Association of self-rated health with multimorbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from general practice: a cross-sectional study.

abstract：BACKGROUND:There are gaps in knowledge and understanding about the relationships between primary care and community-based health and social services in the context of healthy aging at home and system navigation. This study examined provider perspectives on: a) older adults' health and social needs; b) barriers to acces...

journal_title：BMC family practice

authors： Valaitis R,Cleghorn L,Ploeg J,Risdon C,Mangin D,Dolovich L,Agarwal G,Oliver D,Gaber J,Chung H

更新日期：2020-04-23 00:00:00

abstract：BACKGROUND:Detection of cancer in general practice is challenging because symptoms are diverse. Even so-called alarm symptoms have low positive predictive values of cancer. Nevertheless, appropriate referral is crucial. As 85% of cancer patients initiate their cancer diagnostic pathway in general practice, a Continuing...

journal_title：BMC family practice

authors： Toftegaard BS,Bro F,Falborg AZ,Vedsted P

更新日期：2017-03-21 00:00:00

abstract：BACKGROUND:Women presenting with symptoms of acute uncomplicated urinary tract infection (UTI) are often prescribed antibiotics. However, in 25 to 50% of symptomatic women not taking antibiotics, symptoms recover spontaneously within one week. It is not known how many women are prepared to delay antibiotic treatment. W...

journal_title：BMC family practice

authors： Knottnerus BJ,Geerlings SE,Moll van Charante EP,ter Riet G

更新日期：2013-05-31 00:00:00

abstract：BACKGROUND:Except for the established risk factors, presence of target organ damage has an important role in the treatment of hypertensive subjects. The aim of the present study was to estimate the prevalence of target organ damage in primary care subjects. METHODS:This multi-centre, cross-sectional survey of 115 prim...

journal_title：BMC family practice

authors： Papazafiropoulou A,Skliros E,Sotiropoulos A,Papafragos C,Gikas A,Apostolou O,Kaliora H,Tountas C

更新日期：2011-07-14 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

authors： Helminen EE,Mäntyselkä P,Nykänen I,Kumpusalo E

更新日期：2009-11-30 00:00:00

abstract：BACKGROUND:Physical activity (PA) counselling is an effective approach to promote PA in primary health care (PHC). Barriers to PA counselling in PHC include time constraints, lack of knowledge and skills of providers, and systemic barriers. Using electronic health (eHealth) has the potential to promote PA. This scoping...

journal_title：BMC family practice

authors： Wattanapisit A,Tuangratananon T,Wattanapisit S

更新日期：2020-11-06 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

authors： Hayward RA,Jordan KP,Croft P

更新日期：2012-02-16 00:00:00

abstract：BACKGROUND:Young people (12-24 years) visit general practice but may not have a 'regular' general practitioner (GP). Whether continuity of GP care influences experiences with, and barriers to, health care among young people is unknown. This paper explores the association between having a regular GP and experience of he...

journal_title：BMC family practice

authors： Kang M,Robards F,Luscombe G,Sanci L,Usherwood T

更新日期：2020-10-28 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

authors： Pierce D,Gunn J

更新日期：2007-04-25 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 purpose of this pilot study was to evaluate and refine an adjuvant system of color-specific symbols that are added to medication bottles and to assess whether this system would increase the ability of patients 65 years of age or older in matching their medication to the indication for which it was prescr...

journal_title：BMC family practice

authors： Cardarelli R,Mann C,Fulda KG,Balyakina E,Espinoza A,Lurie S

更新日期：2011-12-29 00:00:00

abstract：BACKGROUND:Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. METHODS:We used a novel priority-setting method for i...

journal_title：BMC family practice

authors： Tudor Car L,Papachristou N,Gallagher J,Samra R,Wazny K,El-Khatib M,Bull A,Majeed A,Aylin P,Atun R,Rudan I,Car J,Bell H,Vincent C,Franklin BD

更新日期：2016-11-16 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:Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and pr...

journal_title：BMC family practice

authors： Alduraibi RK,Almigbal TH,Alrasheed AA,Batais MA

更新日期：2020-09-24 00:00:00

abstract：BACKGROUND:Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to pot...

journal_title：BMC family practice

authors： Zhao Y,Zhao X,Liu Y,Wei Y,Jin G,Shao S,Lu X

更新日期：2019-12-06 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

authors： Glynn LG,O'Riordan C,MacFarlane A,Newell J,Iglesias AA,Whitford D,Cantillon P,Murphy AW

更新日期：2009-05-11 00:00:00

abstract：BACKGROUND:Missed appointments are known to interfere with appropriate care and to misspend medical and administrative resources. The aim of this study was to test the effectiveness of a sequential intervention reminding patients of their upcoming appointment and to identify the profile of patients missing their appoin...

journal_title：BMC family practice

authors： Perron NJ,Dao MD,Kossovsky MP,Miserez V,Chuard C,Calmy A,Gaspoz JM

更新日期：2010-10-25 00:00:00

abstract：BACKGROUND:Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT ...

journal_title：BMC family practice

authors： Gröndal H,Hedin K,Strandberg EL,André M,Brorsson A

更新日期：2015-07-04 00:00:00

abstract：BACKGROUND:During an influenza epidemic prompt diagnosis of influenza is important. This diagnosis however is still essentially based on the interpretation of symptoms and signs by general practitioners. No single symptom is specific enough to be useful in differentiating influenza from other respiratory infections. Ou...

journal_title：BMC family practice

authors： Michiels B,Thomas I,Van Royen P,Coenen S

更新日期：2011-02-09 00:00:00

abstract：BACKGROUND:Frequent attenders (FAs) use a disproportionately large share of the resources of general practitioners (GPs) working in primary healthcare centres. The aim of this study was to estimate the proportion of FAs among all patients in the primary health care centres of a medium-sized city in Finland, and to exam...

journal_title：BMC family practice

authors： Santalahti AK,Vahlberg TJ,Luutonen SH,Rautava PT

更新日期：2018-08-28 00:00:00

abstract：BACKGROUND:In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in ...

journal_title：BMC family practice

authors： Boffin N,Bossuyt N,Vanthomme K,Van Casteren V

更新日期：2010-06-25 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

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:Standardised generic patient-reported outcome measures (PROMs) which measure health status are often unresponsive to change in primary care. Alternative formats, which have been used to increase responsiveness, include individualised PROMs (in which respondents specify the outcomes of interest in their own w...

journal_title：BMC family practice

authors： Murphy M,Hollinghurst S,Salisbury C

更新日期：2018-09-27 00:00:00

abstract：BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...

journal_title：BMC family practice

authors： van Bijnen EM,Paget WJ,den Heijer CD,Stobberingh EE,Bruggeman CA,Schellevis FG,APRES Study Team.

更新日期：2014-10-25 00:00:00

abstract：BACKGROUND:Unattached patients do not have a regular primary care provider. Initiatives are being developed to increase attachment rates across Canada. Most existing attention paid to patient unattachment has focused on quantifying the problem and health system costs. Our purpose is to qualitatively identify the implic...

journal_title：BMC family practice

authors： Crooks VA,Agarwal G,Harrison A

更新日期：2012-07-16 00:00:00

abstract：BACKGROUND:There is wide variation in the quality of care provided by primary care practices to individuals with chronic illnesses. Individual doctor attitudes and interest have been demonstrated to influence patient outcomes in some instances. Given the trend towards larger practices and part-time working, continuity ...

journal_title：BMC family practice

authors： Thapar AK,Roland MO

更新日期：2005-03-01 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

authors： Mathew R,Gucciardi E,De Melo M,Barata P

更新日期：2012-12-19 00:00:00

abstract：BACKGROUND:Multimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core aspect of the shared decision-making (SDM) approach. This study aims to analyse clinician perceptions o...

journal_title：BMC family practice

authors： Vermunt N,Elwyn G,Westert G,Harmsen M,Olde Rikkert M,Meinders M

更新日期：2019-06-06 00:00:00

abstract：BACKGROUND:In hypertensive patients, reducing plasma low-density lipoprotein cholesterol level (LDL-C) is one of the main interventions for preventing chronic cardiovascular diseases (CVD). However, LDL-C control remains generally insufficient, also in patients with hypertension. We analyzed Electronic Health Record (E...

journal_title：BMC family practice

authors： Tahkola A,Korhonen P,Kautiainen H,Niiranen T,Mäntyselkä P

更新日期：2020-04-14 00:00:00