582
更新日期：1991-03-01 00:00:00
abstract：OBJECTIVE:To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN:Comparison of self-reported and assessed medical and odontological variables. SETTING:The School of Dentistry, Karolinska Institute. SUBJECTS:Sixty-seven patients, referred ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750003043
更新日期：1998-12-01 00:00:00
abstract：:Objective: To assess the use of point-of-care ultrasound (POCUS) in Norwegian general practice.Design: Retrospective register study based on general practitioners' (GPs') reimbursement claims.Setting: Norwegian general practice excluding out-of-hours clinics in 2009, 2012 and 2016.Subjects: GPs who scanned patients fo...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2020.1753385
更新日期：2020-06-01 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
abstract：OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...
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：10.3109/02813439409029247
更新日期：1994-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the usefulness of medical audit of GPs' antibiotic prescription habits. DESIGN:Medical audit according to the APO method. Registration of antibiotic prescriptions for respiratory tract infections during a 3 year period. Intervention with courses, visits to the laboratory, and distribution of reco...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002629
更新日期：1999-09-01 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 identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden. DESIGN:Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma m...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002458
更新日期：1999-12-01 00:00:00
abstract：OBJECTIVE:To find out whether family or working conditions is most important for mood in different ages in women. DESIGN:Prospective study. SETTING:Göteborg, Sweden, population about 430,000. SUBJECTS:Representative samples of a general population of women, born in 1930 (n = 276), 1942 (n = 93) and 1954 (n = 61), ex...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430410006486
更新日期：2004-06-01 00:00:00
abstract：:Descriptions of twenty different clinical situations, most of which included cancer related symptoms and signs, were assessed by 329 patients. The patients showed a satisfactory level of alertness in response to the clinical situations. Lumps and bumps and visible bleeding gave the quickest response. An inverse relati...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438709013987
更新日期：1987-05-01 00:00:00
abstract：OBJECTIVE:To analyse the relation of ethnicity, social deprivation (Underprivileged area, UPA-score), social class V, unemployment and overcrowding on age- and sex-standardized mortality ratio (SMR). DESIGN:This ecological study used the SMR for people under the age of 65 years as dependent variable. Mortality data fo...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997075
更新日期：1996-06-01 00:00:00
abstract：:Some general ideas of the evaluation of the work of the physician applicable also to primary care physicians are taken up in this article. The presentation is not trying to be a complete review of the topic. It tries, however, to direct attention to the importance of the subject from the point of view of the practisin...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438309038480
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:To study changes in Finnish GPs' child-psychiatric networks over a one-year period. DESIGN:Postal questionnaire. SETTING:Health centres in the area of Tampere University Hospital with a catchment population of one million. INTERVENTION:A one-off course in the field of child psychiatry was held 56 times in ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510018374
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:General practitioner (GP) involvement may be instrumental in obtaining successful palliative cancer trajectories. The aim of the study was to examine associations between bereaved relatives' evaluation of palliative cancer trajectories, place of death, and GP involvement. DESIGN:Population-based, cross-secti...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2010.505316
更新日期：2010-09-01 00:00:00
abstract：:The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609013971
更新日期：1986-02-01 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：:A prospective evaluation was made of an algorithm for a selective use of throat swabs in patients with sore throat in general practice. The algorithm states that a throat swab should be obtained (a) in all children younger than 15 years; (b) in patients aged 15 years or more who have pain on swallowing and at least th...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014077
更新日期：1992-12-01 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:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,评审
doi：10.1080/02813432.2016.1249065
更新日期：2016-12-01 00:00:00
abstract：:A group of 235 persons (180 adults and 55 children 0-15 years old) recorded symptoms of upper respiratory tract infection daily during two three-month periods (autumn 1986 and spring 1987). Samples for culture were taken from the nasopharynx and throat once during each period. Fifteen per cent of asymptomatic subjects...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909088665
更新日期：1989-12-01 00:00:00
