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C V Weel

Publications and source records attributed to C V Weel.

2 recordsLinked to original sources

Guidelines for international collaborative research.

OBJECTIVE: As the global village becomes a reality, there is an increasing need to conduct international collaborative studies in family practice. A workshop at the WONCA meeting in Hong Kong used international attendees to produce a set of guidelines for international research. METHODS: At the workshop four completed international projects, each using a different strategy, were presented so that common themes might become apparent. The themes were then discussed and guidelines emerged from the process. RESULTS: Seven guidelines emerged for consideration before embarking on an international collaborative research project in family medicine. The guidelines deal with the characteristics of the research question and the importance of communication. The need for simple, brief methods of data collection, funding and pilot testing were identified. CONCLUSION: The question must be relevant to all participants to maintain interest and measurement tools must be validated to understand the impact of cultural differences in understanding.

Communication↗

Sex differences in health problems, diagnostic testing, and referral in primary care.

BACKGROUND: The aim of the study was to investigate sex differences in health problems and in the use of referrals for additional diagnostic procedures, specialists, and paramedical care in the primary care setting. METHODS: Data stored from 1988 to 1992 by the continuous morbidity registration project of the department of general practice at Nijmegen University were used. The study population consisted of about 60,000 general practice male and female patients of all ages. Recorded health problems, diagnostic investigations, and referrals to specialists were assessed and analyzed. Health problems were categorized into diagnostic rubrics according to the International Classification of Health Problems in Primary Care (ICHPCC-2). RESULTS: Women presented with more health problems (2286 vs 1598 per 1000 patients per year) and made greater use of secondary medical care (603 vs 376 referred diagnoses per 1000 patients per year) than men, especially in the age group of 25 to 44 years. The category of screening and health education accounted for more than 30% of the sex difference with reference to the diagnostic rubrics overall. When this category was combined with obstetrical diagnoses (9.4%) and diseases of the genitourinary system (18.1%), 60% of the sex difference between men and women was accounted for. Over 60% of the higher overall use of secondary medical care by women was in the prevention and health education category. Mental disorders did not play a major role in the greater overall use of medical care by women. CONCLUSIONS: Screening tests and health education play a major role in the greater number of health problems presented by women in primary care and in the greater use of additional diagnostic procedures.

Adolescent↗