解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:BACKGROUND:Few studies have evaluated roles of general practice-based pharmacists (PBPs), particularly in optimizing medicines management for older people with both multimorbidity and polypharmacy. OBJECTIVE:To explore the types and effectiveness of services provided by PBPs, either alone or in collaboration with othe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa146
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa138
更新日期:2020-12-19 00:00:00
abstract:BACKGROUND:Chronic diseases continue to be a significant cause of morbidity and mortality despite modifiable risk factors. This suggests that current primary healthcare provision needs to delve beyond patient education, to understand the motivators that drive patients to undertake chronic disease self-management. Under...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa072
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority re...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa075
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health c...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa065
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:In China, the government has encouraged the participation of private sector facilities in primary care to improve health care quality. OBJECTIVE:We compare health care utilization patterns among patients who select private versus public community health centres (CHCs) for reimbursed outpatient services. ME...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa058
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:Depression is more prevalent among women and people with low socio-economic status. Uncertainties exist about how general practitioner (GP) depression care varies with patients' social position. OBJECTIVE:To investigate associations between patients' gender and educational status combined and GP depression ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa120
更新日期:2020-11-05 00:00:00
abstract:BACKGROUND:Persistent health inequalities in relation to both health care experiences and health outcomes continue to exist among patients identifying with a marginalized sexual orientation (MSO). OBJECTIVE:To compare the patterns of sexual orientation disclosure within primary care in England over a 5-year period. M...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa033
更新日期:2020-10-19 00:00:00
abstract:BACKGROUND:Musculoskeletal conditions are common and cause high levels of disability and costs. Physical therapy is recommended for many musculoskeletal conditions. Past research suggests that referral rates appear to have increased over time, but the rate of accessing a physical therapist appears unchanged. OBJECTIVE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa104
更新日期:2020-10-12 00:00:00
abstract:BACKGROUND AND AIMS:Palpitations are a common presentation in primary care. Guidelines have been developed to identify patients with palpitations who require further assessment by a cardiologist in secondary care. However, patients that do not meet guideline thresholds for referrals are still referred to secondary care...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa094
更新日期:2020-09-12 00:00:00
abstract:BACKGROUND:In recent years, the Chinese government has introduced a new system called the integrated health care system to deepen health care reform and enhance the capacity of the primary health care services. OBJECTIVE:We aimed to investigate the perceptions and opinions of general practitioners (GPs) on the integra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa088
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. OBJECTIVE:To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care. DESIGN:Systematic review and qualitative synthesis....
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa002
更新日期:2020-09-05 00:00:00
abstract:BACKGROUND:Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. OBJECTIVE:Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. METHODS:We conducted a cross-sectional study of a...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa023
更新日期:2020-09-05 00:00:00
abstract:BACKGROUND:Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. OBJE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa016
更新日期:2020-09-05 00:00:00
abstract:BACKGROUND:In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. OBJECTIVES:To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz052
更新日期:2020-03-25 00:00:00
abstract:BACKGROUND:It is unclear whether discharging patients from renal clinic to primary care is safe. AIM:To determine the characteristics, primary care monitoring and renal outcomes of patients discharged from renal clinic. DESIGN AND SETTING:A retrospective study of 2236 adults discharged from a tertiary renal clinic be...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz055
更新日期:2020-03-25 00:00:00
abstract:BACKGROUND:Endometriosis is an invalidating gynaecological condition in women of reproductive age, and a frequent cause of infertility. Unfortunately, the condition is characterized by a long interval between onset of symptoms and diagnosis. GPs in the Netherlands are educated to provide basic gynaecological care and s...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz041
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:To improve earlier presentation with potential symptoms of cancer, accurate data are needed on how people respond to these symptoms. It is currently unclear how self-reported medical help-seeking for symptoms associated with cancer by people from the community correspond to what is recorded in their general ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz047
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz046
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz038
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmz017
更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:A movement is emerging to encourage health providers and health organizations to take action on the social determinants of health. However, few evidence-based interventions exist. Digital tools have not been examined in depth. OBJECTIVE:To assess the acceptability and feasibility of integrating, within rout...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy129
更新日期:2019-10-08 00:00:00
abstract:OBJECTIVE:We aimed to compare the number of submissions until acceptance and the time to publication between articles co-authored and articles not co-authored by statisticians. METHODS:We randomly selected 781 articles published in 2016 in 18 high impact factor journals of general internal medicine and primary care. F...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy115
更新日期:2019-07-31 00:00:00
abstract:BACKGROUND:The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. OBJECTIVE:To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. METHOD:A ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy111
更新日期:2019-07-31 00:00:00
abstract:BACKGROUND:Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. OBJECTIVE:Identify the determinants of a visit to the gener...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy054
更新日期:2019-03-20 00:00:00
abstract:Background:There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective:To examine how tea...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy029
更新日期:2018-12-12 00:00:00
abstract:Background:Little is known about respiratory tract infection (RTI) severity in children following consultation. Objectives:To investigate post-consultation symptom trajectories in children with acute cough and RTI and whether baseline characteristics predict trajectory group. Methods:Prospective cohort study of 2296 ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmy021
更新日期:2018-12-12 00:00:00
abstract:Background:The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives:Over the past 30 years, we aim to a...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy031
更新日期:2018-12-12 00:00:00
abstract:Background:Singapore's health care system is strained by the health care needs of a rapidly aging population. The unprecedented collaboration between a public hospital and a private family practice to set up the Family Medicine Clinic (FMC) to co-manage patients with chronic disease is an example of efforts to shift ca...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy007
更新日期:2018-09-18 00:00:00
abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx123
更新日期:2018-07-23 00:00:00
abstract:Background:Previous evidence of race disparities in smoking cessation treatment has been limited to mostly survey studies which increase the potential for recall bias. We examined if African American versus white patients in primary care are less likely to receive any treatment or if race disparities are specific to th...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmx099
更新日期:2018-03-27 00:00:00
abstract:Background:Primary care test requests for serum immunoglobulins are rising rapidly, with concerns that many requests may be unnecessary. Evidence suggests some characteristics of general practitioners (GPs) and practices are associated with higher test ordering. Objective:To identify the physician and practice charact...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx063
更新日期:2018-01-16 00:00:00
abstract:Background:International guidelines on hypertension management do not agree on whether patient characteristics can be used for the first choice of treatment of uncomplicated essential hypertension. Objective:We wanted to identify predictive patient characteristics to the response of two different classes of antihypert...
journal_title:Family practice
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/fampra/cmx075
更新日期:2018-01-16 00:00:00
abstract:Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be disc...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx074
更新日期:2018-01-16 00:00:00
abstract:Background:Family doctors' (FD) attitudes likely play an important role in the recognition and management of depression. Objective:The purpose of the study was to prospectively analyse the short-term and long-term impact of a specifically designed training program on attitudes towards depression among FDs. Methods:A ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx071
更新日期:2018-01-16 00:00:00
abstract:Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00
abstract:Background:Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective:The purpose of our study was to determine the diagnostic performance and cl...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx019
更新日期:2017-09-01 00:00:00
abstract:Background:Late-life depression often coincides with chronic somatic diseases and, consequently, with polypharmacy, which may complicate medical treatment. Objective:To determine the associations between patients diagnosed with late-life depression in primary care and multimorbidity and polypharmacy. Methods:This cro...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx018
更新日期:2017-09-01 00:00:00
abstract:Introduction:We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives:Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic ret...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx020
更新日期:2017-09-01 00:00:00
abstract:Background:The Highlands and the Western Isles are the two most remote and rural areas of Scotland, with many medical practices in areas where pharmacies would not be viable. Recent regulations state that that dispensing medical practices in these areas must receive pharmacist support for patients who would benefit. O...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx014
更新日期:2017-08-01 00:00:00