Abstract:
BACKGROUND:Home visits are part of general practice work in Germany. Within the context of an expanding elderly population and a decreasing number of general practitioner (GPs), open questions regarding the organisation and adequacy of GPs' care in immobile patients remain. To answer these questions, we will conduct a representative primary data collection concerning contents and organisation of GPs' home visits in 2014. Because this study will require considerable efforts for documentation and thus substantial involvement by participating GPs, we conducted a pilot study to see whether such a study design was feasible. METHODS:We used a mixed methods design with two study arms in a sample of teaching GPs of the University Halle. The quantitative arm evaluates participating GPs and documentation of home visits. The qualitative arm focuses on reasons for non-participation for GPs who declined to take part in the pilot study. RESULTS:Our study confirms previously observed reasons for non-response of GPs in the particular setting of home visits including lack of time and/or interest. In contrast to previous findings, monetary incentives were not crucial for GPs participation. Several factors influenced the documentation rate of home visits and resulted in a discrepancy between the numbers of home visits documented versus those actually conducted. The most frequently reported problem was related to obtaining patient consent, especially when patients were unable to provide informed consent due to cognitive deficits. CONCLUSIONS:The results of our feasibility study provide evidence for improvement of the study design and study instruments to effectively conduct a documentation-intensive study of GPs doing home visits. Improvement of instructions and questionnaire regarding time variables and assessment of the need for home visits will be carried out to increase the reliability of future data. One particularly important methodological issue yet to be resolved is how to increase the representativeness of home visit care by including the homebound patient population that is unable to provide informed consent.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Voigt K,Taché S,Klement A,Fankhaenel T,Bojanowski S,Bergmann Adoi
10.1186/1471-2296-15-87subject
Has Abstractpub_date
2014-05-06 00:00:00pages
87issn
1471-2296pii
1471-2296-15-87journal_volume
15pub_type
杂志文章abstract:BACKGROUND:Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine the clinical indications of ultrasound in Swiss general practice...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01209-7
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0476-1
更新日期:2016-07-21 00:00:00
abstract:BACKGROUND:Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with diabetes. This practice model is being implemented throughout Canada in an effort to increase patient a...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0407-1
更新日期:2016-02-01 00:00:00
abstract:UNLABELLED:This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid. BACKGROUND:The results on clinical practice of introducing CPGs have been little studied in Spain. The strategy used to implement a CP...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-12-21
更新日期:2011-04-19 00:00:00
abstract:BACKGROUND:Survivers of stroke or transient ischaemic attacks (TIA) are at risk of new vascular events. Our objective was to study primary health care patients with stroke/TIA regarding their knowledge about risk factors for having a new event of stroke/TIA, possible associations between patient characteristics and pat...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-47
更新日期:2010-06-15 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
pub_type: 杂志文章
doi:10.1186/s12875-018-0851-1
更新日期:2018-10-19 00:00:00
abstract:BACKGROUND:Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the c...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-15-52
更新日期:2014-03-25 00:00:00
abstract:BACKGROUND:Biological and sociocultural differences between men and women may play an important role in medical treatment. Little is known about the awareness of these differences among general practitioners (GPs) and if they consider such differences in their medical practice. The aim of this study was to explore GPs'...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0351-5
更新日期:2015-10-13 00:00:00
abstract:BACKGROUND:Overuse of proton pump inhibitors (PPIs) - frequently used for relieving symptoms of gastroesophageal reflux disease (GORD) - raises long-term safety concerns, warranting evidence-based non-drug interventions. We conducted a systematic review to evaluate the effect of head-of-bed elevation on relieving sympt...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-021-01369-0
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:Reform of primary healthcare (PHC) organisations is underway in Canada. The capacity of various types of PHC organizations to respond to populations' needs remains to be assessed. The main objective of this study was to evaluate the association of PHC affiliation with unmet needs for care. METHODS:Populatio...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-66
更新日期:2012-07-02 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
pub_type: 杂志文章
doi:10.1186/1471-2296-6-17
更新日期:2005-04-22 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
pub_type: 杂志文章
doi:10.1186/s12875-020-01234-6
更新日期:2020-09-02 00:00:00
abstract:BACKGROUND:The protection and promotion of breastfeeding is considered a priority in Europe where only 22% of infants less than 6 months old are exclusively breastfed. In Spain this percentage reaches 24.8% but in our city it falls to 18.26%. Various studies emphasise that the improvement of these results should be bas...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-12-144
更新日期:2011-12-30 00:00:00
abstract:BACKGROUND:Hallingdal is a rural region in southern Norway. General practitioners (GPs) refer acutely somatically ill patients to any of three levels of care: municipal nursing homes, the regional community hospital or the local general hospital. The objective of this paper is to describe the patterns of referrals to t...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-87
更新日期:2013-06-22 00:00:00
abstract:BACKGROUND:Though screening and intervention for alcohol and tobacco misuse are effective, primary care screening and intervention rates remain low. Previous studies have increased intervention rates using vital signs screening for tobacco misuse and clinician prompts for screen-positive patients for both alcohol and t...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-18
更新日期:2010-03-05 00:00:00
abstract:BACKGROUND:Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to p...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-014-0167-8
更新日期:2014-10-25 00:00:00
abstract:BACKGROUND:Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health a...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-33
更新日期:2009-05-11 00:00:00
abstract:BACKGROUND:Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians con...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0743-4
更新日期:2018-05-14 00:00:00
abstract:BACKGROUND:In the primary health care setting, patients interact directly with their healthcare workers (HCW), which include their primary physicians, nurses and pharmacists. Studies have shown that such interactions, when interrupted by phone calls received by either party, can lead to adverse outcomes and negative ex...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0330-x
更新日期:2015-09-02 00:00:00
abstract:BACKGROUND:The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a mean to reduce the burden of lifestyle-related diseases, though with mixed evidence on effectivenes...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0820-8
更新日期:2018-07-21 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
pub_type: 杂志文章
doi:10.1186/1471-2296-13-7
更新日期:2012-02-15 00:00:00
abstract:BACKGROUND:Although many studies have documented patient-, clinician-, and organizational barriers/facilitators of primary care among people with mental illnesses, few have examined whether these factors predict actual rates of preventive service use. We assessed whether clinician behaviors, beliefs, characteristics, a...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-017-0693-2
更新日期:2018-01-12 00:00:00
abstract:BACKGROUND:Depression is a major health concern, predominantly treated by general practitioners (GPs). Problem solving therapy (PST) is recognised as an effective treatment for depression that is not widely used by GPs. This research aims to explore barriers and enablers that may influence GPs use of this treatment. M...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-8-24
更新日期:2007-04-25 00:00:00
abstract:BACKGROUND:In many countries, general practitioner (GP) care of acute low back pain often does not adhere to evidence-based clinical guidelines. There has been little exploration of this deviation from evidence-based care from the patients' perspective, particularly in relation to patients' care expectations. The aim o...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-7
更新日期:2013-01-08 00:00:00
abstract:BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-6-38
更新日期:2005-09-14 00:00:00
abstract:BACKGROUND:The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM). METHODS:35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-122
更新日期:2012-12-19 00:00:00
abstract:BACKGROUND:From 2015 to 2016 Germany faced an influx of 1.16 million asylum seekers. In the state of Hamburg Primary Care walk-in clinics (PCWC) were commissioned at refugee camps because the high number of residents (57,000 individuals) could not be provided with access to regular healthcare services. Our study aims w...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01253-3
更新日期:2020-09-21 00:00:00
abstract:BACKGROUND:Metabolic syndrome (MetS) is a major public health challenge. General practitioners (GPs) could play a key role in its recognition. However, it often remains undiagnosed in primary care. This study assesses how well GPs and patients recognise MetS among patients with coronary heart disease or at least one of...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-76
更新日期:2009-11-30 00:00:00
abstract:BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01157-2
更新日期:2020-05-14 00:00:00
abstract:BACKGROUND:Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-8
更新日期:2012-02-16 00:00:00