Health bulletin最新文献_第4页

Consultant outreach, 1991 to 1998. An update and extension on its distribution in Scotland. 顾问外展，1991年至1998年。关于其在苏格兰分布的更新和扩展。

Health bulletin Pub Date : 2001-09-01

R G Milne, B Torsney, J Gilbert, L E Reid

{"title":"Consultant outreach, 1991 to 1998. An update and extension on its distribution in Scotland.","authors":"R G Milne, B Torsney, J Gilbert, L E Reid","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the extent and distribution of consultant outreach in Scotland between 1991 and 1998.Design: The paper has three parts. First a description of the trends in consultants and consultant activity provides the background. This is followed by the results of an update of the 1991 survey of all health centres in Scotland and its extension to all GP premises considered suitable to hold consultant clinics. Finally, binary regression analysis of outreach is used to test the importance of total list size, distance to alternative provision and deprivation. Fourteen of the most common consultant specialties are studied.Setting and subjects: Scotland-wide data on consultants and consultant activity using annual data over the 1990s; and a Scotland-wide survey of 231 health centres and 312 GP premises over the period July to December 1998.Results and conclusions: Consultant full time equivalents (ftes) increased and, with minor exceptions, consultant activity did so too. In respect of outreach, the increase was largely at GP premises and for psychiatry. For only two specialties of the fourteen studied, obstetrics and general psychiatry, could outreach be considered important. Such outreach provision as was made went where the total list size was largest and alternative provision farthest distant. The evidence that deprivation had an influence on outreach varies with specialty and is qualified.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 5","pages":"315-31"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Scottish Borders general practitioners exercise referral scheme (GPERS). 苏格兰边境全科医生运动推荐计划(GPERS)。

Health bulletin Pub Date : 2001-09-01

F Day, B Nettleton

{"title":"The Scottish Borders general practitioners exercise referral scheme (GPERS).","authors":"F Day, B Nettleton","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This article describes the Scottish Borders General Practitioners Exercise Referral Scheme (GPERS). Results from a survey carried out three to five years after participants were first referred to the scheme are described.Design: A semi-structured postal questionnaire was sent out with a pre-paid reply envelope.Setting: Participants who had been referred to GPERS centres in Peebles and Hawick between 1994-1996 inclusive.Subjects: Three hundred and twenty four participants who were referred to GPERS who were known to be still alive or living in the area.Results: Forty percent of questionnaires were returned. Over 40% of these respondents were still significantly active at least twice a week. Almost two-thirds of respondents were either a lot or a little more active than when they were first referred. GPERS had helped respondents make other changes to their lives, and almost 90% were either satisfied or very satisfied with GPERS.Conclusion: The features which make GPERS different from most exercise referral schemes are likely to have contributed to its success. GPERS does enable many participants to become more active, independently, for at least three to five years after referral, which will have significant health improvement consequences.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 5","pages":"343-6"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From the Chief Dental Officer. Oral cancer in Scotland: the future. 来自首席牙科医生。苏格兰口腔癌的未来。

Health bulletin Pub Date : 2001-09-01

M F McCann

引用次数: 0

Prevalence of Chlamydia trachomatis infection in small rural town family planning clinics in the central belt of Scotland. 苏格兰中部地区农村小镇计划生育诊所沙眼衣原体感染流行情况分析。

Health bulletin Pub Date : 2001-09-01

E Sudlow, S Court, C Smith

引用次数: 0

Oral health in Scotland 1972-1998. 1972-1998年苏格兰的口腔健康。

Health bulletin Pub Date : 2001-09-01

N M Nuttall

{"title":"Oral health in Scotland 1972-1998.","authors":"N M Nuttall","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the oral health of adults in Scotland in 1998 and the trends underlying it.Design: Epidemiological survey including attitudinal/behavioural interview.Subjects and setting: Across the UK as a whole a total of 5,540 addresses were selected of which 89% were found to be eligible for inclusion; 3,666 of these (74%) yielded at least one adult who was prepared to be interviewed. Overall 92% of adults in the responding households agreed to be interviewed. In Scotland, this amounted to 1,204 adults; of these 953 had some natural teeth and were asked if they would be dentally examined; 668 (70%) of them agreed. Weighting procedures were used to reduce bias.Results: The proportion of Scots who have retained none of their natural teeth in 1998 (18%) has more than halved since 1972 (44%). More of the teeth which are retained are sound and untreated or restored but otherwise sound, fewer are decayed. The proportion of older adults who report going to a dentist for regular check-ups in 1998 (60%) has doubled since 1972 (29%). However, there is an indication that fewer of those aged 16-24 years in 1998 went for dental check-ups (46%) in comparison to ten years previously (51%). The overall oral health status among those living in the most deprived areas were roughly equivalent to the average seen in Scotland at the time of the previous survey in 1988.Conclusion: Whilst many aspects of oral health have improved in Scotland since 1972 it is generally behind many of the levels found throughout England and falls behind the UK average.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 5","pages":"309-14"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From the Chief Scientist. 来自首席科学家。

Health bulletin Pub Date : 2001-09-01

引用次数: 0

Audit and non-principals: reported experiences in general practice. 审计和非负责人:报告的一般实践经验。

Health bulletin Pub Date : 2001-09-01

P Bowie, A Garvie, J Oliver

{"title":"Audit and non-principals: reported experiences in general practice.","authors":"P Bowie, A Garvie, J Oliver","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To determine respondents reported levels of exposure to audit during their medical career and as a general practice non-principal. To assess and identify audit education and training needs.Design: Postal questionnaire survey.Setting: The West of Scotland.Subjects: Two hundred GP non-principals.Results: A response rate of 79% was achieved. The mean age of respondents was 35 years and 121 (77%) were female. One hundred and thirty respondents (83%) reported involvement in three or less audit projects during a mean career length of 12.1 years. Of 378 audit projects claimed to have been undertaken, 287 (76%) involved setting measurable standards, and 181 (48%) failed to be completed. One hundred and six respondents (68%) had yet to take part in audit during their time as a non-principal (median length of time was 1 year). Thirty nine respondents (25%) were currently involved in an on-going audit project. One hundred and twelve (71%) claimed that they were not expected to participate in audit as part of their current or previous non-principal post. One hundred and one respondents (64%) indicated that they require further education and training in audit method.Conclusions: Non-principals' experience of audit and exposure to it are poor. Many lack knowledge of audit method and appear to be uninvolved in audit and excluded from local audit programmes. Integration into the primary care team, access to a co-ordinated programme of audit and training in audit method are required. Otherwise non-principals may continue to struggle with the audit demands of clinical governance and impending revalidation.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 5","pages":"335-9"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Achieving better health through health impact assessment. 通过健康影响评估增进健康。

Health bulletin Pub Date : 2001-09-01

M J Douglas, L Conway, D Gorman, S Gavin, P Hanlon

{"title":"Achieving better health through health impact assessment.","authors":"M J Douglas, L Conway, D Gorman, S Gavin, P Hanlon","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Health Impact Assessment (HIA) provides a method of predicting the health impacts of policies and activities, in order to recommend changes that would improve health. We piloted approaches to health impact assessment and made recommendations for its use as part of the planning and policy making processes in Scotland.Design: Two Health Impact Assessments were done as case studies. One assessed the City of Edinburgh Council's Local Transport Strategy. The other assessed North Edinburgh Area Renewal Housing Strategy. Both were done in partnership with the professionals responsible for developing the strategies.Results: The main health impacts of transport strategy were in the areas of: accidents, pollution, access to amenities, jobs and social contacts, opportunities for physical activity in walking and cycling and impacts on community networks. Overall, housing strategy impacted most on mental health, especially stress and depression. The recommendations of both HIAs are being used in developing the strategies further.Conclusions: Health impact assessment can make explicit the health consequences of decisions in different sectors, including impacts on health inequalities. Health Impact Assessment should be done as part of community planning and other partnership activities. Consideration of health impacts should become part of routine decision making.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 5","pages":"300-5"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Sandyford Initiative: creating added value to health and health care. 桑迪福德倡议:为健康和医疗保健创造附加值。

Health bulletin Pub Date : 2001-07-01

S Laughlin, R Nandwani, R Ilett, A Bigrigg

{"title":"The Sandyford Initiative: creating added value to health and health care.","authors":"S Laughlin, R Nandwani, R Ilett, A Bigrigg","doi":"","DOIUrl":"","url":null,"abstract":"The Sandyford Initiative in Glasgow brings together Family Planning, Genitourinary Medicine and the Centre for Women's Health in a new partnership which aims to provide integrated health and social care in a manner which reflects a social model of health. The Steve Retson Project for Gay Men's Sexual Health is also situated within the Sandyford, providing clinical services within the context of a social model of health. The Initiative is managed by the Greater Glasgow Primary Care NHS Trust but has been developed as a result of joint working between three main services, Greater Glasgow Health Board, Glasgow City Council and a number of voluntary organisations. By working to a social model of health, the intention is to ensure that the detection and management of health problems takes into account the social and economic determinants of health and that the provision and practice of health care reflects the social needs of the user. As such the Initiative is expected to make a significant contribution to the sexual health of men and women and the general and reproductive health of women in the Greater Glasgow area and beyond. The core of the Initiative is housed in premises tailored to the needs of the services and their users although satellite services are being planned. In addition to the core clinical and non-clinical care there are services designed to respond to the needs of specific groups such as young people, black and ethnic minority communities and disabled people, in order to improve access and uptake by previously marginalised groups. It is recognised that often the relationship between health and social service providers and their users becomes strained. Implementation of the Sandyford Initiative is intended to inspire confidence and contribute effectively to improving health and managing complex health problems.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 4","pages":"238-43"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The ascertainment and management of tuberculosis in Tayside, Scotland during 1993-94. 1993- 1994年苏格兰泰赛德肺结核的诊断和管理。

Health bulletin Pub Date : 2001-07-01

A Grove, J Valentine, T MacDonald, M Roworth, J Winter

{"title":"The ascertainment and management of tuberculosis in Tayside, Scotland during 1993-94.","authors":"A Grove, J Valentine, T MacDonald, M Roworth, J Winter","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To evaluate whether utilising a database of dispensed prescriptions for anti-tuberculous chemotherapy could improve case ascertainment compared to standard methods. A further objective was to assess whether cases were managed according to standard guidelines.Design: Retrospective case note audit.Setting: Tayside, ScotlandSubjects: Patients identified by conventional (i.e. SMRI diagnostic codes, notifications to the Health Board, microbiology and pathology reports) and the data base (MEMO) as potentially having tuberculosis and receiving treatment between 1st January 1993 and 31st December 1994. One hundred and ninety one potential cases were identified. One hundred and twenty two case notes were obtained for review. Eighty eight of these were initially thought to have tuberculosis and the results below refer to these 88 cases.Results: MEMO identified 43 cases not found by conventional methods. Cases identified by MEMO were more likely to have been managed as outpatients and less likely to have positive microbiology than cases identified by conventional means. Only 26 cases were notified to the Health Board, including all smear positive cases.Conclusions: Notification of tuberculosis continues to be incomplete. Use of the MEMO system almost doubled case ascertainment. The absence of a firm diagnosis may lead to a reluctance to notify cases being treated as tuberculosis.","PeriodicalId":75896,"journal":{"name":"Health bulletin","volume":"59 4","pages":"233-7"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22314036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0