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 varied from about 20% for acute otitis media and acute upper respiratory tract infections to about 70% for sinusitis and tonsillitis. Only attitude--toward prescribing antibiotics in sore throat--and years of settlement were important predictor variables. The other characteristics studied--type of practice, list size, frequency of use of Het Farmacotherapeutisch Kompas, containing national pharmacotherapeutical guidelines, and urbanization level were not. The importance of attitude, however, was less for general practitioners who went into practice after 1975. This means that the influence of a personal characteristic as attitude might have become less influential since the introduction of vocational training for general practice.
journal_name
Fam Practjournal_title
Family practiceauthors
Kuyvenhoven M,de Melker R,van der Velden Kdoi
10.1093/fampra/10.4.366subject
Has Abstractpub_date
1993-12-01 00:00:00pages
366-70issue
4eissn
0263-2136issn
1460-2229journal_volume
10pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:Studies examining the impact nurse prescribing have largely focused on the efficacy of the service. It was suggested in pro-prescribing policy arguments that extending the nursing role to include prescribing would increase job satisfaction. This assertion has not been fully explored. OBJECTIVES:To investiga...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr077
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:This study aimed to examine if providing feedback to the doctor can improve patient-doctor concordance (PDC) on health problems and treatments. METHODS:The study was carried out in a hospital-based primary care service in a lower socioeconomic status (SES) region of metropolitan Melbourne, Australia. A summa...
journal_title:Family practice
pub_type: 临床试验,杂志文章
doi:10.1093/fampra/13.5.427
更新日期:1996-10-01 00:00:00
abstract::This paper describes some of the barriers to caring for people with HIV and AIDS by general practitioners. It is based on a review of the literature and on interviews with individuals. The first section examines the reasons given by interviewees for their involvement in HIV and AIDS care. The next section discusses th...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/10.1.8
更新日期:1993-03-01 00:00:00
abstract::Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.1.61
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:To examine whether heart failure patients' awareness of the purpose and side effects of their medicines equips them to participate in informed discussions about treatments. DESIGN:Qualitative interviews using a maximum variation sample were collected. Interviews were analysed using constant comparison. SETT...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml036
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Patient self-report measures of primary care are being used increasingly for quality assessment and improvement. The General Practice Assessment Survey (GPAS) is a widely used measure. However, it is important that the measures used are valid and interpretable. Factor analysis is a useful method to assist in...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.5.489
更新日期:2002-10-01 00:00:00
abstract::After-hours care remains an important aspect of community practice although little is known about the views of either physicians or patients. This study presents an analysis of 12 499 after-hours calls made to a family practice centre over a five-year period, and 798 follow-up telephone interviews conducted with peopl...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/2.1.10
更新日期:1985-03-01 00:00:00
abstract:BACKGROUND:The electronic health record (EHR) allows a detailed study of the primary care consultations and assessment of variability among physicians regarding the implementation of practices for prevention, detection and monitoring of chronic diseases. OBJECTIVES:To describe the variability in the detection and surv...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cms019
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Endometriosis is an invalidating gynaecological condition in women of reproductive age, and a frequent cause of infertility. Unfortunately, the condition is characterized by a long interval between onset of symptoms and diagnosis. GPs in the Netherlands are educated to provide basic gynaecological care and s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz041
更新日期:2020-02-19 00:00:00
abstract:Background:The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives:Over the past 30 years, we aim to a...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy031
更新日期:2018-12-12 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
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/fampra/cmn025
更新日期:2008-06-01 00:00:00
abstract::Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of u...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/11.4.351
更新日期:1994-12-01 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
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmr085
更新日期:2012-06-01 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
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00
abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg302
更新日期:2003-06-01 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
pub_type: 杂志文章
doi:10.1093/fampra/14.6.478
更新日期:1997-12-01 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
pub_type: 杂志文章
doi:10.1093/fampra/cmq050
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHOD...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/18.1.60
更新日期:2001-02-01 00:00:00
abstract:BACKGROUND:Recruitment of representative samples in primary care research is essential to ensure high-quality, generalizable results. This is particularly important for research using routinely recorded patient data to examine the delivery of care. Yet little is known about how different recruitment strategies influenc...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmw003
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Medical end-of-life decisions (ELDs) have been discussed for several years in different countries, but little is known about the involvement of GPs in these ELDs. OBJECTIVES:The aim of the present study was to establish the incidence and characteristics of ELDs by GPs. METHOD:We selected 3999 deaths, a 20%...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh312
更新日期:2004-06-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/cmg618
更新日期:2003-12-01 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
pub_type: 杂志文章
doi:10.1093/fampra/cmh611
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES:The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of hi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh730
更新日期:2005-06-01 00:00:00
abstract::The three papers reviewed for this issue deal with unrelated aspects of hypertension, illustrating the broad range of questions that still exist about optimal diagnosis and management. Physicians have for years been unsure about the efficacy, safety, and impact on morbidity of treating ISH. The result of these concern...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/9.1.104
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND:Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. OBJECTIVE:Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. METHODS:We conducted a cross-sectional study of a...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa023
更新日期:2020-09-05 00:00:00
abstract:Introduction:We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives:Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic ret...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx020
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Excessive prescription of antibiotics in patients with lower respiratory tract infection (LRTI) is common in primary care and might be reduced by rapid point-of-care (POC) C-reactive protein (CRP) testing. However, the exact benefits of this test are unclear. OBJECTIVE:To review the available evidence for t...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmr119
更新日期:2012-08-01 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
pub_type: 杂志文章
doi:10.1093/fampra/7.4.279
更新日期:1990-12-01 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
pub_type: 杂志文章
doi:10.1093/fampra/8.2.145
更新日期:1991-06-01 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
pub_type: 杂志文章,评审
doi:10.1093/fampra/2.1.4
更新日期:1985-03-01 00:00:00