scholarly journals Fifty years of longitudinal continuity in general practice: a retrospective observational study

2016 ◽  
Vol 33 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Eleanor S White ◽  
Denis Pereira Gray ◽  
Peter Langley ◽  
Philip H Evans
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Retrospective Observational Study

scholarly journals Trends in suicidal behaviour in Dutch general practice 1983–2013: a retrospective observational study

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e010868 ◽  
Author(s):  
Derek P de Beurs ◽  
Mariette Hooiveld ◽  
Ad J F M Kerkhof ◽  
Joke C Korevaar ◽  
Gé A Donker
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Suicidal Behaviour ◽  
Retrospective Observational Study

scholarly journals Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Ramon PG Ottenheijm ◽  
Inge GM van’t Klooster ◽  
Laurens MM Starmans ◽  
Kurt Vanderdood ◽  
Rob A de Bie ◽  
...  
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Retrospective Observational Study

scholarly journals Understanding the use of email consultation in primary care using a retrospective observational study with data of Dutch electronic health records

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019233 ◽  
Author(s):  
Martine W J Huygens ◽  
Ilse C S Swinkels ◽  
Robert A Verheij ◽  
Roland D Friele ◽  
Onno C P van Schayck ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Observational Study ◽  
Patient Characteristics ◽  
Retrospective Observational Study ◽  
Electronic Health Record Data ◽  
Face To Face ◽  
Patients With Diabetes ◽  
General Practices ◽  
Electronic Health

ObjectivesIt is unclear why the use of email consultation is not more widespread in Dutch general practice, particularly because, since 2006, its costs can be reimbursed. To encourage further implementation, it is needed to understand the current use of email consultations. This study aims to understand the use of email consultation by different patient groups, compared with other general practice (GP) consultations.SettingFor this retrospective observational study, we used Dutch routine electronic health record data obtained from NIVEL Primary Care Database for the years 2010 and 2014.Participants200 general practices were included in 2010 (734 122 registered patients) and 434 in 2014 (1 630 386 registered patients).Primary outcome measuresThe number and percentage of email consultations and patient characteristics (age, gender, neighbourhood socioeconomic status and diagnoses) of email consultation users were investigated and compared with those who had a telephone or face-to-face consultation. General practice characteristics were also taken into account.Results32.0% of the Dutch general practices had at least one email consultation in 2010, rising to 52.8% in 2014. In 2014, only 0.7% of the GP consultations were by email (the others comprised home visits, telephone and face-to-face consultations). Its use highly varied among general practices. Most email consultations were done for psychological (14.7%); endocrine, metabolic and nutritional (10.9%); and circulatory (10.7%) problems. These diagnosis categories appeared less frequently in telephone and face-to-face consultations. Patients who had an email consultation were older than patients who had a telephone or face-to-face consultation. In contrast, patients with diabetes who had an email consultation were younger.ConclusionEven though email consultation was done in half the general practices in the Netherlands in 2014, the actual use of it is extremely low. Patients who had an email consultation differ from those who had a telephone or face-to-face consultation. In addition, the use of email consultation by patients is dependent on its provision by GPs.

scholarly journals Patient complaints in general practice seen through the lens of professionalism: a retrospective observational study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2020.0168
Author(s):  
Pieter C Barnhoorn ◽  
Geurt TJM Essers ◽  
Vera Nierkens ◽  
Mattijs E Numans ◽  
Walther NKA van Mook ◽  
...  
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Waiting Times ◽  
Retrospective Observational Study ◽  
Exact Nature ◽  
Out Of Hours ◽  
Face To Face ◽  
Patient Complaints ◽  
Rich Diversity ◽  
Open Coding

BackgroundProfessionalism is a key competence for physicians. Patient complaints provide a unique insight into patient expectations regarding professionalism. Research exploring the exact nature of patient complaints in general practice, especially focused on professionalism, is limited.AimTo characterise patient complaints in primary care and to explore in more detail which issues with professionalism exist.Design & settingA retrospective observational study in which all unsolicited patient complaints to a representative out-of-hours general practice (OOH GP) service provider in The Netherlands were analysed over a 10-year period (2009–2019).MethodComplaints were coded for general characteristics and thematically categorised using the CanMEDS Physician Competency Framework (CanMEDS) as sensitising concepts. Complaints categorised as professionalism were subdivided using open coding.ResultsOut of 746 996 patient consultations (telephone, face-to-face, and home visits) 484 (0.065%) resulted in eligible complaint letters. The majority consisted of two or more complaints, resulting in 833 different complaints. Most complaints concerned GPs (80%); a minority (19%) assistants. Thirty-five per cent concerned perceived professionalism lapses of physicians. A rich diversity in the wording of professionalism lapses was found, where 'not being taken seriously' was mentioned most often. Forty-five per cent related to medical expertise, such as missed diagnoses or unsuccessful clinical treatment. Nineteen per cent related to management problems, especially waiting times and access to care. Communication issues were only explicitly mentioned in 1% of the complaints.ConclusionMost unsolicited patient complaints were related to clinical problems. A third, however, concerned professionalism issues. Not being taken seriously was the most frequent mentioned theme within the professionalism category.

scholarly journals Nursing consultations and control of diabetes in general practice: a retrospective observational study

2015 ◽  
Vol 65 (639) ◽  
pp. e642-e648 ◽  
Author(s):  
Trevor Murrells ◽  
Jane Ball ◽  
Jill Maben ◽  
Mark Ashworth ◽  
Peter Griffiths
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Retrospective Observational Study ◽  
Control Of Diabetes ◽  
And Control

Hemmkörperentwicklung bei Hämophilie-Patienten nach Präparate wechsel

2012 ◽  
Vol 32 (S 01) ◽  
pp. S39-S42 ◽  
Author(s):  
S. Kocher ◽  
G. Asmelash ◽  
V. Makki ◽  
S. Müller ◽  
S. Krekeler ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Observational Study ◽  
Retrospective Observational Study ◽  
Frequent Change ◽  
Patient Age ◽  
Treatment Regimens ◽  
Patient Âgé ◽  
The Relationship ◽  
Observation Period

SummaryThe retrospective observational study surveys the relationship between development of inhibitors in the treatment of haemophilia patients and risk factors such as changing FVIII products. A total of 119 patients were included in this study, 198 changes of FVIII products were evaluated. Results: During the observation period of 12 months none of the patients developed an inhibitor, which was temporally associated with a change of FVIII products. A frequent change of FVIII products didn’t lead to an increase in inhibitor risk. The change between plasmatic and recombinant preparations could not be confirmed as a risk factor. Furthermore, no correlation between treatment regimens, severity, patient age and comorbidities of the patients could be found.

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