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.

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.

The Education of the General Practitioner in the United Kingdom

1972 ◽  
Vol 2 (2) ◽  
pp. 183-191
Author(s):  
J. P. Horder
Keyword(s):  
General Practice ◽  
United Kingdom ◽  
General Practitioner ◽  
Medical Care ◽  
Postgraduate Training ◽  
The United Kingdom ◽  
Recent Trends ◽  
Training Schemes ◽  
Important Branch

Despite recent trends toward specialization, general practice will continue as an important branch of medical care in the United Kingdom. The role of the general practitioner is briefly discussed in this article and it is emphasized that physicians must be specifically and urgently instructed for this role as young postgraduates. This requires that some teaching of undergraduates take place in the setting of general practice; the limited aims of this teaching are listed. The main purpose of the article is to describe the aims and the outline syllabus for the training of general practitioners in the early postgraduate period. These aims have begun to be achieved in the last few years in this country. The present state of three–year postgraduate training schemes is reviewed and problems yet unsolved are discussed.

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.

scholarly journals A scoping review protocol of evidence-based guidance and guidelines published by general practitioner professional organisations

2021 ◽  
Vol 4 ◽  
pp. 53
Author(s):  
Emer O'Brien ◽  
Barbara Clyne ◽  
Susan M. Smith ◽  
Noirin O'Herlihy ◽  
Velma Harkins ◽  
...  
Keyword(s):  
Decision Making ◽  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Scoping Review ◽  
Clinical Guidelines ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Evidence Based

Introduction: General practitioners (GPs) strive to use a patient centered approach to achieve shared decision making by integrating clinical evidence, clinical judgement, and patient priorities. In order to achieve this standard of care, GPs require relevant, up to date and high quality evidence. Currently there is a gap in the literature regarding the role of GP professional organisations internationally in producing and publishing evidence based guidance and clinical guidelines for GPs. This protocol outlines a scoping review to identify what evidence-based guidance is produced by general practitioner professional organisations internationally in terms of topic content, the structure and methods used to develop guidance and ways of disseminating this guidance, to support general practice clinical decision making. Methods: This scoping review will be conducted using the framework proposed by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews (PRISMA-ScR), will be used to guide the reporting. Two researchers will search electronic databases (Medline, Embase, Cochrane Library and Scopus), grey literature sources and contact international GP professional organisations directly to identify appropriate studies for inclusion. Key information will be categorised and classified to generate a summary of the methods used internationally to develop and implement evidence-based guides for general practitioners and a narrative synthesis will be conducted. Conclusions: This scoping review will examine current practice internationally regarding the role of General Practice professional organisations in producing and publishing clinical guidelines and evidence based guidance to support general practitioner’s clinical decision making to benefit patient care.

Handling of Confidentiality in General Practice: A Survey Among General Practitioners in the Netherlands

1990 ◽  
Vol 7 (1) ◽  
pp. 34-38 ◽  
Author(s):  
C J LAKO ◽  
FJA HUYGEN ◽  
JJ LINDENTHAL ◽  
JMG PERSOON
Keyword(s):  
General Practice ◽  
The Netherlands ◽  
General Practitioners

The Place of the General Practitioner in Modern Medical Care-Some International Comparisons

1970 ◽  
Vol 63 (2) ◽  
pp. 205-209
Author(s):  
John Fry
Keyword(s):  
General Practitioner ◽  
Medical Care ◽  
International Comparisons ◽  
Comprehensive Service ◽  
The Usa ◽  
The Cost ◽  
Changing World

Dr J Fry considers the role of medical care in a changing world in relation to social demands and the cost of providing a comprehensive service. A consideration of services in other countries, such as the USA, USSR, Europe and Australia, provides lessons towards improving the NHS and also warnings of the faults inherent in these differing systems of medical care.

Antidepressant prescribing prior to suicide: role of doctors

1996 ◽  
Vol 20 (5) ◽  
pp. 282-284 ◽  
Author(s):  
Harm Boer ◽  
Nick Booth ◽  
David Russell ◽  
Roy Powell ◽  
Martin Briscoe
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Pharmacological Treatment ◽  
Low Doses ◽  
British Government ◽  
Treatment Of Depression

The pharmacological treatment of depression and the time elapsed since last seen by a doctor were investigated among 507 adults who subsequently killed themselves. The proportion of people consulting a general practitioner or psychiatrist prior to suicide was lower than reported by the British government in the Health of the Nation document. General practitioners prescribed relatively low doses of antidepressants. Nineteen out of the 115 people receiving antidepressants used the drugs to kill themselves. Our findings emphasise the importance of prescribing adequate doses of antidepressants and underline the need for safer prescribing.

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.

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