Item of service remuneration in general practice in the UK: what can we learn from dentists?

abstract：:There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...

journal_title：Family practice

authors： Kuyvenhoven M,de Melker R,van der Velden K

更新日期：1993-12-01 00:00:00

abstract：BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...

journal_title：Family practice

authors： Stalman W,van Essen GA,van der Graaf Y,de Melker RA

更新日期：1997-04-01 00:00:00

abstract：:A cohort study investigated the specific outcomes of a health education coursed carried out by recently graduated physicians in an urban primary care setting in Israel. Questionnaires were used to study the effects of the programme on knowledge and awareness concerning antibiotic usage. The results showed a significan...

journal_title：Family practice

authors： Hermoni D,Friedman M,Morel D,Mankuta D,Sivan A,Porter B

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:Evaluation of health care contacts from first events alone often misses large amounts of potentially important data and may produce different results than evaluation of all data including recurrent events. OBJECTIVE:We aim to bring the different methodological approaches for analysing longitudinal health ca...

journal_title：Family practice

authors： Thomsen JL,Parner ET

更新日期：2006-08-01 00:00:00

abstract：:This paper describes the perception of general practitioners of violence to which they are subject, and also their fears of violence. It is based on interviews, and a written questionnaire. The outcome suggests that violence is a formidable problem. Some coping strategies are described. On the whole the subject has be...

journal_title：Family practice

authors： Myerson S

更新日期：1991-06-01 00:00:00

abstract：BACKGROUND:There has been little research carried out on the prevalence and types of sexual dysfunction in the general population, although the indications are that such problems are relatively common. Most common sexual problems are potentially treatable. However GPs have estimated the prevalence of sexual problems to...

journal_title：Family practice

authors： Dunn KM,Croft PR,Hackett GI

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Increasing medical possibilities, ageing of the population and the growing number of people with chronic illness appears to make advance care planning (ACP) inevitable. However, to what extent and how primary care providers (PCPs) provide ACP in daily practice is largely unknown. OBJECTIVE:To provide an ove...

journal_title：Family practice

authors： Glaudemans JJ,Moll van Charante EP,Willems DL

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends upon early diagnosis, but under-recognition of and under-response to dementia appear widespread in general practice. AIM:...

journal_title：Family practice

authors： Iliffe S,Wilcock J,Haworth D

更新日期：2006-06-01 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：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...

journal_title：Family practice

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

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...

journal_title：Family practice

authors： Humair JP,Buchs CR,Stalder H

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:At the onset of the climacteric, healthy middle-aged women present with a variety of complaints, especially in general practice. In these first years of entering the menopause, vaginal blood loss alters from irregular periods to complete amenorrhoea. According to these different menstrual patterns, we can di...

journal_title：Family practice

authors： Maartens LW,Leusink GL,Knottnerus JA,Smeets CG,Pop VJ

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and t...

journal_title：Family practice

authors： Renzi C,Mastroeni S,Mannooranparampil TJ,Passarelli F,Pasquini P

更新日期：2011-06-01 00:00:00

abstract：:This paper describes 4 health care studies which illustrate the value of using economic analysis to evaluate health care choices. A Chamberlain undertook an applied health economics study of family planning service costs in a Scottish community. The study revealed that the cost of avoiding an unwanted birth was 320-...

journal_title：Family practice

authors： Mooney G,Yule B

更新日期：1985-03-01 00:00:00

abstract：:Mothers' beliefs and evaluations of their child's illness were studied in a group of 30 mothers who had consulted a general practitioner because of a cough. Data were collected by tape-recorded semi-structured interviews conducted in their own homes. A major concern for mothers was their fear that their child was goin...

journal_title：Family practice

authors： Cornford CS,Morgan M,Ridsdale L

更新日期：1993-06-01 00:00:00

abstract：BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...

journal_title：Family practice

authors： Collings S,Mathieson F,Dowell A,Stanley J,Jenkin G,Goodyear-Smith F,Hatcher S

更新日期：2012-02-01 00:00:00

abstract：:Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 mont...

journal_title：Family practice

authors： Wimo A,Wallin JO,Lundgren K,Rönnbäck E,Asplund K,Mattsson B,Krakau I

更新日期：1990-12-01 00:00:00

abstract：BACKGROUND:Rules of thumb used by GPs could be considered as empirical evidence of intuition and a link between science and practice in general practice. OBJECTIVE:The purpose of the present study was to analyse the description of the application of rules of thumb with regard to different situations in general practic...

journal_title：Family practice

authors： André M,Borgquist L,Mölstad S

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Given the benefits of breastfeeding (BF), health care institutions recommend that a child should be breastfed for the first 6 months of its life. However, differences between social groups as regards BF behaviour are very prevalent. OBJECTIVES:To identify effective programmes that can be implemented by GPs ...

journal_title：Family practice

authors： Ibanez G,de Reynal de Saint Michel C,Denantes M,Saurel-Cubizolles MJ,Ringa V,Magnier AM

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of a...

journal_title：Family practice

authors： Coupland CA,Savelyich BS,Hippisley-Cox J,Kendrick D,Groom L,Cross E

更新日期：2005-06-01 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：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:The aim of this study was to establish and evaluate a direct access service for laparoscopic sterilization. METHODS:A pragmatic randomized controlled trial was carried out on a total of 232 women referred to Aberdeen Royal Infirmary for sterilization between 1 June 1996 and 31 March 1997, from 57 general pr...

journal_title：Family practice

authors： McKessock L,Smith BH,Scott A,Graham W,Terry PB,Templeton A,Fitzmaurice AE

更新日期：2001-02-01 00:00:00

abstract：BACKGROUND:In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. OBJECTIVES:To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of...

journal_title：Family practice

authors： Stewart D,Maclure K,Newham R,Gibson-Smith K,Bruce R,Cunningham S,Maclure A,Fry S,Mackerrow J,Bennie M

更新日期：2020-03-25 00:00:00

abstract：BACKGROUND:Recent guidelines for treatment of hypertension advocate a multifactorial approach based on absolute risk of a cardiovascular event. However, this does not take any account of individual patient values or preferences for health outcomes that result from having hypertension. OBJECTIVE:Our aim was to investig...

journal_title：Family practice

authors： Montgomery AA,Harding J,Fahey T

更新日期：2001-06-01 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：: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

authors： Stewart M

更新日期：1984-03-01 00:00:00

abstract：BACKGROUND:To support the management of multimorbid patients in primary care, evidence is needed on prevalent multimorbidity patterns. OBJECTIVE:To identify the common and distinctive multimorbidity patterns. METHODS:Clinical data of 120480 patients (≥55 years) were extracted from 158 general practices in 2002-11. Pr...

journal_title：Family practice

authors： Sinnige J,Korevaar JC,Westert GP,Spreeuwenberg P,Schellevis FG,Braspenning JC

更新日期：2015-10-01 00:00:00

abstract：Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...

journal_title：Family practice

authors： Gimeno-Feliu LA,Calderón-Larrañaga A,Díaz E,Laguna-Berna C,Poblador-Plou B,Coscollar C,Prados-Torres A

更新日期：2017-11-16 00:00:00

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

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

更新日期：2000-12-01 00:00:00