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At least 613 records · Page 34Linked to original sources
PubMed1988

Double-blind placebo-controlled trial of amitriptyline among depressed patients in general practice.

Depressed patients in general practice were included in a double-blind placebo-controlled six-week trial of amitriptyline (median dose 125 mg). The patients were relatively mildly ill and satisfied diagnostic criteria for depression and treatment with antidepressants in routine practice. Amitriptyline was found to be considerably superior to placebo after six weeks and significantly so as early as two weeks after the start of treatment. The effects of the antidepressant were on the core symptoms of depression, and were apparent in all but the most mildly ill patients. The findings suggest that tricyclic antidepressants are of considerable therapeutic benefit to depressed patients in general practice.

Adolescent↗
PubMed1996

Understanding practice management: a qualitative study in general practice.

Reports a qualitative study of practice managers' roles and responsibilities in eight practices in the Grampian region of Scotland. Observes wide variations in the roles and responsibilities of managers associated with the size and fundholding status of the practice. Notes that larger practices had better developed management structures allowing the managers to delegate tasks and undertake a more proactive planning and executive role, and that medium and smaller practices had less well developed management structures and managers were more likely to act as practice administrators with limited autonomy. Concludes that practice managers are playing an increasingly important role in general practice. Also that the influential role of the practice manager in the development of practice policies and the transfer of administrative responsibilities from the partners to the manager have all contributed to a change in general practitioners' perceptions of the practice manager.

Administrative Personnel↗
PubMed1991

The measurement of morbidity in general practice.

(1) The need for morbidity data based on general practice arises because: (a) the consultation in general practice is the entry point into the health care system; (b) among the health problems brought to the attention of doctors, most are dealt with completely in general practice; (c) general practice records can provide a comprehensive database for health care. (2) The routine measurement of morbidity has to be based on "working diagnostic terms" derived by consensus amongst recorders because: (a) many episodes of illness involve only one consultation and the doctor is required to make the most of the information available to him at the time; (b) the specification of criteria would require validating evidence of conformity and this is not a realistic option on a wide scale; (c) health care data which include the opinion of the general practitioner are more valuable than data based on patient perceptions of illness. (3) The analysis and interpretation of data from general practice: (a) should preferably be based on persons as the unit of analysis; (b) when based on consultations, may be useful for examining workload, but has limited epidemiological value; (c) can, by person linkage, facilitate the study of disease concurrence; and (d) is essential for managing the health care system and monitoring the public health.

Data Collection↗
PubMed2006

Social determinants of health and health inequalities: what role for general practice?

This paper argues that general practice is potentially an important social determinant of health and health inequalities. The way it is influential is consistent with models of causal pathways in the way social and societal factors influence health. General practice clinical care can be thought of as a material resource. Evidence exists at many levels that this resource is inequitably distributed. But encounters in general practice are profoundly social processes, embedded in wider society. Debating and reflecting on the values underpinning relations between GP and patient may help challenge and illuminate wider inequitable processes in society that sustain inequalities in health.

Australia↗
PubMed1989

Ciprofloxacin versus amoxycillin/clavulanic acid in the treatment of urinary tract infections in general practice.

An open, randomized general practice study was performed to assess the comparative efficacy and tolerability of ciprofloxacin and amoxycillin/clavulanic acid in the treatment of uncomplicated urinary tract infection. One hundred and eighty nine patients were recruited into the study. In comparison of pre- and post-treatment urine cultures and symptomatology, ciprofloxacin was significantly more effective (P less than 0.01) than amoxycillin/clavulanic acid. Both drugs were well tolerated with minimal adverse side effects. Ciprofloxacin is an effective and safe treatment for uncomplicated urinary tract infection in general practice.

Acute Disease↗