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Another face of medicine. A report from Russia.

https://arctichealth.org/en/permalink/ahliterature221301
Source
Minn Med. 1993 Apr;76(4):11-5
Publication Type
Article
Date
Apr-1993
Author
L J Cohen
Author Affiliation
Community Health Center and Lakeview Memorial Hospital, Two Harbors, Minnesota.
Source
Minn Med. 1993 Apr;76(4):11-5
Date
Apr-1993
Language
English
Publication Type
Article
Keywords
Cross-Cultural Comparison
Developing Countries
Family Practice - trends
Health Services Needs and Demand - trends
Humans
Medical Missions, Official
Physician's Role
Rural Health - trends
Russia
Social Change
Specialization - trends
PubMed ID
8515731 View in PubMed
Less detail
Source
Can Fam Physician. 1998 Oct;44:2143-9
Publication Type
Article
Date
Oct-1998
Author
M J Bass
I R McWhinney
M. Stewart
A. Grindrod
Author Affiliation
Department of Family Medicine, University of Western Ontario (UWO), London.
Source
Can Fam Physician. 1998 Oct;44:2143-9
Date
Oct-1998
Language
English
Publication Type
Article
Keywords
Family Practice - trends
Female
Health Care Surveys
House Calls - statistics & numerical data
Humans
Job Satisfaction
Male
Ontario
Physicians, Family - psychology - statistics & numerical data - trends
Professional Practice - trends
Questionnaires
Urban Health Services - trends
Workload - statistics & numerical data
Abstract
To identify trends in family practice in London, Ont, between 1974 and 1994.
Interview survey of all London family physicians in 1974. Questionnaire surveys in 1984 and 1994.
City of London, Ont.
One hundred twenty-eight family physicians and general practitioners practising in London in 1974, 180 in 1984, and 237 in 1994.
The percentage of female practitioners, practitioners with no in-hospital patients, and practitioners making no home visits in an average week increased significantly. The percentage of solo practitioners and family physicians practising obstetrics decreased significantly. Changes were found in the numbers of patients seen, in weekend coverage, in evening, and Wednesday afternoon office hours, and in level of satisfaction with practice.
Fewer physicians cared for in-hospital patients, made home visits, practised solo, and delivered babies in 1994 than in 1974. Substantially more women were practising family medicine in 1994 than in 1974. The trend away from in-hospital care, with no corresponding increase in home care, raises questions about how urban family physicians can maintain certain clinical skills.
Notes
Cites: Can Fam Physician. 1993 Jun;39:1356-658324405
Cites: CMAJ. 1993 Dec 15;149(12):1795-8008261349
Cites: Can Fam Physician. 1994 Feb;40:249-568130673
Cites: Can Fam Physician. 1994 Feb;40:261-88130674
Cites: Can Fam Physician. 1996 Dec;42:2370-98969856
Cites: CMAJ. 1995 Oct 15;153(8):1097-1067553517
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Cites: Can Fam Physician. 1996 Oct;42:1939-448894240
Cites: Can Fam Physician. 1996 Nov;42:2170-88939318
Cites: CMAJ. 1995 Jun 1;152(11):1789-977773895
PubMed ID
9805169 View in PubMed
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Source
CMAJ. 2006 Sep 26;175(7):728
Publication Type
Article
Date
Sep-26-2006

Changing society: changing role of doctors. The stresses must not be allowed to get too great.

https://arctichealth.org/en/permalink/ahliterature198483
Source
BMJ. 2000 May 27;320(7247):1417-8
Publication Type
Article
Date
May-27-2000
Author
T. Theorell
Source
BMJ. 2000 May 27;320(7247):1417-8
Date
May-27-2000
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Family
Family Practice - trends
Humans
Physician's Role
Physicians, Women
Sweden
Notes
Cites: BMJ. 2000 May 27;320(7247):1437-4010827044
Cites: Psychother Psychosom. 1991;55(2-4):81-91891572
Cites: J Psychosom Res. 1993 Sep;37(6):653-98410751
Cites: Acta Psychiatr Scand. 1987 Feb;75(2):139-433494382
Cites: Int J Health Serv. 1989;19(4):725-452583884
Comment On: BMJ. 2000 May 27;320(7247):1437-4010827044
PubMed ID
10827022 View in PubMed
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The declining comprehensiveness of primary care.

https://arctichealth.org/en/permalink/ahliterature191188
Source
CMAJ. 2002 Feb 19;166(4):429-34
Publication Type
Article
Date
Feb-19-2002
Author
Benjamin T B Chan
Author Affiliation
Institute for Clinical Evaluative Sciences, and Department of Health Policy, Evaluation and Management, University of Toronto, Ont. ben@ices.on.ca
Source
CMAJ. 2002 Feb 19;166(4):429-34
Date
Feb-19-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Comprehensive Health Care - statistics & numerical data - trends
Databases, Factual
Family Practice - trends
Female
Humans
Male
Middle Aged
Ontario
Physician's Practice Patterns - statistics & numerical data
Rural Population
Urban Population
Abstract
Recent studies suggest that comprehensiveness of primary care has declined steadily over the past decade. This study tracks the participation rates of general practitioners and family physicians in 6 nonoffice settings across Ontario and examines among which types of physicians this decline in comprehensiveness has occurred.
Billing (claims) records were used to determine the proportions of fee-for-service general practitioners and family physicians who provided emergency, inpatient, nursing home, house call, anesthesia or obstetrical services from 1989/90 to 1999/2000. "Office-only" physicians were those who worked in none of these nonoffice settings. The relation of various physician characteristics to comprehensiveness of care was tested with multivariate analysis for 1999/2000.
The proportion of "office-only" general practitioners and family physicians rose from 14% in 1989/90 to 24% in 1999/2000 (p
Notes
Cites: Fam Med. 1998 Jul-Aug;30(7):517-89669167
Cites: Can Fam Physician. 1997 Oct;43:1739-449356754
Cites: J Am Board Fam Pract. 1997 Sep-Oct;10(5):379-819297666
Cites: Hosp Case Manag. 1997 May;5(5):79-8110167257
Cites: Ann Intern Med. 1998 Aug 1;129(3):197-2039696727
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Cites: Am Fam Physician. 1998 Aug;58(2):339, 3429729175
Cites: Can Fam Physician. 1998 Oct;44:2107-129805165
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Cites: CMAJ. 1998 Nov 3;159(9):1101-69835877
Cites: Can Fam Physician. 1998 Oct;44:2143-99805169
Cites: Can Fam Physician. 1998 Oct;44:2117-249805166
Cites: Med Care. 1990 Jan;28(1):87-922296218
Cites: Can Fam Physician. 2000 Mar;46:587-92, 595-710751998
Cites: J Med Educ. 1984 Dec;59(12):964-66502667
Cites: Fam Pract Manag. 1998 Nov-Dec;5(10):54-6210344928
Cites: J Fam Pract. 1990 Apr;30(4):441-62324696
Cites: Med Care. 1991 Nov;29(11):1083-931943269
Cites: Can Fam Physician. 1994 Feb;40:249-568130673
Cites: JAMA. 1994 Jan 26;271(4):315-68295293
Cites: Med Care. 1993 Sep;31(9):795-8008366681
PubMed ID
11876170 View in PubMed
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[Do physicians trained in family medicine practice a different kind of medicine from other generalists?].

https://arctichealth.org/en/permalink/ahliterature235370
Source
Union Med Can. 1987 Apr;116(4):243-5, 248-9
Publication Type
Article
Date
Apr-1987
Author
B. Maheux
J. Lambert
C. Beaudoin
R. Pineault
C. Legault
Source
Union Med Can. 1987 Apr;116(4):243-5, 248-9
Date
Apr-1987
Language
French
Publication Type
Article
Keywords
Family Practice - trends
Humans
Quebec
Questionnaires
PubMed ID
3603886 View in PubMed
Less detail

Evidence-based cardiovascular care in the community: a population-based cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature180835
Source
BMC Fam Pract. 2004 Apr 1;5:6
Publication Type
Article
Date
Apr-1-2004
Author
Wayne Putnam
Frederick I Burge
Beverley Lawson
Jafna L Cox
Ingrid Sketris
Gordon Flowerdew
David Zitner
Author Affiliation
Department of Family Medicine, Dalhousie University, Halifax, NS, Canada. wayne.putnam@dal.ca
Source
BMC Fam Pract. 2004 Apr 1;5:6
Date
Apr-1-2004
Language
English
Publication Type
Article
Keywords
Aged
Ambulatory Care - trends
Cardiology - trends
Cardiovascular Agents - therapeutic use
Cross-Sectional Studies
Drug Utilization
Evidence-Based Medicine
Family Practice - trends
Female
Heart Failure - complications - drug therapy
Hospitals, Community - statistics & numerical data
Humans
Male
Middle Aged
Myocardial Ischemia - complications - drug therapy
Nova Scotia
Abstract
Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and determine if these differed by patient age or sex.
We conducted a two-year cross-sectional study involving all hospitals in the province of Nova Scotia, Canada. Subjects were all patients admitted with ischaemic heart disease with or without congestive heart failure between 15 October 1997 and 14 October 1999. The main measure was the previous outpatient use of recommended medications. Chi-square analyses followed by multivariate logistic regression analyses were used to examine age-sex differences.
Usage of recommended medications varied from approximately 60% for beta-blockers and angiotensin converting enzyme (ACE) inhibitors to 90% for antihypertensive agents. Patients aged 75 and over were significantly less likely than younger patients to be taking any of the medication classes. Following adjustment for age, there were no significant differences in medication use by sex except among women aged 75 and older who were more likely to be taking beta-blockers than men in the same age group.
The use of evidence-based cardiovascular medications is rising and perhaps approaching reasonable levels for some drug classes. Family physicians should ensure that all eligible patients (prior myocardial infarction, congestive failure) are offered beta-blockers or ACE inhibitors.
Notes
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Cites: Fam Pract. 2003 Feb;20(1):22-3112509366
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Cites: CMAJ. 2003 Mar 4;168(5):553-712615747
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Cites: BMC Fam Pract. 2002 May 3;3:812015819
Cites: Ann Pharmacother. 2003 Dec;37(12):1867-7614632542
Cites: Can J Cardiol. 2004 Jan;20(1):61-714968144
Cites: Arch Intern Med. 1996 Apr 8;156(7):799-8058615714
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Cites: J Am Coll Cardiol. 2002 Nov 20;40(10):1777-8512446061
PubMed ID
15059290 View in PubMed
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Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care.

https://arctichealth.org/en/permalink/ahliterature195204
Source
CMAJ. 2001 Mar 20;164(6):757-63
Publication Type
Article
Date
Mar-20-2001
Author
J. Lemelin
W. Hogg
N. Baskerville
Author Affiliation
Department of Family Medicine, University of Ottawa, Ottawa, Ont.
Source
CMAJ. 2001 Mar 20;164(6):757-63
Date
Mar-20-2001
Language
English
Publication Type
Article
Keywords
Family Practice - trends
Forecasting
Humans
Inservice Training - trends
Nurse Clinicians - trends
Ontario
Physician's Practice Patterns - trends
Preventive Health Services - trends
Primary Health Care - trends
Treatment Outcome
Abstract
Although there is much room for improvement in the performance of recommended preventive manoeuvres, many inappropriate preventive interventions are being done. We evaluated a multifaceted intervention, delivered by nurses trained in prevention facilitation, to improve prevention in primary care.
Forty-six health service organizations (HSOs) were recruited from 100 sites in Ontario. After baseline data were collected, we randomly assigned the practices to either an 18-month (July 1997 to December 1998) multifaceted intervention delivered by 1 of 3 nurse facilitators (23 practices) or no intervention (23 practices). The unit of intervention and analysis was the medical practice. The outcome measure was an overall index of preventive performance, which was calculated as the proportion of eligible patients who received 8 recommended preventive manoeuvres less the proportion of eligible patients who received 5 inappropriate preventive manoeuvres.
One HSO, in the intervention group, was lost to follow-up. Before the intervention, the index of preventive performance was similar for the intervention and control groups (31.9% [95% confidence interval (CI) 27.3%-36.5%] and 32.1% [95% CI 27.2%-37.0%] respectively). At follow-up the corresponding values were 43.2% (95% CI 38.4%-48.0%) and 31.9% (95% CI 26.8%-37.0%), for an absolute improvement in the intervention group of 11.5% (p
Notes
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Comment In: ACP J Club. 2001 Nov-Dec;135(3):116
Comment In: CMAJ. 2001 Mar 20;164(6):790-111276545
Comment In: CMAJ. 2001 Aug 21;165(4):399, 40111531047
PubMed ID
11276541 View in PubMed
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Exodus: why I limited my scope of practice.

https://arctichealth.org/en/permalink/ahliterature160844
Source
Can Fam Physician. 2007 Oct;53(10):1748-9
Publication Type
Article
Date
Oct-2007

38 records – page 1 of 4.