Abstract：
:In this paper the thesis is advanced that the general practitioners can either be a powerful ally or a major roadblock in the development of primary health care in the spirit of the Alma-Ata Declaration. The role they will play depends on their interpretation of, and attitudes towards, the concept. In the first part of the paper, four common interpretations of primary health care (primary health care as a set of activities; as a level of care; as a strategy; and as a philosophy) are described. The second part identifies common misconceptions - traps into which the general practitioners may fall when taking their stand on primary health care. In the third part, a blueprint for transforming the current systems of primary medical care systems into primary health care systems is outlined. The final section suggests some concrete actions to be taken by the general practitioners in implementing this blueprint.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Vuori Hdoi
10.3109/02813438409017705subject
Has Abstractpub_date
1984-05-01 00:00:00pages
57-61issue
2eissn
0281-3432issn
1502-7724journal_volume
2pub_type
杂志文章abstract：:The mortality from ischaemic heart disease is higher in predominantly rural northern and western Sweden than in the more urban eastern and southern districts. This study was performed in a small semirural area in mid-Sweden with lower mortality from ischaemic heart disease in middle-aged men and higher mortality in mi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439109018515
更新日期：1991-09-01 00:00:00
abstract：OBJECTIVE:To analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms. DESIGN:Web-based nationwide cross-sectional questionnaire study. SET...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1487377
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:This study aimed at evaluating the diagnostic accuracy of a consumer model acoustic reflectometer in the hands of parents in the detection of middle-ear fluid among children. DESIGN:Prospective diagnostic study according to STARD guidelines. Acoustic reflectometry recorded by the parents was compared with ot...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430903072165
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439709035024
更新日期：1997-12-01 00:00:00
abstract：:The study describes health, social situation, and contact with general practitioners in a random sample of non-institutionalized persons 70-95 years old in Denmark. There was a strong correlation between health and contact with general practitioners. A small group, 3% of the respondents, had no health problems, but ha...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439109018528
更新日期：1991-12-01 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：: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: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：OBJECTIVE:To assess the incidence of whiplash associated disorders (WAD) after minor whiplash injuries in car accidents. DESIGN:A cohort defined by means of a health-care-based registration of traffic injuries and followed up by postal questionnaire after 12 months. SETTING:Primary and hospital care in a Swedish midd...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134300453359
更新日期：2000-09-01 00:00:00
abstract：UNLABELLED:OBJECTIVE--To compare general practitioners' routines regarding iron supplementation in pregnancy with national recommendations. DESIGN:Mailed questionnaire to general practitioners. SETTING:A county in western Norway. SUBJECTS:184 general practitioners. MAIN OUTCOME MEASURES:Descriptive registration of ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439308994841
更新日期：1993-12-01 00:00:00
abstract：OBJECTIVE:To explore the medically unexplained disorders by examining endpoints of irresolute diagnostic strategies. DESIGN:Qualitative observational study based on audio-taped general practice consultations, editing analysis style inspired by Giorgi's phenomenological approach. SETTING:Primary health care. SUBJECTS...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134302760234582
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVE:To study the effects of applying an emergency department (ED) triage system, combined with extensive publicity in local media about the "right" use of emergency services, on the division of work between ED nurses and general practitioners (GPs). DESIGN:An observational and quasi-experimental study based on b...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2015.1041825
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression. DESIGN AND SETTIN...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2014.984961
更新日期：2014-12-01 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:Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN:Parallel-group controlled pragmatic pilot trial. SUBJECTS:There was a total of 83 patie...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.1080/02813432.2019.1569415
更新日期：2019-03-01 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：:The aim of the study was to describe and evaluate a controlled intervention to achieve more rational and economical drug therapy in general practice. The strategy was based on peer comparison feedback and encouragement of local peer group discussions. Seven districts comprising 53, and 6 districts comprising 55 eligib...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014040
更新日期：1992-03-01 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: It is generally expected that the growth of the older population will lead to an increase in the use of health care services. The aim was to examine the changes in the number of visits made to general practitioners (GP) by the older age groups, and whether such changes were associated with changes in mortal...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1684426
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2010.501235
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVES:To examine the access, workload, duties, commitments and quality standards of primary care physicians (GPs) resulting from out-of-hours service. SETTING:All GPs (n = 96) in rural Iceland. MAIN OUTCOME MEASURES:Answers to a postal survey. RESULTS:The participation rate was 80%. The GPs estimated that in 97...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134300750018945
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVE:To study factors of importance for infants' use of health and medical care. DESIGN:We studied the medical records of the mother during pregnancy (at the health centre, at the antenatal clinics, and at the department of obstetrics and gynaecology) and of her infant during the first 18 months of life (at the h...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439609024173
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVE:To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication. DESIGN:An epidemiological survey using a questionnaire. SETTING:The county of Jämtland in northern Sweden. SUBJECTS:3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-y...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750003278
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE:Approximately 98% of Danish citizens are listed with a general practice which they consult for medical advice. Although 85% of the population contact their general practitioner (GP) every year, little is known about these contacts. The aim of the present paper is to gain updated knowledge about patients' reas...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2012.679230
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510015259
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1499514
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:To study factors of importance for participation in parental education within routine child health care. DESIGN:All parents of children born during 1 year were invited by the district nurse to participate in parental education; their participation during the infant year was registered. SETTING:Catchment are...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430310000555
更新日期：2003-03-01 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：: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 dist...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1619829
更新日期：2019-06-01 00:00:00
abstract：:Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse regarding the health consequences when medically indicated HEMS missions are cancelled and the pa...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608056
更新日期：2019-06-01 00:00:00
