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 1994 and identify any associations with personal and practice characteristics. METHODS:All general practitioners with patients in Staffordshire were invited to complete the Hospital Anxiety and Depression (HAD) scale. RESULTS:Six hundred and twenty of 896 general practitioners replied (response rate 69%). No gender differences were found in rates of anxiety and depression; overall, 19% of respondents were 'cases' of anxiety and 22% others had borderline anxiety scores; 10% were 'cases' of depression and 16% others had borderline depression scores. Anxiety 'caseness' was associated with living alone, amount of on-call duties undertaken, and being fourth/fifth wave fundholders. Depression 'caseness' was associated with having little free time from practice work, amount of on-call, being single handed, and working in a non-training practice. CONCLUSIONS:The authors concluded that the level of mental ill-health in general practitioners is a matter of concern and is associated with workload.
journal_name
Fam Practjournal_title
Family practiceauthors
Chambers R,Campbell Isubject
Has Abstractpub_date
1996-04-01 00:00:00pages
170-3issue
2eissn
0263-2136issn
1460-2229journal_volume
13pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract::With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...
journal_title:Family practice
pub_type: 临床试验,杂志文章,评审
doi:10.1093/fampra/4.4.311
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:In view of the increasing cost of general practice of drug prescribing, it is important to look at ways of reducing drug wastage and thereby improve the cost-effectiveness of prescribing. OBJECTIVE:To determine the costs and cost savings to the NHS of instalment dispensing for newly prescribed medicines and...
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/cmn100
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa138
更新日期:2020-12-19 00:00:00
abstract:BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.4.419
更新日期:2001-08-01 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
pub_type: 杂志文章
doi:10.1093/fampra/17.2.108
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to ascertain GPs' views about open access to out-patient follow-up for patients with inflammatory bowel disease (IBD). METHODS:Semi-structured interviews and a postal survey were carried out in general practices in West Glamorgan UK, each with at least one IBD patient taking part in...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.1.53
更新日期:2002-02-01 00:00:00
abstract::The present study was performed to investigate the predictive value of casual blood pressure recordings for mortality in a geographically defined population (n = 1917), for which the primary health care services are responsible. Isotonic regression of blood pressure on age was used to define groups with low, medium an...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/3.1.3
更新日期:1986-03-01 00:00:00
abstract::A group of 317 overweight men and 565 overweight women was compared with an age-matched normal control group of 444 men and 627 women in order to establish whether hypertension was more often recorded in the obese group. This was done by analysing the continuous morbidity registration of four general practices with a ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/4.1.11
更新日期:1987-03-01 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
pub_type: 杂志文章
doi:10.1093/fampra/cmi094
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Few studies have evaluated roles of general practice-based pharmacists (PBPs), particularly in optimizing medicines management for older people with both multimorbidity and polypharmacy. OBJECTIVE:To explore the types and effectiveness of services provided by PBPs, either alone or in collaboration with othe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa146
更新日期:2021-01-28 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
pub_type: 杂志文章
doi:10.1093/fampra/1.3.173
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Although practice nurses play an important role in implementing smoking cessation strategies in primary care, relatively little is known of their attitudes and beliefs about giving smoking cessation advice. OBJECTIVES:To describe practice nurses' attitudes towards giving smoking cessation advice. METHODS:1...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi082
更新日期:2005-12-01 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:In the UK, the GP contract requires annual consultations and offers of home visits to the elderly. However, as many as 50% of elderly people refuse the offer of a health screen. OBJECTIVE:To describe the characteristics of elderly people who declined the offer of an annual home visit. METHOD:All elderly pe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/13.1.22
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:People with learning disabilities have become increasingly exposed to health risk with the move to community living. Yet, health promotion is poorly developed with a heavy reliance on primary care. OBJECTIVES:To elicit the perceptions of people with learning disabilities, carers and care workers regarding r...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm067
更新日期:2007-12-01 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
pub_type: 杂志文章
doi:10.1093/fampra/10.2.193
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. OBJE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa016
更新日期:2020-09-05 00:00:00
abstract::Following a study of process and outcomes in general practice consultations, we returned to the GP participants and asked them to comment on taped consultations which they had found unsatisfying. Their comments were then analysed for information about sources of occupational stress, coping strategies, and this method ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/11.4.413
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes. OBJECTIVE:To explore which specific patient-centered aspects of care were best associated with depression imp...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmw068
更新日期:2016-12-01 00:00:00
abstract::What happens in first encounters between patients and physiotherapists? Videotaped encounters between two patients and their physiotherapists were analysed in depth to try to answer this question. It is advocated that attention must not be restricted to either clinical decision making or communication, but needs to be...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.2.195
更新日期:1992-06-01 00:00:00
abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmz017
更新日期:2019-11-18 00:00:00
abstract::A course on the doctor and his feelings was presented as part of a programme for family medicine residents. The course was led by family physicians and behavioural science professionals who taught as an integrated team. Various teaching techniques were utilized to highlight emotional aspects of the doctor-patient rela...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.3.199
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health c...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa065
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:A consulting method known as 'shared decision making' (SDM) has been described and operationalized in terms of several 'competences'. One of these competences concerns the discussion of the risks and benefits of treatment or care options-'risk communication'. Few data exist on clinicians' ability to acquire ...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/cmh401
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmh703
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Pre-school children are frequent users of health services, but little contemporary data are available describing their symptoms or why they consult. OBJECTIVE:To describe symptom and consultation prevalence in pre-school children and to identify the socio-demographic factor or factors associated with consul...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi035
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Prevalence of overweight in children has increased significantly in many countries in the past decades. Few parents identify their own children as overweight, especially very young children. Motivating parents is difficult, and interventions to attain normal weight often fail. OBJECTIVE:To explore parents' ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmt056
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Studies using video-recordings of GPs' consultations have been important in investigating GPs' clinical behaviour. Unfortunately, the characteristics of participating GPs are rarely described, making it difficult to assess how representative they are or how generalizable the studies' results c...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/13.6.531
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:Adolescent obesity calls for evidence-based treatment approaches given its long-term physical and psychosocial consequences. However, research shows there are many problems in the translation of scientific evidence into practice. OBJECTIVE:The aim of this study was to develop science- and practice-based rec...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmr086
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr072
更新日期:2012-04-01 00:00:00