PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “General Practice”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,063 records · Page 59Linked to original sources
PubMed2004

[Benign prostatic hyperplasia (BPH): prevalence in general practice and practical approach of French general practitioners. Results of a study based on 17,953 patients].

OBJECTIVES: To determine the elements taken into account by French general practitioners to establish the initial diagnosis of benign prostatic hyperplasia (BPH) and to estimate the prevalence of BPH. MATERIAL AND METHODS: 1,698 doctors answered a questionnaire on their medical practice, and kept a register for two consecutive weeks comprising all men between the ages of 55 and 70 years seen in their practice. Men with no known BPH completed the IPSS (International Prostate Symptoms Score) questionnaire. The doctors described the management of the first three patients with an IPSS score > 8. RESULTS: The prevalence of BPH in the population of 33,077 men between the ages of 55 and 70 years consulting their general practitioner was 57.5%: 40.8% of patients had known BPH at the time of the visit and 29.9% of patients without known BPH reported voiding disorders (IPSS > or = 8). For the diagnosis of BPH, clinical interview was not systematically followed by digital rectal examination and urinalysis was rarely performed. Laboratory tests and ultrasound were the complementary investigations most frequently performed. CONCLUSION: BPH is a frequent disease whose prevalence is underestimated. This diagnosis should be considered more frequently when patients over the age of 55 consult their general practitioner.

Aged↗
PubMed2001

Job demands and control as predictors of occupational satisfaction in general practice.

OBJECTIVE: To investigate the role of job demands and job control as predictors of job satisfaction in general practice. DESIGN AND SETTING: A descriptive postal survey of general practitioners in Victoria selected at random from the Health Insurance Commission's database. PARTICIPANTS: 353 of 562 GPs (63%) participated in the study. The demographic details of the respondents were similar to those for all GPs in Victoria. MAIN OUTCOME MEASURES: Job demands of general practice; job control in general practice; job satisfaction in general practice; effect of demands and control on job satisfaction; interactive effect of demands and control on job satisfaction. RESULTS: The "average" GP in this study perceived their work as characterised by high demands and low control. In addition, only 50% of respondents were satisfied with their work. The major determinants of job satisfaction were gender, job demands, hours worked and job control. Of these, job control was the most powerful predictor of job satisfaction. Although no evidence was found for a modifying effect of control on the relationship between demands and satisfaction, an interaction between hours worked and control was evident. CONCLUSIONS: The low level of job satisfaction in general practice is, to a degree, a reflection of the beliefs held by the "average" GP that their ability to control their work is low. As GPs who are satisfied with their work provide a higher standard of medical care, policymakers should consider the importance of maintaining professional autonomy for GPs when implementing changes aimed at achieving policy objectives.

Adult↗
PubMed2006

Excising basal cell carcinoma in general practice.

BACKGROUND: Currently there is much interest in the general practice management of basal cell carcinoma (BCC). Published research regarding its surgical management mainly pertains to tumours located on the head and neck. However, in my general practice experience, the majority of excisions came from other sites. METHODS: A retrospective audit of histopathology reports from 91 excisions of BCCs. RESULTS: Thirty-nine percent of BCCs in this series were located on the head or neck, compared with 75-94% from other series; 50% of BCCs from the head/neck contained an aggressive histological subtype, compared with only 10% from other sites; four out of 139 papers found regarding surgical management of BCCs were from primary care practice. DISCUSSION: Significant differences exist between the location mix and histological types of BCCs treated in general practice with those reported in the research literature. Treatments advocated by this literature may not be readily transferable to the general practice setting.

Age Distribution↗
PubMed1994

[Genetic disease in general practice. An interview study among general practitioners in Oppland and Oslo].

We interviewed 51 Norwegian general practitioners selected at random about their knowledge and practice of medical genetics. Of these doctors, 29 worked in Oslo and 22 in Oppland county. About 90% of the doctors working in Oslo knew where to refer patients for genetic counselling, while 55% of the doctors working in the area outside Oslo had this knowledge. We believe that this difference is because Oslo has a municipal genetic clinic and is the only area in Norway with an adequate genetic counselling service according to WHO standards. This article presents the results from this survey, and discusses genetic diseases in general practice and the organisation of medical genetic services in Norway.

Clinical Competence↗
PubMed1981

Continuing education in general practice. 1. Attitudes of general practitioners.

As part of a Queensland survey, we made an assessment of the attitudes of general practitioners to continuing education. We analysed responses for age, sex, type and geographical location of practice. Almost all the respondents (99%) agreed that commitment to CME is lifelong. Most of them did not feel that there is too much concern with keeping up-to-date. Recognition of their own educational needs is a problem for a sizeable minority. Most feel that GP skills can be taught through CME courses, which should focus on patient management. Informal communication with colleagues is a useful mode of learning. Although exactly half the doctors felt that CME should be mandatory, a greater proportion of younger doctors were in favour.

Adult↗
PubMed1987

Evaluation of portable haemoglobinometer in general practice.

The HemoCue system for estimating haemoglobin was evaluated within urban general practice. It gave excellent results when used within a laboratory environment (on 103 paired samples) but disappointing ones when evaluated by practice nurses within general practice (on 235 paired samples). The most likely source of error was inadequate mixing of the blood specimens before sampling, which might be obviated by using a rotating mixer. It is emphasised that equipment intended for use in general practice should be evaluated under normal working conditions envisaged.

Ambulatory Care Facilities↗
PubMed1994

An evaluation of cervical screening in general practice.

OBJECTIVES: To identify the technical practices of general practitioners (GPs) in relation to Papanicolaou (Pap) smear screening, and the differences in screening practices between male and female practitioners; to determine the cellular content of smears taken; and to correlate screening practices and demographic variables with smear results. DESIGN: During February-May 1992, a sample of Melbourne GPs filled in a questionnaire concerning their screening practices, and the results were correlated retrospectively with results of Pap smears taken in March and October 1991. SETTING: Melbourne metropolitan general practice. PARTICIPANTS: One hundred and seventy-nine GPs (72% participation rate among eligible practitioners) from a sample obtained from the register of the Medical Board of Victoria. RESULTS: Female doctors took significantly more smears than male doctors. An opportunistic approach to cervical screening was most commonly practised, with the patient being asked to ring for her results and the practice staff only contacted her if the result was abnormal. Only 43% of doctors indicated the use of a specific reminder system when rescreening was due. Endocervical cells were present in 79% of smears. The presence of endocervical cells was found to be related to the year of a doctor's graduation (with both very recent and older graduates [pre-1960s] having lower endocervical cell rates), and to be positively correlated with more postgraduate training. CONCLUSIONS: Our study suggests that further education and training in cervical screening is needed for some GPs, in particular, male doctors, graduates of less than four or greater than 20 years, and those without postgraduate training.

Adult↗
PubMed1980

Medical student attitudes and general practice.

A study of the influence of general practice attachment on the attitudes and preconceptions of new clinical students is reported. An attitude questionnaire was administered to a cohort of Oxford clinical students immediately before and after a two-week period of general practice attachment, introduced as part of the clinical introductory course. Changes in responses to the questionnaire suggest a shift of attitudes favourable to general practice, and the acquisition of a broader view of medical care.

Attitude of Health Personnel↗
PubMed1995

What do general practitioners and their patients want from general practice and are they receiving it? A framework.

This article outlines a framework for answering four questions of national concern in Australia: what do patients want from general practice? What do GPs want from general practice? What do patients get from general practice? What do GPs get from general practice? These questions are posed with respect to four unique attributes of general practice care: first contact care, longitudinality, coordination and comprehensiveness. The nature of the doctor-patient relationship is also examined because, like the other attributes, it has been reported in the literature to be important to patients and GPs. The framework provides a basis for the empirical study of GP and patient perceptions of general practice care.

Australia↗
PubMed2003

Proactive asthma care in childhood: general practice based randomised controlled trial.

OBJECTIVES: To assess the feasibility and effectiveness of a general practice based, proactive system of asthma care in children. DESIGN: Randomised controlled trial with cluster sampling by general practice. SETTING: General practices in the northern region of the Australian Capital Territory. PARTICIPANTS: 174 children with moderate to severe asthma who attended 24 general practitioners. INTERVENTION: System of structured asthma care (the 3+ visit plan), with participating families reminded to attend the general practitioner. MAIN OUTCOME MEASURES: Process measures: rates for asthma consultations with general practitioner, written asthma plans, completion of the 3+ visit plan; clinical measures: rates for emergency department visits for asthma, days absent from school, symptom-free days, symptoms over the past year, activity limitation over the past year, and asthma drug use over the past year; spirometric lung function measures before and after cold air challenge. RESULTS: Intervention group children had significantly more asthma related consultations (odds ratio for three or more asthma related consultations 3.8 (95% confidence interval 1.9 to 7.6; P = 0.0001), written asthma plans (2.2 (1.2 to 4.1); P = 0.01), and completed 3+ visit plans (24.2 (5.7 to 103.2); P = 0.0001) than control children and a mean reduction in measurements of forced expiratory volume in one second after cold air challenge of 2.6% (1.7 to 3.5); P = 0.0001) less than control children. The number needed to treat (benefit) for one additional written asthma action plan was 5 (3 to 41) children. Intervention group children had lower emergency department attendance rates for asthma (odds ratio 0.4 (0.2 to 1.04); P = 0.06) and less speech limiting wheeze (0.2 (0.1 to 0.4); P = 0.0001) than control children and were more likely to use a spacer (2.8 (1.6 to 4.7); P = 0.0001). No differences occurred in number of days absent from school or symptom-free day scores. CONCLUSIONS: Proactive care with active recall for children with moderate to severe asthma is feasible in general practice and seems to be beneficial.

Asthma↗
PubMed2002

[General practice in a modern health care system--consequences for medical research, education and practice].

This first of two articles describes the far-reaching changes to the practice and theory of general practice that are leading from the old-style general practitioner changing to the modern-day primary health care specialist. These already partly accomplished changes, whilst bringing into focus the future role of general practice in a modern health care system, are altering the self-awareness of the profession and the way it defines itself. Specifics of the theory and practice of decision-making in primary health care, within this context of vital importance but as yet barely taken into account, are explained on the basis of Bayes' theorem and with the aid of examples of empirical data on the rational diagnosis of thyroid dysfunction. Making use of examples of coronary heart disease diagnostics, the second part of this article illustrates important differences between health care-service levels and the consequences arising from these differences for medical research, education and practice.

Delivery of Health Care↗
PubMed2000

Academic careers in general practice and primary care.

In the past 10 years, significant developments in general practice teaching and research have led to the considerable growth of academic general practice as a discipline. This paper reviews issues relating to these developments, particularly career pathways and training aspects. The need to extend these advances to the broadening arena of primary health care has given further impetus for the development of academic careers. General practice will need to work closely with secondary care, community health, and social services to develop primary health care in its broadest sense, and an evidence base, generated by relevant research and evaluation, must underpin all of this. Structural and funding changes to undergraduate education, postgraduate training and primary care research have created a range of opportunities for general practice clinicians to define career pathways, not formerly available, within multiprofessional and multidisciplinary departments and groups. Education for future general practice and primary care must underpin developments as much as a research base. Relevant masters' degrees and diplomas are now widely available, and extended vocational training and higher professional education will enable general practitioners in their formative years to consider academic opportunities.

Curriculum↗