Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care - a 14-year follow-up questionnaire study.

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

authors： Lappegard O,Hjortdahl P

更新日期：2013-06-22 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

authors： Lowit A,van Teijlingen ER

更新日期：2005-09-14 00:00:00

abstract：BACKGROUND:The aim of this study is in a general practice trial setting to identify predictive factors for weight loss after 1 year among young adults who are over-weight or obese and who have several psychosocial problems. METHODS:Twenty-eight general practitioners recruited 495 patients aged 20-45 years with psychos...

journal_title：BMC family practice

authors： Lous J,Freund KS

更新日期：2016-04-11 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: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:The vast majority of patients with diabetes have multiple chronic conditions, increasing complexity of care; however, clinical practice guidelines, interventions, and public reporting metrics do not adequately address the interaction of these multiple conditions. To advance the understanding of diabetes clin...

journal_title：BMC family practice

authors： Magnan EM,Gittelson R,Bartels CM,Johnson HM,Pandhi N,Jacobs EA,Smith MA

更新日期：2015-03-28 00:00:00

abstract：BACKGROUND:Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases). The patient's signs, symptoms and electrocardiography results are insufficient diagnostic tools to...

journal_title：BMC family practice

authors： Willemsen RT,Buntinx F,Winkens B,Glatz JF,Dinant GJ,‘RAPIDA’-study team.

更新日期：2014-12-12 00:00:00

abstract：BACKGROUND:Policy makers in Africa are ambivalent about the need for family physicians to strengthen district health services. Evidence on the impact of family physicians is therefore needed. The aim was to develop a tool to evaluate the impact of family physicians on district health services according to the six expec...

journal_title：BMC family practice

authors： Pasio KS,Mash R,Naledi T

更新日期：2014-12-12 00:00:00

abstract：BACKGROUND:A rising number of people with chronic conditions is offered interventions to enhance self-management. The responsiveness of individuals to these interventions depends on patient characteristics. We aimed to develop and validate a tool to facilitate personalised counselling and support for self-management in...

journal_title：BMC family practice

authors： Eikelenboom N,Smeele I,Faber M,Jacobs A,Verhulst F,Lacroix J,Wensing M,van Lieshout J

更新日期：2015-11-11 00:00:00

abstract：BACKGROUND:Registered Sick Children's Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives chi...

journal_title：BMC family practice

authors： Isma GE,Bramhagen AC,Ahlstrom G,Ostman M,Dykes AK

更新日期：2012-06-14 00:00:00

abstract：BACKGROUND:Patients with psychosocial problems may benefit from a variety of community, educational, recreational and voluntary sector resources, but GPs often under-refer to these through lack of knowledge and time. This study evaluated the acceptability and effectiveness of graduate primary care mental health workers...

journal_title：BMC family practice

authors： Grayer J,Cape J,Orpwood L,Leibowitz J,Buszewicz M

更新日期：2008-05-07 00:00:00

abstract：BACKGROUND:The health of doctors who work in primary care is threatened by workforce and workload issues. There is a need to find and appraise ways in which to protect their mental health, including how to achieve the broader, positive outcome of well-being. Our primary outcome was to evaluate systematically the resear...

journal_title：BMC family practice

authors： Murray M,Murray L,Donnelly M

更新日期：2016-03-24 00:00:00

abstract：BACKGROUND:Internationally, guidelines for depression recommend a stepped care approach, implying that antidepressant medication should not be offered as a first step treatment to patients with sub-threshold or mild depression. In the Netherlands, antidepressant prescribing rates in general practice as a first treatmen...

journal_title：BMC family practice

authors： Franx G,Huyser J,Koetsenruijter J,van der Feltz-Cornelis CM,Verhaak PF,Grol RP,Wensing M

更新日期：2014-02-19 00:00:00

abstract：BACKGROUND:People who are diagnosed with both mental and chronic medical illness present unique challenges for the health care system. In resource-limited settings, such as rural India, people with depression and anxiety are often under-served, due to both stigma and lack of trained providers and resources. These chall...

journal_title：BMC family practice

authors： Srinivasan K,Mazur A,Mony PK,Whooley M,Ekstrand ML

更新日期：2018-09-11 00:00:00

abstract：BACKGROUND:'Ad hoc' help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in seeking supervisor assistance, and trainee perceptions of the outcomes of this help-seeking (including ...

journal_title：BMC family practice

authors： Sturman N,Jorm C,Parker M

更新日期：2020-02-07 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:The impact of caring for a family member or friend is a life changing experience. Often carers are struggling to cope with ongoing demands of caring for someone. At some point, most carers will approach their family physician for advice on aspects of their role. Carers Western Australia sought information an...

journal_title：BMC family practice

authors： Bulsara CE,Fynn N

更新日期：2006-05-24 00:00:00

abstract：BACKGROUND:The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic care, and to determine whether referral decisions were biased by gender or socioeconomic status. We ...

journal_title：BMC family practice

authors： Nilsson G,Mooe T,Söderström L,Samuelsson E

更新日期：2014-11-30 00:00:00

abstract：BACKGROUND:Depression is prevalent in people with type 2 diabetes and affects both glycemic control and overall quality of life. The aim of this trial was to evaluate the effect of the antidepressant paroxetine on metabolic control, quality of life and mental well-being in mildly depressed women with type 2 diabetes. ...

journal_title：BMC family practice

authors： Paile-Hyvärinen M,Wahlbeck K,Eriksson JG

更新日期：2003-05-14 00:00:00

abstract：BACKGROUND:To investigate the current practice of Orthopaedic Surgeons & General Practitioners (GP) when presented with patients who have a fracture, with possible underlying Osteoporosis. METHODS:Questionnaires were sent to 140 GPs and 140 Orthopaedic Surgeons. The participants were asked their routine clinical pract...

journal_title：BMC family practice

authors： Chami G,Jeys L,Freudmann M,Connor L,Siddiqi M

更新日期：2006-02-07 00:00:00

abstract：BACKGROUND:In many countries, the referral-consultation process faces a number of challenges from inefficiencies and rising demand, resulting in excessive wait times for many specialties. We collected referral data from a sample of family doctors across the province of Ontario, Canada as part of a larger program of res...

journal_title：BMC family practice

authors： Liddy C,Arbab-Tafti S,Moroz I,Keely E

更新日期：2017-08-22 00:00:00

abstract：BACKGROUND:The definition of primary care varies between countries. Swedish primary care has developed from a philosophic viewpoint based on quality, accessibility, continuity, co-operation and a holistic view. The meaning of holism in international literature differs between medicine and nursing. The question is, if t...

journal_title：BMC family practice

authors： Strandberg EL,Ovhed I,Borgquist L,Wilhelmsson S

更新日期：2007-03-08 00:00:00

abstract：BACKGROUND:Better management of affective and somatoform disorders may reduce consultation rates in primary care. Somatoform disorders are highly prevalent in primary care and co-morbidity with affective disorders is substantial, but it is as yet unclear which portion of the health care use may be ascribed to each diso...

journal_title：BMC family practice

authors： de Waal MW,Arnold IA,Eekhof JA,Assendelft WJ,van Hemert AM

更新日期：2008-01-24 00:00:00

abstract：BACKGROUND:Warfarin is used for the prevention of stroke in chronic atrial fibrillation. The product has a narrow therapeutic index and to obtain treatment success, patients must be maintained within a given therapeutic range (International Normalised Ratio;INR). To ensure a wise allocation of health care resources, sc...

journal_title：BMC family practice

authors： Björholt I,Andersson S,Nilsson GH,Krakau I

更新日期：2007-02-26 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

authors： Larsen LB,Sonderlund AL,Sondergaard J,Thomsen JL,Halling A,Hvidt NC,Hvidt EA,Mønsted T,Pedersen LB,Roos EM,Pedersen PV,Thilsing T

更新日期：2018-07-21 00:00:00

abstract：BACKGROUND:General Practitioners (GPs) employ strategies to identify and retrieve medical evidence for clinical decision making which take workload and time constraints into account. Optimal Foraging Theory (OFT) initially developed to study animal foraging for food is used to explore the information searching behaviou...

journal_title：BMC family practice

authors： Dwairy M,Dowell AC,Stahl JC

更新日期：2011-08-23 00:00:00

abstract：BACKGROUND:Physicians' interpersonal performance is critical in medical practice, especially primary care practice. The General Practice Assessment Questionnaire (GPAQ) was developed in the United Kingdom to evaluate the quality of primary care from the viewpoint of patients. This questionnaire highlights the evaluatio...

journal_title：BMC family practice

authors： Kijima T,Akai K,Matsushita A,Hamano T,Onoda K,Yano S,Nabika T,Ishibashi Y,Kumakura S

更新日期：2018-11-28 00:00:00

abstract：BACKGROUND:Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicia...

journal_title：BMC family practice

authors： Marshall EG,Burge F,Gibson RJ,Lawson B,O'Connell C

更新日期：2019-10-23 00:00:00

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: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