abstract：OBJECTIVE:To assess the results achieved with a rapid referral pathway for suspected colorectal cancer (CRC), comparing with the standard referral pathway. METHODS:Three-year audit of patients suspected of having CRC routed via a rapid referral pathway, and patients with CRC routed via the standard referral pathway of...

journal_title：Family practice

authors： Valentín-López B,Ferrándiz-Santos J,Blasco-Amaro JA,Morillas-Sáinz JD,Ruiz-López P

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Chronic musculoskeletal pain (CMP) is treated in primary care by a wide range of health professionals including chiropractors, osteopaths and physiotherapists. AIMS:To explore patients and chiropractors, osteopaths and physiotherapists' beliefs about CMP and its treatment and how these beliefs influenced ca...

journal_title：Family practice

authors： Parsons S,Harding G,Breen A,Foster N,Pincus T,Vogel S,Underwood M

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Adolescent obesity calls for evidence-based treatment approaches given its long-term physical and psychosocial consequences. However, research shows there are many problems in the translation of scientific evidence into practice. OBJECTIVE:The aim of this study was to develop science- and practice-based rec...

journal_title：Family practice

authors： Swan E,Bouwman L,de Roos N,Koelen M

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...

journal_title：Family practice

authors： Derksen RE,Brink-Melis WJ,Westerman MJ,Dam JJ,Seidell JC,Visscher TL

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:The aim of the study was to identify promoting and impeding factors for successful implementation of a Dutch primary health care-based lifestyle programme called 'BeweegKuur'. BeweegKuur aims to increase the physical activity and change the diet of people at increased health risk due to overweight or obesity...

journal_title：Family practice

authors： Helmink JH,Kremers SP,Van Boekel LC,Van Brussel-Visser FN,Preller L,De Vries NK

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Studies examining the impact nurse prescribing have largely focused on the efficacy of the service. It was suggested in pro-prescribing policy arguments that extending the nursing role to include prescribing would increase job satisfaction. This assertion has not been fully explored. OBJECTIVES:To investiga...

journal_title：Family practice

authors： Cousins R,Donnell C

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...

journal_title：Family practice

authors： Collings S,Mathieson F,Dowell A,Stanley J,Jenkin G,Goodyear-Smith F,Hatcher S

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVE:In-depth knowledge of existing practice is required to inform interventions aimed at antibiotic prescribing quality improvement. We set out to describe the presentation, antimicrobial management and associated outcome of adults presenting in general practice with acute cough/lower respiratory tract infection ...

journal_title：Family practice

authors： Godycki-Cwirko M,Hood K,Nocun M,Muras M,Goossens H,Butler CC

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Adolescent pregnancy is an important health issue. Prevention programs are usually aimed at the prevention of repeat pregnancy, ignoring the adolescents at risk of becoming pregnant for the first time. OBJECTIVES:To analyse if socio-economic status, family type and mother's age at first pregnancy are risk f...

journal_title：Family practice

authors： Santos MI,Rosário F

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVE:The purpose of this systematic review with meta-analysis is to determine the predictive value of the ABCD ²at 7 and 90 days across three strata of risk. Background. The risk of stroke after transient ischaemic attack (TIA) is significant. The ABCD ²clinical prediction rule is designed to predict early risk of...

journal_title：Family practice

authors： Galvin R,Geraghty C,Motterlini N,Dimitrov BD,Fahey T

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and t...

journal_title：Family practice

authors： Renzi C,Mastroeni S,Mannooranparampil TJ,Passarelli F,Pasquini P

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...

journal_title：Family practice

authors： Bruins Slot MH,Rutten FH,van der Heijden GJ,Geersing GJ,Glatz JF,Hoes AW

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:During their specialty training, Dutch GP trainees work at a GP under the supervision of a GP trainer. Research suggests that the patient mix of GP trainees differs from that of their trainers. Receptionists assign patients to either the trainee or the trainer, thereby influencing the patient mix of the trai...

journal_title：Family practice

authors： de Jong J,Visser MR,Wieringa-de Waard M

更新日期：2011-06-01 00:00:00

abstract：PURPOSE:Chilean patients with type 2 diabetes mellitus (T2DM) have a low rate of blood sugar control. We studied the effectiveness of a culturally sensitive family oriented intervention designed to improve metabolic control in primary care patients with uncontrolled T2DM. METHODS:Patients with T2DM from three primary ...

journal_title：Family practice

authors： García-Huidobro D,Bittner M,Brahm P,Puschel K

更新日期：2011-02-01 00:00:00

abstract：OBJECTIVES:Self-efficacy is an important factor influencing diabetes self-management behaviours. Previous studies have examined self-efficacy as a general measure in diabetes care for all self-care treatment recommendations together. This current study was designed to examine if low self-efficacy in each of the measure...

journal_title：Family practice

authors： Mishali M,Omer H,Heymann AD

更新日期：2011-02-01 00:00:00

abstract：BACKGROUND:in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication....

journal_title：Family practice

authors： Noordman J,Verhaak P,van Beljouw I,van Dulmen S

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...

journal_title：Family practice

authors： Fletcher K,Mant J,Roalfe A,Hobbs FD

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls for new approaches. This study explores the paired interviews of shared experiences among chronic LBP patients and their physicians with the ultimate goal of improving doctor-patient communication and clini...

journal_title：Family practice

authors： Allegretti A,Borkan J,Reis S,Griffiths F

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:The General Practitioner Experiences Questionnaire (GPEQ) measures community mental health centres from the perspective of GP but lacked accessibility scales and documentation of centre level reliability. OBJECTIVES:To assess the psychometric properties of the GPEQ following the inclusion of four new access...

journal_title：Family practice

authors： Bjertnaes OA,Garratt A,Ruud T,Hunskaar S

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:The World Health Organization and the World Organization of Family Doctors have called for 'doable' and 'limited' tasks to integrate mental health into primary care. Little information is provided about tasks GPs can undertake outside of guidelines that suggest to prescribe medication and refer to specialist...

journal_title：Family practice

authors： Palmer V,Gunn J,Kokanovic R,Griffiths F,Shrimpton B,Hurworth R,Herrman H,Johnson C,Hegarty K,Blashki G,Butler E,Johnston-Ata'ata K,Dowrick C

更新日期：2010-08-01 00:00:00

abstract：:Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...

journal_title：Family practice

authors： Nettles A,Belton A

更新日期：2010-06-01 00:00:00

abstract：:Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-manageme...

journal_title：Family practice

authors： Heisler M

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS:To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out i...

journal_title：Family practice

authors： Godwin M,Lam M,Birtwhistle R,Delva D,Seguin R,Casson I,MacDonald S

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Both treatment guidelines and the amount of antibiotics used for acute otitis media (AOM) vary across western countries. Parental expectations and their awareness of antimicrobial use and resistance, which may also be influenced by the guidelines, are not yet completely known. OBJECTIVE:To compare parental ...

journal_title：Family practice

authors： Tähtinen PA,Boonacker CW,Rovers MM,Schilder AG,Huovinen P,Liuksila PR,Ruuskanen O,Ruohola A

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives' possible psychiatric vulnerabilities. The availability of evidence-base...

journal_title：Family practice

authors： de Groot M,van der Meer K,Burger H

更新日期：2009-10-01 00:00:00

abstract：INTRODUCTION:Musculoskeletal complaints are very common in primary care settings. Lipid-lowering drugs are one of several causes of musculoskeletal symptoms. However, data showing an association of lipid-lowering drug therapy and increased odds of musculoskeletal complaints in primary care patients are lacking. OBJECT...

journal_title：Family practice

authors： Mosshammer D,Lorenz G,Meznaric S,Schwarz J,Muche R,Mörike K

更新日期：2009-04-01 00:00:00

abstract：OBJECTIVES:Bell's palsy (BP), which causes facial paralysis, affects 11-40 people per 100 000 per annum in the UK. Its cause is unknown but as many as 30% of patients have continuing facial disfigurement, psychological difficulties and occasionally facial pain. We present an randomised controlled trial (RCT)-based econ...

journal_title：Family practice

authors： Hernández RA,Sullivan F,Donnan P,Swan I,Vale L,BELLS Trial Group.

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:In view of the increasing cost of general practice of drug prescribing, it is important to look at ways of reducing drug wastage and thereby improve the cost-effectiveness of prescribing. OBJECTIVE:To determine the costs and cost savings to the NHS of instalment dispensing for newly prescribed medicines and...

journal_title：Family practice

authors： Millar J,McNamee P,Heaney D,Selvaraj S,Bond C,Lindsay S,Morton M

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Ankle-brachial index (ABI) is an excellent method for the diagnosis of peripheral arterial disease (PAD) when it is performed with Doppler. However, this device is not always available for primary care physicians. The ABI measured with stethoscope is an easy alternative approach, but have not been proved to ...

journal_title：Family practice

authors： Carmo GA,Mandil A,Nascimento BR,Arantes BD,Bittencourt JC,Falqueto EB,Ribeiro AL

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries. general practice is a good place to survey unbiased prevalence rates. Ten studies done in general practice over the last 20 years found prevalence rates among smoke...

journal_title：Family practice

authors： Gingter C,Wilm S,Abholz HH

更新日期：2009-02-01 00:00:00

abstract：:An important pitfall of nutritional guidance in medical practice is how to deal with the prevention paradox: a nutritional advice that is good for the population as a whole is not necessarily proven effective for the individual patient. Evidence-based guidelines are needed to support GPs to translate these advices to ...

journal_title：Family practice

authors： Drenthen AJ,Van Binsbergen JJ

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:In recent years, we have investigated both patients' and family doctors' communicative characteristics towards nutrition communication in general practice with several qualitative and quantitative studies. A sound comparison of the survey results between both conversation partners has not been made before. ...

journal_title：Family practice

authors： van Dillen SM,Hiddink GJ

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Physicians often encounter patients using alcohol as self-medication, but studies on community level are scarce. Because of alcohol-medicine interactions, it is important to know also all self-medication used. OBJECTIVE:To describe alcohol use as self-medication by people aged over 75 years. METHODS:The ho...

journal_title：Family practice

authors： Aira M,Hartikainen S,Sulkava R

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:The ankle-brachial index (ABI), i.e. the ratio of the ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD) and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients. OBJECTIVE:To assess the diagn...

journal_title：Family practice

authors： Migliacci R,Nasorri R,Ricciarini P,Gresele P

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:Non-clinical factors impact on decisions about whether to refer a patient from primary care to specialist mental health services. The aim of this study was to investigate whether introducing a standardized assessment of severity improves agreement on referrals. METHODS:Multi-site mixed-method cluster random...

journal_title：Family practice

authors： Slade M,Gask L,Leese M,McCrone P,Montana C,Powell R,Stewart M,Chew-Graham C

更新日期：2008-06-01 00:00:00

abstract：INTRODUCTION:In the last decade of the 20th century, the countries of Central and Eastern Europe (CEE) have experienced rapid changes in health policies. This process was largely supported by international grants. After this support has ended, it is important to keep up with the development, developing its own strategi...

journal_title：Family practice

authors： Seifert B,Svab I,Madis T,Kersnik J,Windak A,Steflova A,Byma S

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND:There has been a continued trend towards undertaking primary care-based research but the characteristics and generalizability of practices that participate in such research are not well known. OBJECTIVE:To compare research active and non-active practices in terms of practice demographics, disease prevalence...

journal_title：Family practice

authors： McManus RJ,Ryan R,Jones M,Wilson S,Hobbs FR

更新日期：2008-02-01 00:00:00

abstract：BACKGROUND:People with learning disabilities have become increasingly exposed to health risk with the move to community living. Yet, health promotion is poorly developed with a heavy reliance on primary care. OBJECTIVES:To elicit the perceptions of people with learning disabilities, carers and care workers regarding r...

journal_title：Family practice

authors： Young AF,Chesson RA,Wilson AJ

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:The combined influence of psychological distress, family dysfunction and social support on primary care consultation (PCC) remains unclear. OBJECTIVE. To build an explanatory model of PCC concerning users' psychosocial factors. METHODS:We undertook a multicentre, prospective cohort study of a random sample ...

journal_title：Family practice

authors： Bellón JA,Delgado-Sánchez A,de Dios Luna J,Lardelli-Claret P

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Current primary prevention guidelines recommend the assessment of family history of coronary heart disease (CHD) to identify at-risk individuals. OBJECTIVE:To examine how clinicians and patients understand and communicate family history in the context of CHD risk assessment in primary care. METHODS:A quali...

journal_title：Family practice

authors： Hall R,Saukko PM,Evans PH,Qureshi N,Humphries SE

更新日期：2007-10-01 00:00:00