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Biomedical subjects

M F Hansen

Publications and source records attributed to M F Hansen.

At least 73 records · Page 4Linked to original sources

Ten central elements of family practice.

Previous studies of the content of family practice have analyzed the discipline in terms of the clinical problem content. Taking a different approach, a study group analyzed the care given to patients by family physicians irrespective of the specific clinical problems. Working with a reference group of family physicians in private practice, ten central elements were identified: (1) comprehensiveness of care, (2) anticipation of problems and continuity of care, (3) personal relationships with a patient, (4) medical knowledge and skills characteristic of family medicine, (5) values and attitudes that enhance family medicine, (6) problem definition and medical decision making, (7) problem management and resource coordination, (8) care of the individual within the family context, (9) involvement with the community, and (10) attentiveness to practice organization. This study provides a different point of departure for the design and evaluation of educational programs in family practice.

Adult↗

Issues and concern to mothers of new babies.

Although the literature reports the birth of a baby to be a time of stress for parents, their day-to-day experience with the baby in the early months is an understudied area. In this study logs were kept by 62 mothers of newborns (38 primiparas and 24 multiparas), who identified approximately 9,800 issues noted during their babies's first 91 days as well as help used in problem solving. Mothers described their days by recording stressors and supports. Although the perceptions of mothers regarding life with their infants was highly variable from mother to mother, pattern and consistency were demonstrated. Categories of issues changing significantly in frequency over time included development, baby care, parenting, stressors, and illness, the latter dropping steadily across the baby's first three months. Approximately 6 percent of the issues concerned the mother herself in relation to the baby. Illness was the reason for 42 percent of the occasions of help seeking, with clinicians (family physicians and nurses) providing 62 percent of this help. Mothers reported as many supports as stressors and identified both stressors and supports in all categories, using the same set of categories for both. Parity did not influence numbers of issues reported. Primiparas sought help about 1.5 times as frequently as did multiparas.

Adolescent↗

An observation methodology for the study of interactive clinical problem-solving behavior in primary care settings.

A methodology that is adequate for a generalized description of the interactive problem-solving behavior of client and clinician must accommodate all potential types of clinical issues and client-clinician relationships. It must also be applicable to the behavior of the client as well as that of the clinician. Furthermore, behavior must be analyzable in terms of the phase of problem-solving logic that applies at the time the behavior is observed. The development, specifications, structural factors and procedures of administration of an observational methodology that is based on a 7-phase paradigm of verbal problem-solving behavior are described. Acceptable levels of consistency of coding are achievable using the methodology. Coder agreement over all phase categories was 84.8 per cent. Results of 2-way ANOVA procedures showed that the type of clinical encounter observed affected the proportion of data coded in each of the problem-solving phase categories whereas, on the whole, the identity of the coder did not. The methodology may be articulated with other methods for the study of primary care and has both research and instructional applications.

Adult↗

Efficacy of coumaphos crumbles and naftalofos boluses against nematodes of cattle.

Coumaphos crumbles (0.32%) administered to cattle at the dose level of 2 mg of active ingredient per kilogram of body weight each day for 6 days reduced fecal egg counts by 98.4%. The compound was highly efficacious in removing adult worms of the genera Haemonchus, Ostertagia, Trichostrongylus, Cooperia, Oesophagostomum, and Trichuris, removing 99.8, 86.7, 95.9, 99.8, 74.8, and 90.9% of the worms, respectively. The overall efficacy of coumaphos crumbles against the adult forms of the 6 genera was 91.3%. Naftalofos boluses administered to cattle at the dose level of 50 mg of active ingredient per kilogram of body weight reduced fecal egg counts by 83.5%. The efficacies against adult nematodes were as follows: Haemonchus, 99.8%; Ostertagia, 86.9%; Trichostrongylus, 74.0%; Cooperia, 71.9%; Oesophagostomum, 40.1%; and Trichuris, 87.9%. The overall efficacy of naftalofos boluses against the nematodes was 76.8%.

Animals↗

Continuity of care in family practice. Part 3: measurement and evaluation of continuity of care.

Continuity of care is basic to the value system of family practice. Yet it is not often treated as a measurable quality, and the role of "continuity" in improving the "outcome" of health care is infrequently evaluated. "Continuity" can be understood in terms of its elements: continuity of a professional relationship, continuity of information, and the actual delivery of service or care. These elements in turn can be related to outcome by means of a series of assertions or hypotheses which together constitute a "theory" of continuity of care. This paper develops these ideas and reviews existing research which has examined continuity of care.

Comprehensive Health Care↗