Evaluating the scripts and thresholds of general practitioners for diagnosing heart failure in elderly people.

abstract：BACKGROUND:As part of a broader study to improve the capacity for advance care planning (ACP) in primary healthcare settings, the research team set out to develop and validate a computerized algorithm to help primary care physicians identify individuals at risk of death, and also carried out focus groups and interviews...

journal_title：BMC family practice

authors： Kendell C,Kotecha J,Martin M,Han H,Jorgensen M,Urquhart R

更新日期：2020-07-09 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: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

authors： Emslie C,Ridge D,Ziebland S,Hunt K

更新日期：2007-07-24 00:00:00

abstract：BACKGROUND:This study describes the influence of educational level on bone mineral density (BMD) and investigating the relationship between educational level and bone mineral density in postmenopausal women. METHODS:A total of 569 postmenopausal women, from 45 to 86 years of age (mean age of 60.43 +/- 7.19 years) were...

journal_title：BMC family practice

authors： Gur A,Sarac AJ,Nas K,Cevik R

更新日期：2004-09-06 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: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: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: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: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:Previous studies have shown the importance of paying attention to lay peoples' interpretations of risk of disease, in order to explain health-related behavior. However, risk interpretations interplay with social context in complex ways. The objective was to explore how asymptomatic patients with high cholest...

journal_title：BMC family practice

authors： Kirkegaard P,Edwards A,Risør MB,Thomsen JL

更新日期：2013-09-16 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: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:The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests may offer benefits in terms of low turn-around-time, improved patient's satisfaction, and health outc...

journal_title：BMC family practice

authors： Kip MMA,Hummel JM,Eppink EB,Koffijberg H,Hopstaken RM,IJzerman MJ,Kusters R

更新日期：2019-01-10 00:00:00

abstract：BACKGROUND:The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had been achieved over a 14-year period of time in Finland. METHODS:Nine questionnaire surveys were co...

journal_title：BMC family practice

authors： Raivio R,Jääskeläinen J,Holmberg-Marttila D,Mattila KJ

更新日期：2014-05-15 00:00:00

abstract：BACKGROUND:There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the fre...

journal_title：BMC family practice

authors： Mjaaland TA,Finset A

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:A cluster randomised trial was conducted to determine the effectiveness of locally adapted practice guidelines and education about paediatric asthma management, delivered to general practitioners (GPs) in small group interactive workshops. METHODS:Twenty-nine practices were randomly allocated to one of thre...

journal_title：BMC family practice

authors： Liaw ST,Sulaiman ND,Barton CA,Chondros P,Harris CA,Sawyer S,Dharmage SC

更新日期：2008-04-20 00:00:00

abstract：BACKGROUND:The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however, give little information about impact on subjective health and personal illness experience. We aim to examine the strength of association of single and multimorbid physical chronic diseases with self-rated hea...

journal_title：BMC family practice

authors： Mavaddat N,Valderas JM,van der Linde R,Khaw KT,Kinmonth AL

更新日期：2014-11-25 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: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

authors： Boos C,Daneshvar C,Hinton A,Dawes M

更新日期：2004-10-06 00:00:00

abstract：BACKGROUND:People use a variety of means to find health information, including searching the Internet, seeking print sources, and talking to healthcare providers, family members, and friends. Doctors are considered the most trusted source of health information, but people may be underutilizing them in favor of searchin...

journal_title：BMC family practice

authors： Swoboda CM,Van Hulle JM,McAlearney AS,Huerta TR

更新日期：2018-08-29 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: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

authors： Gurol-Urganci I,Geary RS,Mamza JB,Iwagami M,El-Hamamsy D,Duckett J,Wilson A,Tincello D,van der Meulen J

更新日期：2020-10-16 00:00:00

abstract：BACKGROUND:Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences o...

journal_title：BMC family practice

authors： Nouwens E,van Lieshout J,Wensing M

更新日期：2015-07-03 00:00:00

abstract：BACKGROUND:Unhealthy alcohol use involves a spectrum from hazardous use (exceeding guidelines but no harms) through to alcohol dependence. Evidence-based management of unhealthy alcohol use in primary health care has been recommended since 1979. However, sustained and systematic implementation has proven challenging. T...

journal_title：BMC family practice

authors： Dzidowska M,Lee KSK,Wylie C,Bailie J,Percival N,Conigrave JH,Hayman N,Conigrave KM

更新日期：2020-02-13 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: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:It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff's j...

journal_title：BMC family practice

authors： Riisgaard H,Nexøe J,Le JV,Søndergaard J,Ledderer L

更新日期：2016-11-30 00:00:00

abstract：BACKGROUND:Prognosis has been described as an important but neglected branch of clinical science. While patients' views have been sought in the context of life-threatening illness, similar research is lacking for patients presenting with common, non-life-threatening musculoskeletal complaints. The aim of this study was...

journal_title：BMC family practice

authors： Mallen CD,Peat G

更新日期：2009-07-07 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

authors： Leemans K,Van den Block L,Bilsen J,Cohen J,Boffin N,Deliens L

更新日期：2012-01-19 00:00:00

abstract：BACKGROUND:Multimorbidity is a major issue for primary care. We aimed to explore primary care professionals' accounts of managing multimorbidity and its impact on clinical decision making and regional health care delivery. METHODS:Qualitative interviews with 12 General Practitioners and 4 Primary Care Nurses in New Ze...

journal_title：BMC family practice

authors： Stokes T,Tumilty E,Doolan-Noble F,Gauld R

更新日期：2017-04-05 00:00:00