scholarly journals Open Access to Investigational Procedures for the General Practitioner

1965 ◽  
Vol 58 (6) ◽  
pp. 445-447
Author(s):  
David Wheatley
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Open Access ◽  
General Practitioners ◽  
High Standard ◽  
X Rays ◽  
Large Hospital ◽  
Pathology Laboratory ◽  
The Past ◽  
Hammersmith Hospital

Dr David Wheatley produces figures to show that, in his area of practice, open access to pathology at one large hospital has resulted in less work being undertaken than at another large hospital, where such access is unavailable. He stresses the necessity for open access to such services, including X-rays and ECGs, if a high standard of general practice is to be maintained. Professor R E Steiner, although agreeing with the concept of open access for the general practitioner, believes that at present this should be limited by the facilities available. He describes such a service which has been made available to general practitioners at Hammersmith Hospital for diagnostic X-rays, and stresses the importance of personal consultation between specialist and general practitioner. Dr D Stark Murray describes the system of complete open access to the pathology laboratory, which has been in operation at Kingston Hospital over the past twenty-five years. He shows the use which has been made of the service by local general practitioners and stresses that this is an essential part of the health service.

Tanderil®/Chloramphenicol Eye Ointment in the Treatment of the “Red Eye” Seen in General Practice

1978 ◽  
Vol 6 (2) ◽  
pp. 141-143 ◽  
Author(s):  
W A I Rushford ◽  
R M Holman ◽  
T B Pulvertaft
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Treatment Period ◽  
General Practitioners ◽  
Complete Resolution ◽  
Open Study ◽  
Allergic Conjunctivitis ◽  
Day Treatment ◽  
Red Eye

An open study is reported in which 35 general practitioners treated 128 patients suffering from ‘Red Eye’ with a new eye ointment containing 10% Tanderil (oxyphenbutazone) and 1% chloramphenicol. One hundred and seventeen patients completed the seven day treatment period, in which time 99 had complete resolution of the symptoms and were discharged, the remaining 18 patients needed a longer period of treatment. Eleven patients failed to complete the study period, of whom 5 patients were subsequently referred to a specialist and 6 had their treatment changed by the general practitioner. Six patients showed signs of allergy to the ointment, all of whom were being treated for allergic conjunctivitis. Seventeen per cent of patients had some difficulty in applying the eye ointment or complained of subsequent blurring of vision.

scholarly journals Epidemiology in general practice

1989 ◽  
Vol 102 (2) ◽  
pp. 163-174
Author(s):  
A. C. Ross
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Natural Immunity ◽  
Source Of Infection

Epidemiology in Country Practiceby William N. Pickles, published in 1939, has been a source of continuing interest and challenge especially to general practitioners (Watson, 1982; Booth, 1987). Pickles worked for over 50 years as a general practitioner (GP) in rural Wensleydale where there were many isolated villages in which natural immunity against various infections was often lacking. And so the source of infection could usually be traced, and, with little or no immunity, spread was often rapid.

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.

Prostate cancer testing: a snapshot of the attitudes and practice of Australian general practitioners

2015 ◽  
Vol 21 (1) ◽  
pp. 111 ◽  
Author(s):  
Jane Crowe ◽  
Addie C. Wootten ◽  
Nicholas Howard
Keyword(s):  
Prostate Cancer ◽  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Digital Rectal Examination ◽  
Web Based ◽  
Rectal Examination ◽  
Attitudes And Practices ◽  
Asymptomatic Men

The role of the General Practitioner (GP) in testing for and managing men with prostate cancer (PCa) is significant. Very few studies have explored the attitudes and practices of Australian GPs in the context of the role of PCa testing. In this study, a 46-item web-based questionnaire was used to assess self-reported PCa testing attitudes and practices of GPs. This questionnaire was circulated to divisions of general practice and Medicare locals for further distribution to their GP members across Australia. GPs from all states and territories participated, and a total of 136 GPs completed the survey. Of the responding GPs, 57% always or usually offered PCa testing to asymptomatic men ≤70 years of age and 60% of GPs always or usually included a digital rectal examination (DRE). Many (80%) of the GPs stated that the current PCa testing guidelines were not clear. PCa testing was offered opportunistically by 56% while 39% offered testing at the patient’s request. The results captured in this study represent a snapshot of GP attitudes and practices from across Australia. The results presented indicate a wide variation in the approaches to PCa testing in general practice across Australia, which in most part appear to be related to the lack of clarity of the current prostate cancer testing guidelines.

scholarly journals Problems of general practice in the materials of the XXVIII National congress on respiratory diseases(October 16-19, 2018, Moscow)

2018 ◽  
Vol 22 (4) ◽  
pp. 49-52
Author(s):  
Nurlan N. Brimkulov ◽  
Andrey S. Belevsky
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Respiratory Diseases ◽  
Respiratory Medicine ◽  
School Problems ◽  
National Congress ◽  
The Relationship

The article highlights the problems of the relationship between the general practitioners and specialists-pulmonologists, which were discussed in the framework of the XXVIII National Congress on Respiratory Diseases, held in Moscow on October 16–19, 2018. Outlines the main provisions of the reports of the School “Problems of pulmonology in the work of the general practitioner”, highlights the activities of the Association of Russian-speaking specialists in respiratory medicine (ARSRM), focused on the development of pulmonology in general practice.

PRIVATE PRACTICE FOR CHILDREN

PEDIATRICS ◽  
1950 ◽  
Vol 6 (3) ◽  
pp. 514-518
Keyword(s):  
General Practice ◽  
Child Care ◽  
General Practitioner ◽  
Child Health ◽  
Medical Care ◽  
General Practitioners ◽  
Private Practice ◽  
Health And Safety ◽  
Lay Public ◽  
Mold Life

In the future as at present, the majority of child care can be expected to be furnished by general practitioners, while pediatrics continues to consist of a blend of consultation practice, general practice among infants and children, and teaching not only in medical schools and postgraduate programs, but also for parents and the lay public. The balance between these several factors will depend upon the pediatricians' own interests and the nature of the community in which he practices. But, although pediatricians give a much smaller proportion of medical care to the nation's children than the general practitioners, their influence undoubtedly extends much farther than indicated by statistical percentages. Through their contacts with general practitioners, through their position as teachers and child consultants, pediatricians have opportunities for informed leadership in regard to all matters pertaining to child health and safety. And in respect to his individual patients, both the pediatrician and the general practitioner are in a favorable position to mold life while it is still pliable, to prevent illness or if illness does occur, to restore a young patient to healthy happy childhood.

scholarly journals Patients’ and carers’ perspectives of palliative care in general practice: A systematic review with narrative synthesis

2018 ◽  
Vol 32 (4) ◽  
pp. 838-850 ◽  
Author(s):  
Emilie Green ◽  
Selena Knight ◽  
Merryn Gott ◽  
Stephen Barclay ◽  
Patrick White
Keyword(s):  
Palliative Care ◽  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Policy Development ◽  
Survey Methods ◽  
Grey Literature ◽  
Reference List ◽  
Narrative Synthesis

Background: General practitioners have overall responsibility for community care, including towards end of life. Current policy places generalists at the centre of palliative care provision. However, little is known about how patients and carers understand the general practitioner’s role. Aims: To explore patient and carer perspectives of (1) the role of the general practitioner in providing palliative care to adult patients and (2) the facilitators and barriers to the general practitioner’s capacity to fulfil this perceived role. Design: Systematic literature review and narrative synthesis. Data sources: Seven electronic databases (MEDLINE, Embase, PsycINFO, BNI, CINAHL, Cochrane and HMIC) were searched from inception to May 2017. Two reviewers independently screened papers at title, abstract and full-text stages. Grey literature, guideline, hand searches of five journals and reference list/citation searches of included papers were undertaken. Data were extracted, tabulated and synthesised using narrative, thematic analysis. Results: A total of 25 studies were included: 14 employed qualitative methods, 8 quantitative survey methods and 3 mixed-methods. Five key themes were identified: continuity of care, communication between primary and secondary care, contact and accessibility, communication between general practitioner and patient, and knowledge and competence. Conclusion: Although the terminology and context of general practice vary internationally, themes relating to the perceived role of general practitioners were consistent. General practitioners are considered well placed to provide palliative care due to their breadth of clinical responsibility, ongoing relationships with patients and families, and duty to visit patients at home and coordinate healthcare resources. These factors, valued by service users, should influence future practice and policy development.

The General Practitioner in the Netherlands

1972 ◽  
Vol 2 (2) ◽  
pp. 263-271 ◽  
Author(s):  
J. C. Oeberius Kapteijn ◽  
C. P. Bruins ◽  
H. J. Dokter ◽  
J. M. L. Phaff
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
The Netherlands ◽  
Medical Care ◽  
General Practitioners ◽  
Social Insurance ◽  
School Health ◽  
Industrial Medicine ◽  
Role Of The State

The evolution of health care in the Netherlands and the various methods of social insurance are discussed briefly. A description of medical care is followed by a section on the Cross Societies, school health services, industrial medicine, and the role of the state health authorities. In the context of primary medical care, the role of the general practitioner, his freedom to choose his place of work, his preference for rural districts, the reasons for the increasing lack of general practitioners in big cities, and the financial position of Dutch general practitioners are discussed and analyzed. The tasks of the general practitioner are categorized as diagnostic, curative, delegating, and registering and coordinating functions, as well as that of social critic. Methods of practice and cooperation with both medical and nonmedical health personnel are described. Finally, an account on the professional organizations and the Netherlands Institute of General Practice is followed by a review on the recent development of specific vocational training for general practice.

Education for General Practice—Worldwide Problems

1972 ◽  
Vol 2 (2) ◽  
pp. 171-181
Author(s):  
P. S. Byrne
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Vocational Training ◽  
Continuing Care ◽  
The Past ◽  
New Methods ◽  
Technological Advances ◽  
Recent Developments ◽  
Definition Of ◽  
Terminological Confusion

Although there is terminological confusion over the definition of general practitioner, it is agreed that there must be, in all systems, a “physician who provides personal primary and continuing care to individuals and families.” Factors influencing general practice include geography and urbanization, social pressures, technological advances, specialization within the hospital field, and cost–effectiveness. The general practitioner is a specialist in a special field who requires special training for his work. In the recent past departments of social medicine have been involved in the teaching of general practice. This has not been successful. Recent developments have dramatized the large number of special departments of general practice or family medicine throughout the world which are contributing much to teaching in the undergraduate period and in vocational training. They are also contributing to new methods of education and assessment which have wider applications. The past decade has seen the emergence of general practice as a special branch of medical education in its own right. The future is full of challenges to develop further and to create a new cadre of teachers in this field.

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