Abstract:
OBJECTIVE:To test the reliability and validity of morbidity data recorded by general practitioners (family physicians) on structured recording forms in active data collection systems. DESIGN:The consulting general practitioner recorded the problems managed at 347 video-taped doctor-patient contacts. Two observers independently viewed the video-tapes and completed a recording form for each. Problems were centrally coded, using the International Classification of Primary Care (ICPC). SETTING:Primary health care. MAIN OUTCOME MEASURES:Overall distribution of the morbidity; positive agreement regarding the morbidity managed at matched contacts at three levels of specificity (chapter; chapter-component; specific rubric); agreement taking negative agreement into account using Cohen's Kappa. RESULTS:Overall distribution of morbidity did not differ between observers. Positive mean agreement was 78.8% at chapter level, 69.6% at chapter-component, and 55.9% at rubric level. Kappa statistics showed agreement better than chance in all chapters, but failed to reach significance at rubric level in three chapters. CONCLUSION:Morbidity data actively collected by GPs provide a reliable overview of morbidity managed in general practice. At a specific contact the morbidity recorded is reliable and valid at chapter level, and in most cases, at chapter-component level. At rubric level variance between practitioners in labelling the problem calls into question the validity and reliability of the data.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Britt H,Angelis M,Harris Edoi
10.1080/028134398750003412subject
Has Abstractpub_date
1998-03-01 00:00:00pages
50-5issue
1eissn
0281-3432issn
1502-7724journal_volume
16pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.982368
更新日期:2014-12-01 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::A questionnaire was sent in 1984 to 97 children with urticaria, who had previously been seen in Danish general practice during a period of three months in 1982. The questionnaire included questions about provoking factors and the course of the disease. Replies were received from 79 children, 46 of whom had experienced...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709024182
更新日期:1987-02-01 00:00:00
abstract:OBJECTIVE:To analyse the outcome of exercise testing and myocardial perfusion scintigraphy (MPS) in primary care patients with chest pain of new onset. DESIGN:Prospective, observational. Patients aged 20-79 years, consulting due to chest pain of new onset, were enrolled consecutively. SETTING:Three primary care healt...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430601116249
更新日期:2007-06-01 00:00:00
abstract::A written inquiry was undertaken to explore the expectations towards primary care physicians (general practitioners), as expressed by patients, local health board members and health centre staff members. Treatment without delay was given top priority both by patients and board members, while continuity of care was con...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013949
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN:The Dutch KERNset tool was translated into Danish and supplemented with items from oth...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1568712
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To investigate the public knowledge of cardiovascular risk factors including hyperlipidaemia, and attitudes to changes in lifestyle and to the role of the primary health care in preventive work. DESIGN:Postal questionnaire. SETTING:A physically defined area in south-western Stockholm. SUBJECTS:1000 randoml...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996739
更新日期:1995-03-01 00:00:00
abstract:PURPOSE:To reduce the country's sick leave rate, Norwegian politicians have suggested independent medical evaluations (IMEs) for sick-listed workers. IME was tested in a large, randomized controlled trial in one Norwegian county (Evaluation of IME in Norway, or 'the NIME trial'). The current study´s aim was to explore ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.1080/02813432.2018.1459168
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To explore how well physicians and patients predict sick-listing duration and the correspondence between their respective predictions. To study possible gender differences concerning prediction accuracy. DESIGN:Prospective observational study. SETTING:Two medium-sized primary care centres (PCC) in western S...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.915132
更新日期:2014-06-01 00:00:00
abstract::The clinical set-up in primary health care, with a specially trained nurse, a dietician, and a chiropodist under the supervision of general practitioners and giving patient education high priority, is evaluated after ten years in practice. Of the 391 patients cared for, 352 had non-insulin-dependent diabetes mellitus,...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994925
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. DESIGN:A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2017.1397253
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To analyse associations between symptoms and bacteriuria in uncomplicated lower urinary tract infection in women (LUTIW) and to evaluate outcome of therapy with three different regimens of pivmecillinam or placebo. DESIGN:Prospective, multicentre, randomized, double-blind, and placebo-controlled therapy stud...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/02813430601183074
更新日期:2007-03-01 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::Objective: To assess the use of point-of-care ultrasound (POCUS) in Norwegian general practice.Design: Retrospective register study based on general practitioners' (GPs') reimbursement claims.Setting: Norwegian general practice excluding out-of-hours clinics in 2009, 2012 and 2016.Subjects: GPs who scanned patients fo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1753385
更新日期:2020-06-01 00:00:00
abstract::This study which focused on the 169 approved certificates for patients applying for the right for "free" medication in a sickness insurance district during one year in Finland shows two interesting findings. These, cannot of course be generalized because of the low number of observations and of doctors involved (total...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017717
更新日期:1984-11-01 00:00:00
abstract:OBJECTIVE:To analyse the patterns of antibiotic prescription in the treatment of acute pharyngitis among a group of general practitioners (GPs). DESIGN:From the records of their patients, 11 specialists in general practice have collected post hoc data on their patients and on acute pharyngitis in the period from Octob...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/02813430050202523
更新日期:2000-03-01 00:00:00
abstract::Ninety-three percent of all problems and complaints reported by patients aged 21 and older to their family physician dealt with somatic disorders, and only 7% with psychosocial problems. Psychological complaints were evenly distributed among major age groups, and between male and female patients. "Social problems" pea...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438809009294
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVE:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430701760789
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in Mar...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134300448788
更新日期:2000-12-01 00:00:00
abstract::Demonstration of significant bacteriuria by quantitative culture of a urine specimen by use of dip-slides is a well proved diagnostic procedure in general practice. Susceptibility testing from urine specimens by use of dip-slides or agar-plates seems likewise easy to perform in general practice, but commercial methods...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014832
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:Low plasma (p)-albumin and p-calcium concentrations are associated with increased mortality in hospitalised patients. There are few studies addressing this in primary care. Low p-calcium has been associated with mortality, but it is not known whether this applies to p-albumin. Could p-albumin and p-calcium be...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1843809
更新日期:2020-12-01 00:00:00
abstract::OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2011.562363
更新日期:2011-06-01 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: 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::Health problems in female patients often confuse the general practitioner. Many of them are classified as "unspecific" or "various". Psychiatric, psychosomatic or musculosceletal diagnoses may imply a diagnostic level inadequate for proper solution of the problems. This study of middle-aged female patients assumes tha...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709018097
更新日期:1987-11-01 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 evaluate the impact of an intensive pharmaceutical care campaign targeting inappropriate use of triptans. DESIGN:Randomized controlled trial. SETTING:22 community pharmacies in the County of Funen, Denmark. SUBJECTS:A total of 1123 triptan users at intervention pharmacies and 1340 at control pharmacies....
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.1080/02813430500444916
更新日期:2006-03-01 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:To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1523993
更新日期:2018-12-01 00:00:00
abstract::Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1639909
更新日期:2019-09-01 00:00:00