General Practitioners' and Hospital Physicians' Preference for Morphine or Oxycodone as First-Time Choice for a Strong Opioid: A National Register-Based Study

The Society for Acute Medicine’s Benchmarking Audit (SAMBA) was undertaken for the 5th time in June 2016. For the first time, data on telephone triage calls prior to admission to Acute Medical Units were collected: 1238 patients were referred from Emergency Departments, 925 from General Practitioners (GPs), 52 from clinics and 147 from other sources. Calls from Emergency Departments rarely resulted in admission avoidance. Calls from Primary Care resulted in avoidance of an admission in 115 (12%) patients; the percentage of avoided admissions was highest if the call was taken by a Consultant. Consultant triage might result in admission avoidance but the impact of local context on the effectiveness is not clear.

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How general practitioners treat migraine patients—evaluation of a headache guideline

Cephalalgia ◽

10.1177/0333102412454944 ◽

2012 ◽

Vol 32 (12) ◽

pp. 908-915 ◽

Cited By ~ 5

Author(s):

R Zielman ◽

PJL Veenstra ◽

EW van Zwet ◽

JSP van den Berg

Keyword(s):

Primary Care ◽

General Practitioners ◽

Pharmacological Treatment ◽

Care Setting ◽

Primary Care Setting ◽

Referral Letter ◽

Hospital Record ◽

Specific Medication ◽

History Of ◽

First Time

Aim: The aim of the study was to evaluate the pharmacological treatment of migraine patients by general practitioners before referral to a neurologist. First, was the pharmacological treatment in accordance with the Dutch College of General Practitioners headache guideline? Second, which migraine characteristics were associated with receiving migraine-specific medication? Methods: Migraine patients (age ≥18 years) who visited the neurology outpatient clinic for the first time were included. Migraine characteristics and pharmacological status were collected retrospectively for each patient from the general practitioner’s referral letter, hospital record and a headache characteristics questionnaire. Results: A total of 420 migraine patients were included. Only 18.3% of the patients with two or more migraine attacks per month were using prophylactic medication. Furthermore, only 11.7% of patients with symptoms of nausea and/or vomiting were using anti-emetic medication. More than half of patients (51.7%) were using triptans and were likely to have typical migraine symptoms and a long history of migraine. Conclusions: Migraine prophylactic medication and anti-emetics are underutilized in the primary care setting for migraine patients in the Netherlands, when compared to the general practitioners guideline. It is important to enhance the knowledge of general practitioners regarding the diagnosis of migraine, and to increase awareness of the headache guideline.

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Prescriptions from general practitioners and in hospital physicians requiring pharmacists' interventions

Pharmacoepidemiology and Drug Safety ◽

10.1002/pds.1949 ◽

2010 ◽

Vol 20 (1) ◽

pp. 50-56 ◽

Cited By ~ 14

Author(s):

Svein Haavik ◽

Silje Soeviknes ◽

Hilde Erdal ◽

Inge Kjonniksen ◽

Anne Berit Guttormsen ◽

...

Keyword(s):

General Practitioners ◽

Hospital Physicians

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Initial Report: Information on Political Scientists in the NSF Register

Political Science and Politics ◽

10.1017/s1049096500009331 ◽

1969 ◽

Vol 2 (01) ◽

pp. 3-11

Keyword(s):

Biological Sciences ◽

Political Science ◽

Educational Institutions ◽

National Register ◽

Initial Report ◽

Work Activity ◽

Technical Personnel ◽

Science Section ◽

Space Sciences ◽

First Time

During 1968, members of the Association received questionnaires distributed as part of the Association's agreement with the National Science Foundation to administer the political science section of the National Register of Scientific and Technical Personnel. Responses were received from 5,176 professional political scientists, and these responses were coded under the direction of Mrs. Carol Wheeler, the Association's Register Supervisor, then forwarded to the National Register Group, Office of Economic and Manpower Studies of the NSF for tabulation. The 1968 Register is the first to include political science. Next survey of political scientists will take place in 1970.The National Register of Scientific and Technical Personnel obtains data pertaining to the academic training, employment, economic, and other professional characteristics of the scentific community directly from individual scientists. The seventh biennial registration of scientists, conducted in 1968, included scientists in the fields of chemistry, earth and marine sciences, atmospheric and space sciences, physics, mathematics, statistics, agricultural sciences, biological sciences, psychology, economics, sociology, linguistics, anthropology, and—for the first time—computer sciences and political science. Engineers are not included in this registration because an engineers register is maintained separately from the scientists register.A summary of the characteristics of political scientists from the 1968 survey follows. Among the findings are that 59% have doctorates, 76% work for educational institutions, and 57% have the primary work activity of teaching. Among all 298,000 scientists surveyed 37% have doctorates, 40% work for educational institutions and 21% teach as a primary work activity.

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Management of hypertension in the elderly: attitudes of general practitioners and hospital physicians.

British Journal of Clinical Pharmacology ◽

10.1111/j.1365-2125.1995.tb04481.x ◽

1995 ◽

Vol 39 (5) ◽

pp. 465-469 ◽

Cited By ~ 15

Author(s):

GA Ford ◽

MN Asghar

Keyword(s):

General Practitioners ◽

The Elderly ◽

Hospital Physicians

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Teleburn: Designing A Telemedicine Application to Improve Burn Treatment

The Open Medical Informatics Journal ◽

10.2174/1874431101812010033 ◽

2018 ◽

Vol 12 (1) ◽

pp. 33-41 ◽

Cited By ~ 3

Author(s):

Farhang Hosseini ◽

Haleh Ayatollahi ◽

Seyed Hamid Salehi ◽

Kazemzadeh Jafar

Keyword(s):

General Practitioners ◽

Information Needs ◽

Burn Injuries ◽

Burn Patients ◽

Burn Treatment ◽

Web Based ◽

System Information ◽

First Time ◽

To Receive

Background: Due to the increasing rate of the burn injuries and a limited number of specialized treatment centers, providing medical advice and medical care at the point of need is necessary. The aim of the present study was to design and implement a teleburn system to enhance the quality of care for the burn patients. Methods: This study was completed in 2016. In order to design the system, information needs assessment was conducted by using a questionnaire. The participants of this phase were five specialists, five general practitioners, and 12 nurses. The setting of the study was the burn department of a public hospital and a burn center. The prototype of the system was designed based on the findings derived from the first phase, and the usability of the system was evaluated later. Results: The teleburn system was a web-based system with different sections for GPs/nurses and specialists. In total, 28 burn consultations were made successfully by using the system. The findings of the usability testing showed that most of the participants evaluated the system at a good level. The mean score for the specialists, general practitioners and nurses was 8.4±0.46, 7.7±0.39, and 7.5±0.51, respectively. Conclusion: Although it was the first time in the country that the teleburn system was designed and introduced to the clinicians, they seemed to be satisfied with using the system. This system could help general practitioners and nurses to receive specialist's advice on a timely manner to improve the treatment of the burn patients. However, more research should be conducted to determine the effectiveness of using this technology in the real work environment.

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Self-rated health among physicians

Medicina ◽

10.3390/medicina45070074 ◽

2009 ◽

Vol 45 (7) ◽

pp. 557 ◽

Cited By ~ 1

Author(s):

Algirdas Baubinas ◽

Romualdas Gurevičius ◽

Konstancija Jankauskienė ◽

Jonas Sąlyga ◽

Jonas Kairys ◽

...

Keyword(s):

Quality Of Life ◽

General Practitioners ◽

Age Groups ◽

Older Age ◽

Lower Percentage ◽

Self Rated Health ◽

Anonymous Questionnaire ◽

Hospital Physicians

The aim of the study was to analyze self-rated health among physicians depending on their sex, age, workplace (hospital or polyclinic), and specialty. Material and methods. The studied group consisted of 377 26–70-year-old physicians randomly selected from various county hospitals and polyclinics of Lithuania. There were 85 men and 292 women. The inquiry was performed using the complemented (by the authors of the study) version of the WHO anonymous questionnaire of the quality of life (1995). Responses were evaluated based on physicians’ evaluation of their own health, which was rated as very good, good, satisfactory, poor, and very poor. Results. Only 8.2% of males and 5.8% of females evaluated their health as very good (P>0.05). More men, compared to women, evaluated their health as good (62.3% and 53.1%, respectively; P<0.05), whereas more females evaluated their health as satisfactory, compared to males (36.0% and 25.9%, respectively; P<0.05); 2.4% of males and 5.1% of females (p>0.05) stated that their health was poor. In most cases, physicians of different age groups presented equal evaluations of their health except for physicians in the age groups of 26–37 and 38–43 years – those who evaluated their health as very good comprised a significantly higher percentage (P<0.05), compared to other age groups. As expected, a higher percentage of older physicians evaluated their health as satisfactory. In addition to that, more hospital physicians, compared to those working in polyclinics, evaluated their health as good (12.8% and 1.8%, respectively; P<0.05) and vice versa – significantly more physicians working in polyclinics evaluated their health as satisfactory, compared to those working in hospitals (38.1% and 26.8%, respectively; P<0.05). A significantly higher percentage of surgeons, compared to general practitioners or therapists, evaluated their health as very good (15.8%, 4.5%, and 6.1%, respectively; P<0.05) and a significantly lower percentage – as satisfactory (P<0.05). Conclusions. Irrespectively of sex, 6.4% of the studied physicians evaluated their health as very good; 55.2%, as good; 33.7%, as satisfactory; 4.7%, as poor; and 0.3%, as very poor. A higher percentage of physicians who evaluated their health as very good or good were 26–37 and 38–43 years of age, whereas more physicians in older age groups evaluated their health as satisfactory. A higher percentage of physicians working in hospital evaluated their health as very good, whereas more physicians who worked in polyclinics evaluated their health as satisfactory. Compared to general practitioners and therapists, surgeons more frequently evaluated their health as very good and significantly less frequently – as satisfactory.

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