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.

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.

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 The view of a general practitioner on immediate access for patients to their laboratory test results

2018 ◽  
Vol 57 (3) ◽  
pp. 375-382
Author(s):  
Syed Ghulam Sarwar Shah ◽  
Amir Hannan ◽  
Bruce Elliott ◽  
Ingrid Brindle ◽  
Richard Fitton
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Laboratory Test ◽  
Text Messages ◽  
Test Results ◽  
Traditional Practice ◽  
Online Tools ◽  
Laboratory Test Results ◽  
The Relationship

Abstract This position paper presents the role of laboratory test results in traditional general practice and provides a recommendation for responsible sharing of results with patients for improved safety, efficiency and outcomes. This paper looks at the relationship between the laboratory, the general practitioner consultation, the patient, safety and general practice capacity. We suggest changes in the traditional practice of communicating laboratory test results whereby normal or abnormal results are made available to patients as soon as they become available. We also endorse the opinion that using online tools such as email or text messages could enhance the provision of rapid access to laboratory test results for patients.

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.

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.

What proportion of patients referred to an otolaryngology vertigo clinic have an otological cause for their symptoms?

2007 ◽  
Vol 122 (2) ◽  
pp. 145-149 ◽  
Author(s):  
A K Arya ◽  
D A Nunez
Keyword(s):  
General Practice ◽  
Cohort Study ◽  
General Practitioner ◽  
Confidence Interval ◽  
General Practitioners ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Hospital Care ◽  
One Year ◽  
Selection Of

AbstractBackground:Dizziness is a common and often complex complaint. Between nine and 13 per cent of patients seen in general practice are referred to a variety of specialist clinics. The diagnoses and outcomes of these referrals are seldom reported.Aims:To determine the proportion of patients referred to an otology led vertigo clinic in whom an otological cause for vertigo could be identified.Design of study:Prospective cohort study of consecutive new clinic attendees over one year.Setting and methods:Otology led vertigo clinic in an urban teaching hospital in England. Patients' details including age, sex, referring clinician, investigations, diagnoses, treatment and final outcome were recorded in an anonymised database.Results:91 new patients, 31 men and 60 women with a mean age of 52.6 years (range 16–81) were seen. General practitioners referred 87 per cent of the patients. Twenty-seven patients underwent further investigations including imaging, electronystagmography and other audiological tests. A labyrinthine disorder accounted for 50 per cent of the diagnoses. Ménière's disease or a variant was diagnosed in 20 patients (21 per cent). Fifty-six patients (61 per cent) reported resolution of or improvement in their symptoms. Thirty-one patients (34 per cent) were asymptomatic and free of abnormal findings on initial attendance and were discharged from hospital care.Conclusions:Forty-six patients (50.6 per cent, 95 per cent confidence interval, 40.4–60.6 per cent) had vertigo due to an otological disorder. The selection of an otolaryngology based vertigo clinic by the general practitioner for initial referral seems appropriate.

The relationship between symptoms and diagnoses of minor psychiatric disorder in general practice

1987 ◽  
Vol 17 (4) ◽  
pp. 933-942 ◽  
Author(s):  
D. A. Grayson ◽  
K. Bridges ◽  
P. Duncan-Jones ◽  
D. P. Goldberg
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Latent Trait ◽  
Diagnostic System ◽  
Two Dimensions ◽  
Anxiety And Depression ◽  
Diagnostic Systems ◽  
The Relationship

SynopsisIn an earlier paper (Goldberg et al. 1987) 36 common symptoms of minor psychiatric disorder in general practice were analysed using the technique of latent trait analysis. From this analysis two dimensions of illness emerged, corresponding to anxiety and depression. In the present paper, this symptom-based representation of minor psychiatric illness is used as a framework for comparing four diagnostic systems: General Practitioner (GP) diagnoses, the ID-CATEGO diagnostic system, the DSM-III system and the Bedford College diagnostic system. This analysis clarifies the reasons for disagreement among systems of diagnostic criteria and examines the practical effects of alternative diagnostic algorithms.

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