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Biomedical subjects

C Bridges-Webb

Publications and source records attributed to C Bridges-Webb.

At least 73 records · Page 4Linked to original sources

The incidence and notification of measles in Australia.

The incidence of measles in Australia in 1986 was estimated as 43 per 100,000 population, high by the standards of countries where immunization levels are high, low by the standards of countries where immunization levels are low. It is estimated that only 5 per cent of cases are notified in New South Wales, one of only 2 States which require notification. The reasons for this, its significance and a possible remedy are discussed.

Australia↗

Development of long term use of psychotropic drugs by general practice patients.

From 1984 to 1986 a prospective study was conducted of 104 general practice patients who started treatment with a benzodiazepine or an antidepressant drug. The duration of reported use of the drugs was two months for 45% of patients, four months for 17% of patients, and six months for 15%. Type of drug, age, and level of education were found to be predictive of continuing use. General practitioners have a significant effect on their patients' use of drugs and, with careful selection and review when prescribing, may help to prevent dependence on psychotropic drugs.

Adolescent↗

Trends in psychotropic drug prescribing in Australia.

In 1983-1984, 9.8 million prescriptions were written for the 12 most common psychotropic drugs that are available under the Pharmaceutical Benefits Scheme. Our analysis shows that, of these prescriptions, 59% (374 per 1000 persons) were for the four most commonly prescribed benzodiazepine agents; 34% (216 per 1000 persons) were for the five main antidepressant agents; and 7% (41 per 1000 persons) were for the three main phenothiazine agents. In the period from 1977-1978 to 1983-1984, prescription volumes were relatively stable for antidepressant and phenothiazine drugs. Fluctuations in the prescribing of individual benzodiazepine agents are discussed. Older patients and women of all ages receive the majority of the psychotropic drug prescriptions that are written by Australian general practitioners.

Australia↗

A survey of new users of psychotropic drugs in Australian general practice.

During 1984 and 1985, a study was conducted of 104 new adult users of benzodiazepines or antidepressants prescribed by sixty-two general practitioners in Sydney, Australia. New users of antidepressants tended to be older than new users of benzodiazepines. Seventy per cent of new users of psychotropic drugs were women and 67% were suffering significant psychological distress according to the 12-item general health questionnaire administered in a home interview. It was estimated that the general practitioners initiated approximately one new episode of use per week, and that repeat prescriptions constituted the bulk of general practitioner prescribing of these drugs.

Adolescent↗

Classifying and coding morbidity in general practice: validity and reliability in an international trial.

An international field trial of the draft defined version of the International Classification of Health Problems in Primary Care (ICHPPC) was undertaken in nine countries. Fifty-two physicians coded morbidity in 76 standard written clinical vignettes. The validity and reliability of morbidity coding using the defined classification and the extent to which these might be improved by using definitions have been estimated. There was an average of 1.7 problems per encounter, for a total of 807 different problems recorded. Sixty-two percent of the problems were coded correctly. The majority of incorrectly recorded problems were due to varied minority views of the contents of the encounters and to mistakes in recording code numbers. The results of morbidity surveys are useful only if the methods of gathering, recording, coding, collating, and analyzing the data are explicit and well documented. This study illustrates the difficulties of recording morbidity in general practice encounters. Better use of definitions and the addition of an index could improve coding accuracy.

Australia↗

Long-term psychotropic drug prescribing for general practice patients.

Although 11.3% of patients of an academic general practice unit were prescribed one of the four commonest psychotropic drugs in 1978, only 1.6% received six or more prescriptions. During the following three years further prescriptions for the same drug were issued in 61% of the patient years for which information was available. Most of the frequent recipients were elderly women. Further research is needed into the natural history of conditions for which psychotropic drugs are prescribed in general practice.

Australia↗

Psychotropic drug prescribing in an Australian general practice.

Information about psychotropic drug prescribing in one general practice was compared with overall information about such prescribing in Australia. Over the period 1978-81 there was a significant reduction in the number of prescriptions issued for psychotropic drugs. Prescriptions for hypnotics, sedatives and minor tranquilizers were more common than those for antidepressants or major tranquilizers. The indications for prescribing were distributed equally among three groups of conditions: psychological disorders, sleep problems and physical diseases. Patients for whom psychotropic drugs were prescribed had a greater overall morbidity and used medical care services more than other patients. Only 9% of patients in 1981 were issued with a prescription for one of the four most commonly prescribed psychotropic drugs. A relatively small proportion of patients, most of them elderly women, received the largest proportion of the prescriptions.

Adolescent↗

Relationship between perceived workload and manpower in general practice.

A survey of general practitioners in nine local government areas representative of metropolitan Sydney allowed comparison of self-perceived workload and manpower as measured by population per general practitioner. Thirty-one per cent of general practitioners felt themselves to be too busy, 54% just right and 15% not busy enough. The overall manpower level was a population of 1108 people per general practitioner. There was no direct relationship between workload perception and general practice manpower. The implications of this for manpower planning are discussed.

Australia↗

Interpretation and presentation of results. Chickens will come home to roost.

Collecting information is an obsessional activity which can become an end in itself. Interpreting and presenting results in a way that others can learn from them requires reflection, selectivity and ability to accept criticism. In selecting the journal to which the article will be submitted, consider which has the most appropriate readership and ensure the article conforms to the requirements and style of that journal.

Data Collection↗