Scandinavian journal of primary health care. Supplement最新文献_第5页

Patients' assessments of the outcomes of primary care consultations. 患者对初级保健咨询结果的评估。

Scandinavian journal of primary health care. Supplement Pub Date : 1993-01-01 DOI: 10.3109/02813439309045507

R Fitzpatrick

引用次数: 4

Survey of ongoing activities of quality assessment in general practice in Denmark. 对正在进行的丹麦全科医疗质量评估活动的调查。

Scandinavian journal of primary health care. Supplement Pub Date : 1993-01-01 DOI: 10.3109/02813439308997641

J G Hansen

引用次数: 0

What is general clinical competence? Facing the theoretical challenge to general practice. 什么是一般临床能力?面对全科医学的理论挑战。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014091

C E Rudebeck

{"title":"What is general clinical competence? Facing the theoretical challenge to general practice.","authors":"C E Rudebeck","doi":"10.3109/02813439209014091","DOIUrl":"https://doi.org/10.3109/02813439209014091","url":null,"abstract":"If general practice keeps on resorting almost totally to pragmatism, official features of the profession, such as comprehensiveness, will invite a limitless agenda. This lack of specificity also makes general practice seem replaceable, especially in countries where its traditional position is weak, as in Sweden. Still the majority of practitioners regard the contribution of their profession as specific. This situation offers a theoretical challenge, which if successfully answered could lead to the identification of crucial items of the clinical encounter and to the clarification of the position of general practice in medicine. The challenge lies in understanding and identifying that general clinical competence which mediates between the individual patient and biomedicine and which contributes to the competence of the skilful clinician irrespective of specialisation. The general practitioner is better placed than anybody else to refine that competence, as no distinct professional focus continuously distracts him from the general features of clinical medicine. After having analysed the relevance for \"general clinical competence\" of clinical epidemiology, of the \"patient-centred clinical method \", of different problem-solving strategies and of communication respectively, this paper traces \"general clinical competence\" to a rather restricted but crucial area of clinical practice, which deals with the understanding of the symptom presentation. Usually this presentation is neither a clear-cut nor a direct offspring of disease but a personal communication of a change within the experience of the own body, \"the lived-body\". This understanding of the \"lived-body\" of the patient, which is here called bodily empathy, is often necessary to grasp the character of a symptom, and it is suggested that it is a major constituent of general clinical competence. It is also suggested that bodily empathy constitutes the basis of general practice as a discipline. ","PeriodicalId":77619,"journal":{"name":"Scandinavian journal of primary health care. Supplement","volume":"10 Suppl 1 ","pages":"61-82"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02813439209014091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32107162","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: 6

Body-as-nature - Body-as-self. 身体作为自然-身体作为自我。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014089

C E Rudebeck

引用次数: 1

Introduction. 介绍。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014084

C E Rudebeck

引用次数: 0

The clinical method of general practice. 全科医学的临床方法

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014088

C E Rudebeck

引用次数: 16

Symptoms and symptom presentation. 症状和症状表现。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014090

C E Rudebeck

{"title":"Symptoms and symptom presentation.","authors":"C E Rudebeck","doi":"10.3109/02813439209014090","DOIUrl":"https://doi.org/10.3109/02813439209014090","url":null,"abstract":"In the theory of medicine, symptoms are logically related to defined bodily derangements. In the practice of medicine, doctors see patients who experience and present their symptoms in a personal way. With the twofold aim of investigating the clinical significance of this gap and of tracing a practice oriented diagnostic competence, a study was conducted. Thirty-three general practitioners and eleven trainees and locums in primary care made diagnostic judgements, first from 16 symptoms presented in a concentrated written form, and then from the video-recordings of the actual presentations of the same symptoms. The hypothesis formulated was that doctors would increase their diagnostic accuracy after having seen the video-recordings. In the view of doctors, psycho-social causes became more important to their diagnoses after they had seen the video-tapes. When compared to the judgements made by a reference group of three general practitioners who had access to all clinical data on the patients, this change implied an increase of discrepancy of opinion (p < 0.00003) in symptoms of predominantly organic origin. This change was observed irrespective of clinical experience and sex of the doctor. Thus, the gap between theory and practice seems to be significant in terms of diagnostic judgement, but the hypothesis regarding the effect of a possible practice oriented competence could not be confirmed. On the contrary, psycho-social stereotypes regarding patients seem to have a considerable impact on early judgement. Emotional expressions and social characteristics become the targets of diagnosis rather than being regarded as integrated aspects of the symptom presentation. ","PeriodicalId":77619,"journal":{"name":"Scandinavian journal of primary health care. Supplement","volume":"10 Suppl 1 ","pages":"48-60"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02813439209014090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32107197","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: 6

Foreword. 前言。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014083

C E Rudebeck

引用次数: 0

Introduction to the texts. 课文导论。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014086

C E Rudebeck

引用次数: 9

What is specific about general practice? A review of a selection of influential texts. 全科医生的具体情况是什么?对一些有影响的文本的回顾。

Scandinavian journal of primary health care. Supplement Pub Date : 1992-01-01 DOI: 10.3109/02813439209014085

C E Rudebeck

引用次数: 1