Multimorbidity, clinical decision making and health care delivery in New Zealand Primary care: a qualitative study.

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:Since 2008 mental health practice nurses have been gradually introduced in general practices in the Netherlands as part of health policy aiming to improve early identification and treatment of mental health problems in primary care. This study aims to investigate the effect of the introduction of the practic...

journal_title：BMC family practice

authors： Abidi L,Oenema A,Verhaak P,Tan FES,van de Mheen D

更新日期：2019-04-02 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:The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was ...

journal_title：BMC family practice

authors： Lacasta Tintorer D,Manresa Domínguez JM,Pujol-Rivera E,Flayeh Beneyto S,Mundet Tuduri X,Saigí-Rubió F

更新日期：2018-05-09 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 German clinical guideline on tobacco addiction recommends that general practitioners (GPs) provide brief stop-smoking advice to their patients according to the "5A" or the much briefer "ABC" method, but its implementation is insufficient. A lack of training is one barrier for GPs to provide such advice. ...

journal_title：BMC family practice

authors： Kastaun S,Leve V,Hildebrandt J,Funke C,Becker S,Lubisch D,Viechtbauer W,Reddemann O,Hempel L,McRobbie H,Raupach T,West R,Kotz D

更新日期：2019-07-27 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:General practitioners' (GPs') feelings of burnout or dissatisfaction may affect their patient care negatively, but it is unknown if these negative feelings also affect their mental health care. GPs' available time, together with specific communication tools, are important conditions for providing mental heal...

journal_title：BMC family practice

authors： Zantinge EM,Verhaak PF,de Bakker DH,van der Meer K,Bensing JM

更新日期：2009-08-26 00:00:00

abstract：BACKGROUND:Upper respiratory tract infections (URTI) are common. The etiologic factor is usually viral, but many physicians prescribe antibiotics. We aimed to evaluate parents' expectations of and knowledge about the role of antibiotics in childhood URTI. METHODS:The study was conducted in thirteen primary care pediat...

journal_title：BMC family practice

authors： Shlomo V,Adi R,Eliezer K

更新日期：2003-12-30 00:00:00

abstract：BACKGROUND:The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in order to facilitate inter-organizational and inter-sectoral collaboration. However, this task can be ...

journal_title：BMC family practice

authors： Kousgaard MB,Joensen AS,Thorsen T

更新日期：2015-02-13 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:Over the past years concerns are rising about the use of Evidence-Based Medicine (EBM) in health care. The calls for an increase in the practice of EBM, seem to be obstructed by many barriers preventing the implementation of evidence-based thinking and acting in general practice. This study aims to explore t...

journal_title：BMC family practice

authors： Hannes K,Leys M,Vermeire E,Aertgeerts B,Buntinx F,Depoorter AM

更新日期：2005-09-09 00:00:00

abstract：BACKGROUND:Recurrent urinary tract infections (RUTIs) are commonly presented by women in primary care. In order to explore the poorly described experience of women with RUTIs a qualitative study was conducted that analysed data from a publically accessible internet-based self-help forum. METHODS:Qualitative Descriptio...

journal_title：BMC family practice

authors： Flower A,Bishop FL,Lewith G

更新日期：2014-09-26 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: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 numbers of learners seeking placements in general practice is rapidly increasing as an ageing workforce impacts on General Practitioner availability. The traditional master apprentice model that involves one-to-one teaching is therefore leading to supervision capacity constraints. Vertically integrated (...

journal_title：BMC family practice

authors： Ahern CM,van de Mortel TF,Silberberg PL,Barling JA,Pit SW

更新日期：2013-10-01 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: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: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:Guidelines for primary prevention of cardiovascular disease provide little guidance on how patients' preferences should be taken into account. We wanted to explore whether general practitioners (GPs) are sensitive to patient preferences regarding survival gains from statin therapy. METHODS:In a cross sectio...

journal_title：BMC family practice

authors： Halvorsen PA,Aasland OG,Kristiansen IS

更新日期：2015-07-03 00:00:00

abstract：BACKGROUND:Glycated hemoglobin (HbA1c) results vary by analytical method. Use of same-visit HbA1c testing methodology holds the promise of more efficient patient care, and improved diabetes management. Our objective was to test the feasibility of introducing a same-visit HbA1c methodology into busy family practice cent...

journal_title：BMC family practice

authors： Schwartz KL,Monsur JC,Bartoces MG,West PA,Neale AV

更新日期：2005-07-13 00:00:00

abstract：BACKGROUND:People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an ...

journal_title：BMC family practice

authors： Roberts S,Eaton S,Finch T,Lewis-Barned N,Lhussier M,Oliver L,Rapley T,Temple-Scott D

更新日期：2019-11-08 00:00:00

abstract：BACKGROUND:Diuretics are recommended as initial treatment for hypertension. Several studies have suggested suboptimal persistence and adherence to thiazide diuretic monotherapy; this study compared patient persistence and adherence with hydrochlorothiazide (HCTZ) monotherapy to fixed-dose combinations containing HCTZ. ...

journal_title：BMC family practice

authors： Patel BV,Remigio-Baker RA,Thiebaud P,Preblick R,Plauschinat C

更新日期：2008-11-06 00:00:00

abstract：BACKGROUND:This study evaluated the impact of multifaceted NPS MedicineWise programs that targeted all general practitioners (GPs) in Australia in 2009 and 2015 with the aim of reducing unnecessary prescribing of proton pump inhibitors (PPIs) and encouraged stepping down to a lower strength PPI or to discontinue treatm...

journal_title：BMC family practice

authors： Wu J,Dickinson S,Elgebaly Z,Blogg S,Heaney A,Soo Y,Daniels B,Weekes L

更新日期：2020-05-09 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: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:There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help o...

journal_title：BMC family practice

authors： Dutton SN,Dennis SM,Zwar N,Harris MF

更新日期：2016-09-22 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

authors： Campbell NC,Iversen L,Farmer J,Guest C,MacDonald J

更新日期：2006-04-26 00:00:00

abstract：BACKGROUND:Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experi...

journal_title：BMC family practice

authors： Loeffen MJ,Lo Fo Wong SH,Wester FP,Laurant MG,Lagro-Janssen AL

更新日期：2011-10-18 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

authors： Halcomb EJ,Salamonson Y,Davidson PM,Kaur R,Young SA

更新日期：2014-03-25 00:00:00