scholarly journals Quality of General Practitioner Referral Letters for Acute Medical Admissions

1998 ◽  
Vol 27 (suppl 1) ◽  
pp. P42-P42
Author(s):  
A-L Cunnington ◽  
G. Mead ◽  
S Faulkner ◽  
K Russell ◽  
M. Ford
Keyword(s):  
General Practitioner ◽  
Referral Letters

Quality of laboratory tests as a basic component of treatment effectiveness

2020 ◽  
pp. 38-47
Author(s):  
Tamara Silkina ◽  
Olga Petrova
Keyword(s):  
General Practitioner ◽  
Russian Federation ◽  
Laboratory Tests ◽  
Treatment Effectiveness ◽  
Outpatient Setting ◽  
Basic Component ◽  
The Russian Federation

The article presents analysis of modern laboratory technologies and requirements for the quality of laboratory tests in the Russian Federation. Basic rules that improve the quality of laboratory tests at the preanalytical, analytical and postanalytical stage are studied on the example of tests in the Laboratory Hemotest. The optimal list of laboratory tests used in the practice of a general practitioner and organizational options for performing laboratory tests, the features of the process that affect the speed of obtaining a result by a doctor in an outpatient setting and in hospital, are presented.

“I Can’t Go Far”: Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews

2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
New York ◽  
General Practitioner ◽  
Qualitative Study ◽  
Heart Association ◽  
Enabling Factors ◽  
Face To Face ◽  
New York Heart Association

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.

scholarly journals Why Early Diagnosis Is Better for Alzheimer’s Patients

2009 ◽  
Vol 4 (1) ◽  
pp. 10
Author(s):  
Thierry Voisin ◽  
Sandrine Sourdet ◽  
Julien Delrieu ◽  
Bruno Vellas ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practitioner ◽  
Cognitive Function ◽  
Early Diagnosis ◽  
Family Members ◽  
Special Role ◽  
Significant Deterioration ◽  
Common Cause ◽  
Care Givers

Alzheimer’s disease (AD) is the most common cause of dementia. AD progression leads to a significant deterioration in cognitive function, resulting in a significant impact not only on patient quality of life but also on the quality of life of family members/care-givers. Some physicians do not feel that diagnosing AD is necessary due to the absence of any cure and the stress related to diagnosis. Nevertheless, it is important to diagnose AD as early as possible. Early diagnosis of AD allows the patient to be more involved in treatment planning, since at this stage the patient’s cognitive function will be near normal. Many forms of the disease do not progress rapidly, and early diagnosis and treatment will allow a good quality of life for the patient, family members and care-givers. The general practitioner has a special role in detecting and following up patients diagnosed with AD.

scholarly journals Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021283 ◽  
Author(s):  
Pierre Côté ◽  
Eleanor Boyle ◽  
Heather M Shearer ◽  
Maja Stupar ◽  
Craig Jacobs ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Secondary Outcomes ◽  
Whiplash Associated Disorders ◽  
The Government ◽  
Guideline Group

ObjectiveTo evaluate the effectiveness of a government-regulated rehabilitation guideline compared with education and activation by general practitioners, and to a preferred-provider insurance-based rehabilitation programme on self-reported global recovery from acute whiplash-associated disorders (WAD) grade I–II.DesignPragmatic randomised clinical trial with blinded outcome assessment.SettingMultidisciplinary rehabilitation clinics and general practitioners in Ontario, Canada.Participants340 participants with acute WAD grade I and II. Potential participants were sampled from a large automobile insurer when reporting a traffic injury.InterventionsParticipants were randomised to receive one of three protocols: government-regulated rehabilitation guideline, education and activation by general practitioners or a preferred-provider insurance-based rehabilitation.Primary and secondary outcome measuresOur primary outcome was time to self-reported global recovery. Secondary outcomes included time on insurance benefits, neck pain intensity, whiplash-related disability, health-related quality of life and depressive symptomatology at 6 weeks and 3, 6, 9 and 12 months postinjury.ResultsThe median time to self-reported global recovery was 59 days (95% CI 55 to 68) for the government-regulated guideline group, 105 days (95% CI 61 to 126) for the preferred-provider group and 108 days (95% CI 93 to 206) for the general practitioner group; the difference was not statistically significant (Χ2=3.96; 2 df: p=0.138). We found no clinically important differences between groups in secondary outcomes. Post hoc analysis suggests that the general practitioner (hazard rate ratio (HRR)=0.51, 95% CI 0.34 to 0.77) and preferred-provider groups (HRR=0.67, 95% CI 0.46 to 0.96) had slower recovery than the government-regulated guideline group during the first 80 days postinjury. No major adverse events were reported.ConclusionsTime-to-recovery did not significantly differ across intervention groups. We found no differences between groups with regard to neck-specific outcomes, depression and health-related quality of life.Trial registration numberNCT00546806.

The quality of care in the management of oral anti-coagulation therapy by the Belgian general practitioner

2003 ◽  
Vol 1 ◽  
pp. P1938-P1938
Author(s):  
N. Claes ◽  
F. Buntinx ◽  
J. Vijgen ◽  
J. Arnout ◽  
J. Vermylen ◽  
...  
Keyword(s):  
Quality Of Care ◽  
General Practitioner ◽  
Coagulation Therapy

scholarly journals Protocolled practice nurse-led care for children with asthma in primary care: protocol for a cluster randomised trial

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e022922
Author(s):  
Sara Bousema ◽  
Annemieke J Verwoerd ◽  
Lucas M Goossens ◽  
Arthur M Bohnen ◽  
Patrick J E Bindels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
General Practitioner ◽  
Asthma Control ◽  
Practice Nurse ◽  
Asthma Care ◽  
Cluster Randomised ◽  
Children With Asthma

IntroductionIn children with asthma, daily symptoms and exacerbations have a significant impact on the quality of life of both children and parents. More effective use of asthma medication and, consequently, better asthma control is advocated, since both overtreatment and undertreatment are reported in primary care. Trials in adults suggest that asthma control is better when patients receive a regular medical review. Therefore, protocolled care by the general practitioner may also lead to better asthma control in children. However, such protocolled care by the general practitioner may be time consuming and less feasible. Therefore, this study aims to determine whether protocolled practice nurse-led asthma care for children in primary care provides more effective asthma control than usual care.Methods and analysisThe study will be a cluster-randomised open-label trial with an 18-month follow-up. Practice nurses will be the units of randomisation and children with asthma the units of analysis. It is planned to include 180 children aged 6–12 years. Primary outcome will be average asthma control during the 18-month follow-up measured by the Childhood Asthma Control Test (C-ACT). Secondary outcomes include C-ACT scores at t=3, t=6, t=12 and t=18 months; the frequency and severity of exacerbations; cost-effectiveness; quality of life; satisfaction with delivered care; forced expiratory volume in 1 s and forced expiratory flow at 75% and the association of high symptoms scores at baseline and baseline characteristics. Besides, we will conduct identical measurements in a non-randomised sample of children.Ethics and disseminationThis will be the first trial to evaluate the effectiveness of protocolled practice nurse-led care for children with asthma in primary care. The results may lead to improvements in asthma care for children and can be directly implemented in revisions of asthma guidelines.The study protocol was approved by the Medical Research Ethics Committee of the Erasmus Medical Centre in Rotterdam.Trial registrationNTR6847.

scholarly journals Quality of GPs' referral letters to diabetes secondary care

2003 ◽  
Vol 20 (5) ◽  
pp. 165-169 ◽  
Author(s):  
AA Syed ◽  
DM Large
Keyword(s):  
Secondary Care ◽  
Referral Letters
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