Monitoring the introduction of universal influenza vaccination for the elderly people in the Netherlands

For many years, influenza vaccination in the Netherlands has been administered by general practitioners (GPs), with whom every person is registered. Nine out of ten practices use one of six approved general practice information systems (GPIS). The exponen

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Diagnosing and Treating Depressions in Nursing Home Residents: Challenges for GPs

Australian Journal of Primary Health ◽

10.1071/py06052 ◽

2006 ◽

Vol 12 (3) ◽

pp. 104 ◽

Cited By ~ 1

Author(s):

Stella Koritsas ◽

Sandra Davidson ◽

David Clarke ◽

Daniel O'Connor

Keyword(s):

General Practice ◽

Nursing Home ◽

Nursing Homes ◽

Elderly People ◽

General Practitioners ◽

Continuity Of Care ◽

Nursing Home Residents ◽

The Elderly ◽

Medical Services ◽

Nursing Home Staff

Depression is more common in elderly people residing in nursing homes than it is in people of the same age residing in the community. In Australia, general practitioners (GPs) are the primary providers of medical services to the elderly in nursing homes; however, they often under-diagnose and/or inadequately treat depression in this population. The difficulties experienced by GPs are confounded by the breakdown in the continuity of care that is evident when a patient is admitted into a nursing home, by inadequate communication between GPs and nursing home staff, and systems within the nursing home that are not conducive to general practice. This paper discusses the challenges GPs face in diagnosing and treating depression in nursing home residents, and provides suggestions for strategies that may overcome these challenges.

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

Family Practice ◽

10.1093/fampra/7.1.34 ◽

1990 ◽

Vol 7 (1) ◽

pp. 34-38 ◽

Cited By ~ 2

Author(s):

C J LAKO ◽

FJA HUYGEN ◽

JJ LINDENTHAL ◽

JMG PERSOON

Keyword(s):

General Practice ◽

The Netherlands ◽

General Practitioners

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Seasonal Influenza Vaccination and Recommendation: The Difference between General Practitioners and Public Health Workers in China

Vaccines ◽

10.3390/vaccines8020265 ◽

2020 ◽

Vol 8 (2) ◽

pp. 265 ◽

Cited By ~ 1

Author(s):

Hongguo Rong ◽

Xiaozhen Lai ◽

Xiaochen Ma ◽

Zhiyuan Hou ◽

Shunping Li ◽

...

Keyword(s):

Public Health ◽

Influenza Vaccine ◽

Influenza Vaccination ◽

General Practitioners ◽

Seasonal Influenza ◽

Health Workers ◽

The Elderly ◽

Vaccine Uptake ◽

Knowledge And Attitudes ◽

Public Health Workers

Seasonal influenza vaccination for healthcare workers (HCWs) is critical to the protection of HCWs and their patients. This study examined whether the separation of public health workers and general practitioners could affect the influenza vaccine uptake and recommendation behaviors among HCWs in China. A survey was conducted from August to October 2019, and HCWs from 10 provinces in China were recruited. A self-administered and anonymous questionnaire was used to assess HCWs’ demographic information, knowledge, and attitudes toward influenza vaccination, as well as vaccine uptake and recommendation behaviors. The primary outcome was HCWs’ vaccination and recommendation status of seasonal influenza vaccine. Multivariate logistic regression models were used to identify the influence factors of influenza vaccine uptake and recommendation among HCWs. Of the 1159 HCWs in this study, 25.3% were vaccinated against influenza in the previous season. “No need to get vaccinated” was the primary reason for both unvaccinated public health workers and general practitioners. Multivariate logistic regression showed that public health workers were more likely to get vaccinated against influenza (OR = 2.20, 95% CI 1.59–3.05) and recommend influenza vaccination to children (OR = 2.10, 95% CI 1.57–2.80) and the elderly (OR = 1.69, 95% CI 1.26–2.25) than general practitioners. Besides, the knowledge and perceived risk of influenza can give rise to HCWs’ vaccination and recommendation behaviors, and HCWs who got vaccinated in the past year were more likely to recommend it to children and the elderly in their work. The influenza vaccine coverage and recommendation among HCWs are still relatively low in China, especially for general practitioners. Further efforts are needed to improve the knowledge and attitudes toward influenza and influenza vaccination among HCWs, and coherent training on immunization for both public health workers and general practitioners might be effective in the face of separated public health and clinical services in China.

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Prescription of hearing aids for the elderly: The views of general practitioners

The Journal of Laryngology & Otology ◽

10.1017/s0022215100121474 ◽

1992 ◽

Vol 106 (11) ◽

pp. 963-966 ◽

Cited By ~ 3

Author(s):

V. E. Newton ◽

V. F. Hillier ◽

S. D. G. Stephens

Keyword(s):

General Practice ◽

General Practitioners ◽

Hearing Aids ◽

Questionnaire Survey ◽

Hearing Aid ◽

The Elderly ◽

Health Centres ◽

Northern City ◽

And Training ◽

Do So

AbstractA questionnaire survey was carried out to examine the views of general practitioners in one Northern city regarding whether or not they thought that hearing aids should be prescribed from general practice, who they thought should prescribe them and whether or not additional resources and training would be needed if the responsibility for hearing aid prescription for the elderly was placed upon general practitioners.The survey indicated that whereas many general practitioners would be in favour of prescribing hearing aids from Health Centres, many would need extra training and resources to enable them to do so.

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Access to same day, next day and after-hours appointments: the views of Australian general practitioners

Australian Health Review ◽

10.1071/ah11080 ◽

2012 ◽

Vol 36 (3) ◽

pp. 325 ◽

Cited By ~ 8

Author(s):

Mark F. Harris ◽

Patrick G. Powell Davies ◽

Mahnaz Fanaian ◽

Nicholas A. Zwar ◽

Siaw-Teng Liaw

Keyword(s):

General Practice ◽

Quality Improvement ◽

Information Systems ◽

Information Management ◽

General Practitioners ◽

Systems Of Care ◽

Secondary Analysis ◽

Comprehensive Approach ◽

After Hours Care ◽

After Hours

Objective. To evaluate factors associated with the availability of same or next day appointments and after-hours access reported by Australian general practitioners (GPs). Methods. Secondary analysis of a survey of primary care practitioners conducted by the Commonwealth Fund in 2009 in 11 countries. Analysis of factors likely to be associated with reported availability of same or next day appointments and after-hours access. Findings. Of 1016 Australian GPs, 78.8% reported that most patients in their practice had access to an appointment on the same or next day and 50% that their practice had arrangements for after-hours access. Access to same or next day care was better in practices where practitioners reported larger numbers of patients seen per GP per week and reviewed their performance against annual targets, but worse in rural areas and practices routinely reviewing outcomes data. Arrangements for after-hours care were more common among GPs who were planning to retire in the next 5 years; worked in practices with high electronic functioning information systems; and received and reviewed clinical outcome data and incentives for performance. Conclusions. Improving after-hours access requires a comprehensive approach which includes incentives, improvements to information management and organised systems of care with review of data on clinical outcomes. What is known about the topic? Access to general practice is an important priority for the health system and the subject of several reforms and initiatives over the past decade in Australia. Access to same or next day appointments and after-hours has been an increasing concern related to workforce availability, and limited access to general practice is one factor influencing the demand on hospitals, especially their emergency departments. What does this paper add? This paper reports on secondary analysis of a survey of over 1000 general practitioners in Australia. Responses to questions about access to same or next day appointments or after-hours arrangements were analysed for associations with practitioner and practice characteristics and their processes and systems of care. Access to same day appointments is particularly challenging in rural general practice but is more likely to be reported by GPs working in larger practices. Incentives, quality improvement and better information management may be important strategies to improve after-hours access. What are the implications for practitioners? Strategies to improve access to appointments and to after-hours care need to be considered as part of a comprehensive approach which includes financial incentives, strengthening information systems and quality improvement activities.

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Influenza vaccination among Dutch general practitioners and their attitude toward influenza vaccination in the elderly

Human Vaccines & Immunotherapeutics ◽

10.1080/21645515.2020.1732728 ◽

2020 ◽

Vol 16 (11) ◽

pp. 2709-2718

Author(s):

Ruud Andreas Fritz Verhees ◽

Roy Snellings ◽

Geert Jan Dinant ◽

Johannes Andreas Knottnerus

Keyword(s):

Influenza Vaccination ◽

General Practitioners ◽

The Elderly

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Living Arrangements of Non-Married Elderly People in the Netherlands in 1990

Ageing and Society ◽

10.1017/s0144686x00000325 ◽

1994 ◽

Vol 14 (2) ◽

pp. 219-236 ◽

Cited By ~ 7

Author(s):

Hanna Van Solinge

Keyword(s):

The Netherlands ◽

Elderly People ◽

Living Arrangements ◽

Large Scale ◽

The Elderly ◽

Housing Demand ◽

Living Alone ◽

Sample Survey ◽

Elderly Persons ◽

Public Care

ABSTRACTIn 1990, approximately one out of every three elderly persons in the Netherlands was living alone. This proportion has almost doubled since 1960. This sharp increase in living alone among the elderly has attracted attention in political circles and among policy makers. An understanding of living arrangements of elderly people is critical for a determination of the likely need for public care, such as home help and district nursing, and institutional care. Elderly persons who live alone require public care services sooner, whether or not as supplement to informal care from persons outside the household. This article examines the living arrangements of the elderly in the Netherlands. Special attention is paid to the household structure of unmarried and no longer married elderly persons, and why so many of then live alone. The data used in this study are taken from the 1989/90 Housing Demand Survey (WBO), which is a large-scale sample survey containing approximately 50,000 Dutch households.

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