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Biomedical subjects

P Backer

Publications and source records attributed to P Backer.

At least 19 recordsLinked to original sources
PubMed1989

Medical students experience early patient contact in general practice. A description and evaluation of a new course in the medical curriculum.

In the first year of the medical curriculum at the University of Copenhagen, a new discipline has been introduced, in which general practice has the key position in providing experiences of early patient contact to the students. The course consists of three principal elements: student-patient contacts in the patient's home; lessons with the general practitioner; and lessons at the Institute of General Practice. The compulsory course is completed by a student's report, and the first course has been evaluated by qualitative analysis of these reports and by questionnaires to the students and GPs. The results indicate that it is possible to provide considerable improvement of the medical education as regards communication skills and understanding of the patients' perceptions, by letting the student establish contact with a patient in the very beginning of the curriculum. General practice provides an appropriate setting for this education for both teachers and patients.

Curriculum↗
PubMed1986

Medical and public health research of the European economic community.

Scientific collaboration within EEC includes medical and health research programmes. Few and rather small activities started up in 1978, but have rapidly grown now to include participation of more than 1,200 teams from all member states involving about 2,000 scientists counted in men-years. Since 1984 primary health care research has been given high priority. The first scientific step has been established in collaboration with the European General Practice Research Workshop (EGPRW). As a necessary start of future research a detailed descriptive study of primary health care in the 12 member countries and some non-member countries, including all Nordic started up in January 1986. Based on this study a source-book of importance for further activities like "the interface between primary and secondary health care services", "sentinel data collecting centres", "reasons for encounter" etc. will be published. EEC-medical and health research in collaboration with other scientific organizations within primary health care surely will be able to give a most valuable contribution to the medical sciences as such in the future and not least to general practice and primary health care.

European Union↗
PubMed1985

A screening procedure for diabetes in pregnancy.

A screening system for detection of diabetes in pregnancy was carried out in a geographically well-defined unselected population of 2 457 pregnant women all living in the community of Copenhagen. The screening was based on clinical criteria for potential diabetes consisting of previous delivery of a large baby, a family history of diabetes and obesity combined with examination of glucosuria and determination of the fasting blood glucose concentration. It was possible to follow up 95% of all pregnancies. One hundred and ninety women had a positive screening determination and among these women, 24 (1%) were found to have diabetes in pregnancy. It was established that a fasting blood glucose concentration of 4.1 mmol/l was the ideal cut-off point for referring potential diabetics to an oral glucose tolerance test (OGTT). The screening procedure is easy to administer and acceptable for the pregnant woman. The screening OGTT should be performed in the second or third trimester as only one woman had diabetes detected in the first trimester in this study.

Adult↗
PubMed1983

Research in and on primary health care.

There is a need for much more research in the primary health services especially in general practice. Epidemiological and clinical studies in this field can greatly improve our knowledge about modern concepts of health and disease in that large section of the population who do not come into contact with the institutionalised health services. Furthermore such research will complement work in other medical fields, thus reducing bias caused, for example, by short doctor-patient relationship. A major problem of research in primary care is the evaluation of what is often soft and complex data derived from multi-practice and inter-disciplinary studies. Research aimed at statistical significance may result in low clinical significance and vice versa.

Denmark↗