International journal of family medicine最新文献_第7页

"Preventing the pain" when working with family and sexual violence in primary care. 在初级保健中处理家庭暴力和性暴力时，“预防痛苦”。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-02-26 DOI: 10.1155/2013/198578

Jan Coles, Elizabeth Dartnall, Jill Astbury

{"title":"\"Preventing the pain\" when working with family and sexual violence in primary care.","authors":"Jan Coles, Elizabeth Dartnall, Jill Astbury","doi":"10.1155/2013/198578","DOIUrl":"https://doi.org/10.1155/2013/198578","url":null,"abstract":"Primary care professionals (PCPs) are increasingly being expected to identify and respond to family and sexual violence as the chronic nature and severity of the long-term health impacts are increasingly recognized. This discussion paper reports the authors' expert opinion from their experiences running international workshops to prevent trauma among those who work and research sexual violence. It describes the burnout and secondary traumatic stress literature which provides the evidence supporting their work. Implications for practicing basic training in response to trauma and ongoing education are a key area for responding to family violence and preventing professional stress. A professional culture that supports and values caring well for those who have experienced family violence as well as \"caring for the carer\" is needed. Working in teams and having more support systems in place are likely to protect PCPs from secondary traumatic stress and burnout. Undergraduate and postgraduate training of PCPs to develop trauma knowledge and the skills to ask about and respond to family violence safely are essential. In addition, the healthcare system, workplace, and the individual practitioner support structures need to be in place to enable PCPs to provide safe and effective long-term care and access to other appropriate services for those who have experienced family violence.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":" ","pages":"198578"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/198578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40230008","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: 21

Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature. 身心健康与亲密伴侣暴力侵害妇女行为：文献综述。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-01-23 DOI: 10.1155/2013/313909

Gina Dillon, Rafat Hussain, Deborah Loxton, Saifur Rahman

{"title":"Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature.","authors":"Gina Dillon, Rafat Hussain, Deborah Loxton, Saifur Rahman","doi":"10.1155/2013/313909","DOIUrl":"10.1155/2013/313909","url":null,"abstract":"Associations between intimate partner violence (IPV) and poor physical and mental health of women have been demonstrated in the international and national literature across numerous studies. This paper presents a review of the literature on this topic. The 75 papers included in this review cover both original research studies and those which undertook secondary analyses of primary data sources. The reviewed research papers published from 2006 to 2012 include quantitative and qualitative studies from Western and developing countries. The results show that while there is variation in prevalence of IPV across various cultural settings, IPV was associated with a range of mental health issues including depression, PTSD, anxiety, self-harm, and sleep disorders. In most studies, these effects were observed using validated measurement tools. IPV was also found to be associated with poor physical health including poor functional health, somatic disorders, chronic disorders and chronic pain, gynaecological problems, and increased risk of STIs. An increased risk of HIV was reported to be associated with a history of sexual abuse and violence. The implications of the study findings in relation to methodological issues, clinical significance, and future research direction are discussed.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"313909"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3566605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31256809","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

Everyday living with diabetes described by family members of adult people with type 1 diabetes. 1 型糖尿病成年患者家庭成员描述的糖尿病日常生活。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-12-18 DOI: 10.1155/2013/967872

Tuula-Maria Rintala, Eija Paavilainen, Päivi Astedt-Kurki

{"title":"Everyday living with diabetes described by family members of adult people with type 1 diabetes.","authors":"Tuula-Maria Rintala, Eija Paavilainen, Päivi Astedt-Kurki","doi":"10.1155/2013/967872","DOIUrl":"10.1155/2013/967872","url":null,"abstract":"The aim of this study was to explore family members' experiences of everyday life in families with adult people living with type 1 diabetes. The grounded theory method was used to gather and analyse data from the interviews of nineteen family members. Six concepts describing the family members' views on everyday living with diabetes were generated on the basis of the data. Everyday life with diabetes is described as being intertwined with hypoglycemia. Becoming acquainted with diabetes takes place little by little. Being involved in the management and watching self-management from the sidelines are concepts describing family members' participation in the daily management of diabetes. The family members are also integrating diabetes into everyday life. Living on an emotional roller-coaster tells about the thoughts and feelings that family members experience. Family members of adult people with diabetes are involved in the management of the diabetes in many ways and experience many concerns. The family members' point of view is important to take into consideration when developing education for adults with diabetes. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"967872"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32056590","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

Consultations between Immigrant Patients, Their Interpreters, and Their General Practitioners: Are They Real Meetings or Just Encounters? A Qualitative Study in Primary Health Care. 移民患者、他们的翻译和全科医生之间的会诊:他们是真正的会面还是只是偶遇?初级卫生保健的定性研究。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-02-05 DOI: 10.1155/2013/794937

Eivor Wiking, Jan Sundquist, Nouha Saleh-Stattin

{"title":"Consultations between Immigrant Patients, Their Interpreters, and Their General Practitioners: Are They Real Meetings or Just Encounters? A Qualitative Study in Primary Health Care.","authors":"Eivor Wiking, Jan Sundquist, Nouha Saleh-Stattin","doi":"10.1155/2013/794937","DOIUrl":"https://doi.org/10.1155/2013/794937","url":null,"abstract":"Objective. In Sweden, about 19% of residents have a foreign background. Previous studies reported immigrant patients experience communication difficulties despite the presence of interpreters during consultations. The objective of this study was to gain insights into the participants' perceptions and reflections of the triangular meeting by means of in-depth interviews with immigrant patients, interpreters, and general practitioners (GPs). Method. A total of 29 participants-10 patients, 9 interpreters, and 10 GPs-participated in face-to-face interviews. Content analysis was used to process the interview material. Results. Six themes were generated and arranged under two subject areas: the interpretation process (the means of interpreting and means of informing) and the meeting itself (individual tailored approaches, consultation time, the patient's feelings, and the role of family members). Conclusion. This paper highlights feelings including frustration and insecurity when interpretation and relationships are suboptimal. Strategies for immigrant patients, interpreters, and GPs for getting a successful consultation may be needed. To transform the triangular meeting from an encounter to a real meeting, our results indicate a need for professional interpreters, for GPs to use a patient-tailored approach, and sufficient consultation time. Practice Implications. Use of professional interpreters is recommended, as is developing cultural competence.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"794937"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/794937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31387113","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: 8

Gaps between Adolescent Risk Behaviors and Disclosure during Outpatient Visits. 青少年危险行为与门诊就诊信息披露之间的差距。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-04-24 DOI: 10.1155/2013/718568

Linda L Hill, Melbourne Hovell, Elaine Blumberg, Norma Kelley, Sara Baird, Carol Sipan, Katharine Schmitz, Lawrence Friedman

引用次数: 6

Relevance of hypersexual disorder to family medicine and primary care as a complex multidimensional chronic disease construct. 性欲亢进症作为一种复杂的多维慢性疾病，与家庭医学和初级保健的相关性。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-08-27 DOI: 10.1155/2013/519265

Liesbeth Borgermans, Bert Vrijhoef, Jan Vandevoorde, Jan De Maeseneer, Johan Vansintejan, Dirk Devroey

引用次数: 0

Sexual and reproductive health care for women with intellectual disabilities: a primary care perspective. 智力残疾妇女的性保健和生殖保健:初级保健的观点。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-12-12 DOI: 10.1155/2013/642472

Nechama W Greenwood, Joanne Wilkinson

{"title":"Sexual and reproductive health care for women with intellectual disabilities: a primary care perspective.","authors":"Nechama W Greenwood, Joanne Wilkinson","doi":"10.1155/2013/642472","DOIUrl":"https://doi.org/10.1155/2013/642472","url":null,"abstract":"Adults with intellectual disabilities (ID) face multiple health disparities and challenges to accessing health care. Little is known about sexual health care of this population and about how to optimize women's reproductive health care for women with intellectual disabilities. Women with ID face important barriers to care, including lack of provider training and experience, hesitancy to broach the topic of sexual health, a lack of sexual knowledge and limited opportunities for sex education, disability-related barriers, higher prevalence of sexual abuse and assault, often underreported, lack of dialogue around this population's human right to consensual sexual expression, undertreatment of menstrual disorders, and legal and systemic barriers. We conducted a limited literature review related to six aspects of sexual health care of women with ID, including barriers to sexual health care, sex education, sexual abuse and consensual sexuality, contraception, screening for sexually transmitted infections and cervical cancer, and pregnancy and parenting. After providing background information about each topic, we suggest practice recommendations for primary care clinicians, using a rights-based framework. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"642472"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/642472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32056587","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: 93

Open Access to General Practice Was Associated with Burnout among General Practitioners. 全科医生的职业倦怠与全科医生的开放获取有关。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-01-20 DOI: 10.1155/2013/383602

Peter Vedsted, Ineta Sokolowski, Frede Olesen

{"title":"Open Access to General Practice Was Associated with Burnout among General Practitioners.","authors":"Peter Vedsted, Ineta Sokolowski, Frede Olesen","doi":"10.1155/2013/383602","DOIUrl":"https://doi.org/10.1155/2013/383602","url":null,"abstract":"Walk-in open access in general practice may influence the general practitioner's (GP's) work, but very little research has been done on the consequences. In this study from Danish general practice, we compare the prevalence of burnout between GPs with a walk-in open access and those without. In a questionnaire study (2004), we approached all 458 active GPs in the county of Aarhus, Denmark, and 376 (82.8%) GPs returned the questionnaire. Walk-in open access was defined as at least 30 minutes every weekday where patients could attend practice without an appointment. Burnout was measured by the Maslach Burnout Inventory. Analyses using logistic regression were adjusted for gender, age, marital status, job satisfaction, minutes per consultation, practice organisation, working hours, number of listed patients per GP, number of contacts per GP, continuing medical education- (CME-) activities, and clusters of GPs. In all, 8% of GPs had open access and the prevalence of burnout was 24%. GPs with walk-in open access were more likely to suffer from burnout. Having open access was associated with a 3-fold increased likelihood of burnout (OR = 3.1 (95% CI: 1.1-8.8, P = 0.035)). Although the design cannot establish causality, it is recommended to closely monitor possible negative consequences of open access in general practice.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"383602"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/383602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31232419","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: 15

Assessment of Preference and Its Determinant Factors to Ward Modern Contraceptive Methods among Women of Reproductive Age Group in Shire Indaselassie Town, Northern Ethiopia, 2011. 2011 年埃塞俄比亚北部 Shire Indaselassie 镇育龄妇女对使用现代避孕方法的偏好及其决定因素的评估。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-12-11 DOI: 10.1155/2013/317609

Weyzer T Tsehaye, Daniel Mengistu, Emebet Birhanu, Kalayou K Berhe

{"title":"Assessment of Preference and Its Determinant Factors to Ward Modern Contraceptive Methods among Women of Reproductive Age Group in Shire Indaselassie Town, Northern Ethiopia, 2011.","authors":"Weyzer T Tsehaye, Daniel Mengistu, Emebet Birhanu, Kalayou K Berhe","doi":"10.1155/2013/317609","DOIUrl":"10.1155/2013/317609","url":null,"abstract":"Background. Women's preferences for various contraceptive methods attribute vary according to the type of relations and other aspects of their life. The discrepancy between fertility preferences and contraceptive practice is regarded as an indicator of unmet demand for family planning. Objective. To assess modern contraceptive methods preference and its determinant factors among women of reproductive age group in Shire Indaselassie town, Tigray Region, Northern Ethiopia. Method. A community based cross-sectional study design was employed on 367 sampled women. Stratified sampling technique was used to select the study subjects. Then, data was collected using structured questionnaire. Result. In this study, the most commonly preferred modern contraceptive method was injectable contraceptive 202 (55%), the second 61 (16.6%) was oral contraceptives, and the third 47 (12.8%) was Norplant. Condom 31 (8.4%), IUD 14 (3.8%), female sterilization 7 (1.9%), and others were less commonly preferred methods. Some of the reasons for preference were effectiveness of the method, reversibility, fewer side effects, convenience, long duration of use, and no need to remember daily. Conclusion. This study clearly described that women preferences of modern contraceptive methods increased after they had higher number of children and less desire to limit family size. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"317609"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32006995","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

Family Doctors Seen through the Eyes of Specialists: A Qualitative Study. 专家眼中的家庭医生:一项定性研究。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-06-02 DOI: 10.1155/2013/729473

Anna Probst, Iris Natanzon, Joachim Szecsenyi, Stefanie Joos

{"title":"Family Doctors Seen through the Eyes of Specialists: A Qualitative Study.","authors":"Anna Probst, Iris Natanzon, Joachim Szecsenyi, Stefanie Joos","doi":"10.1155/2013/729473","DOIUrl":"https://doi.org/10.1155/2013/729473","url":null,"abstract":"Germany is facing a shortage of young family doctors. In search of possible reasons the aim of this study was to explore the perception of specialists on family doctors. Within a qualitative study 16 medical specialists from different fields in hospital and outpatient care setting were interviewed. Interviews were analysed using qualitative content analysis according to Mayring. Most of the interviewed specialists have a positive view on family doctors although a certain depreciative assumption is resonated in a number of statements. According to the specialists, family doctors enjoy a high status in public, even if social processes of change may have a negative influence on their rather old-fashioned image. Specialists find that family medicine is underrepresented in university education suffering from an upgrading of specialized disciplines. Altogether the majority of the interviewed specialists certify family doctors in Germany a positive image. Lecturer in medical education and training should be aware of their key role in the career choices of young trainees and avoid degradation or upgrading of certain medical disciplines. Interlinked measures on different levels focusing on the improvement of working conditions and representation at the universities would be needed to regain attractiveness for the family doctor's profession as a career choice for young doctors. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"729473"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/729473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31549551","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: 12