scholarly journals General Practitioners’ Participation in a Large, Multicountry Combined General Practitioner-Patient Survey: Recruitment Procedures and Participation Rate

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Peter P. Groenewegen ◽  
Stefan Greß ◽  
Willemijn Schäfer
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Data Collection ◽  
General Practitioners ◽  
Random Sampling ◽  
Participation Rate ◽  
Patient Survey ◽  
Complex Data ◽  
Participation Rates ◽  
Recruitment Procedure

Background. The participation of general practitioners (GPs) is essential in research on the performance of primary care. This paper describes the implementation of a large, multicountry study in primary care that combines a survey among GPs and a linked survey among patients that visited their practice (the QUALICOPC study). The aim is to describe the recruitment procedure and explore differences between countries in the participation rate of the GPs. Methods. Descriptive analyses were used to document recruitment procedures and to assess hypotheses potentially explaining variation in participation rates between countries. Results. The survey was implemented in 31 European countries. GPs were mainly selected through random sampling. The actual implementation of the study differed between countries. The median participation rate was 30%. Both material (such as the payment system of GPs in a country) and immaterial influences (such as estimated survey pressure) are related to differences between countries. Conclusion. This study shows that the participation of GPs may indeed be influenced by the context of the country. The implementation of complex data collection is difficult to realize in a completely uniform way. Procedures have to be tuned to the context of the country.

Prescription of compression stockings in France in primary care

2013 ◽  
Vol 29 (6) ◽  
pp. 390-396
Author(s):  
J-P Benigni ◽  
X Ansolabehere ◽  
X Saudez ◽  
M Toussi ◽  
S Branchoux ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Retrospective Analysis ◽  
General Practitioners ◽  
Real Life ◽  
Venous Disease ◽  
Compression Stocking ◽  
Actual Situation ◽  
Compression Stockings ◽  
One Year

Objectives Recent French data describing real-life compression stocking use are lacking. This study aimed to describe the actual situation for patients who were prescribed compression stockings by their general practitioner and to assess annual treatment costs from a societal perspective. Methods A retrospective analysis using Disease Analyzer database data from 6349 adults with at least one compression stocking prescription between July 2009 and June 2010. Results Mean patient age was 58 years, and 72.3% of patients were women. Seven out of 10 patients received only a single compression stocking prescription over one year. The estimated mean annual per patient cost was 152.2 ± 100.7 Euros. Conclusion Most patients received only a single compression stocking prescription during one year. General practitioners prescribing compression stockings more often may have a better understanding of venous disease and may manage their patients differently. Although more expensive, this approach may be one which should be accepted more widely.

Indications for paediatric tonsillectomy GP versus Consultant perspective

1994 ◽  
Vol 108 (2) ◽  
pp. 131-134 ◽  
Author(s):  
M. J. Donnelly ◽  
M. S. Quraishi ◽  
D. P. McShane
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Primary Care Physician ◽  
General Practitioners ◽  
Questionnaire Survey ◽  
Care Physician ◽  
The Past ◽  
Ear Infections ◽  
Glue Ear

AbstractTonsillectomy is a commonly performed operation in children. Although the justification for this procedure has been debatable in the past, more rigorous criteria in defining the need for tonsillectomies are becoming established. The role of the primary care physician in the management of tonsillar disease in children is important as the decision to refer a child for tonsillectomy is made by the general practitioner. A questionnaire survey of 400 general practitioners (GPs) and 31 consultant ENT surgeons was carried out to establish the important criteria used in deciding the need for paediatric tonsillectomy. We found that in general there was a good correlation between GP and Consultant indications for tonsillectomy. However there were two important areas of difference, while most of the GPs felt that recurrent ear infections and ‘glue ear’ were important indications for tonsillectomy, Consultants did not. Therefore we must be aware of the current recommendations for tonsillectomy and inform present and future GPs.

scholarly journals Patterns of primary care among persons with schizophrenia: the role of patients, general practitioners and centre factors

2020 ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragon ◽  
Jesus Sepúlveda Muñoz ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Health Training ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background. Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners.Methods. A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: a) patient variables (sociodemographic and clinical), b) general practitioner variables, and c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed.Results. A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners.Conclusions. The only general practitioner variable that was associated with the number of visits was age, the older the less contact. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

Contacts with health services during the year prior to suicide death in France (2013-2015)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Laanani ◽  
C Imbaud ◽  
P Tuppin ◽  
C Poulalhon ◽  
F Jollant ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
General Population ◽  
Health Services ◽  
Emergency Room ◽  
General Practitioners ◽  
National Health ◽  
Physical Conditions ◽  
Care Services ◽  
Primary Care Services

Abstract Background This study was designed to describe contacts with health services during the year before suicide death in France, and to compare the prevalent mental and physical conditions in these people to those of the general population. Methods Data were extracted from the French National Health Data System (SNDS), which comprises comprehensive claims data for inpatient and outpatient care linked to the national causes-of-death registry. Individuals, national health insurance general scheme beneficiaries (i.e. 76% of the population living in France), aged 15 years or older, who died from suicide in France in 2013-2015 were included. Medical consultations, emergency room visits, and hospitalisations during the year preceding death were collected. Conditions were identified, and standardised prevalence ratios (SPRs) were estimated to compare prevalence rates in suicide decedents with those of the general population. Results The study included 19,144 suicide decedents. Overall, 8.5% of suicide decedents consulted a physician or attended an emergency room on the day of death, 34.1% during the week before death, 60.9% during the month before death. Most contacts involved a general practitioner or an emergency room (46.2% of suicide decedents consulted a general practitioner during the month before death, 16.7% attended an emergency room). During the month preceding suicide, 24.4% of individuals were hospitalised at least once. Mental conditions (36.8% of cases) were 7.9-fold (SPR 95% CI: 7.7-8.1) more prevalent in suicide decedents than in the general population. The highest SPRs among physical conditions were for liver/pancreatic diseases (SPR=3.3, 95% CI: 3.1-3.6) and epilepsy (SPR=2.7, 95% CI: 2.4-3.0). Conclusions General practitioners and emergency departments have frequent contacts with suicide decedents during the last weeks before death and are at the forefront of suicide risk identification and prevention in individuals with mental, but also physical conditions. Key messages Mental and physical conditions are more common among suicide decedents than in the general population, and contacts with primary care services are frequent in the last weeks prior to suicide. Primary care services (general practitioners and emergency rooms) should be targeted for suicide preventive interventions.

scholarly journals Patterns of primary care among persons with schizophrenia: the role of patients, general practitioners and centre factors

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragón ◽  
Jesus Sepúlveda Muñoz ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Health Training ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners. Methods A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: (a) patient variables (sociodemographic and clinical), (b) general practitioner variables, and (c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed. Results A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners. Conclusions The only general practitioner variable that was associated with the number of visits was age, the older the less contact. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

Audit on the documentation of patients medication in the letters from psychiatrists to the generalpractitioners

2011 ◽  
Vol 26 (S2) ◽  
pp. 1756-1756
Author(s):  
N. Sharma ◽  
M. George ◽  
B. Owen
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
General Practitioner ◽  
General Practitioners ◽  
Dosage Schedule ◽  
Psychiatric Clinic ◽  
Management Advice

IntroductionClinical correspondence between general practitioners and specialists remains fundamental to the process of referral from primary care and transmission of management advice from consultants.Discrepancies over medication records for patients with mental illness living in community were highlighted by a previous audit and recommendation for improvement were accepted and implemented by the trust.AimsAn audit of the documentation of patient's medications in the Psychiatric clinic letters compared to the general practitioners records was done two years back and several recommendations were made to improve the communication.The aim of this study was to examine if the recommendations from the previous audit was implemented and if the quality of communication about medication conveyed by the Psychiatrist to the General Practitioner improved.MethodsLatest Psychiatric clinic letter of 50 patients were randomly selected from the computer database and they were checked against the latest GP records.The expectation is that the Psychiatric and GP records would correspond 100%.ResultsThis re-audit revealed most of the recommendations from the previous audit were implemented and as a result of that, the numbers of errors were reduced. However there were still significant errors detected including wrong medication, omission and incorrect dosage, schedule and frequency.

scholarly journals Improving patient self-reporting of antihypertensive adverse drug events in primary care: a stepped wedge cluster randomised trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Karine Buchet-Poyau ◽  
Pauline Occelli ◽  
Sandrine Touzet ◽  
Carole Langlois-Jacques ◽  
Sophie Figon ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Mixed Model ◽  
Adverse Drug Events ◽  
Randomised Trial ◽  
Intervention Group ◽  
Cluster Randomised Trial ◽  
Future Research ◽  
Stepped Wedge

Abstract Background About 25% of patients experience adverse drug events (ADE) in primary care, but few events are reported by the patients themselves. One solution to improve the detection and management of ADEs in primary care is for patients to report them to their general practitioner. The study aimed to assess the effect of a booklet designed to improve communication and interaction between patients treated with anti-hypertensive drugs and general practitioners on the reporting of ADEs. Methods A cluster randomized controlled cross-sectional stepped wedge open trial (five periods of 3 months) was conducted. A cluster was a group of general practitioners working in ambulatory offices in France. Adults consulting their general practitioner to initiate, modify, or renew an antihypertensive prescription were included. A booklet including information on cardiovascular risks, antihypertensive treatments, and ADE report forms was delivered by the general practitioner to the patient in the intervention group. The primary outcome was the reporting of at least one ADE by the patient to his general practitioner during the three-month period after enrolment. Two clusters were randomised by sequence for a total of 8 to receive the intervention. An intention-to-treat analysis was conducted. A logistic mixed model with random intercept was used. Results Sixty general practitioners included 1095 patients (median: 14 per general practitioner; range: 1–103). More patients reported at least one ADE to their general practitioner in the intervention condition compared to the control condition (aOR = 3.5, IC95 [1.2–10.1], p = 0.02). The modification and initiation of an antihypertensive treatment were also significantly associated with the reporting of ADEs (aOR = 4.4, CI95 [1.9–10.0], p <  0.001 and aOR = 11.0, CI95 [4.6–26.4], p <  0.001, respectively). The booklet delivery also improved patient satisfaction on general practitioner communication and high blood pressure management. Conclusion A booklet can improve patient self-reporting of ADEs to their general practitioners. Future research should assess whether it can improve general practitioner management of ADEs and patient’s health status. Trial registration Trial registry identifier NCT01610817 (2012/05/30).

scholarly journals Effects of personalized invitation letters on research participation among general practitioners: a randomized trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Patrick Hennrich ◽  
Christine Arnold ◽  
Michel Wensing
Keyword(s):  
Observational Study ◽  
Randomized Trial ◽  
General Practitioners ◽  
Intervention Group ◽  
Research Participation ◽  
Participation Rate ◽  
Control Group ◽  
Participation Rates ◽  
Group Assignment ◽  
Geographical Regions

Abstract Background Participation of general practitioners is crucial for health care studies. However, recruiting them is an ongoing challenge and participation rates of general practitioners around the globe are often low. One feasible and cost-efficient approach to potentially enhance participation rates among general practitioners are personalized invitation letters, since they may increase one’s attention to and appreciation of a study. Still, evidence whether this method actually affects participation is scarce and ambiguous in relation to physicians. Methods We undertook a randomized trial in a sample of general practitioners from three German states in the context of a large, observational study on physicians’ coordination and uptake of recommended cardiovascular ambulatory care. An intervention group (n = 757 general practitioners) received a personalized invitation to participate in the observational study, the control group (n = 754 general practitioners) received a generic invitation. Both groups were blinded to group assignment. Eventual participation rates as well as the number and types of responses overall were compared between arms. Besides the main intervention, sociodemographic and geographical context factors were considered as well. Results The overall participation rate among physicians was 2.6% (2.8% in the intervention group and 2.4% in the control group). No statistically significant effect of personalization on participation of physicians was found (relative risk to participate when receiving a personalized invitation of 1.17 [95%-CI: 0.62, 2.21]). However, the number of responses to the invitation varied significantly between the geographical regions. Conclusions Personalization of first written contact alone did not improve research participation among general practitioners, which was overall very low. Trial registration The study in which the trial was embedded has been registered prospectively at the German Clinical Trials Register (DRKS) under registration number DRKS00019219.

scholarly journals Factors Associated with the Use of Primary Care Centres in Persons with Schizophrenia

2020 ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragon ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Factors Associated ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background. Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners.Methods. A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: a) patient variables (sociodemographic and clinical), b) general practitioner variables, and c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed.Results. A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners.Conclusions. The only general practitioner characteristic that was associated with the number of visits was age. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

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