Abstract：
OBJECTIVE:To increase our knowledge about the diagnostic process in physiotherapy and to identify possible differential frames of reference. DESIGN:Video-recordings and semi-structured interviews of the participants. SETTING:Natural working settings, i.e. private institutes and patients' homes. PARTICIPANTS:Manual, psychomotor, and district (visiting) therapists. RESULTS:The three categories of therapists use different approaches and operate within different interpretative frames throughout. They direct their attention towards different aspects of the patient's body, function, and life situation, they interpret information differently, they conclude their examinations in different ways, and suggest different treatments. The observed dissimilarities are generally mirrored by the therapists' verbal statements. But certain discrepancies between actions and statements are also found. CONCLUSION:This study shows how practice and the way of thinking can differ among physiotherapists. Renewed reflection on actual practice is called for, and the diagnostic process should be approached as an active interpretive enterprise.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Thornquist Edoi
10.3109/02813439408997056subject
Has Abstractpub_date
1994-03-01 00:00:00pages
44-50issue
1eissn
0281-3432issn
1502-7724journal_volume
12pub_type
杂志文章abstract：OBJECTIVE:To assess the effect on referral rate when GPs are given a better opportunity to send their patients to specialists for consultation. DESIGN:Intervention study with a control group. SETTING AND SUBJECTS:A 34-month experiment in the City of Turku. The experimental group consisted of 10 GPs working in municip...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134301750235295
更新日期：2001-06-01 00:00:00
abstract：:In Iceland a problem oriented medical record system for primary health care has been developed. A contact-form is used to record data on all contacts between the inhabitants in a district and the health center. A minicomputer is used for retrieval and analysis. One rural health center using this system has been succes...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438409017714
更新日期：1984-11-01 00:00:00
abstract：:The Swedish trial in old patients with hypertension was initiated by the Swedish League against Hypertension. It will be conducted as a prospective multicentre study in Swedish primary health care, and will comprise approximately 2 000 patients on active treatment and 2 000 on placebo to be studied for three years. Th...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章
doi：10.3109/02813438609014824
更新日期：1986-09-01 00:00:00
abstract：OBJECTIVE:To examine if abstention from smoking in pregnancy increases with opportunities to limit workload. DESIGN:Cross-sectional study based on self-administered questionnaires to women post partum. SETTING:All maternity wards in Norway, 16 October-26 November 1989. SUBJECTS:5 438 women, or 87.2% of all parturien...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439608997064
更新日期：1996-03-01 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 study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVE:To study the distribution of prenatal and postnatal risk factors for sudden infant death syndrome (SIDS). DESIGN:A questionnaire-based survey for SIDS risk factors; family interviews were performed among the parents of SIDS victims and symptom-free infants. SETTING:The survey was conducted in paediatric pri...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134301316982414
更新日期：2001-09-01 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:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.811943
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:To determine which treatment strategy offers the most cost-effective option in managing acute sinusitis. DESIGN:The modelling procedure included five clinical strategies, varying from "wait and see for a week", to "prescribing antibiotics selectively" to "prescribing antibiotics immediately" and to "performi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134301300034729
更新日期：2001-03-01 00:00:00
abstract：:The aim of the study was to evaluate the efficiency of different strategies of intervention to reduce prescription of hypnotics/sedatives in general practice. All 356 general practitioners in the county of Aarhus, Denmark, were divided in three groups. One group received personal information at meetings, another recei...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439008994941
更新日期：1990-07-01 00:00:00
abstract：:In an out-patient clinic for specialised medical care, 30 patients were questioned about their worries prior to the visit. The purpose of the study was to obtain basic knowledge about emotional experiences of patients visiting a doctor. The theoretical viewpoint was that of social interaction and social construction o...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909088664
更新日期：1989-12-01 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：:Objective: The objective of this study was to investigate the psychosocial consequences of receiving false-positive colorectal cancer (CRC) screening results, following a positive immunochemical faecal occult blood test. Design, setting, and subjects: We conducted a qualitative study with four semi-structured focus gr...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1608040
更新日期：2019-06-01 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：:Ten study populations sampled from a total of 86 communities in a rural Ethiopian area, have been registered and followed for a period of four years. A baseline census revealed a median age of 15 years, a literacy rate of 24%, poor housing and environmental conditions, and low utilization of the existing health care f...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014061
更新日期：1992-09-01 00:00:00
abstract：:A cross-sectional study carried out among 269 mother-infant pairs in Istanbul showed that the majority of infants began receiving regular complements or had been weaned before the age of three months. A prospective study carried out among 24 mothers beginning the last month of pregnancy and continuing until the time w...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609014837
更新日期：1986-11-01 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 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
pub_type： 杂志文章
doi：10.1080/02813430601035290
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430902759663
更新日期：2009-01-01 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：: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 ...
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:To explore whether the patient-list system, recently introduced in general practice, has influenced general practitioners' (GPs') self-perception as gatekeepers. DESIGN:Structured focus group interviews with GPs and a short self-administered questionnaire. SETTING:Primary care within the public health care ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430310004155
更新日期：2003-12-01 00:00:00
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：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 study the predictive value of clinical chest findings for bronchial airflow limitation in patients with respiratory tract infection. DESIGN:Associations were analysed between FEV1 (forced expiratory volume in one second) in % of predicted and physical chest findings. SETTING:The Municipal Emergency Clini...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439508996773
更新日期：1995-12-01 00:00:00
abstract：:Objective: The main objective of this study was to investigate the psychometric properties of the Zung Self-Rating Depression Scale (SDS) and evaluate screening parameters capability of the SDS with the Beck Depression Inventory (BDI-21) among the elderly population. Design: A population-based study Setting: Community...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1639923
更新日期：2019-09-01 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：STUDY OBJECTIVE:The aim of the study was to investigate the relationship between morbidity in early childhood and gender, birth order, and social class. DESIGN:The study used data collected in the Nijmegen Continuous Morbidity Registration. All presented morbidity and a number of personal data were available. SETTING...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439209014047
更新日期：1992-06-01 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
