Development and evaluation of an online education tool on attention deficit hyperactivity disorder for general practitioners: the important contribution of co-production.

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

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:Despite evidence supporting the effectiveness of alcohol screening and brief advice to reduce heavy drinking, implementation in primary healthcare remains limited. The challenges that clinicians experience when delivering such interventions are well-known, but we have little understanding of the patient pers...

journal_title：BMC family practice

authors： O'Donnell A,Hanratty B,Schulte B,Kaner E

更新日期：2020-04-22 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:Primary care is a central element of healthcare and addresses the main health problems of the population. While primary care gains in importance due to an aging population, there is an ongoing debate on physician shortages in German rural regions. The study aims on analyzing the population's preferences on p...

journal_title：BMC family practice

authors： Krinke KS,Tangermann U,Amelung VE,Krauth C

更新日期：2019-06-11 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: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:Cluster randomized controlled trials are often used in research in primary care but creates challenges regarding biases and confounders. We recently presented a study on low back pain from primary care in Norway with equal effects in the intervention and the control group. In order to understand the specific...

journal_title：BMC family practice

authors： Werner EL,Løchting I,Storheim K,Grotle M

更新日期：2018-05-22 00:00:00

abstract：BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...

journal_title：BMC family practice

authors： Lapane KL,Khan S,Shridharmurthy D,Beccia A,Dubé C,Yi E,Kay J,Liu SH

更新日期：2020-09-29 00:00:00

abstract：BACKGROUND:There are now effective drugs to prevent cardiovascular disease and guidelines recommend their use. Patients do not always choose to accept preventive medication at levels of risk reduction recommended in guidelines. The purpose of the study was to identify and explore the attitudes of patients and general p...

journal_title：BMC family practice

authors： Gale NK,Greenfield S,Gill P,Gutridge K,Marshall T

更新日期：2011-06-26 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

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:Current health policy focuses on improving accessibility, increasing integration and shifting resources from hospitals to community and primary care. Initiatives aimed at achieving these policy aims have supported the implementation of various 'new models of care', including general practice offering 'additi...

journal_title：BMC family practice

authors： Elvey R,Bailey S,Checkland K,McBride A,Parkin S,Rothwell K,Hodgson D

更新日期：2018-06-19 00:00:00

abstract：BACKGROUND:Over the last two decades, ultrasonography (US) has been shown to be an accurate tool for the diagnosis of suspected bone fractures; however, the integration of this application of US into routine care and outpatient settings needs to be explored. In this study, we surveyed German general practitioners (GPs)...

journal_title：BMC family practice

authors： Schmid GL,Kühnast B,Heise M,Deutsch T,Frese T

更新日期：2020-01-13 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:Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. METHODS:Internet based survey of 3081 primary care physicians, recruited via ...

journal_title：BMC family practice

authors： Rehm J,Prieto JA,Beier M,Duhot D,Rossi A,Schulte B,Zarco J,Aubin HJ,Bachmann M,Grimm C,Kraus L,Manthey J,Scafato E,Gual A

更新日期：2016-09-08 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: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: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: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:Identification of perinatal mental health problems and effective care for women who experience them are important considering the potentially serious impact that they may have on the wellbeing of the woman, her baby, family and wider society. General practitioners (GPs) play a central role in identifying and...

journal_title：BMC family practice

authors： Noonan M,Doody O,O'Regan A,Jomeen J,Galvin R

更新日期：2018-12-13 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

authors： Booth AO,Nowson CA

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Consultations for minor ailments constitute a large part of the workload of general practitioners (GPs). As medical interventions are not always available, specific communication strategies, such as active listening and positive communication, might help GPs to handle these problems adequately. This study ex...

journal_title：BMC family practice

authors： Fassaert T,van Dulmen S,Schellevis F,van der Jagt L,Bensing J

更新日期：2008-06-30 00:00:00

abstract：BACKGROUND:In many countries, general practitioner (GP) care of acute low back pain often does not adhere to evidence-based clinical guidelines. There has been little exploration of this deviation from evidence-based care from the patients' perspective, particularly in relation to patients' care expectations. The aim o...

journal_title：BMC family practice

authors： Hoffmann TC,Del Mar CB,Strong J,Mai J

更新日期：2013-01-08 00:00:00

abstract：BACKGROUND:Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescr...

journal_title：BMC family practice

authors： Cordoba G,Siersma V,Lopez-Valcarcel B,Bjerrum L,Llor C,Aabenhus R,Makela M

更新日期：2015-01-29 00:00:00

abstract：BACKGROUND:Sleep problems are common, affecting over a third of adults in the United Kingdom and leading to reduced productivity and impaired health-related quality of life. Many of those whose lives are affected seek medical help from primary care. Drug treatment is ineffective long term. Psychological methods for man...

journal_title：BMC family practice

authors： Siriwardena AN,Apekey T,Tilling M,Harrison A,Dyas JV,Middleton HC,Ørner R,Sach T,Dewey M,Qureshi ZM

更新日期：2009-01-26 00:00:00

abstract：BACKGROUND:The prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This st...

journal_title：BMC family practice

authors： Newbould J,Burt J,Bower P,Blakeman T,Kennedy A,Rogers A,Roland M

更新日期：2012-07-25 00:00:00

abstract：BACKGROUND:Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes guidelines encourage a proactive role for GPs in oral health complications management in people with d...

journal_title：BMC family practice

authors： Poudel P,Griffiths R,Wong VW,Arora A,Flack JR,Khoo CL,George A

更新日期：2020-02-13 00:00:00

abstract：BACKGROUND:The prevalence of childhood obesity is rising and the UK Government have stated a commitment to addressing obesity in general. One method has been to include indicators relating to obesity within the GP pay-for-performance Quality and Outcomes Framework (QOF) contract. This study aimed to explore general pra...

journal_title：BMC family practice

authors： Walker O,Strong M,Atchinson R,Saunders J,Abbott J

更新日期：2007-09-03 00:00:00

abstract：BACKGROUND:The Charlson comorbidity index is widely used in ICD-9 administrative data, however, there is no translation for Read/OXMIS coded data despite increasing use of the General Practice Research Database (GPRD). Our main objective was to translate the Charlson index for use with Read/OXMIS coded data such as the...

journal_title：BMC family practice

authors： Khan NF,Perera R,Harper S,Rose PW

更新日期：2010-01-05 00:00:00

abstract：BACKGROUND:The work of general practitioners (GPs) is increasingly being looked at from the perspective of the strategies and factors shaping it. This reflects the importance given to primary care services in health care system reform. However, the literature provides little insight into the medical decision-making pro...

journal_title：BMC family practice

authors： Geneau R,Lehoux P,Pineault R,Lamarche P

更新日期：2008-02-19 00:00:00