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general practictioner

Allaman Allamani, Stefano Bravi, Pasquale Pepe, Fabio Voller, Francesco Marcatto, Donatella Ferrante, Jakob Manthey, Jürgen Rehm, Pierluigi Struzzo
"OBJECTIVES: to identify the differences among patients of general practictioners (GPs) in both Tuscany Region (Central Italy) and Friuli Venezia Giulia (FVG) Region (Northern Italy), which are different for drinking cultures, as to motivation of consultation, hazardous drinking and alcohol dependence, health problems, and use of health services. DESIGN: cross-sectional study by means of both a medical examination and a subsequent structured interview carried out with a questionnaire...
January 2017: Epidemiologia e Prevenzione
G Ciprandi, P Comite, F Ferrero, R Montaruli, M Mussap
Background. Prescriptive appropriateness is an actual claim in healthcare, and it also concerns in vitro tests used in the allergy work-up, such as the serum allergen-specific IgE (sIgE) assay. In the Liguria Region, two panels were defined (for inhaled and food allergens) including 12 allergens. Their composition changed over time. Objectives. The aims of the present retrospective study were: i) to evaluate the percentage of positive tests, and ii) to compare the findings of sIgE assay on the basis of the general practictioners' (GPs) or specialist' prescription, considering both the old panels and the new panels...
March 2017: European Annals of Allergy and Clinical Immunology
Julie Langan Martin, Richard Lowrie, Alex McConnachie, Gary McLean, Frances Mair, Stewart Mercer, Daniel Smith
BACKGROUND: In the UK, the Quality and Outcome Framework (QOF) has specific targets for general practictioners to record body-mass index (BMI) and blood pressure (BP) in major mental illness, diabetes, and chronic kidney disease. Although incentives are given for aspects of major mental illness (schizophrenia, bipolar disorder, and related psychoses), barriers to care can occur. Our aim was to compare recording of specific targets for BP and BMI in individuals with major mental illness relative to diabetes and chronic kidney disease across the UK...
February 26, 2015: Lancet
G Seravalle, L Van Bortel, M Bombelli, R Dell'Oro, F Quarti Trevano, D Dozio, W Makel, F Fici, G Mancia, G Grassi
OBJECTIVE: According to the 2013 ESH/ESC guidelines combination drug treatment is recommended in the treatment of isolated systolic hypertension (ISH) to improve blood pressure (BP) control. The present study was aimed at comparing the antihypertensive effects, tolerability and side effects profile of nebivolol/hydrochlorothiazide vs irbesartan/hydrochlorothiazide combination in elderly patients with ISH. DESIGN AND METHOD: 124 ISH patients aged 69.1 ± 3...
June 2015: Journal of Hypertension
Yoann Pons, Antoine Luft, Claude Conessa
Upper digestive and respiratory tract cancers represent, in frequency, the fourth cancer in the general population. They are responsible of non-specific symptoms. Clinical examination of this anatomical region is difficult for a layman for whom the specific material is not available to diagnose a small tumour The objective of this paper was to make more sensitive the general practictioners about these type of cancers.
November 2011: La Revue du Praticien
Michael H Chan, Joshua C Wolf
Oral mucosal lesions are commonly encountered in clinical practice. One study reported that they occurred in approximately 27.9% of patients aged 17 years and older and in 10.3% of children aged 2 to 17 years. The diagnosis and treatment of mucosal diseases should be an integral part of the general practitioner's practice. According to an American Dental Association survey conducted in 2007, 44% of biopsies were performed by a general practictioner. Understanding of the fundamentals of diagnosing mucocutaneous lesions requires a sound knowledge of their origin and clinical course, and of biopsy methods using contemporary diagnostic tools and techniques...
January 2012: Dental Clinics of North America
Olga Weber-Yaskevich, Alexandra Reber, Cédric Gillabert
In response to the ambulatorization of medical care, the panel of ambulatory nursing medical care is operating important changes. Since 2011, "acute and transitional medical care" is being prescribed by hospital practitioners, implying a new definition of the nurse's profession. The consequence is more complex and more autonomous nursing care: an academic formation has been created for nurses (bachelor and master) and their assistants (healthcare and community assistants). The futur will probably be made of ambulatory case management by nurses (advanced nurse practictioner)...
September 28, 2011: Revue Médicale Suisse
H-C Diener, C Gaul, R Jensen, H Göbel, A Heinze, S D Silberstein
Patients with chronic or difficult to treat headaches are generally under the care of general practictioners or neurologists in private practice. Some are referred to a headache specialist for evaluation and advice. Treatment is often provided by the referring physician. An alternative is a multidisciplinary headache centre, where care is provided by different disciplines (neurology, behavioural psychology, psychiatry, psychosomatic medicine, physical therapy, sport therapy) across sectors of the healthcare system involving out- and inpatient care and treatment...
July 2011: Cephalalgia: An International Journal of Headache
Marie-Antoinette Rey, Cédric Bron, Erik Haesler, Lucia Mazzolai
Venous thromboembolic (VTE) disease is frequent and questions regarding its treatment or prevention are numerous. This review is aimed at summarizing and pointing out the novelties on VTE treatment and prevention recently published in the Chest journal earlier this year (8th edition of ACCP guidelines). Generally, the aim of guidelines and of this review as well, is to offer guidance to practictioners in making the most appropriate choice for treating or preventing VTE. They are not intended for strict application and doctors will always have to decide individually case by case taking into account patients preference and the risk-benefit balance...
February 4, 2009: Revue Médicale Suisse
Maurizio Benucci, Emanuela Cammelli, Mariangela Manfredi, Gianantonio Saviola, Paola Baiardi, Alessandro Mannoni
The concept of Early Arthritis represents a new diagnostic-therapeutic strategy in modern rheumatology. Even if many Early Arthritis clinics are starting up, we do not yet know the frequency of this pathology in the Italian population. With the collaboration of 20 general practictioners (GPs) operating in the municipalities of Scandicci, Lastra a Signa and Signa, we assessed the incidence of rheumatoid arthritis and of new cases of Early Rheumatoid Arthritis (ERA) in the period from 1.09.2005 to 31.08.2006...
June 2008: Rheumatology International
Krzysztof Włoch
In 2001 the investigation of physicians in the Lublin Voivodship was carried out using the interview technique concerning the medical care of the alcohol abusing patients. The aim of the second part of investigations was the analysis of reasons and circumstances of alcohol abuse by the patients of SPZOZ. It was stated that there were some serious gaps in the recognition of patients' needs by general practitioners as well as in the quality of medical care. Avoiding responsibility for the treatment of patients abusing alcohol was stated...
2002: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Krzysztof Włoch
The investigation of physicians of SPZOZ in the Lublin voivodeship was carried out in 2001. A special interview technique was used. It was divided into four parts: concerning investigated physicians; describing patients abusing alcohol, reasons and circumstances of alcohol abuse; concerning changes in organization of medical care of the alcohol abusing patients; characterizing activity of physicians, therapies and their efficiency. The main aim of part I was to assess professional training of physicians for this kind of medical care as well as to characterize alcohol abusers on the basis of the physicians' opinions...
2002: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
V L Allgar, R D Neal
Relatively little is understood concerning the exact role of general practice in the cancer patients' pre-diagnostic, and post-diagnostic journey. This paper aims to explore this role using data from the National Survey of NHS Patients-Cancer. Data from 65,192 patients relating to five questions from this survey were analysed in detail with particular relevance to differences between the six cancers [breast, colorectal, lung, ovarian, prostate and non-Hodgkin's lymphoma (NHL)], and socio-demographic variables (age, gender and social class)...
December 2005: European Journal of Cancer Care
Wilco C Peul, Hans C van Houwelingen, Wilbert B van der Hout, Ronald Brand, Just A H Eekhof, Joseph Th J Tans, Ralph T W M Thomeer, Bart W Koes
BACKGROUND: The design of a randomized multicenter trial is presented on the effectiveness of a prolonged conservative treatment strategy compared with surgery in patients with persisting intense sciatica (lumbosacral radicular syndrome). METHODS/DESIGN: Patients presenting themselves to their general practitioner with disabling sciatica lasting less than twelve weeks are referred to the neurology outpatient department of one of the participating hospitals. After confirmation of the diagnosis and surgical indication MRI scanning is performed...
2005: BMC Musculoskeletal Disorders
William Jack
Cost-sharing rules for paying physicians have been advanced as a way of generating incentives for the provision of quality care, while recognizing their potential negative effects on production efficiency. However, the optimal sharing rate typically depends on the degree to which the physician acts in the interest of the patient, what we identify as the physician's altruism. Since the degree of altruism is likely to vary across physicians, and to be private information, the standard rules for setting the cost-sharing rate are unlikely to be optimal...
January 2005: Journal of Health Economics
H Gravelle, G Masiero
We model a system akin to the British National Health Service (NHS), in which general practictioners (GPs) are paid by capitation from general taxation. GPs are horizontally and vertically differentiated and compete for patients via their imperfect observed quality. We show that for any given capitation fee quality is lower and the incentive effects of the fee on quality are smaller when there is imperfect information. There are diminishing welfare gains from improving patient information but increasing welfare gains from reducing switching costs...
November 2000: Journal of Health Economics
B Ninard
After having precised what has incited to extend our considerations reported at the International Congress on Microbiology for Mineral Waters to all the conditioned waters, in a "first part" we have examined the drawbacks imputed to the water itself. a) In a first analytical chapter, we have made the schedule and the critical examination of the different reproaches given to conditioned waters on considering successively: 1) Special drawbacks (although these are of an other category than microbiology) which were given, whichever type of supply (loose, at the tap, or splitted up when the water is conditioned), to some categories of waters (carbonated and mineral) because of their nature by the fact that these waters do not show the charactheristics of potability with regard to the legislation and administration...
1976: Annali Dell'Istituto Superiore di Sanità
B Prahl-Andersen, H Boersma, F P van der Linden, A W Moore
Line drawings of facial profiles and color photographs of dentitions were evaluated subjectively by 1,150 parents, 72 general practictioners of dentistry, and 54 orthodontists with regard to the normality and abnormality in dentofacial morphology and the need for orthodontic treatment. A significant difference was found between the evaluations of the parents and the professional groups in ten of the 11 facial profiles and in seven of the 11 photographs of dentitions. In general, the parents considered more of the examples acceptable and not requiring orthodontic treatment than did the professional groups...
February 1979: Journal of the American Dental Association
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