ZFA. Zeitschrift fur Allgemeinmedizin最新文献_第4页

Happiness in General Practice: Results of a Qualitative Study Among Physicians and Practice Assistants. 全科医学中的幸福感：对医生和实习助理的定性研究结果。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 2022-01-01 DOI: 10.53180/zfa.2022.0024-0029

Lena Werdecker, Tobias Esch

{"title":"Happiness in General Practice: Results of a Qualitative Study Among Physicians and Practice Assistants.","authors":"Lena Werdecker, Tobias Esch","doi":"10.53180/zfa.2022.0024-0029","DOIUrl":"10.53180/zfa.2022.0024-0029","url":null,"abstract":"Background: Well-being of health care professionals is becoming more and more important. Research often focuses on deficits and health impairments. Therefore, the aim of this study was to investigate what contributes to the sense of happiness among family physicians and practice assistants.Methods: Between April and October 2018, we conducted semi-structured interviews and observations with family physicians and practice assistants in North Rhine-Westphalia. The analyses followed the content-structuring, qualitative content analysis according to Kuckartz supported by the software NVivo.Results: We observed in five practices and interviewed eleven family physicians and 15 practice assistants. The core topics were teamwork, relationship to patients, local roots, patient-practice-fit and effectiveness of work.Conclusions: The results indicate conditions conducive to happiness. The findings may inform the development of targed-group-specific behavioural interventions (happiness training) for family physicians and practice assistants. In particular, the team and the relationship to patients should to be addressed.","PeriodicalId":24078,"journal":{"name":"ZFA. Zeitschrift fur Allgemeinmedizin","volume":"98 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atypische Ischämie-Symptome nicht belanglos "非典型脑症候群"非典型

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 2022-01-01 DOI: 10.1007/BF03653207

引用次数: 0

[Acute Cough in Adult Patients]. [成人急性咳嗽]。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 2022-01-01 Epub Date: 2022-05-01 DOI: 10.53180/zfa.2022.0169-0177

Karen Krüger, Christoph Heintze, Sabine Gehrke-Beck, Felix Holzinger

{"title":"[Acute Cough in Adult Patients].","authors":"Karen Krüger, Christoph Heintze, Sabine Gehrke-Beck, Felix Holzinger","doi":"10.53180/zfa.2022.0169-0177","DOIUrl":"10.53180/zfa.2022.0169-0177","url":null,"abstract":"Background: Acute cough (< 8 weeks) is a frequent complaint in family practice consultations. The most common cause are respiratory infections. The Guideline \"Acute and chronic cough\" of the German College of General Practitioners and Family Physicians (DEGAM) was updated in 2021 and contains recommendations for an evidence-based approach for the management of acute cough in primary care.Methods: The guideline has been updated in accordance with the findings of a systematic search of the literature for international guidelines and systematic reviews. All recommendations were developed by an interdisciplinary guideline committee and agreed by formal consensus.Results: History-taking, exclusion of red flags and a physical examination are the basis of diagnostic evaluation. If an acute, uncomplicated bronchitis is likely, no laboratory tests, sputum diagnostics, or chest x-rays should be performed, and antibiotics should not be administered. Evidence based strategies to avoid antibiotic therapy (delayed prescribing, shared decision making, point-of-care-tests) can be used. There is inadequate evidence for the efficacy of antitussive or expectorant drugs against acute cough. The state of the evidence for phytotherapeutic agents is heterogeneous; clinical importance is minimal. COVID-19 should currently be considered in cases of acute respiratory symptoms. If specific symptoms or red flags occur, further diagnoses in the context of acute cough such as community-acquired pneumonia, influenza disease and exacerbations of chronic respiratory diseases (bronchial asthma, COPD) should be taken into consideration.Conclusions: These evidence-based recommendations are intended to reduce the use of antibiotics to treat colds and acute bronchitis, for which they are not indicated. Further clinical trials of symptomatic treatments for cough should be performed in order to extend the evidence base.","PeriodicalId":24078,"journal":{"name":"ZFA. Zeitschrift fur Allgemeinmedizin","volume":"98 5","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9578862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Spontaneous abortion]. (流产)。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 2020-02-07 DOI: 10.32388/09vlvl

F. Willgeroth

引用次数: 0

[Peripheral arterial occlusions. Revision in diagnosis and therapy for the benefit of the patient]. 外周动脉闭塞。为了患者的利益而修改诊断和治疗]。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 1984-02-20

H Hess

引用次数: 0

[Treatment of pulmonary infections with a phytogenic secretolytic agent]. [植物性促分泌剂治疗肺部感染]。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 1984-02-20

K Fendrich