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Biomedical subjects

J Szecsenyi

Publications and source records attributed to J Szecsenyi.

24 records · Page 2Linked to original sources
PubMed1993

[Attitudes and empirical referral data of West German family physicians].

The large inter-doctor variation in referrals to specialists known from previous research can only partly be explained by differences in presented morbidity, in practice setting or in general practitioners' (GPs') attitudes to their own work. The objective of this study was to analyse GPs' attitudes towards their own work and their influence on referral behaviour. This work is a follow up of the European study of referrals from primary to specialist care carried out in nine countries. We present an analysis of the West German part involving the same sample as in the European referral study. To 75 GPs a questionnaire with 26 items was sent, which validity and reliability was measured in studies before. 71 GPs took part in the study (response rate 95%). GPs with a high referral rate perform some technical procedures less frequently than GPs with a low referral rate. Many GPs consider their clinical responsibilities to be greater than their actual performance would suggest. In general, GPs tended to minimize risks. Significant correlations between attitudes and referral rates were found for 7 items only. GPs attitudinal consensus had no firm association to their referral behaviour (as measured by the instruments used). To explain this finding structural and financial aspects of the health care system should be taken into account. Further investigations about the referral process including a qualitative approach are necessary.

Adult↗
PubMed1993

[A method for determining the denominator in general practice--results of a pilot study].

In countries with fee for service billing and direct access to specialist care the general practitioner does not know key figures of the population he serves. As the role of general practice in health-service-research, quality assurance activities and the construction of sentinel-networks is becoming more important, valid methods to determine the denominator are needed. Results from five practices suggest that yearly contact groups should be used as a common denominator for general practice in our health care system. For certain groups of patients (e. g. the elderly > 60 yrs.) even quarterly contact groups can give sufficient information to forecast the yearly contact group.

Adolescent↗
PubMed1993

[The European study for counseling in HIV antibody testing in general practice: results of the German project section].

General practitioners play an important role in counselling for HIV-Tests. There is little known yet about the background of the decision process which results in doing the HIV-test. The EUROSENTINEL-study on requests for HIV-testing started in 1990 and is in the meanwhile carried out in 7 sentinel-networks in six european countries. In the beginning of 1991 the german part started in 36 practices in the north of Hessia. In the first year of the study these 36 practices recorded 327 consultations about HIV-testing. The initiative to counsel was taken in 64.2% by the patient and in 35.8% by the doctor. In male patients the main reasons for the consultation were heterosexual contacts and administrative or legal reasons. In female patients it were fear of HIV-infection without any risk and professional exposure. In 86.2% of patients the consultation was followed by a HIV-test. Seven Tests (2.5%) were positive. All HIV-positive patients belonged to the classical risk groups. The results are discussed in comparison to those of other european networks. It can be concluded that general practitioners play an important role in primary prevention of HIV-infection and in counselling people who are worried by the AIDS epidemic.

AIDS Serodiagnosis↗
PubMed1992

General practitioners' attitudes towards future developments in practice computing--a representative survey in the north of Germany.

A postal questionnaire was sent to a random sample of general practitioners in Lower Saxony, Germany to assess how general practitioners regard newly developed but not yet implemented options of practice computers and future applications such as expert systems and information retrieval systems. Replies were received from 276 (response rate 73.6%) general practitioners. Replying doctors were younger (P < 0.05) but they did not differ by sex, practice location, type of vocational training and grade of computerization from non-responding GPs. Twenty-eight per cent of the practices were computerized. Doctors who currently used a computer and those who intended to do so within the next 5 years were significantly younger than those doctors who did not intend to computerize their practice (P < 0.001). Female doctors were less willing to buy a computer than their male colleagues (P < 0.05). A computerized drug database and a medical library ranked best from 8 options given. Overall attitudes to all features were positive, except for an expert system giving criteria for referrals to specialist care. Doctors already working with a computer and those intending to buy one were significantly more positive about future options for computers than those doctors who do not intend to use a computer (P < 0.01). GPs' attitudes about new features of practice computers in general were positive but even more so about those options which are already available. Referral to a specialist seems to be a crucial point for GPs--they apparently do not want to be guided by a computer here.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude of Health Personnel↗