A randomized controlled trial of an intervention designed to improve the care given in general practice to Type II diabetic patients: patient outcomes and professional ability to change behaviour.

abstract：Background:There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective:To examine how tea...

journal_title：Family practice

authors： Blumenthal KJ,Chien AT,Singer SJ

更新日期：2018-12-12 00:00:00

abstract：BACKGROUND:In general practice, it is too time-consuming to invite all patients for cardiovascular risk assessment. OBJECTIVE:To examine how many patients with an indication for treatment with cardiovascular medication can be identified by ad hoc case-finding when all patients with overweight/obesity are invited for r...

journal_title：Family practice

authors： de Boer AW,de Mutsert R,den Heijer M,Jukema JW,Rosendaal FR,Blom JW,Assendelft WJ,NEO study group.

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:The combined influence of psychological distress, family dysfunction and social support on primary care consultation (PCC) remains unclear. OBJECTIVE. To build an explanatory model of PCC concerning users' psychosocial factors. METHODS:We undertook a multicentre, prospective cohort study of a random sample ...

journal_title：Family practice

authors： Bellón JA,Delgado-Sánchez A,de Dios Luna J,Lardelli-Claret P

更新日期：2007-12-01 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

authors： Kelly R

更新日期：1992-03-01 00:00:00

abstract：BACKGROUND:To improve earlier presentation with potential symptoms of cancer, accurate data are needed on how people respond to these symptoms. It is currently unclear how self-reported medical help-seeking for symptoms associated with cancer by people from the community correspond to what is recorded in their general ...

journal_title：Family practice

authors： Smith SM,Whitaker KL,Cardy AH,Elliott AM,Hannaford PC,Murchie P

更新日期：2020-02-19 00:00:00

abstract：:For the past 5 years there has been an intensive debate and a number of conflicting guidelines suggesting what general practitioners (GPs) should do to screen and manage hyperlipidaemia. At a WONCA seminar in Vancouver in 1992, policies and guidelines from Canada, the UK, The Netherlands, New Zealand, Hong Kong and th...

journal_title：Family practice

authors： Rosser WW,Palmer WH,Fowler G,Lamberts H,Thomson A,Lam C,Frame PS

更新日期：1993-12-01 00:00:00

abstract：:Recently, we published data of a 2 year randomized controlled study in which the effects of continuous versus symptomatic bronchodilator treatment in patients with moderate asthma or chronic bronchitis were investigated. The results showed that FEV1 decline in the continuously treated group was significantly larger th...

journal_title：Family practice

authors： van Schayck CP,Folgering H,den Otter JJ,Tirimanna P,van Weel C

更新日期：1992-12-01 00:00:00

abstract：BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...

journal_title：Family practice

authors： Stalman W,van Essen GA,van der Graaf Y,de Melker RA

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:Most individuals with current epilepsy are solely under the care of the primary care team for follow-up care. Government working party recommendations, expert epilepsy panels and patients have also stressed the central role of the GP in follow-up care. Problems in the provision of care in the community have,...

journal_title：Family practice

authors： Thapar AK,Stott NC,Richens A,Kerr M

更新日期：1998-10-01 00:00:00

abstract：:Upper respiratory tract infections (URTIs) are a common reason for presentation to general practitioners. The current study used computerised consultation records of 100,222 patients from 17 general practices in New Zealand for the 12-month period 1 July 1991-30 June 1992. URTIs were noted in 8.9% of all consultations...

journal_title：Family practice

authors： McGregor A,Dovey S,Tilyard M

更新日期：1995-06-01 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

authors： Howie JG

更新日期：1994-12-01 00:00:00

abstract：BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of a...

journal_title：Family practice

authors： Coupland CA,Savelyich BS,Hippisley-Cox J,Kendrick D,Groom L,Cross E

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries. general practice is a good place to survey unbiased prevalence rates. Ten studies done in general practice over the last 20 years found prevalence rates among smoke...

journal_title：Family practice

authors： Gingter C,Wilm S,Abholz HH

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...

journal_title：Family practice

authors： Geneau R,Lehoux P,Pineault R,Lamarche PA

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:The GP often has a primary function in assessing pigmented skin lesions in Denmark. No data are available on the diagnostic accuracy of this process. OBJECTIVE:We aimed to study the sensitivity, specificity and positive prognostic value of the diagnosis made by 27 trained or trainee GPs. METHOD:We tested t...

journal_title：Family practice

authors： Jemec GB

更新日期：1999-12-01 00:00:00

abstract：:The articles reviewed for this issue of 'Selections' concern potential therapies to prevent osteoporosis and cardiovascular disease in postmenopausal women. Each therapy is controversial and provokes more questions than answers. The most benign intervention is the administration of calcium to postmenopausal women whos...

journal_title：Family practice

authors： Froom J

更新日期：1991-09-01 00:00:00

abstract：BACKGROUND:Heroin addiction is a major public health problem affecting both the addicted individuals and their children, who have been shown to have poor social, educational and health status and to be at higher risk of abuse than their peers. Whilst the antenatal effects of parental drug use and the overall poor outco...

journal_title：Family practice

authors： Keen J,Oliver P,Rowse G,Mathers N

更新日期：2000-12-01 00:00:00

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

authors： Cousins R,Donnell C

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...

journal_title：Family practice

authors： Gabhainn SN,Murphy AW,Kelleher C

更新日期：2001-12-01 00:00:00

abstract：OBJECTIVE:To investigate the question whether or not spinal manipulation is associated with specific treatment effects. METHODS:Literature searches were carried out in Medline, Embase and The Cochrane Library. All sham-controlled trials of spinal manipulation were considered. RESULTS:Seven such studies were located. ...

journal_title：Family practice

authors： Ernst E

更新日期：2000-12-01 00:00:00

abstract：:Meta-analysis is a quantitative process of summary and interpretation which involves pooling information from independent studies concerning a single theme in order to draw conclusions. Greatly increased employment of meta-analysis is currently being advocated for clinical and policy decision making. However, the pres...

journal_title：Family practice

authors： Charlton BG

更新日期：1996-08-01 00:00:00

abstract：OBJECTIVES:Self-efficacy is an important factor influencing diabetes self-management behaviours. Previous studies have examined self-efficacy as a general measure in diabetes care for all self-care treatment recommendations together. This current study was designed to examine if low self-efficacy in each of the measure...

journal_title：Family practice

authors： Mishali M,Omer H,Heymann AD

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work. OBJECTIVE:The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher. METHODS:As part of ...

journal_title：Family practice

authors： Chew-Graham CA,May CR,Perry MS

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Client or consumer expectation is considered to influence their satisfaction with the service provided, but its importance has not been quantified in health care. OBJECTIVE:The aim of this study was to determine the effect of "patient expectations of care" on satisfaction with care provided by out-of-hours ...

journal_title：Family practice

authors： McKinley RK,Stevenson K,Adams S,Manku-Scott TK

更新日期：2002-08-01 00:00:00

abstract：:Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-manageme...

journal_title：Family practice

authors： Heisler M

更新日期：2010-06-01 00:00:00

abstract：:This paper describes the results of a study of the handling of confidentiality by general practitioners. A sample of 272 general practitioners in the eastern part of the Netherlands was interviewed. The general practitioners were presented with 10 cases involving confidentiality and were asked what course of action th...

journal_title：Family practice

authors： Lako CJ,Huygen FJ,Lindenthal JJ,Persoon JM

更新日期：1990-03-01 00:00:00

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

authors： Aldridge D,Pietroni P

更新日期：1987-12-01 00:00:00

abstract：:Emotional problems are an important component of general morbidity in primary care settings. Research on the sensitivity of primary care physicians to such problems is, however, scanty. This study examines the prevalence of emotional problems among 776 patients in primary care clinics in Israel using the GHQ-28 and as...

journal_title：Family practice

authors： Shiber A,Maoz B,Antonovsky A,Antonovsky H

更新日期：1990-09-01 00:00:00

abstract：:This study evaluated the influence of a desk-top analyser, used in general practice, on the mean number of blood tests per contact, prescribed or analysed by general practitioners. A randomized controlled trial was used. The mean number of blood tests per contact requested by two groups of GPs, before and after the in...

journal_title：Family practice

authors： Gilio C,Buntinx F,De Kezel O,Scheys I

更新日期：1993-06-01 00:00:00

abstract：BACKGROUND:Local adaptation is often reported in the literature to be an important strategy in achieving local ownership and relevance of guidelines in order to increase the likelihood of their uptake and implementation. However, the process is also potentially time-consuming and costly. OBJECTIVE:The aim of this stud...

journal_title：Family practice

authors： Silagy CA,Weller DP,Lapsley H,Middleton P,Shelby-James T,Fazekas B

更新日期：2002-06-01 00:00:00