abstract：OBJECTIVE:Poor patient adherence to lipid-lowering medication is a major contributory factor in the lack of success in treating hyperlipidaemia. The objective of this review was to assess the effect of adherence-enhancing interventions for lipid-lowering medication. DESIGN:Systematic review of randomized controlled tr...

journal_title：Family practice

authors： Schedlbauer A,Schroeder K,Fahey T

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...

journal_title：Family practice

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

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Guidelines for type 2 diabetes care in general practice are well known and accepted, but the implementation falls short. OBJECTIVE:To implement these guidelines by introducing a diabetes support service (DSS) to support the care delivered by the GP. METHODS:A controlled, non-randomised study with delayed i...

journal_title：Family practice

authors： Meulepas MA,Braspenning JC,de Grauw WJ,Lucas AE,Harms L,Akkermans RP,Grol RP

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:To examine whether heart failure patients' awareness of the purpose and side effects of their medicines equips them to participate in informed discussions about treatments. DESIGN:Qualitative interviews using a maximum variation sample were collected. Interviews were analysed using constant comparison. SETT...

journal_title：Family practice

authors： Field K,Ziebland S,McPherson A,Lehman R

更新日期：2006-12-01 00:00:00

abstract：OBJECTIVES:To investigate referral rates for cardiac interventions by clinical specialty, to document doctors' reasons for referrals and to explore doctors' perceptions of the factors that influenced their clinical decisions. STUDY DESIGN:Doctors completed a clinical decision-making exercise involving, in total, 6093 ...

journal_title：Family practice

authors： Bowling A,Harries C,Forrest D,Harvey N

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Evaluation of health care contacts from first events alone often misses large amounts of potentially important data and may produce different results than evaluation of all data including recurrent events. OBJECTIVE:We aim to bring the different methodological approaches for analysing longitudinal health ca...

journal_title：Family practice

authors： Thomsen JL,Parner ET

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Ethnic minority patients seem to be confronted with barriers when using health services. Yet, care providers are often oblivious to these barriers, although they may share to some extent the burden of responsibility for them. In order to enlighten care providers, as to the potential pitfalls that may exist, ...

journal_title：Family practice

authors： Scheppers E,van Dongen E,Dekker J,Geertzen J,Dekker J

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends upon early diagnosis, but under-recognition of and under-response to dementia appear widespread in general practice. AIM:...

journal_title：Family practice

authors： Iliffe S,Wilcock J,Haworth D

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Current pandemic influenza plans to place GPs at the front line of a pandemic influenza response. However, little is known about GPs' perceptions of their role and preparedness in the event of a pandemic occurring. OBJECTIVE:Our aim was to assess general practice preparedness to respond to pandemic influenz...

journal_title：Family practice

authors： Shaw KA,Chilcott A,Hansen E,Winzenberg T

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:In many European countries, primary care surveillance networks play a role in public health surveillance. OBJECTIVES:To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions thei...

journal_title：Family practice

authors： Deckers JG,Paget WJ,Schellevis FG,Fleming DM

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Antibiotics are over-prescribed for lower respiratory tract infection (LRTI). The influence of clinicians' history and examination findings on antibiotic prescribing for LRTI has not been directly assessed, and the extent to which these clinical findings predict appropriate antibiotic prescribing is unknown....

journal_title：Family practice

authors： Hopstaken RM,Butler CC,Muris JW,Knottnerus JA,Kester AD,Rinkens PE,Dinant GJ

更新日期：2006-04-01 00:00:00

abstract：OBJECTIVES:Children under 2 years of age with acute otitis media are known to have a relatively poor prognosis. The objective of this study was to assess whether known determinants for recurrent acute otitis media and persistent middle ear effusion after an episode of acute otitis media during childhood also apply to c...

journal_title：Family practice

authors： Damoiseaux RA,Rovers MM,Van Balen FA,Hoes AW,de Melker RA

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Little is known about doctors' decision-making processes in prescribing antidepressants and how this is handled. OBJECTIVE:To describe and understand doctors' strategies in prescribing mood-modifying drugs, especially when confronted with challenging patients or situations. METHODS:Face-to-face interviews ...

journal_title：Family practice

authors： Kapmeyer A,Meyer C,Kochen MM,Himmel W

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Although practice nurses play an important role in implementing smoking cessation strategies in primary care, relatively little is known of their attitudes and beliefs about giving smoking cessation advice. OBJECTIVES:To describe practice nurses' attitudes towards giving smoking cessation advice. METHODS:1...

journal_title：Family practice

authors： Hall S,Vogt F,Marteau TM

更新日期：2005-12-01 00:00:00

abstract：BACKGROUND:Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE:To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years...

journal_title：Family practice

authors： Zwaanswijk M,Verhaak PF,van der Ende J,Bensing JM,Verhulst FC

更新日期：2005-10-01 00:00:00

abstract：OBJECTIVES:The aim of the study was to validate a new case-finding instrument for common mental disorders (CMDQ). METHODS:A cross-sectional, stratified, two-phase study was carried out in 28 general practices in Aarhus County, Denmark. 1785 consecutive patients, 18-65 years old, consulting 38 GPs with a new health pro...

journal_title：Family practice

authors： Christensen KS,Fink P,Toft T,Frostholm L,Ornbøl E,Olesen F

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:Pre-school children are frequent users of health services, but little contemporary data are available describing their symptoms or why they consult. OBJECTIVE:To describe symptom and consultation prevalence in pre-school children and to identify the socio-demographic factor or factors associated with consul...

journal_title：Family practice

authors： Hay AD,Heron J,Ness A,ALSPAC study team.

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES:The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of hi...

journal_title：Family practice

authors： Mercer SW,McConnachie A,Maxwell M,Heaney D,Watt GC

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of a...

journal_title：Family practice

authors： Coupland CA,Savelyich BS,Hippisley-Cox J,Kendrick D,Groom L,Cross E

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their own care, although little is known about their acceptability. OBJECTIVES:The aim of this study was to identify barriers and...

journal_title：Family practice

authors： Geest TA,Wetzels R,Raposo V,Lopes Ferreira P,Baker R,Wensing M,Olesen F,Improve Research Group.

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Over-the-counter (OTC) medicines are increasingly used for self-medication, but such products can be misused/abused. OBJECTIVES:The aim of this study was to investigate the general public's opinion and perceptions of OTC medicines, including the misuse/abuse of such preparations. METHODS:Data were collecte...

journal_title：Family practice

authors： Wazaify M,Shields E,Hughes CM,McElnay JC

更新日期：2005-04-01 00:00:00

abstract：:Mental health problems are underdiagnosed in general practice, primarily because they are often somatized and the patient reports only physical symptoms. These somatized symptoms are responsible for a large percentage of the frequent attenders in general practice. Palpitations are among those somatized symptoms. Here ...

journal_title：Family practice

authors： Matalon A,Nachmani T,Rabin S,Maoz B

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...

journal_title：Family practice

authors： Hummers-Pradier E,Ohse AM,Koch M,Heizmann WR,Kochen MM

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...

journal_title：Family practice

authors： Plass AM,Timmermans DR,van der Wal G

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVES:This paper explores South Asian patients' views and experiences of clinical trial participation, as part of a larger study which sought to assess British South Asian under-representation in clinical trials. METHODS:The study was based on semi-structured interviews with South Asian trial participants in prim...

journal_title：Family practice

authors： Hussain-Gambles M

更新日期：2004-12-01 00:00:00

abstract：BACKGROUND:Patient expectation for a prescription is a recognized influence on GPs' prescribing, particularly in relation to the prescribing of antibiotics. Nurses are now able to supply antibiotics under a Patient Group Direction (PGD) in NHS walk-in centres and may experience similar pressures in this new role. OBJE...

journal_title：Family practice

authors： Weiss MC,Deave T,Peters TJ,Salisbury C

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:The long-term effects of disease management programmes for coronary heart disease on health status are unknown. In a randomized trial of nurse-led secondary prevention clinics, we found significantly improved health status at 1 year. Participants were followed-up again at 4 years to determine if improvements...

journal_title：Family practice

authors： Murchie P,Campbell NC,Ritchie LD,Deans HG,Thain J

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:A consulting method known as 'shared decision making' (SDM) has been described and operationalized in terms of several 'competences'. One of these competences concerns the discussion of the risks and benefits of treatment or care options-'risk communication'. Few data exist on clinicians' ability to acquire ...

journal_title：Family practice

authors： Elwyn G,Edwards A,Hood K,Robling M,Atwell C,Russell I,Wensing M,Grol R,Study Steering Group.

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Fibromyalgia (FM) is a common idiopathic chronic, widespread pain syndrome with tenderness in anatomically defined tender points. OBJECTIVES:The purpose of the present study was to describe and characterize the economic and daily work burden of FM compared with diabetes mellitus and hypertension. METHODS:A...

journal_title：Family practice

authors： Doron Y,Peleg R,Peleg A,Neumann L,Buskila D

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Medical end-of-life decisions (ELDs) have been discussed for several years in different countries, but little is known about the involvement of GPs in these ELDs. OBJECTIVES:The aim of the present study was to establish the incidence and characteristics of ELDs by GPs. METHOD:We selected 3999 deaths, a 20%...

journal_title：Family practice

authors： Bilsen J,Stichele RV,Mortier F,Bernheim J,Deliens L

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Little is known about the frequency with which information from the Internet is presented by patients within primary care consultations or the subsequent impact that it may have on those consultations. OBJECTIVES:The aims of this study were to describe the frequency with which Internet information was prese...

journal_title：Family practice

authors： Malone M,Harris R,Hooker R,Tucker T,Tanna N,Honnor S

更新日期：2004-04-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to explore beliefs and attitudes about refusing health screening in general practice. METHODS:In 1991, in Ebeltoft, Denmark people aged between 30 and 50 years were invited to participate in a 5-year randomized, controlled, population-based project testing the value of health screen...

journal_title：Family practice

authors： Nielsen KD,Dyhr L,Lauritzen T,Malterud K

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Primary physicians care for most patients with irritable bowel syndrome (IBS), but data on their attitudes and knowledge about the disorder are limited to research in the UK. OBJECTIVE:The purpose of the present study was to assess US family practitioners' attitudes and knowledge about IBS and determine the...

journal_title：Family practice

authors： Longstreth GF,Burchette RJ

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:This study examined the effect of measuring blood pressure below subjects' rolled-up sleeves, over the sleeve, or on the bare arm. This is an important day-to-day issue for the busy GP. METHODS:The sample consisted of 201 subjects in family practice clinics and residents of a senior citizens' home. A digita...

journal_title：Family practice

authors： Kahan E,Yaphe J,Knaani-Levinz H,Weingarten MA

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Rules of thumb used by GPs could be considered as empirical evidence of intuition and a link between science and practice in general practice. OBJECTIVE:The purpose of the present study was to analyse the description of the application of rules of thumb with regard to different situations in general practic...

journal_title：Family practice

authors： André M,Borgquist L,Mölstad S

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Heart failure due to left ventricular systolic dysfunction (LVSD) has a high prevalence in the adult population but is difficult to diagnose accurately on clinical grounds in the community. Early diagnosis is important as effective treatments are available to reduce morbidity and mortality. Echocardiography ...

journal_title：Family practice

authors： Sim V,Hampton D,Phillips C,Lo SN,Vasishta S,Davies J,Penney M

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Given the impact of obesity on mortality and morbidity in women, we evaluated correlates of weight gain in women ages 35-47 years. METHODS:Three hundred and thirty-six African American and Caucasian American women, randomly selected from among urban residents aged 35-47 years and pre-menopausal at baseline,...

journal_title：Family practice

authors： Sammel MD,Grisso JA,Freeman EW,Hollander L,Liu L,Liu S,Nelson DB,Battistini M

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines. OBJECTIVES:Our aim was to describe...

journal_title：Family practice

authors： Car J,Svab I,Kersnik J,Vegnuti M

更新日期：2003-08-01 00:00:00

abstract：:This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...

journal_title：Family practice

authors： Jacobson L,Elwyn G,Robling M,Jones RT

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...

journal_title：Family practice

authors： Evans R,Stone D,Elwyn G

更新日期：2003-06-01 00:00:00