Confidentiality in general practice.

abstract：BACKGROUND:Antibiotics are over-prescribed for lower respiratory tract infection (LRTI). The influence of clinicians' history and examination findings on antibiotic prescribing for LRTI has not been directly assessed, and the extent to which these clinical findings predict appropriate antibiotic prescribing is unknown....

journal_title：Family practice

authors： Hopstaken RM,Butler CC,Muris JW,Knottnerus JA,Kester AD,Rinkens PE,Dinant GJ

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS:To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out i...

journal_title：Family practice

authors： Godwin M,Lam M,Birtwhistle R,Delva D,Seguin R,Casson I,MacDonald S

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...

journal_title：Family practice

authors： Fletcher K,Mant J,Roalfe A,Hobbs FD

更新日期：2010-12-01 00:00:00

abstract：:A survey of family practice residency programme directors in the United States was undertaken to look at the impact of malpractice and malpractice insurance on residency education. Of 385 programmes 276 (71.7%) responded to the 20 question survey. The results indicated a mean rate of 0.043 claims per resident or facul...

journal_title：Family practice

authors： Bowman MA,Murray JL

更新日期：1989-06-01 00:00:00

abstract：PURPOSE:Chilean patients with type 2 diabetes mellitus (T2DM) have a low rate of blood sugar control. We studied the effectiveness of a culturally sensitive family oriented intervention designed to improve metabolic control in primary care patients with uncontrolled T2DM. METHODS:Patients with T2DM from three primary ...

journal_title：Family practice

authors： García-Huidobro D,Bittner M,Brahm P,Puschel K

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:Non-clinical factors impact on decisions about whether to refer a patient from primary care to specialist mental health services. The aim of this study was to investigate whether introducing a standardized assessment of severity improves agreement on referrals. METHODS:Multi-site mixed-method cluster random...

journal_title：Family practice

authors： Slade M,Gask L,Leese M,McCrone P,Montana C,Powell R,Stewart M,Chew-Graham C

更新日期：2008-06-01 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：BACKGROUND:About 45.2 million people were displaced from their homes in 2012 due to persecution, political conflict, generalized violence and human rights violations. Refugees who endure violence are at increased risk of developing chronic psychiatric disorders such as posttraumatic stress disorder and major depression...

journal_title：Family practice

authors： Shannon PJ

更新日期：2014-08-01 00:00:00

abstract：Background:Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective:The purpose of our study was to determine the diagnostic performance and cl...

journal_title：Family practice

authors： Bruning AHL,de Kruijf WB,van Weert HCPM,Willems WLM,de Jong MD,Pajkrt D,Wolthers KC

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...

journal_title：Family practice

authors： Stein AT,Harzheim E,Costa M,Busnello E,Rodrigues LC

更新日期：2002-04-01 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：:Before implementing a guideline, reassurance is needed that the guideline is valid, reproducible and reliable. A method for assessing guideline validity has now been developed for general use. Guideline producers need to consider suitable strategies for implementing their guidelines. When designing and evaluating a gu...

journal_title：Family practice

authors： Littlejohns P,Cluzeau F

更新日期：2000-02-01 00:00:00

abstract：BACKGROUND:The incidence of cancer as well as survival rates for it are increasing. It is debated whether care in the chronic phase of cancer can be positioned in primary care due to doubts about capacity and workload. OBJECTIVE:To estimate GPs' extra consultation time if they assume responsibility for the care in the...

journal_title：Family practice

authors： van Dipten C,Olde Hartman TC,Biermans MC,Assendelft WJ

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...

journal_title：Family practice

authors： Aoki T,Fukuhara S,Yamamoto Y

更新日期：2020-02-19 00:00:00

abstract：BACKGROUND:Acute otitis media is a common disease, particularly among children. The importance of a correct diagnosis is crucial, especially as unjustified prescription of antibiotics has become a major problem in clinical praxis. OBJECTIVES:Our aim was to evaluate the predictive value of different otological findings...

journal_title：Family practice

authors： Hemlin C,Hassler E,Hultcrantz M,Papatziamos G,Krakau I

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVES:This paper explores South Asian patients' views and experiences of clinical trial participation, as part of a larger study which sought to assess British South Asian under-representation in clinical trials. METHODS:The study was based on semi-structured interviews with South Asian trial participants in prim...

journal_title：Family practice

authors： Hussain-Gambles M

更新日期：2004-12-01 00:00:00

abstract：:There is need for a practical model of patient education in the primary care setting that can also be used as a method for teaching primary care residents about patient education. This project modified a previously established and well-defined role for a family nurse in order to provide such a patient care-based learn...

journal_title：Family practice

authors： Solberg LI,Nesvacil LJ,Stoller JE

更新日期：1989-06-01 00:00:00

abstract：:Mental health problems are underdiagnosed in general practice, primarily because they are often somatized and the patient reports only physical symptoms. These somatized symptoms are responsible for a large percentage of the frequent attenders in general practice. Palpitations are among those somatized symptoms. Here ...

journal_title：Family practice

authors： Matalon A,Nachmani T,Rabin S,Maoz B

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to evaluate the role of tympanometry for diagnosis, treatment and follow-up of otitis media in general practice. METHODS:The results from otoscopy performed by 40 physicians in general practice in Vejle County, Denmark were combined with the clinical condition and this was recorded ...

journal_title：Family practice

authors： Johansen EC,Lildholdt T,Damsbo N,Eriksen EW

更新日期：2000-08-01 00:00:00

abstract：OBJECTIVES:The aim of this study is to understand in depth the experience of the family physician faced with the patient that he perceives as 'difficult'. This was done by means of the 'long interview' as a method of qualitative research. METHOD:We interviewed 15 randomly selected Board-certified family physicians, wi...

journal_title：Family practice

authors： Steinmetz D,Tabenkin H

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:In general practice, it is too time-consuming to invite all patients for cardiovascular risk assessment. OBJECTIVE:To examine how many patients with an indication for treatment with cardiovascular medication can be identified by ad hoc case-finding when all patients with overweight/obesity are invited for r...

journal_title：Family practice

authors： de Boer AW,de Mutsert R,den Heijer M,Jukema JW,Rosendaal FR,Blom JW,Assendelft WJ,NEO study group.

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...

journal_title：Family practice

authors： Hummers-Pradier E,Ohse AM,Koch M,Heizmann WR,Kochen MM

更新日期：2005-02-01 00:00:00

abstract：:A two-year single-group study in primary health care of 223 hypertensive patients with blood pressure under satisfactory control was performed. The study investigated whether the patients could be referred to district nurses for follow-up, between visits to district physicians, without risking loss of control over the...

journal_title：Family practice

authors： Lindholm L

更新日期：1984-09-01 00:00:00

abstract：BACKGROUND:Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by ...

journal_title：Family practice

authors： Ahnfeldt-Mollerup P,dePont Christensen R,Halling A,Kristensen T,Lykkegaard J,Nexøe J,Barwell F,Spurgeon P,Søndergaard J

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:The 'Dartmouth COOP Functional Health Assessment Charts/WONCA' constitute a relatively new derived instrument for assessing health status that is specifically intended for use in primary care on a world-wide basis. It needs further validation in its special area of use. OBJECTIVES:Over a range of countries,...

journal_title：Family practice

authors： Westbury RC,Rogers TB,Briggs TE,Allison DJ,Gérvas J,Shigemoto H,Elford W

更新日期：1997-12-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to investigate doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur. METHODS:A qualitative study was undertaken involving in-depth, semi-structured interviews that were tape-recorded,...

journal_title：Family practice

authors： Dixon-Woods M,Critchley S

更新日期：2000-04-01 00:00:00

abstract：OBJECTIVES:To investigate referral rates for cardiac interventions by clinical specialty, to document doctors' reasons for referrals and to explore doctors' perceptions of the factors that influenced their clinical decisions. STUDY DESIGN:Doctors completed a clinical decision-making exercise involving, in total, 6093 ...

journal_title：Family practice

authors： Bowling A,Harries C,Forrest D,Harvey N

更新日期：2006-08-01 00:00:00

abstract：:An important pitfall of nutritional guidance in medical practice is how to deal with the prevention paradox: a nutritional advice that is good for the population as a whole is not necessarily proven effective for the individual patient. Evidence-based guidelines are needed to support GPs to translate these advices to ...

journal_title：Family practice

authors： Drenthen AJ,Van Binsbergen JJ

更新日期：2008-12-01 00:00:00

abstract：:Recently, we published data of a 2 year randomized controlled study in which the effects of continuous versus symptomatic bronchodilator treatment in patients with moderate asthma or chronic bronchitis were investigated. The results showed that FEV1 decline in the continuously treated group was significantly larger th...

journal_title：Family practice

authors： van Schayck CP,Folgering H,den Otter JJ,Tirimanna P,van Weel C

更新日期：1992-12-01 00:00:00