Abstract：
:Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen distributed a questionnaire to all 175 GPs in the practices they visited. The questions covered practical routines related to GEs, insertion of intrauterine device, frequency of GEs in different clinical settings and use of assisting personnel. Statistical analyses included chi-square tests and multiple logistic regressions adjusting for age, gender, specialization and localization. Results: Ninety male and 61 female GPs (87% of invited GPs) responded to the questionnaire. A minority (8%) usually had other staff present during GEs. Compared with female colleagues, male GPs performed bimanual palpation significantly less often in connection with routine Pap smear (AOR 0.3 (95% CI 0.1-0.6)). Twenty-eight percent of the GPs stated that they often/always omitted the GE if the patient was anxious about GE and 35% when the patient asked for referral to a gynaecologist. Omission was more frequent among male GPs. When the GP decided to refer to a gynaecologist based on the patient's symptoms, more male than female GPs omitted GE (AOR 2.5 (95% CI 1.1-5.4)). Conclusion: Male gender of the GP may be associated with barriers to medical evaluation of pelvic symptoms in women, potentially leading to substandard care. Possibly, however, male GPs' reluctance to perform the GE may also limit unnecessary bimanual palpation in asymptomatic women.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Hjörleifsson S,Bjorvatn B,Meland E,Rørtveit G,Hannestad Y,Bondevik GTdoi
10.1080/02813432.2019.1619829subject
Has Abstractpub_date
2019-06-01 00:00:00pages
264-270issue
2eissn
0281-3432issn
1502-7724journal_volume
37pub_type
杂志文章abstract：OBJECTIVE:To explore the association between abdominal obesity and insulin resistance in patients with type 2 diabetes. DESIGN:A cross-sectional observational study. SETTING:Primary care in Skara, Sweden. SUBJECTS:A total of 198 men and 186 women with type 2 diabetes who consecutively completed an annual check-up in...
journal_title：Scandinavian journal of primary health care
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doi：10.1080/02813430601035290
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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
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doi：10.3109/02813439308994902
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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
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doi：10.3109/02813438309038480
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:To explore the health economic consequences of menstrual disorders in Denmark. DESIGN:Analysis of the total costs of menstrual disorders in women, and a cost effectiveness analysis of menstrual disorders in women. SETTING:The analysis is based on retrospective 1991 data from the Danish National Patient Regi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996752
更新日期：1995-06-01 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：:This study which focused on the 169 approved certificates for patients applying for the right for "free" medication in a sickness insurance district during one year in Finland shows two interesting findings. These, cannot of course be generalized because of the low number of observations and of doctors involved (total...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438409017717
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journal_title：Scandinavian journal of primary health care
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更新日期：1991-12-01 00:00:00
abstract：AIM:The aim of this study was to describe strategies parents use to give oral medicine to children. METHODS:We conducted an Internet-based qualitative study of posts from online forums where parents discussed how to give children oral medicine. The posts were analyzed using systematic text condensation. The investigat...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2017.1333308
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To investigate the prevalence of headache and its association with lifestyle among schoolchildren and to test an intervention programme. DESIGN:A cross-sectional survey of all pupils in the school who were asked to complete a questionnaire about headache and lifestyle factors. SETTING:School health care at ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134301750235349
更新日期：2001-06-01 00:00:00
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journal_title：Scandinavian journal of primary health care
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更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of an intensive pharmaceutical care campaign targeting inappropriate use of triptans. DESIGN:Randomized controlled trial. SETTING:22 community pharmacies in the County of Funen, Denmark. SUBJECTS:A total of 1123 triptan users at intervention pharmacies and 1340 at control pharmacies....
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813430500444916
更新日期：2006-03-01 00:00:00
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 a...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2016.1160634
更新日期：2016-06-01 00:00:00
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journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2014.982368
更新日期：2014-12-01 00:00:00
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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
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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
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journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909103670
更新日期：1989-03-01 00:00:00
abstract：OBJECTIVE:Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING:Cross-sectional register-based study on all patients with ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1569369
更新日期：2019-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1080/028134302321004845
更新日期：2002-12-01 00:00:00
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journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
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更新日期：2013-09-01 00:00:00
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更新日期：1997-12-01 00:00:00
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更新日期：2019-06-01 00:00:00
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更新日期：2018-09-01 00:00:00
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pub_type： 临床试验,杂志文章,多中心研究
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更新日期：2014-12-01 00:00:00
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更新日期：2018-09-01 00:00:00
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doi：10.1080/028134399750002458
更新日期：1999-12-01 00:00:00
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journal_title：Scandinavian journal of primary health care
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doi：10.3109/02813438509013926
更新日期：1985-05-01 00:00:00
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更新日期：1998-09-01 00:00:00
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更新日期：2010-03-01 00:00:00
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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 evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...
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更新日期：2018-12-01 00:00:00
