abstract：OBJECTIVES:Our aim was to determine the probability of correctly diagnosing urinary tract infections (UTIs) from urinary symptoms and signs, studying their sensitivity, specificity and likelihood ratio (LR) when clinical history, signs and reactive strip test results are taken into account. METHODS:An epidemiological ...

journal_title：Family practice

authors： Medina-Bombardó D,Seguí-Díaz M,Roca-Fusalba C,Llobera J,dysuria team.

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japa...

journal_title：Family practice

authors： Takahashi O,Noguchi Y,Rahman M,Shimbo T,Goto M,Matsui K,Asai A,Onishi M,Koyama H,Sawada I,Yoshinaka T,Fukui T

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:Despite persistent poverty-related health inequalities, few sustained responses have been developed in primary care. Welfare rights provision has been proposed as one potential pathway to addressing health inequalities. OBJECTIVES:This study was set up to address the prevalence of welfare rights issues in g...

journal_title：Family practice

authors： Harding R,Sherr L,Sherr A,Moorhead R,Singh S

更新日期：2003-02-01 00:00:00

abstract：OBJECTIVES:The aims of this study were to determine women's perceived risk of menopause-related disease and to understand how this shapes their decisions about taking hormone replacement therapy (HRT) for disease prevention. METHODS:A qualitative study based on analysis of audio-taped semi-structured interviews. The s...

journal_title：Family practice

authors： Ballard K

更新日期：2002-12-01 00:00:00

abstract：OBJECTIVE:To determine GPs' diagnosis and management of acute infective conjunctivitis (AIC)-one of the commonest but least researched acute infections seen in primary care. METHODS:A postal questionnaire survey of 300 GPs from two Health Authorities in Southern England. RESULTS:236 (78%) GPs returned the questionnai...

journal_title：Family practice

authors： Everitt H,Little P

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:Patients sometimes have differences of > or =20/10 mmHg in their blood pressure depending on which arm is measured. The prevalence and prognostic value of this finding in general practice are unknown. If these differences are due to peripheral vascular disease, these patients may be at increased risk of card...

journal_title：Family practice

authors： Clark CE,Powell RJ

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:Patient self-report measures of primary care are being used increasingly for quality assessment and improvement. The General Practice Assessment Survey (GPAS) is a widely used measure. However, it is important that the measures used are valid and interpretable. Factor analysis is a useful method to assist in...

journal_title：Family practice

authors： Bower P,Mead N,Roland M

更新日期：2002-10-01 00:00:00

abstract：:The electronic version of the second edition of the International Classification of Primary Care, ICPC-2-E, available on the website of Family Practice since 2000, needed an update of the mapping with ICD-10 as a nomenclature and, consequently, of some of its criteria. This is now being made available, together with t...

journal_title：Family practice

authors： Okkes IM,Becker HW,Bernstein RM,Lamberts H

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:Client or consumer expectation is considered to influence their satisfaction with the service provided, but its importance has not been quantified in health care. OBJECTIVE:The aim of this study was to determine the effect of "patient expectations of care" on satisfaction with care provided by out-of-hours ...

journal_title：Family practice

authors： McKinley RK,Stevenson K,Adams S,Manku-Scott TK

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...

journal_title：Family practice

authors： Humair JP,Buchs CR,Stalder H

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Local adaptation is often reported in the literature to be an important strategy in achieving local ownership and relevance of guidelines in order to increase the likelihood of their uptake and implementation. However, the process is also potentially time-consuming and costly. OBJECTIVE:The aim of this stud...

journal_title：Family practice

authors： Silagy CA,Weller DP,Lapsley H,Middleton P,Shelby-James T,Fazekas B

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work. OBJECTIVE:The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher. METHODS:As part of ...

journal_title：Family practice

authors： Chew-Graham CA,May CR,Perry MS

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Smokers vary in their readiness to try stopping smoking, but there currently are no objective tools for identifying smokers' consulting behaviours which indicate their level of motivation to try stopping smoking. OBJECTIVE:The aim of this study was to investigate the construct validity and inter-observer re...

journal_title：Family practice

authors： Coleman T,Stevenson K,Wilson A

更新日期：2002-04-01 00:00:00

abstract：BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...

journal_title：Family practice

authors： Stein AT,Harzheim E,Costa M,Busnello E,Rodrigues LC

更新日期：2002-04-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to ascertain GPs' views about open access to out-patient follow-up for patients with inflammatory bowel disease (IBD). METHODS:Semi-structured interviews and a postal survey were carried out in general practices in West Glamorgan UK, each with at least one IBD patient taking part in...

journal_title：Family practice

authors： Cheung WY,Dove J,Lervy B,Russell IT,Williams JG

更新日期：2002-02-01 00:00:00

abstract：BACKGROUND:It is generally considered that a significant proportion of 'inappropriate' demand for GP services is generated by consultations for minor ailments. How GPs manage minor ailments is likely to affect how patients perceive and handle similar illnesses in the future. Whilst this potentially has significant impl...

journal_title：Family practice

authors： Morris CJ,Cantrill JA,Weiss MC

更新日期：2001-12-01 00:00:00

abstract：OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...

journal_title：Family practice

authors： Gabhainn SN,Murphy AW,Kelleher C

更新日期：2001-12-01 00:00:00

abstract：OBJECTIVES:The aim of this study is to understand in depth the experience of the family physician faced with the patient that he perceives as 'difficult'. This was done by means of the 'long interview' as a method of qualitative research. METHOD:We interviewed 15 randomly selected Board-certified family physicians, wi...

journal_title：Family practice

authors： Steinmetz D,Tabenkin H

更新日期：2001-10-01 00:00:00

abstract：:In the UK, policy changes in primary health care research and development have led to the establishment of primary care research networks. These organizations aim to increase research culture, capacity and evidence base in primary care. As publicly funded bodies, these networks need to be accountable. Organizational s...

journal_title：Family practice

authors： Fenton E,Harvey J,Griffiths F,Wild A,Sturt J

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...

journal_title：Family practice

authors： Muir EH,Ogden J

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:Bacterial vaginosis (BV) is the commonest cause of vaginal discharge, and its association with obstetric and gynaecological complications is being recognized increasingly. It was our impression that BV was poorly understood and underdiagnosed in family practice. OBJECTIVE:The aim of this study was to explor...

journal_title：Family practice

authors： Langsford MJ,Dobbs FF,Morrison GM,Dance DA

更新日期：2001-06-01 00:00:00

abstract：BACKGROUND:Recent guidelines for treatment of hypertension advocate a multifactorial approach based on absolute risk of a cardiovascular event. However, this does not take any account of individual patient values or preferences for health outcomes that result from having hypertension. OBJECTIVE:Our aim was to investig...

journal_title：Family practice

authors： Montgomery AA,Harding J,Fahey T

更新日期：2001-06-01 00:00:00

abstract：BACKGROUND:The North Trent scheme to address the problem of GPs whose performance gives cause for concern was implemented in 1997. This paper describes the structure and process of the scheme and evaluates the main outcomes. METHODS:We used non-participant observation and semi-structured interviews with representative...

journal_title：Family practice

authors： Joesbury H,Mathers N,Lane P

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:At the onset of the climacteric, healthy middle-aged women present with a variety of complaints, especially in general practice. In these first years of entering the menopause, vaginal blood loss alters from irregular periods to complete amenorrhoea. According to these different menstrual patterns, we can di...

journal_title：Family practice

authors： Maartens LW,Leusink GL,Knottnerus JA,Smeets CG,Pop VJ

更新日期：2001-04-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to establish and evaluate a direct access service for laparoscopic sterilization. METHODS:A pragmatic randomized controlled trial was carried out on a total of 232 women referred to Aberdeen Royal Infirmary for sterilization between 1 June 1996 and 31 March 1997, from 57 general pr...

journal_title：Family practice

authors： McKessock L,Smith BH,Scott A,Graham W,Terry PB,Templeton A,Fitzmaurice AE

更新日期：2001-02-01 00:00:00

abstract：OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHOD...

journal_title：Family practice

authors： Moral RR,Alamo MM,Jurado MA,de Torres LP

更新日期：2001-02-01 00:00:00

abstract：BACKGROUND:Heroin addiction is a major public health problem affecting both the addicted individuals and their children, who have been shown to have poor social, educational and health status and to be at higher risk of abuse than their peers. Whilst the antenatal effects of parental drug use and the overall poor outco...

journal_title：Family practice

authors： Keen J,Oliver P,Rowse G,Mathers N

更新日期：2000-12-01 00:00:00

abstract：OBJECTIVE:To investigate the question whether or not spinal manipulation is associated with specific treatment effects. METHODS:Literature searches were carried out in Medline, Embase and The Cochrane Library. All sham-controlled trials of spinal manipulation were considered. RESULTS:Seven such studies were located. ...

journal_title：Family practice

authors： Ernst E

更新日期：2000-12-01 00:00:00

abstract：:In a GP database, 318 people with intellectual disability (ID) appeared to have 2.5 times more health problems than people without ID. This short report deals with the nature of the health problems. Consequences for health care policy are discussed. ...

journal_title：Family practice

authors： van Schrojenstein Lantman-De Valk HM,Metsemakers JF,Haveman MJ,Crebolder HF

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Testing of patients for Helicobacter pylori infection is common in primary care settings. The accuracy of such tests has been assessed and critical appraisal of this literature can inform the clinical management of patients suspected of being infected with H. pylori METHODS:Literature evaluating the accurac...

journal_title：Family practice

authors： Roberts AP,Childs SM,Rubin G,de Wit NJ

更新日期：2000-08-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to evaluate the role of tympanometry for diagnosis, treatment and follow-up of otitis media in general practice. METHODS:The results from otoscopy performed by 40 physicians in general practice in Vejle County, Denmark were combined with the clinical condition and this was recorded ...

journal_title：Family practice

authors： Johansen EC,Lildholdt T,Damsbo N,Eriksen EW

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND:Patients' religious beliefs can offer support at times of illness and disease. Therefore religious beliefs of patients are important in doctor-patient interaction. OBJECTIVE:To assess to what extent GPs pay attention to religious beliefs of patients in their daily work. METHODS:A postal questionnaire was s...

journal_title：Family practice

authors： Kuyck WG,de Wit NJ,Kuyvenhoven MM

更新日期：2000-06-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to investigate doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur. METHODS:A qualitative study was undertaken involving in-depth, semi-structured interviews that were tape-recorded,...

journal_title：Family practice

authors： Dixon-Woods M,Critchley S

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. OBJECTIVES:The aim of this study was to determine t...

journal_title：Family practice

authors： Lam CL,Lauder IJ

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Although condom promotion schemes have been widely piloted in UK general practices, there have been no rigorous evaluations of their effectiveness. OBJECTIVES:To see if a practice-based sexual health education intervention increases the number of women having smears who are given condoms and advice on avoid...

journal_title：Family practice

authors： Oakeshott P,Kerry S,Hay S,Hay P

更新日期：2000-02-01 00:00:00

abstract：:Before implementing a guideline, reassurance is needed that the guideline is valid, reproducible and reliable. A method for assessing guideline validity has now been developed for general use. Guideline producers need to consider suitable strategies for implementing their guidelines. When designing and evaluating a gu...

journal_title：Family practice

authors： Littlejohns P,Cluzeau F

更新日期：2000-02-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to estimate the frequency of albuminuria in patients with and without diabetes mellitus, answering the question: 'How relevant for general practice are epidemiological findings that albuminuria is a significant risk indicator for the development of cardiovascular syndromes?'. METHO...

journal_title：Family practice

authors： Mlacak B,Jaksić Z,Vuletić S

更新日期：1999-12-01 00:00:00

abstract：BACKGROUND:The GP often has a primary function in assessing pigmented skin lesions in Denmark. No data are available on the diagnostic accuracy of this process. OBJECTIVE:We aimed to study the sensitivity, specificity and positive prognostic value of the diagnosis made by 27 trained or trainee GPs. METHOD:We tested t...

journal_title：Family practice

authors： Jemec GB

更新日期：1999-12-01 00:00:00

abstract：BACKGROUND:The approach to health and disease can either be salutogenic (origins of health) or pathogenic (disease causing), which thus makes recovery a concept featuring several different angles. Antonovsky, with his concept of salutogenesis, tried to reach a more complete understanding of its favourable effects on he...

journal_title：Family practice

authors： Nilsson B,Westman G

更新日期：1999-10-01 00:00:00

abstract：BACKGROUND:Prevention of cardiovascular disease in the elderly is becoming increasingly important. GPs are in a unique position to initiate preventive interventions in this age group. However, it is not clear which strategy a GP should follow to identify patients at increased cardiovascular risk-case finding or screeni...

journal_title：Family practice

authors： van den Berg PJ,van Dalsen CL,de Rooij RA,Prins A,Hoes AW

更新日期：1999-08-01 00:00:00