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 was recommended with 2-4 Centor criteria present and antibiotics were recommended if the test was positive. C- reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies. METHODS:From a larger project 16 general practitioners (GPs) who stated management of sore throats not according to the guidelines were identified. Half-hour long semi-structured interviews were conducted. The topics were the management of sore throats and the use of near-patient tests. Qualitative content analysis was used. RESULTS:The use of the near-patient test interplayed with the clinical assessment and the perception that all infections caused by bacteria should be treated with antibiotics. The GPs expressed a belief that the clinical picture was sufficient for diagnosis in typical cases. RADT was not believed to be relevant since it detects only one bacterium, while CRP was considered as a reliable numerical measure of bacterial infection. CONCLUSIONS:Inappropriate use of near-patient test can partly be understood as remnants of outdated knowledge. When new guidelines are introduced the differences between them and the former need to be discussed more explicitly.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Gröndal H,Hedin K,Strandberg EL,André M,Brorsson Adoi
10.1186/s12875-015-0285-ysubject
Has Abstractpub_date
2015-07-04 00:00:00pages
81issn
1471-2296pii
10.1186/s12875-015-0285-yjournal_volume
16pub_type
杂志文章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
pub_type： 杂志文章,多中心研究
doi：10.1186/s12875-018-0873-8
更新日期：2018-11-28 00:00:00
abstract：BACKGROUND:As obesity is rapidly becoming a major medical and public health problem, the aim of our study was to determine: 1) if obesity in Caucasian adolescents at 5 different Tanner stages are associated with obesity in adulthood and its obesity-associated abnormal glucose and lipid profiles, 2) the type of fat dist...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-3-18
更新日期：2002-10-14 00:00:00
abstract：BACKGROUND:Overweight, obesity and hypertension can be prevented through improvements in lifestyle including nutrition and physical activity. General practitioners (GPs) in Australia have access to over 90% of the population in the course of a year and therefore, the general practice setting may be ideal to assist pati...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-11-8
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:The general practitioner (GP) can play an important role in promoting a healthy lifestyle, which is especially relevant in people with an elevated risk of cardiovascular diseases due to hypertension. Therefore, the aim of this study was to determine the frequency and content of lifestyle counseling about wei...
journal_title：BMC family practice
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2296-9-58
更新日期：2008-10-14 00:00:00
abstract：BACKGROUND:While increasing attention is being paid to enabling terminal patients to remain at home until death, limited information is available on the circumstances in which people at home actually die. Therefore this study aims to describe patient characteristics, functional and cognitive status and physical and psy...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-4
更新日期：2012-01-19 00:00:00
abstract：BACKGROUND:When medically unexplained physical symptoms (MUPS) become persistent, it may have major implications for the patient, the general practitioner (GP) and for society.Early identification of patients with MUPS in electronic medical records (EMRs) might contribute to prevention of persistent MUPS by creating aw...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-109
更新日期：2014-06-05 00:00:00
abstract：BACKGROUND:Chronic meningitis is defined as symptoms and signs of meningeal inflammation and persisting cerebrospinal fluid abnormalities such as elevated protein level and pleocytosis for at least one month. CASE PRESENTATION:A 62-year-old woman, of unremarkable past medical history, was admitted to hospital for inve...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-5-21
更新日期：2004-10-06 00:00:00
abstract：BACKGROUND:Alcohol dependence (AD) in Europe is prevalent and causes considerable health burden. Recognition by general practitioners (GPs) and provision of or referral to treatment may contribute to reduce this burden. This paper studied AD prevalence in varying European primary care settings and examined who received...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0308-8
更新日期：2015-07-29 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
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12875-018-0845-z
更新日期：2018-09-11 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:The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a wh...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0580-x
更新日期：2017-02-24 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:Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perce...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-7-26
更新日期：2006-04-26 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
pub_type： 杂志文章
doi：10.1186/s12875-015-0253-6
更新日期：2015-03-28 00:00:00
abstract：BACKGROUND:Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01330-7
更新日期：2020-12-05 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
pub_type： 杂志文章
doi：10.1186/s12875-014-0203-8
更新日期：2014-12-12 00:00:00
abstract：BACKGROUND:Due to the growing prevalence of elderly patients with multi-morbidity living at home, there is an increasing need for primary care professionals from different disciplinary backgrounds to collaborate as primary care teams. However, it is unclear how primary care professionals conceptualize teams and what un...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0685-2
更新日期：2017-12-28 00:00:00
abstract：BACKGROUND:Medication review is often recommended to optimize medication use. In clinical practice it is mostly operationalized as an intervention without co-interventions during a short term intervention period. However, most systematic reviews also included co-interventions and prolonged medication optimization inter...
journal_title：BMC family practice
pub_type： 杂志文章,meta分析,评审
doi：10.1186/s12875-016-0577-x
更新日期：2017-01-17 00:00:00
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:It is argued that the ways in which women express emotional distress mean that they are more likely to be diagnosed with depression, while men's relative lack of articulacy means their depression is hidden. This may have consequences for communicating with health professionals. The purpose of this analysis w...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-8-43
更新日期：2007-07-24 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
pub_type： 杂志文章
doi：10.1186/1471-2296-12-142
更新日期：2011-12-29 00:00:00
abstract：BACKGROUND:Scientific evidence for the frequency of monitoring of type 2 diabetes patients is lacking. If three-monthly control in general practice could be reduced to six-monthly control in some patients, this would on the one hand reduce the use of medical services including involvement of practice nurses, and thus r...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-11-35
更新日期：2010-05-11 00:00:00
abstract：BACKGROUND:Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study aimed to investigate characteristics associated with referrals from primary to specialist ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01282-y
更新日期：2020-10-16 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
pub_type： 杂志文章
doi：10.1186/1471-2296-6-9
更新日期：2005-03-01 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：BACKGROUND:General practitioners (GPs) and patients find it difficult to talk about risk of future disease, especially when patients have asymptomatic conditions, and treatment options are unlikely to cause immediate perceptible improvements in well-being. Further studies in risk communication training are needed. AIM...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-11-70
更新日期：2010-09-22 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
pub_type： 杂志文章
doi：10.1186/1471-2296-12-112
更新日期：2011-10-11 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
pub_type： 杂志文章
doi：10.1186/s12875-019-0966-z
更新日期：2019-06-06 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: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
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1186/1471-2296-4-7
更新日期：2003-05-14 00:00:00
