Family practice research journal最新文献_第3页

Leukocytosis in labor: what are its implications? 产程白细胞增多:它的含义是什么?

Family practice research journal Pub Date : 1994-09-01

P Molberg, C Johnson, T S Brown

引用次数: 0

Hearing the patient's story: exploring physician-patient communication using narrative case reports. 聆听病人的故事:利用叙述性病例报告探索医患沟通。

Family practice research journal Pub Date : 1994-06-01

W B Ventres

{"title":"Hearing the patient's story: exploring physician-patient communication using narrative case reports.","authors":"W B Ventres","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study employs narrative case reports to explore clinicians' interpretations of patients' words and behaviors. The purpose of this study is to investigate hospitalized patients' perspectives on medical issues and how these differ from their physicians' perspectives.Methods: Residents identified 19 hospitalized patients over a two-year period with whom they had problems communicating. These residents described the reasons they believed the problems existed and then they questioned the patients about their illness experiences, using an open-ended interview style. Interviewers shared interpretations about the interview and patient behavior. Data were recorded in journal form.Results: Common to each of the cases were misunderstandings between physicians and patients. The primary concerns of the residents (why they thought patients' behaviors were problematic) differed from the corresponding interpreted understandings of the patients' behaviors. Two case reports illustrate these observations.Conclusion: This study illustrates how narrative case reports can facilitate the recognition of themes in physician-patient communication that refer to the psychological and social realms of sickness. Such an approach can help identify misperceptions between physicians and patients. Clinicians, educators, and researchers can use this approach, respectively, to improve relationships with patients, to enrich student and resident understandings of communication issues, and to develop new forums for sharing qualitative aspects of physician-patient communication.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"14 2","pages":"139-47"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19046808","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

An expert system for the calculation of sample size. 一个计算样本大小的专家系统。

Family practice research journal Pub Date : 1994-06-01

M H Ebell, A V Neale, B J Hodgkins

引用次数: 0

Avoiding practice-based research pitfalls: one novice's experience. 避免基于实践的研究陷阱:一个新手的经验。

Family practice research journal Pub Date : 1994-06-01

T W Day

引用次数: 0

Citation bias: supporting your case in the extreme. 引用偏误:极端地支持你的论点。

Family practice research journal Pub Date : 1994-06-01

D A Katerndahl

引用次数: 0

Who should do colonoscopy? 谁应该做结肠镜检查?

Family practice research journal Pub Date : 1994-06-01

R L Erickson

引用次数: 0

Podiatrists: source of referrals to family physicians. 足科医生:转介给家庭医生的来源。

Family practice research journal Pub Date : 1994-06-01

N R Chumbler

引用次数: 0

Transcultural attitude towards being overweight in patients attending health centers, Riyadh, Saudi Arabia. 沙特阿拉伯利雅得健康中心患者对超重的跨文化态度。

Family practice research journal Pub Date : 1994-06-01

S A al-Shammari, T A Khoja, A S al-Subaie

{"title":"Transcultural attitude towards being overweight in patients attending health centers, Riyadh, Saudi Arabia.","authors":"S A al-Shammari, T A Khoja, A S al-Subaie","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess differences in body weights among various nationalities living in Riyadh and find out the effect of sociodemographic characteristics of participants on their attitudes towards body weight.Methods: In May and June of 1992, 4144 health center patients of various nationalities in Riyadh were surveyed about their attitudes towards the overweight. A survey of attitudes of 4144 health center participants of various nationalities in Riyadh towards the overweight were conducted during May-June 1992. Fifteen health centers representing the five arbitrarily divided sections of Riyadh (North, South, East, West, and Central) participated in the study. Every third patient was included if he or she satisfied the criteria. Participants were asked to complete a questionnaire and to have their height and weight recorded. The body mass index (BMI) was calculated for all patients and their opinions about their weights were compared with the BMI.Results: Obesity was more common among other Arabs (43.8%) and Saudis (36.4%) than Indians (27.6%) and Westerners (30.1%). Female subjects were more obese than their male counterparts in all nationalities. The body weights increased with age, fewer physical activities, low levels of education, and marital status. All these differences were statistically significant. When comparing positive predictive value of the opinion of the participants with their BMI, it was found that the Indians (87.2%) were less likely to be correct when they judge their degree of overweight than Saudis (92.2%), Westerners (92.8%), and other Arabs (95.4%). However, positive predictive values varied with the participants sociodemographic characteristics.Conclusion: The findings in the present study of higher proportion of patients with obesity in the study group stresses the importance of promoting programs aimed at preventing or reducing obesity in the community.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"14 2","pages":"149-56"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19046809","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

Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction? 患者的健康状况报告能否预测急性心肌梗死患者未来的住院时间?

Family practice research journal Pub Date : 1994-06-01

E C Nelson, P L Ferreira, P D Cleary, D Gustafson, J H Wasson

{"title":"Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction?","authors":"E C Nelson, P L Ferreira, P D Cleary, D Gustafson, J H Wasson","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Although patients' reports of health status and functioning have been shown to be reliable and valid measures for use in health care research, there is limited information on their practical utility in clinical settings. The purpose of this study was to determine if patients' reports of physical and psychosocial health status have prognostic value by predicting future hospital stays in acute myocardial infarction (AMI) patients.Methods: Research design was an observational, longitudinal follow-up study involving a sample of 132 AMI patients recently discharged from nine community hospitals. One hundred twelve patients (85%) completed the study. Patient reports of general health status, diagnosis-specific measures of health status, medical history, and demographic characteristics were collected one to two months post AMI; follow-up data were gathered six months later to identify occurrence of new cardiac-related stays.Results: Poor psychosocial functioning and cardiac symptoms were significantly associated with the likelihood of being rehospitalized (odds ratios of 4.62 and 4.00). Multivariate results, however, show that poor psychosocial function and younger age--but not cardiac symptoms--are significant independent predictors of new hospital stays, after controlling for medical history and demographic variables.Conclusion: Simple patient reports of health status, which physicians can obtain easily from AMI patients shortly after an infarction, are predictive of rehospitalization.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"14 2","pages":"119-26"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19046806","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

Consultants' complaints about the quality of referrals from primary care physicians: tempest in a teapot? 咨询师对初级保健医生转诊质量的抱怨:小题大做?

Family practice research journal Pub Date : 1994-06-01

E Kahan, J Hart

{"title":"Consultants' complaints about the quality of referrals from primary care physicians: tempest in a teapot?","authors":"E Kahan, J Hart","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine whether consultants' general impressions of the quality of referrals from family physicians are consistent with their evaluations of the quality of specific referrals.Methods: Data were gathered using two questionnaires, completed separately by the same group of consultants working in a Health Maintenance Organization (HMO). Both questionnaires contained the same items and were designed to cover the following topics: (a) the general impression of the consultants about the quality of referrals received from family physicians; (b) their specific evaluation of all consecutive patient referrals by family physicians over a one-week period. Forty consultants employed in an outpatient regional multidisciplinary clinic of the largest HMO in Israel participated in the study. Of the 3136 referrals received over a one-week period, 1466 fulfilled the inclusion criteria, and 1416 were evaluated (response rate, 97%).Results: Most of the estimates of the number of unnecessary/inappropriate referrals obtained in the general impression questionnaire were 2 to 5 times higher (p < or = 0.001) than those obtained in the consultants' evaluation questionnaire about specific referrals.Conclusions: This study suggests that consultants' complaints of unjustified and inappropriate referrals from family physicians must be taken with great reservation, at least within the framework of health systems that do not encourage physicians to produce a large number of services.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"14 2","pages":"167-75"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19046778","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