The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders.

abstract：BACKGROUND:Disabling fatigue is the main illness related reason for prolonged absence from school. Although there are accepted criteria for diagnosing chronic fatigue in adults, it remains uncertain as to how best to define disabling fatigue and Chronic Fatigue Syndrome (CFS) in children and adolescents. In this popula...

journal_title：BMC family practice

authors： Fowler T,Duthie P,Thapar A,Farmer A

更新日期：2005-08-09 00:00:00

abstract：BACKGROUND:Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and d...

journal_title：BMC family practice

authors： Putnam W,Burge FI,Lawson B,Cox JL,Sketris I,Flowerdew G,Zitner D

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescr...

journal_title：BMC family practice

authors： Cordoba G,Siersma V,Lopez-Valcarcel B,Bjerrum L,Llor C,Aabenhus R,Makela M

更新日期：2015-01-29 00:00:00

abstract：BACKGROUND:Urinary tract infections are one of the most common reasons for prescribing antibiotics in primary care. Current guidelines recommend fosfomycin, nitrofurantoin, or trimethoprim - sulfamethoxazol as empiric first line antimicrobial agents in uncomplicated infections. However, there is evidence that the use o...

journal_title：BMC family practice

authors： Plate A,Kronenberg A,Risch M,Mueller Y,Di Gangi S,Rosemann T,Senn O

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising 's...

journal_title：BMC family practice

authors： Janssen M,Sagasser MH,Fluit CRMG,Assendelft WJJ,de Graaf J,Scherpbier ND

更新日期：2020-09-02 00:00:00

abstract：BACKGROUND:Multimorbidity is defined as suffering from coexistent chronic conditions. Multimorbid patients demand highly complex patient-centered care which often includes polypharmacy, taking an average of six different drugs per day. Adverse drug reactions, adverse drug events and medication errors are all potential ...

journal_title：BMC family practice

authors： Köberlein J,Gottschall M,Czarnecki K,Thomas A,Bergmann A,Voigt K

更新日期：2013-08-15 00:00:00

abstract：BACKGROUND:Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax ...

journal_title：BMC family practice

authors： Cantrell J,Shelley D

更新日期：2009-12-17 00:00:00

abstract：BACKGROUND:Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. METHODS:Internet based survey of 3081 primary care physicians, recruited via ...

journal_title：BMC family practice

authors： Rehm J,Prieto JA,Beier M,Duhot D,Rossi A,Schulte B,Zarco J,Aubin HJ,Bachmann M,Grimm C,Kraus L,Manthey J,Scafato E,Gual A

更新日期：2016-09-08 00:00:00

abstract：BACKGROUND:Maintaining a maternity care system is one of the biggest issues in Japan due to the decreasing number of obstetricians, especially in remote areas and islands. The aim of this qualitative study was to explore the challenges in women's health and maternity care in remote areas and islands for primary care ph...

journal_title：BMC family practice

authors： Shibata A,Kaneko M,Inoue M

更新日期：2018-07-18 00:00:00

abstract：BACKGROUND:Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need in people with stroke. AIM:We aimed to explore, refine and test the feasibility and acceptability of...

journal_title：BMC family practice

authors： Turner GM,Mullis R,Lim L,Kreit L,Mant J

更新日期：2019-01-04 00:00:00

abstract：BACKGROUND:Māori men in New Zealand have higher mortality from prostate cancer, despite having lower incidence rates. The objective of this study was to examine patterns of screening for prostate cancer in primary care and follow-up investigations after an elevated prostate-specific antigen (PSA) result in Māori and no...

journal_title：BMC family practice

authors： Obertová Z,Scott N,Brown C,Hodgson F,Stewart A,Holmes M,Lawrenson R

更新日期：2014-08-26 00:00:00

abstract：BACKGROUND:The majority of patient contacts occur in general practice but general practice patient safety has been poorly described and under-researched to date compared to hospital settings. Our objective was to produce a set of patient safety tools and indicators that can be used in general practices in any healthcar...

journal_title：BMC family practice

authors： Bell BG,Spencer R,Avery AJ,Campbell SM

更新日期：2014-06-05 00:00:00

abstract：BACKGROUND:The family doctor system is a vital part of China's national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy makers in Pudong with resource allocation planning. This study analyzed changes in indicators (family d...

journal_title：BMC family practice

authors： Liu S,Liu Y,Zhang T,Wang L,Huang J,Liang H,Chen G,Liu C,Zhang Y

更新日期：2021-01-08 00:00:00

abstract：BACKGROUND:Gout is estimated to affect 1.4% of adults in the UK. Appropriate and timely management is essential to reduce the risk of further flares, complications, and to reduce cardiovascular disease risk. The British Society for Rheumatology and British Health Professionals in Rheumatology (BSR/BHPR) and the Europea...

journal_title：BMC family practice

authors： Cottrell E,Crabtree V,Edwards JJ,Roddy E

更新日期：2013-11-14 00:00:00

abstract：BACKGROUND:Since 2008 mental health practice nurses have been gradually introduced in general practices in the Netherlands as part of health policy aiming to improve early identification and treatment of mental health problems in primary care. This study aims to investigate the effect of the introduction of the practic...

journal_title：BMC family practice

authors： Abidi L,Oenema A,Verhaak P,Tan FES,van de Mheen D

更新日期：2019-04-02 00:00:00

abstract：BACKGROUND:The UK National GP Patient Survey is one of the largest ever survey programmes of patients registered to receive primary health care, inviting five million respondents to report their experience of NHS primary healthcare. The third such annual survey (2008/9) involved the development of a new survey instrume...

journal_title：BMC family practice

authors： Campbell J,Smith P,Nissen S,Bower P,Elliott M,Roland M

更新日期：2009-08-22 00:00:00

abstract：BACKGROUND:Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men's Well-b...

journal_title：BMC family practice

authors： Cheshire A,Peters D,Ridge D

更新日期：2016-02-02 00:00:00

abstract：BACKGROUND:Due to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandate...

journal_title：BMC family practice

authors： Herzog A,Gaertner B,Scheidt-Nave C,Holzhausen M

更新日期：2015-03-14 00:00:00

abstract：BACKGROUND:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...

journal_title：BMC family practice

authors： O'Regan A,Hayes P,O'Connor R,Casey M,O'Dwyer P,Culhane A,O'Donnell P,Stack G,Cuddihy J,O'Connell B,O'Flynn J,Cullen W,O'Doherty J,O'Connell M,Glynn L

更新日期：2020-02-05 00:00:00

abstract：BACKGROUND:Attention deficit hyperactivity disorder (ADHD) is underdiagnosed in the UK and the assessment and diagnosis pathway often involves a general practitioner (GP) referral to secondary care services. GPs' levels of knowledge and understanding about ADHD is often a significant barrier in patients accessing care....

journal_title：BMC family practice

authors： French B,Daley D,Perez Vallejos E,Sayal K,Hall CL

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Audits have shown numerous deficiencies in the quality of hypertension and diabetes primary care in Barbados, despite distribution of regional guidelines. This study aimed to evaluate the knowledge, attitudes and practices, and the barriers faced by primary care practitioners in Barbados concerning the recom...

journal_title：BMC family practice

authors： Adams OP,Carter AO

更新日期：2010-12-03 00:00:00

abstract：BACKGROUND:Antibiotics are being overprescribed in ambulant care, especially for respiratory tract infections (RTIs). Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. We aimed to determine items of importance for the ant...

journal_title：BMC family practice

authors： Coenen S,Michiels B,Van Royen P,Van der Auwera JC,Denekens J

更新日期：2002-09-09 00:00:00

abstract：BACKGROUND:Obesity is an important public health problem. However, the effects of alcohol use on the risk for obesity have not been thoroughly explored. This study focuses on how frequency of alcohol use is related to the risk of obesity in a community medicine clinic population. METHODS:This study used a cross-sectio...

journal_title：BMC family practice

authors： Rohrer JE,Rohland BM,Denison A,Way A

更新日期：2005-04-22 00:00:00

abstract：BACKGROUND:Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to asse...

journal_title：BMC family practice

authors： Rodrigues LB,Dos Santos CB,Goyatá SL,Popolin MP,Yamamura M,Deon KC,Lapão LM,Santos Neto M,Uchoa SA,Arcêncio RA

更新日期：2015-07-22 00:00:00

abstract：BACKGROUND:Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany, working in rural areas is often thought to be associated with more working hours, a higher number of patients and a lower income than working in urban areas. These perceptions ...

journal_title：BMC family practice

authors： Steinhaeuser J,Joos S,Szecsenyi J,Miksch A

更新日期：2011-10-11 00:00:00

abstract：BACKGROUND:Patients with medically unexplained symptoms (MUS) are common in primary care, and pose a communicative and therapeutic challenge to GPs. Although much has been written about GPs' frustration and difficulties while dealing with these patients, research presenting the patients' perspectives on MUS still seems...

journal_title：BMC family practice

authors： Sowińska A,Czachowski S

更新日期：2018-02-02 00:00:00

abstract：BACKGROUND:Low patient satisfaction with the quality of out-of-hours primary care (OOH-PC) has been linked with several individual and organizational factors. However, findings have been ambiguous and may not apply to the Danish out-of-hours (OOH) setting in which general practitioners (GPs) perform the initial telepho...

journal_title：BMC family practice

authors： Tranberg M,Vedsted P,Bech BH,Christensen MB,Birkeland S,Moth G

更新日期：2018-01-11 00:00:00

abstract：BACKGROUND:A perennial challenge of primary care quality improvement is to establish why interventions work in some circumstances, but not others. This study aimed to identify factors explaining variations in the impact on clinical practice of a facilitation led vascular health intervention in Australian family practic...

journal_title：BMC family practice

authors： Russell G,Lane R,Parker S,Litt J,Mazza D,Lloyd J,Zwar N,van Driel M,Del Mar C,Smith J,Harris MF,Preventive Evidence into Practice (PEP) Partnership Group.

更新日期：2019-08-08 00:00:00

abstract：BACKGROUND:Primary health care systems are designed to provide comprehensive patient care. However, the ICD 9 coding system used for billing purposes in Canada neither characterizes nor captures the scope of clinical practice or complexity of physician-patient interactions. This study aims to describe the content of pr...

journal_title：BMC family practice

authors： Katz A,Halas G,Dillon M,Sloshower J

更新日期：2012-02-15 00:00:00

abstract：BACKGROUND:Frailty is a condition of increasing importance, given the aging adult population. With an anticipated shortage of geriatricians, primary care physicians will increasingly need to manage care for frail adults with complex functional risks and social-economic circumstances. METHODS:We used cross-sectional da...

journal_title：BMC family practice

authors： Lee DR,Santo EC,Lo JC,Ritterman Weintraub ML,Patton M,Gordon NP

更新日期：2018-10-19 00:00:00