The cost of cervical screening by general practitioners

1992 ◽  
Vol 156 (10) ◽  
pp. 740-740 ◽  
Author(s):  
J A Dickinson ◽  
H Britt ◽  
C Bridges‐Webb ◽  
S Neary
1993 ◽  
Vol 31 (22) ◽  
pp. 87-87

The cost of drugs prescribed by general practitioners in England rose by 13.4% between 1991 and 1992, bringing the total amount spent on medicines prescribed in the community last year to £2858 million. In the same period the number of items dispensed rose by 4.6%, or 4.2% per head of population, and the average cost per item increased by 8.5%, from £6.20 to £6.72. These figures are contained in the latest issue of the Statistical Bulletin,1 published annually by the Department of Health.


PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0228042 ◽  
Author(s):  
Farhana Sultana ◽  
Lara Roeske ◽  
Michael J. Malloy ◽  
Tracey L. McDermott ◽  
Marion Saville ◽  
...  

1995 ◽  
Vol 6 (6_suppl) ◽  
pp. 3-6 ◽  
Author(s):  
S. E. Barton

Genital infection by herpes simplex virus (HSV) produces a variety of clinical manifestations, patient presentations and management problems which differ in their severity and complexity. In the UK the currently available data for the incidence of genital HSV have been provided predominantly by the KC60 returns from diagnoses made in genitourinary (GU) medicine clinics. The increasing availability and recent publication of the first results, using HSV type-specific antibody tests within GU and non-GU patient populations, provide a tool to monitor trends in the epidemiology of HSV. It is, however, important to understand that the sexual behaviour which leads to this infection is variable and not necessarily general. The clinical availability of type-specific HSV antibody tests also gives rise to the possibility of screening individuals and informing those who test positive of their, previously undiagnosed, condition. The practicalities and problems of this approach need to be fully assessed. The possibility of uncovering previously undiagnosed cases through general practitioners is being considered, first, in terms of surveys of the general practitioners' management of genital HSV and, secondly, because the funding of health care in the UK has put the cost-effectiveness in GU medicine clinics under the spotlight. This paper will explore the new developments in the management of genital HSV and suggests adherence to the clear principles of diagnosis and treatment that is in the patient's best interest. This has the clear aim of improving the patient's quality of life, a factor which must remain paramount as new technologies, healthcare strategies and therapies become available.


2019 ◽  
Author(s):  
Marthe B.L. Mansour ◽  
Matty R. Crone ◽  
Henk C. van Weert ◽  
Niels H. Chavannes ◽  
Kristel M. van Asselt

Abstract Background Cervical screening could be an appropriate moment to provide female smokers with stopping smoking advice and support. In Dutch general practice cervical smears are performed by practice assistants. The aim of this study was to identify potential barriers or enablers for a stopping smoking strategy performed by trained practice assistants after routine cervical screening. The strategy consists of brief stopping smoking advice and is based on the Ask-Advise-Connect approach.Methods Three focus group meetings were held with 10 practice assistants, 3 nurses, and 6 general practitioners. We analysed data using thematic analysis. Identified factors are presented within the framework of the Social Ecological Model.Results Potential influential factors were identified at individual, interpersonal, and workplace levels. At the individual level: practice assistants did not see themselves as having a professional role in a smoking cessation program. While they could register smoking status, they were reluctant to provide advice. However, practice assistants valued having advice at hand in order to make relatively young female smokers aware of the health risks At the interpersonal level: practice assistants thought that their relationship with the women would change if they gave stopping smoking advice. Moreover, the assistant’s own attitude to smokers and her beliefs about the smoker’s willingness to change behaviour could influence the relationship. At the workplace level: the availability and motivation of nurses might hamper referral. The general practitioners’ opinion about primary prevention and smoking cessation could influence the amount of support given to practice assistants when it comes to providing stopping smoking advice.Conclusions At individual, interpersonal, and workplace levels, several factors could influence the provision of a stop smoking strategy by a practice assistant. These factors could be used to design a behavioural change intervention to be provided by practice assistants after cervical cancer screening.


1969 ◽  
Vol 14 (3) ◽  
pp. 247-251
Author(s):  
Pierre Doucet

Community psychiatry, the third psychiatric revolution, is viewed as a new task for psychiatrists. We have to make our community benefit from all the recent psychiatric discoveries. Existing psychiatric facilities have to be reorganized to fulfil this role. This has been done at the Institut Albert-Prévost by the inauguration in 1967 of the evaluation service. This service receives all requests made to the Institut Albert-Prévost, evaluates them and directs the patiént to the appropriate facility. In its first year of existence this service received 13,332 appeals and made 4,841 contacts, evaluating individually 897 patients. From this experience the different roles of the service are described. They are for the patients: information, selection and treatment. For the staff they are: teaching, research, and inter-professional relationship. The addition of this service has brought to our attention the most needed improvements in our structure at the present time, which are the increase of outpatient facilities and the addition of new services to the inpatient service. Also a training program for general practitioners seems to be necessary. Finally, even if it is obvious that our services are to be developed quantitatively, this should not be done at the cost of diminution in quality.


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