abstract：OBJECTIVE:We aimed to assess criteria when diagnosing acute otitis media and related performance in general practice in Denmark. Furthermore, we aimed to identify the scale of and the reasons for diagnostic uncertainty. METHODS:We conducted: (i) a survey among GPs assessing criteria; and (ii) prospective registration ...

journal_title：Family practice

authors： Jensen PM,Lous J

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:The time between experiencing symptoms and treatment in cancer diseases is a time of insecurity and despair. Brain tumour disease is a severe disease with dramatic manifestations and it is important that this time be kept as short as possible. METHODS:A consecutive sample of 28 patients with malignant gliom...

journal_title：Family practice

authors： Salander P,Bergenheim AT,Hamberg K,Henriksson R

更新日期：1999-04-01 00:00:00

abstract：OBJECTIVES:We aimed to examine the factors that were most stressful for new principals in inner-city general practice. In addition, given the concerns about retention of new principals, to ascertain whether high perceived stress translated into regret that they had joined their practice and factors that might protect f...

journal_title：Family practice

authors： Ashworth M,Armstrong D

更新日期：1999-02-01 00:00:00

abstract：BACKGROUND:Assessing a genetic risk for developing breast cancer is not an easy task for a GP. Current expert guidelines for referring and counselling women with a family history positive for breast cancer are complex and difficult to apply in general practice, and have only two strategies (to refer or not to refer for...

journal_title：Family practice

authors： de Bock GH,Vliet Vlieland TP,Hageman GC,Oosterwijk JC,Springer MP,Kievit J

更新日期：1999-02-01 00:00:00

abstract：BACKGROUND:There has been little research carried out on the prevalence and types of sexual dysfunction in the general population, although the indications are that such problems are relatively common. Most common sexual problems are potentially treatable. However GPs have estimated the prevalence of sexual problems to...

journal_title：Family practice

authors： Dunn KM,Croft PR,Hackett GI

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Home health services play an important role in decreasing hospital admissions and physicians' medical house calls play an integral role in home health services. There is no national survey of physicians' house call practice in the Lebanon. OBJECTIVES:The aim of this study was to provide some information abo...

journal_title：Family practice

authors： Sarru E,Abyad A

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Most individuals with current epilepsy are solely under the care of the primary care team for follow-up care. Government working party recommendations, expert epilepsy panels and patients have also stressed the central role of the GP in follow-up care. Problems in the provision of care in the community have,...

journal_title：Family practice

authors： Thapar AK,Stott NC,Richens A,Kerr M

更新日期：1998-10-01 00:00:00

abstract：BACKGROUND:Complaints possibly caused by arrhythmias are frequently seen in general practice. It is unclear to what extent such complaints can differentiate between arrhythmias and other pathology in general practice. OBJECTIVES:We aimed to assess the value of symptoms (a) in diagnosing arrhythmias in general practice...

journal_title：Family practice

authors： Zwietering PJ,Knottnerus JA,Rinkens PE,Kleijne MA,Gorgels AP

更新日期：1998-08-01 00:00:00

abstract：AIM:Our objective was to evaluate the effect of training in a patient-centred intervention for GPs and practice nurses on outcomes for patients with Type II diabetes. METHODS:We carried out a randomized controlled trial within general practices as the basis for randomization and a before-and-after design for measures ...

journal_title：Family practice

authors： Pill R,Stott NC,Rollnick SR,Rees M

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:Regular aspirin is beneficial after myocardial infarction (MI). Community-based surveys appear to show unsatisfactory uptake of aspirin after MI. This could be due to over-the-counter (OTC) use not being recorded. In a pilot study in one practice, 39% of patients on aspirin after MI used OTC preparations. In...

journal_title：Family practice

authors： Hopper S,Pierce M

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Acute otitis media is a common disease, particularly among children. The importance of a correct diagnosis is crucial, especially as unjustified prescription of antibiotics has become a major problem in clinical praxis. OBJECTIVES:Our aim was to evaluate the predictive value of different otological findings...

journal_title：Family practice

authors： Hemlin C,Hassler E,Hultcrantz M,Papatziamos G,Krakau I

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Patients with chronic medical diseases may have depression that is not recognized by their primary care physicians. OBJECTIVES:We aimed to examine the application of Zung's Self-Rating Depression Scale (SDS) in the screening of depression in primary care patients with chronic medical diseases in a Chinese p...

journal_title：Family practice

authors： Leung KK,Lue BH,Lee MB,Tang LY

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:The 'Dartmouth COOP Functional Health Assessment Charts/WONCA' constitute a relatively new derived instrument for assessing health status that is specifically intended for use in primary care on a world-wide basis. It needs further validation in its special area of use. OBJECTIVES:Over a range of countries,...

journal_title：Family practice

authors： Westbury RC,Rogers TB,Briggs TE,Allison DJ,Gérvas J,Shigemoto H,Elford W

更新日期：1997-12-01 00:00:00

abstract：BACKGROUND:Prescribed medication is a mainstay of primary care but it is clear that a large proportion of treatment is not taken correctly. Such 'non-compliance' is considered to be a major problem, but research to date has provided few solutions. There have been increasing calls for a change in approach in order to ga...

journal_title：Family practice

authors： Dowell J,Hudson H

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:It has been shown that when patients are unable to express all their major concerns, they are less likely to follow the physician's prescribed treatment plan and they are less satisfied. On the other hand, the GP has a limited amount of time to elicit all the appropriate information and must ask certain ques...

journal_title：Family practice

authors： Larsen JH,Risør O,Putnam S

更新日期：1997-08-01 00:00:00

abstract：OBJECTIVES:We aimed to describe the clinical and psycho-socio-familial features of patients with widespread chronic musculoskeletal pain (WCMP)/fibromyalgia (FM) in primary care settings. To detect differences and similarities between both 'entities'. METHODS:An observational study was carried out with a newcoming cli...

journal_title：Family practice

authors： Ruiz Moral R,Muñoz Alamo M,Pérula de Torres L,Aguayo Galeote M

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...

journal_title：Family practice

authors： Stalman W,van Essen GA,van der Graaf Y,de Melker RA

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:Nearly three-quarters of patients seen in specialist outpatient clinics in England are in follow-up. It has been suggested that the care of many of these patients could be transferred to general practice. OBJECTIVES:We aimed to estimate the proportion of patients in general practice who are in long-term out...

journal_title：Family practice

authors： Reeve H,Baxter K,Newton P,Burkey Y,Black M,Roland M

更新日期：1997-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Studies using video-recordings of GPs' consultations have been important in investigating GPs' clinical behaviour. Unfortunately, the characteristics of participating GPs are rarely described, making it difficult to assess how representative they are or how generalizable the studies' results c...

journal_title：Family practice

authors： Coleman T

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVE:This study aimed to examine if providing feedback to the doctor can improve patient-doctor concordance (PDC) on health problems and treatments. METHODS:The study was carried out in a hospital-based primary care service in a lower socioeconomic status (SES) region of metropolitan Melbourne, Australia. A summa...

journal_title：Family practice

authors： Liaw ST,Young D,Farish S

更新日期：1996-10-01 00:00:00

abstract：:Meta-analysis is a quantitative process of summary and interpretation which involves pooling information from independent studies concerning a single theme in order to draw conclusions. Greatly increased employment of meta-analysis is currently being advocated for clinical and policy decision making. However, the pres...

journal_title：Family practice

authors： Charlton BG

更新日期：1996-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:A cross-sectional survey was conducted amongst patients who consulted for upper respiratory tract infections (URTI) at 22 private practitioners' offices. METHOD:A total of 505 adult patients and 504 guardians (parents or grandparents of child patients) completed a self-administered questionnai...

journal_title：Family practice

authors： Chan CS

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:A methodology is needed for classification of health problems by severity. OBJECTIVES:We aimed to test the Duke Severity of Illness Checklist (DUSOI) for feasibility and usefulness. METHOD:The DUSOI was field tested internationally by 22 family/general practitioners in 9 countries. RESULTS:The DUSOI was f...

journal_title：Family practice

authors： Parkerson GR Jr,Bridges-Webb C,Gervas J,Hofmans-Okkes I,Lamberts H,Froom J,Fischer G,Meyboom-de Jong B,Bentsen B,Klinkman M,de Maeseneer J

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:There is evidence both that a doctor's own well-being is closely associated with efficiency and positive attitude to patients, and that levels of stress, anxiety and depression in doctors are rising. OBJECTIVES:This postal survey aimed to measure anxiety and depression levels in general practitioners in 199...

journal_title：Family practice

authors： Chambers R,Campbell I

更新日期：1996-04-01 00:00:00

abstract：BACKGROUND:In the UK, the GP contract requires annual consultations and offers of home visits to the elderly. However, as many as 50% of elderly people refuse the offer of a health screen. OBJECTIVE:To describe the characteristics of elderly people who declined the offer of an annual home visit. METHOD:All elderly pe...

journal_title：Family practice

authors： Jagger C,Clarke M,O'Shea C,Gannon M

更新日期：1996-02-01 00:00:00

abstract：BACKGROUND:Formal randomized controlled trial results are often reported. The difficulties of doing such trial are not. Developing countries represent a new field in which trials can be undertaken. In this context even less is known about the practicalities involved. METHOD AND RESULTS:A randomized, double-blind, para...

journal_title：Family practice

authors： Glasgow NJ,Murdoch JC,Baynouna L,al Sabosy MM,al Jabiri ON,Harron DW

更新日期：1996-02-01 00:00:00

abstract：:Our objective was to determine what family physicians need in their doctor's bag for urgent and non-urgent house calls. In a prospective survey, family physicians completed a structured report form after consecutive house calls, recording what equipment they needed for each. Thirteen doctors from two urban practices, ...

journal_title：Family practice

authors： Nakar S,Vinker S,Weingarten MA

更新日期：1995-12-01 00:00:00

abstract：:The aim of the study is to determine the diagnostic value of (combinations of) signs, symptoms and simple laboratory test results for colorectal cancer in patients with rectal bleeding presenting in general practice. Initial complaints and findings were compared with the final diagnoses based on clinical follow-up aft...

journal_title：Family practice

authors： Fijten GH,Starmans R,Muris JW,Schouten HJ,Blijham GH,Knottnerus JA

更新日期：1995-09-01 00:00:00

abstract：:Recent years have seen a growing recognition of the appropriateness of qualitative methods in family practice. This has been paralleled by an upsurge of interest in focus group discussions as a method. Drawing on the experience of using focus groups with general practice teams as one component of a multi-method study ...

journal_title：Family practice

authors： Barbour RS

更新日期：1995-09-01 00:00:00

abstract：:Upper respiratory tract infections (URTIs) are a common reason for presentation to general practitioners. The current study used computerised consultation records of 100,222 patients from 17 general practices in New Zealand for the 12-month period 1 July 1991-30 June 1992. URTIs were noted in 8.9% of all consultations...

journal_title：Family practice

authors： McGregor A,Dovey S,Tilyard M

更新日期：1995-06-01 00:00:00

abstract：:General practitioners' perceptions of low back pain (LBP) patients were investigated through a series of in-depth semi-structured interviews, as part of a wider study which also investigated patient perceptions. An exhaustive analysis of the interview transcripts revealed six principal ways in which GPs distinguished ...

journal_title：Family practice

authors： Skelton AM,Murphy EA,Murphy RJ,O'Dowd TC

更新日期：1995-03-01 00:00:00

abstract：:The aim of this study was to investigate how much inter- and intrareviewer agreement there was with regard to the classification of research designs and the assessment of the methodological quality of research reports. This was done by means of formal criteria and criteria relating to content. Three successive reliabi...

journal_title：Family practice

authors： Meijman FJ,de Melker RA

更新日期：1995-03-01 00:00:00

abstract：:Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of u...

journal_title：Family practice

authors： Howie JG

更新日期：1994-12-01 00:00:00

abstract：:Following a study of process and outcomes in general practice consultations, we returned to the GP participants and asked them to comment on taped consultations which they had found unsatisfying. Their comments were then analysed for information about sources of occupational stress, coping strategies, and this method ...

journal_title：Family practice

authors： Winefield H,Murrell T,Clifford J

更新日期：1994-12-01 00:00:00

abstract：:To determine whether patients read and remembered health promotion messages displayed in waiting rooms, 600 patients in a UK general practice were given a self-complete questionnaire. Two notice-boards carried between 1 to 4 topics over four study periods. Three-hundred and twenty-seven (55%) of subjects responded. Tw...

journal_title：Family practice

authors： Wicke DM,Lorge RE,Coppin RJ,Jones KP

更新日期：1994-09-01 00:00:00

abstract：:This is a brief exposition of some aspects that we consider important to know about in terms of general health characteristics of Mexico, their relationship to the health system and the critical situation of family medicine in Mexico. In addition, we consider that the bases for solution of this crisis are both adminis...

journal_title：Family practice

authors： Irigoyen-Coria A,Gomez-Clavelina FJ

更新日期：1994-06-01 00:00:00

abstract：:In November 1991 69% of a random sample of 998 Danish general practitioners (GPs) participated in a survey by anonymously filling in a mailed questionnaire concerning the way in which they use health education in their practices. Among the participating GPs, 97% used health education material. The study showed differe...

journal_title：Family practice

authors：

更新日期：1994-03-01 00:00:00

abstract：:There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...

journal_title：Family practice

authors： Kuyvenhoven M,de Melker R,van der Velden K

更新日期：1993-12-01 00:00:00

abstract：:For the past 5 years there has been an intensive debate and a number of conflicting guidelines suggesting what general practitioners (GPs) should do to screen and manage hyperlipidaemia. At a WONCA seminar in Vancouver in 1992, policies and guidelines from Canada, the UK, The Netherlands, New Zealand, Hong Kong and th...

journal_title：Family practice

authors： Rosser WW,Palmer WH,Fowler G,Lamberts H,Thomson A,Lam C,Frame PS

更新日期：1993-12-01 00:00:00

abstract：:There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...

journal_title：Family practice

authors： Tse M,Bridges-Webb C,Bauman A

更新日期：1993-09-01 00:00:00