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The Journal of the Royal College of General Practitioners最新文献

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Patients' resistance to change. 病人对改变的抗拒。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
S I Haider, S S Haider
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引用次数: 0
Measles--mumps--rubella immunization: the role of the general practitioner in achieving a high uptake. 麻疹-腮腺炎-风疹免疫:全科医生在实现高接种率方面的作用。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
D Walker, M Roworth, H Carter, I G Jones
{"title":"Measles--mumps--rubella immunization: the role of the general practitioner in achieving a high uptake.","authors":"D Walker,&nbsp;M Roworth,&nbsp;H Carter,&nbsp;I G Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey of all general practitioners in Fife conducted prior to the introduction of measles-mumps-rubella immunization on a pilot basis in May 1987 showed that 85% considered mumps worth preventing and 94% believed the rubella programme worth augmenting with universal childhood immunization. Ninety seven per cent considered measles worth preventing and 98% were prepared to recommend measles-mumps-rubella immunization to parents instead of measles vaccine. One year after introducing the measles-mumps-rubella vaccine in Fife, 91% of children had been immunized with the combined vaccine or measles vaccine before their second birthday. This compares with the 83% that received measles vaccine before the combined vaccine was introduced. Eighty per cent of preschool children were also immunized with the combined vaccine at school entry in a catch-up exercise. This study demonstrates that there are few major professional barriers to achieving a high uptake of the measles-mumps-rubella vaccine in this area. The vaccine was introduced nationally on 1 October 1988 and its uptake is likely to exceed the current unsatisfactory level achieved with measles vaccine. However, this outcome will largely depend on the commitment of doctors to the programme.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"459-60"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712170/pdf/jroyalcgprac00011-0020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13703721","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
Should performance indicators in general practice relate to whole practices or to individual doctors? 全科实践的绩效指标应该与整个实践有关还是与个别医生有关?
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
M O Roland, J Middleton, B Goss, A T Moore
{"title":"Should performance indicators in general practice relate to whole practices or to individual doctors?","authors":"M O Roland,&nbsp;J Middleton,&nbsp;B Goss,&nbsp;A T Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a study of referrals to East Anglian hospitals 737 referrals in six specialties from three general practices were examined to see how accurately the hospital computer master index had identified the referring practice, the referring general practitioner and the doctor with whom the patient was registered. Although the practice was accurately identified by the hospital computer in 97% of referrals, the identification of the referring doctor and the patient's registered general practitioner were less reliable (72% and 49% respectively). It is concluded that at present the practice rather than the individual doctor may be the appropriate unit of analysis for studies of general practitioners' referral rates. This may be true for other performance indicators where information on a doctor's case mix and workload is not available. The results of this study emphasize that problems may arise if data relating to individual general practitioners are interpreted out of context of the practice and the way in which it is organized.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"461-2"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712179/pdf/jroyalcgprac00011-0022.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13703722","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
Foreign body inhalation: a danger of metered dose inhalers. 异物吸入:计量吸入器的一种危险。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
P M Cuckow, T A English
{"title":"Foreign body inhalation: a danger of metered dose inhalers.","authors":"P M Cuckow,&nbsp;T A English","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"476"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712143/pdf/jroyalcgprac00011-0037a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13703725","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
Effect of small group education on the outcome of chronic asthma. 小团体教育对慢性哮喘转归的影响。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
P T White, C A Pharoah, H R Anderson, P Freeling
{"title":"Effect of small group education on the outcome of chronic asthma.","authors":"P T White,&nbsp;C A Pharoah,&nbsp;H R Anderson,&nbsp;P Freeling","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"479"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712173/pdf/jroyalcgprac00011-0040c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702978","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
Trainer and trainee workloads. 培训师和学员工作量。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
I R Wakefield
{"title":"Trainer and trainee workloads.","authors":"I R Wakefield","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"479"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712168/pdf/jroyalcgprac00011-0040b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702980","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
The future role of mental illness hospitals. 精神疾病医院未来的角色。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
E M Armstrong
{"title":"The future role of mental illness hospitals.","authors":"E M Armstrong","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"442-3"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712174/pdf/jroyalcgprac00011-0003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13703114","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
Ethical decision making by British general practitioners. 英国全科医生的道德决策。
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
R J Christie, C Freer, C B Hoffmaster, M A Stewart
{"title":"Ethical decision making by British general practitioners.","authors":"R J Christie,&nbsp;C Freer,&nbsp;C B Hoffmaster,&nbsp;M A Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>General practitioners in England and Wales were sent a questionnaire asking how they would handle the ethical problems posed by six case vignettes and their reasons for their decisions. The ethical problems included: how much information to divulge to patients, how extensively a physician should become involved in the lifestyles of patients and how to deal with a possible family problem. The varying patterns of response to the six cases suggested that ethical issues are resolved in a case-by-case, not a theoretical, basis.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"448-51"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712147/pdf/jroyalcgprac00011-0009.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13703718","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
Quality assessment or quality control? 质量评估还是质量控制?
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
G Westman
{"title":"Quality assessment or quality control?","authors":"G Westman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"477"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712171/pdf/jroyalcgprac00011-0038a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702975","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
Direct access to hospital investigative facilities. 直接进入医院调查设施
The Journal of the Royal College of General Practitioners Pub Date : 1989-11-01
{"title":"Direct access to hospital investigative facilities.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 328","pages":"478"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712161/pdf/jroyalcgprac00011-0039c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702976","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
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