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3227 records – page 1 of 323.

[10,850 general practice consultations with elderly patients. From diagnosis-prescription-examination in Møre and Romsdal]

https://arctichealth.org/en/permalink/ahliterature72639
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3980-4
Publication Type
Article
Date
Nov-10-1997
Author
J. Straand
H. Sandvik
K. Rokstad
Author Affiliation
Seksjon for allmennmedisin, Universitetet i Bergen.
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3980-4
Date
Nov-10-1997
Language
Norwegian
Publication Type
Article
Keywords
Aged
Cardiovascular Diseases - diagnosis - drug therapy - epidemiology
English Abstract
Family Practice - statistics & numerical data
Female
Health Services for the Aged - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis - drug therapy - epidemiology
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Norway - epidemiology
Prescriptions, Drug - statistics & numerical data
Referral and Consultation - statistics & numerical data
Respiratory Tract Diseases - diagnosis - drug therapy - epidemiology
Abstract
Over a period of two months in 1988 and 1989 general practitioners in the Norwegian county of Møre and Romsdal recorded all contacts with their patients. Participation was close to 100%. We report data from 10,850 surgery consultations with elderly patients (65 years and older). 60% of the consultations involved female patients, and 58% of the patients were 65-74 years old. New diagnoses were made in one-third of the cases; two-thirds were follow-ups. The most common groups of diagnoses were cardiovascular (28%), musculoskeletal (13%), psychiatric (8%) and respiratory diseases (8%). Almost 10% of all consultations were for hypertension. Drugs were prescribed in 45% of all cases. 27% of all prescriptions were for cardiovascular drugs, and 25% were for drugs for the nervous system. The 20 most common diagnoses made up more than half of the total number of diagnoses. Almost 70% of all prescriptions were for the ten most common therapeutic groups.
PubMed ID
9441427 View in PubMed
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[1384 house calls to elderly patients in family practice. From diagnosis-prescriptions-examination in Møre and Romsdal]

https://arctichealth.org/en/permalink/ahliterature72638
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3984-7
Publication Type
Article
Date
Nov-10-1997
Author
J. Straand
H. Sandvik
Author Affiliation
Seksjon for allmennmedisin, Universitetet i Bergen.
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3984-7
Date
Nov-10-1997
Language
Norwegian
Publication Type
Article
Keywords
Aged
Cardiovascular Diseases - diagnosis - drug therapy - epidemiology
English Abstract
Family Practice - statistics & numerical data
Female
Health Services for the Aged - statistics & numerical data
Home Care Services - statistics & numerical data
House Calls - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis - drug therapy - epidemiology
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Norway - epidemiology
Prescriptions, Drug - statistics & numerical data
Registries
Respiratory Tract Diseases - diagnosis - drug therapy - epidemiology
Abstract
Over a period of two months in 1988 and 1989 all general practitioners in the Norwegian county of Møre and Romsdal recorded all contacts with their patients. We report data from 1,384 house calls to elderly patients (65 years and older). House calls made up 11.3% of all face-to-face contacts between general practitioners and elderly patients. 59% of the visits were to female patients, and 60% were to patients 75 years and older. 23% of the house calls took place during weekends, and new diagnoses were made in 58% of the cases. The most common groups of diagnoses were cardiovascular (21%), respiratory (16%), and musculoskeletal diseases (13%). Drugs were prescribed for 42% of the house calls. 28% of all drugs prescribed were for the nervous system, while 26% were antibiotics for systemic use. Most house calls were made because of acute illnesses. Our results suggest that preventive home visits to the elderly are rarely, if ever, performed in general practice.
PubMed ID
9441428 View in PubMed
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1995 Canadian women's health test. Time to promote women's health.

https://arctichealth.org/en/permalink/ahliterature213284
Source
Can Fam Physician. 1996 Jan;42:13-5, 20-3
Publication Type
Article
Date
Jan-1996
Author
S. Wiesenberg
Source
Can Fam Physician. 1996 Jan;42:13-5, 20-3
Date
Jan-1996
Language
English
Publication Type
Article
Keywords
Adult
Aged
Canada
Family Practice
Female
Health Knowledge, Attitudes, Practice
Health promotion
Humans
Middle Aged
Physician's Role
Questionnaires
Women's health
Notes
Cites: CMAJ. 1992 Jun 15;146(12):2167-741308756
Cites: Can Fam Physician. 1994 May;40:861-4, 870-28038628
Cites: Can Fam Physician. 1994 May;40:900-58038635
Comment In: Can Fam Physician. 1996 May;42:8488688683
Comment In: Can Fam Physician. 1996 Jun;42:1088-908704481
PubMed ID
8924805 View in PubMed
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Abdominal complaints in general practice.

https://arctichealth.org/en/permalink/ahliterature178352
Source
Scand J Prim Health Care. 2004 Sep;22(3):157-62
Publication Type
Article
Date
Sep-2004
Author
Per Olav Vandvik
Pål Kristensen
Lars Aabakken
Per G Farup
Author Affiliation
Department of Medicine, Innlandet Hospital Health Authority, NO-2819 Gjøvik, Norway. per.vandvic@start.no
Source
Scand J Prim Health Care. 2004 Sep;22(3):157-62
Date
Sep-2004
Language
English
Publication Type
Article
Keywords
Abdominal Pain - diagnosis - epidemiology
Adult
Aged
Cross-Sectional Studies
Family Practice - standards - statistics & numerical data
Female
Gastrointestinal Diseases - diagnosis - epidemiology
Humans
Male
Middle Aged
Norway - epidemiology
Questionnaires
Workload
Abstract
The study evaluates the prevalence and diagnoses of abdominal complaints in general practice, and compares characteristics and symptoms of patients with functional gastrointestinal disorders (FGIDs) and organic diseases.
A cross-sectional study.
Nine centres with 26 participating general practitioners (GPs) in Norway.
3097 out of 3369 consecutive adult patients answered a questionnaire regarding abdominal complaints IN the last 3 months. Those who consulted for the complaints were eligible for this study.
The GPs' diagnoses and patients' characteristics were reported in questionnaires.
460 out of 1499 patients with abdominal complaints consulted for these complaints; 392 were included in this study. The GPs diagnosed an FGID in 167 (42.6%) patients, organic disease in 145 (37.0%), and made no diagnosis in 80 (20.4%). Stress-related symptoms were a statistically significant predictor of a FGID (OR 1.95) and weight loss predicted in addition organic disease (OR 2.7) in 128 patients with a verified diagnosis.
Abdominal complaints are a common problem in general practice. The distinction between FGID, which accounted for half of the diagnoses, and organic disease was difficult. The only significant predictor for FGID was stress-related symptoms.
Notes
Comment In: Scand J Prim Health Care. 2005 Jun;23(2):126; author reply 126-716036553
PubMed ID
15370792 View in PubMed
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[Abdominal obesity and associated comorbidities among primary care patients]

https://arctichealth.org/en/permalink/ahliterature96760
Source
Ugeskr Laeger. 2010 May 24;172(21):1586-91
Publication Type
Article
Date
May-24-2010
Author
Ketil Haugan
Dan Rost
Nils Knudsen
Leif Breum
Author Affiliation
Medicinsk Afdeling, Roskilde Sygehus, 4000 Roskilde, Denmark. ketilhaugan@hotmail.com
Source
Ugeskr Laeger. 2010 May 24;172(21):1586-91
Date
May-24-2010
Language
Danish
Publication Type
Article
Keywords
Adult
Aged
Body mass index
Cardiovascular Diseases - etiology
Cross-Sectional Studies
Denmark - epidemiology
Diabetes Mellitus, Type 2 - etiology
Dyslipidemias - etiology
Family Practice
Female
Humans
Hypertension - etiology
Male
Middle Aged
Obesity, Abdominal - complications - epidemiology
Prevalence
Primary Health Care
Waist Circumference
Abstract
INTRODUCTION: Abdominal obesity is associated with type 2 diabetes, cardiovascular disease, dyslipidemia and hypertension. The prevalence of abdominal obesity and its relationship with these comorbidities have not previously been examined in Danish primary care patients. MATERIAL AND METHODS: The IDEA study was an international cross sectional study including 168,159 patients worldwide. In Denmark, 47 randomly selected general practitioners included 847 consecutive patients. Age, gender, waist circumference, body mass index (BMI) and the presence of known comorbidities were recorded for all patients. RESULTS: The prevalence of abdominal obesity (waist circumference = 80 cm for women and = 94 cm for men) was 66% among women and 60% among men. There was a significant relationship between the degree of abdominal obesity and the prevalence of diabetes, dyslipidemia and hypertension for both sexes. There was a trend towards an increased prevalence of cardiovascular disease with increased waist circumference. CONCLUSION: Abdominal obesity is very frequently found in Danish primary care patients, and it is associated with an increased prevalence of diabetes, dyslipidemia and hypertension. Patients with increased waist circumference should be screened to diagnose comorbidities related to the abdominal obesity.
PubMed ID
20525471 View in PubMed
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The ability of general practitioners to detect mental disorders in primary health care.

https://arctichealth.org/en/permalink/ahliterature216423
Source
Acta Psychiatr Scand. 1995 Jan;91(1):52-6
Publication Type
Article
Date
Jan-1995
Author
M. Joukamaa
V. Lehtinen
H. Karlsson
Author Affiliation
Department of Psychiatry, University of Turku, Finland.
Source
Acta Psychiatr Scand. 1995 Jan;91(1):52-6
Date
Jan-1995
Language
English
Publication Type
Article
Keywords
Adult
Clinical Competence
Curriculum
Education, Medical, Graduate
Family Practice - education
Female
Finland
Humans
Male
Mental Disorders - diagnosis - psychology - therapy
Patient care team
Primary Health Care
Psychiatry - education
Psychophysiologic Disorders - diagnosis - psychology - therapy
Sampling Studies
Somatoform Disorders - diagnosis - psychology - therapy
Abstract
The ability to detect mental disorders varies greatly among general practitioners in primary health care. The aim of this study was to determine the factors underlying the differences between general practitioners in the ability to recognize mental disorders in Finnish patient populations. The group studied consisted of 1000 randomly selected adult patients of primary care facilities in the city of Turku. The Symptom Checklist (SCL-25) was used as the reference method in the identification of psychiatric cases. According to the SCL-25, one fourth of the sample had mental disorders. A good recognition ability was associated with postgraduate psychiatric training and qualification as a specialist in general practice. Surprisingly, Balint group training, which is a method intended to improve the ability of general practitioners to manage their patients' mental health problems, was associated rather with poor than good detection ability.
Notes
Comment In: Acta Psychiatr Scand. 1995 Oct;92(4):3198848961
PubMed ID
7754788 View in PubMed
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Aboriginal health and family physicians.

https://arctichealth.org/en/permalink/ahliterature31534
Source
Can Fam Physician. 2002 Apr;48:680-1; author reply 681-2
Publication Type
Article
Date
Apr-2002
Author
Jane McGillivray
Source
Can Fam Physician. 2002 Apr;48:680-1; author reply 681-2
Date
Apr-2002
Language
English
Publication Type
Article
Keywords
Canada
Child
Child Welfare
Empathy
Family Practice - standards
Health Services, Indigenous - standards
Humans
Inuits
Newfoundland
Physician-Patient Relations
Notes
Comment On: Can Fam Physician. 2001 Dec;47:2444-6, 2452-511785273
PubMed ID
12046355 View in PubMed
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Academic detailing has no effect on prescribing of asthma medication in Danish general practice: a 3-year randomized controlled trial with 12-monthly follow-ups.

https://arctichealth.org/en/permalink/ahliterature15166
Source
Fam Pract. 2004 Jun;21(3):248-53
Publication Type
Article
Date
Jun-2004
Author
Klaus Witt
Erik Knudsen
Susanne Ditlevsen
Hanne Hollnagel
Author Affiliation
Department of General Practice, University of Copenhagen, Copenhagen, Denmark. k.witt@gpmed.ku.dk
Source
Fam Pract. 2004 Jun;21(3):248-53
Date
Jun-2004
Language
English
Publication Type
Article
Keywords
Asthma - drug therapy
Denmark
Education, Medical, Continuing
Educational Status
Family Practice
Humans
Physician's Practice Patterns
Practice Guidelines
Research Support, Non-U.S. Gov't
Abstract
BACKGROUND: Educational outreach visits, particularly when combined with social marketing, appear to be a promising approach to modifying health professional behaviour, especially prescribing. Results from previous studies have shown a varying effect. OBJECTIVE: The purpose of the study is to examine the effect of academic detailing as a method of implementing a clinical guideline in general practice. METHODS: A cluster randomized, controlled, blinded study was carried out of the effect of an academic detail visit compared with postal distribution of a guideline for prescribing asthma medication. Half the practices in a Danish county with 100 practices were visited once. The outcome measure was routinely collected data from all Danish pharmacies on the sales of asthma medication. Data were collected monthly for 2 years before to 1 year after the intervention. RESULTS: There was no effect on the pattern of prescription of asthma medicines following the visit, neither immediately nor long term. CONCLUSION: We found no effect of academic detailing as a single intervention.
PubMed ID
15128684 View in PubMed
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"Academic drug-detailing": from project to practice in a Swedish urban area.

https://arctichealth.org/en/permalink/ahliterature210063
Source
Eur J Clin Pharmacol. 1997;52(3):167-72
Publication Type
Article
Date
1997
Author
C S Lundborg
L O Hensjö
L L Gustafsson
Author Affiliation
Department of Public Health Services, Karolinska Institutet, Stockholm, Sweden. staff@ihcar.ki.se (attn: C. Stålsby Lundborg)
Source
Eur J Clin Pharmacol. 1997;52(3):167-72
Date
1997
Language
English
Publication Type
Article
Keywords
Anti-Infective Agents - therapeutic use
Drug Information Services - organization & administration
Family Practice
Feasibility Studies
Humans
Information Services - economics
Norfloxacin - therapeutic use
Pharmacists
Questionnaires
Substance-Related Disorders
Sweden
Urinary Tract Infections - drug therapy
Abstract
To develop and test the long-term feasibility of an interdisciplinary independent drug information service providing both written and oral drug information to physicians in an urban area of Sweden (> 400,000 inhabitants).
A drug information service was developed encouraging a cooperative approach between a department of clinical pharmacology, general practitioners (GPs), pharmacists, and Drug and Therapeutic Committees. Scientifically-based drug information was condensed and interpreted by a team and presented in both written and oral form. In one part of the area, both oral and written information was provided, while in another part of the area, only written information was distributed. Questionnaires and one prescription survey were performed to elucidate the knowledge and attitudes of the GPs regarding drug treatment of one condition (urinary tract infection, UTI, and norfloxacin were used as examples), as well as their opinion of our services.
Over a period of 10 years, 75 issues of a drug bulletin (2000 copies) were distributed. Oral producer-independent drug information, provided jointly by a GP and a pharmacist, was given on 16 occasions in each of 30 health centres (150 GPs). Around 80% of the GPs participated in the meetings. Of these GPs, 75% found the service important for their daily work. A majority of the GPs had prescribed the test drug, norfloxacin, not a first-line drug according to local recommendations, 1 year after approval. A significantly lower proportion of prescribers were observed in the area where the GPs had been provided with both written and oral information regarding recommended treatment (including first-line drugs) for uncomplicated cystitis. The approximate cost for this service in 1995 was SEK 0.685 million (USD 0.1 million); the prescribing costs of the 150 GPs were estimated at SEK 255 million per year. This means that the cost of the service per GP is only around 0.3% of normal prescribing costs.
Over a period of 10 years the information/education method described here has proven sustainable and feasible in terms of providing the information, regarding participation of the target group GPs in the oral sessions, and regarding integration of the service into the existing health care system.
PubMed ID
9218921 View in PubMed
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3227 records – page 1 of 323.