Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “General Practitioners”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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

At least 37 records · Page 2Linked to original sources
PubMed1996

Family therapy skills for general practitioners.

General practitioners are often the first health professionals that families turn to for help at times of stress. Figures from around the world suggest that up to 80% of general practice consultations have psychological or stress based issues as a significant aspect of the presenting problems. In this paper the place of patients in a wider context is emphasised and skills with which the GP can respond to the patient and his or her family are discussed. The value of listening to patients for both the content and the feelings without necessarily trying to solve the presenting problems is emphasised.

Adult↗
PubMed1997

Level of occupational stress in male and female rural general practitioners.

General practitioners (GPs) in five rural divisions in New South Wales completed questionnaires designed to assess the degree to which various stressors were present in their work environment; the degree to which these stressors distressed them; their general stress; and their general health. Results published in a previous paper showed that high occupational stress in doctors was associated with high general stress and poor general health. Results reported in this paper showed that male doctors were more stressed than female doctors, GPs working on a full-time basis were more stressed than those working on a part-time basis, GPs who were also working as visiting medical officers were more stressed than those who did not work in this capacity, and younger GPs were more stressed than older GPs. High workload, governments, interference with their work, and family and leisure concerns were the major stressors for rural GPs.

Adult↗
PubMedDate not supplied

[Management of intrafamily violence issues by general practitioners].

General practitioners often come upon intrafamily abuse cases in their practice. They are either specifically consulted because of these instances of abuse or they discover them by accident. When this happens, they are often unsure of the appropriate procedure to follow, for fear of committing a medical fault or breaking the law. The aim of this short article is not to dwell on the diagnostic methodologies, but to provide a series of general guidelines to follow in everyday practice.

Adult↗
PubMedDate not supplied

Intervention for excessive alcohol consumption in primary health care: attitudes and practices of English general practitioners.

General practitioners' (GPs') recognition of, attitudes towards, and intervention for, excessive drinking and alcohol problems among their patients were assessed in a postal questionnaire survey. Levels of recognition of, and intervention for, excessive drinking by GPs were low. GPs did not routinely enquire about alcohol and had managed only small numbers of patients specifically for excessive drinking or alcohol problems in the previous year. Enquiry about alcohol issues was elicited mainly by physical symptoms or by new patient registrations. Although 83% of GPs felt prepared to counsel excessive drinkers, only 21% felt effective in helping patients reduce consumption. Over the past 10 years, there appears to have been an increase in numbers of GPs who feel that they should be working with alcohol issues, but fewer GPs perceive themselves as being effective in this work. The main barriers to brief alcohol intervention were given as insufficient time and training, and lack of help from government policy; the main incentives related to availability of appropriate support services and proven efficacy of brief interventions.

Alcoholism↗
PubMed1995

Not another questionnaire!: eliciting the views of general practitioners.

General practitioners have a central role to play in relation to planning and delivery of primary and community care services. This paper reports the experience of one health board in using a postal survey to ascertain the views of local GPs concerning services for people suffering from dementia. The survey was sent out once only and had a 41% response rate. Non-responding GPs were surveyed to ascertain reasons for failure to respond initially to the survey. The commonest reason given was that GPs felt they were being swamped with questionnaires. The paper discusses the problems of accessig GP opinion when time and resources are limited, the alternative strategies that could have been employed and the way forward in the light of the experience.

Attitude of Health Personnel↗
PubMed1992

Suicide prevention: spreading the gospel to general practitioners.

General practitioners were trained in the recognition and treatment of suicide risk either by written text alone or combined with a seminar meeting. They filled in questionnaires before and after training. In the seminar group, knowledge and attitudes changed significantly, while those doctors receiving written material only had similar results to those without training.

Adolescent↗
PubMed2002

[The sleep apnea syndrome: diagnosis and management in general practice. A descriptive survey of 579 French general practitioners].

General practitioners (GP's) should be the first to recognise the sleep apnoea/hypopnoea syndrome (SAHS) and could play a major role in the follow up of patients treated with continuous positive airways pressure (CPAP) at home. We have carried out a prospective study in order to evaluate the knowledge and diagnostic and therapeutic practice of GP's in relation to SAHS. 579 GP's agreed to participate in the study by means of a telephone questionnaire. Although daytime somnolence and the presence of apnoeas and snoring were the most frequently quoted clinical symptoms suggesting the diagnosis of SAHS, a combination of these symptoms was quoted in only one third of cases. On the other hand the complications of SAHS were not well known by GP's as only 25% of them mentioned the possibility of cardiovascular complications; cerebrovascular accidents and arterial hypertension being quoted by only 15% and 8.8% respectively. With regard to the follow up of patients treated with CPAP more than 50% of GP's did not know the minimum duration of ventilation required and 60% did not understand the method of function. These results, which emphasise the underestimation of SAHS and its complications, confirm the need to develop an educational strategy specifically for GP's in an attempt to improve the diagnosis of this disorder and to allow them to take part in the management and monitoring of treatment with CPAP.

Cardiovascular Diseases↗
PubMed1989

Ethical decision making by British general practitioners.

General practitioners in England and Wales were sent a questionnaire asking how they would handle the ethical problems posed by six case vignettes and their reasons for their decisions. The ethical problems included: how much information to divulge to patients, how extensively a physician should become involved in the lifestyles of patients and how to deal with a possible family problem. The varying patterns of response to the six cases suggested that ethical issues are resolved in a case-by-case, not a theoretical, basis.

Beneficence↗
PubMed2000

Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care.

OBJECTIVE: To ascertain any differences between care from nurse practitioners and that from general practitioners for patients seeking "same day" consultations in primary care. DESIGN: Randomised controlled trial with patients allocated by one of two randomisation schemes (by day or within day). SETTING: 10 general practices in south Wales and south west England. SUBJECTS: 1368 patients requesting same day consultations. MAIN OUTCOME MEASURES: Patient satisfaction, resolution of symptoms and concerns, care provided (prescriptions, investigations, referrals, recall, and length of consultation), information provided to patients, and patients' intentions for seeking care in the future. RESULTS: Generally patients consulting nurse practitioners were significantly more satisfied with their care, although for adults this difference was not observed in all practices. For children, the mean difference between general and nurse practitioner in percentage satisfaction score was -4.8 (95% confidence interval -6.8 to -2.8), and for adults the differences ranged from -8.8 (-13.6 to -3.9) to 3.8 (-3.3 to 10.8) across the practices. Resolution of symptoms and concerns did not differ between the two groups (odds ratio 1.2 (95% confidence interval 0.8 to 1.8) for symptoms and 1.03 (0.8 to 1.4) for concerns). The number of prescriptions issued, investigations ordered, referrals to secondary care, and reattendances were similar between the two groups. However, patients managed by nurse practitioners reported receiving significantly more information about their illnesses and, in all but one practice, their consultations were significantly longer. CONCLUSION: This study supports the wider acceptance of the role of nurse practitioners in providing care to patients requesting same day consultations.

Acute Disease↗
PubMed1988

Complementary medicine and the general practitioner: a survey of general practitioners in the Wellington area.

A questionnaire was sent to 226 general practitioners in the Wellington region to determine the relationship between the general practitioner and complementary medicine. A 77% response rate was achieved. Twenty-four % of doctors had received training and 54% wanted further training in a complementary therapy; 27% currently practised at least one therapy. The majority of doctors (94%) knew of complementary practitioners in their locality; 77% indicated they referred to other medical practitioners for complementary therapies and 80% to nonmedical practitioners. Acupuncture, hypnosis and chiropractic were the most popular therapies. The general practitioner's role was perceived as ranging from comprehensive provider of both conventional and complementary medicine to selective practitioner of some options. It is concluded that complementary medicine is of considerable interest to general practitioners; there is demand for more training and information to be made available for doctors and for better referral networks to be developed between the practitioners.

Acupuncture Therapy↗
PubMed1999

[Summary of the guideline 'Osteoporosis' of the Dutch College of General Practitioners. Dutch College of General Practitioners].

The Dutch College of General Practitioners issued a standard 'Osteoporosis' with guidelines for prevention, diagnosis and treatment in patients who have a (probably) osteoporotic fracture, who are taking at least 7.5 mg corticosteroids per day for at least six months or who have questions about osteoporosis. The core of the management is information about lifestyle (stimulation of physical activity) and nutrition. Prevention of falling is to be stimulated; sedatives, excessive drinking and smoking are to be discouraged. Persons who cannot achieve a calcium intake of 500 mg/day, patients with osteoporotic fractures and takers of biphosphonates or corticosteroids whose calcium intake is insufficient are eligible for calcium suppletion. In patients with (probably) osteoporotic fractures and those taking 7.5 mg corticosteroids per day for longer than six months preventive treatment may be considered with alendronic acid for a maximum of 3 years, if several vertebral fractures are visible roentgenologically, the T score is < -2.5 (if age < 70 years) or the Z score < -1.0 (> 70 years).

Female↗
PubMed1997

[Expectations from a system of personal general practitioners. A questionnaire study among general practitioners in the municipality of Bergen].

Four municipalities in Norway have tested out a system of personal general practitioners, where all inhabitants aged 12 or more could choose their personal doctor. The doctor's responsibility, work-load and economy were determined by his/her specified list of patients. Doctors employed in primary health care showed a significant interest in the subject, and the ongoing personal doctor trial. To prepare for possible reorganization to this new system in the municipality of Bergen, a survey was carried out in January 1995 among all 145 general practitioners in Bergen, of whom 70% responded. Data from the survey indicated that a larger share of women than men had low expectations concerning a system of personal general practitioners. Only 19 out of 101 general practitioners were positive to introducing such a system.

Attitude of Health Personnel↗