Results for 'primary care'

1000+ found
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  1.  37
    Primary Care for Tinnitus: Practice and Opinion Among GPs in England.Suliman K. El-Shunnar, Derek J. Hoare, Sandra Smith, Phillip E. Gander, Sujin Kang, Kathryn Fackrell & Deborah A. Hall - 2011 - Journal of Evaluation in Clinical Practice 17 (4):684-692.
  2.  21
    Primary Care Nurse Practitioners' Integrity When Faced With Moral Conflict.Carolyn Ann Laabs - 2007 - Nursing Ethics 14 (6):795-809.
    Primary care presents distressful moral problems for nurse practitioners (NPs) who report frustration, powerlessness, changing jobs and leaving advanced practice. The purpose of this grounded theory study was to describe the process NPs use to manage moral problems common to primary care. Twenty-three NPs were interviewed, commenting on hypothetical situations depicting ethical issues common to primary care. Coding was conducted using a constant comparative method. A theory of maintaining moral integrity emerged consisting of the (...)
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  3.  26
    Evaluating Primary Care Doctors' Evidence‐Based Medicine Skills in a Busy Clinical Setting.Kerem Shuval, Aviv Shachak, Shai Linn, Mayer Brezis & Shmuel Reis - 2007 - Journal of Evaluation in Clinical Practice 13 (4):576-580.
  4.  30
    Attitudes and Knowledge of Primary Care Professionals Towards Evidence‐Based Practice: A Postal Survey.Catherine A. O'Donnell - 2004 - Journal of Evaluation in Clinical Practice 10 (2):197-205.
  5.  63
    Transparency: Informed Consent in Primary Care.Howard Brody - 1989 - Hastings Center Report 19 (5):5-9.
  6.  25
    Primary Care Physicians and the Duty to Inform About Genetic Discrimination.Anita Silvers - 2001 - American Journal of Bioethics 1 (3):1 – 2.
  7.  34
    Primary Care, Patient Autonomy, and Healthcare Justice.Christopher P. Morley - 2008 - American Journal of Bioethics 8 (10):22 – 23.
  8.  18
    How Do Primary Care Doctors Deal with Uncertainty in Making Diagnostic Decisions?Antonius Schneider, Bernd Löwe, Stefan Barie, Stefanie Joos, Peter Engeser & Joachim Szecsenyi - 2010 - Journal of Evaluation in Clinical Practice 16 (3):431-437.
  9.  16
    Chronic Disease, Prevention Policy, and the Future of Public Health and Primary Care.Rick Mayes & Blair Armistead - 2013 - Medicine, Health Care and Philosophy 16 (4):691-697.
    Globally, chronic disease and conditions such as diabetes, cardiovascular disease, depression and cancer are the leading causes of morbidity and mortality. Why, then, are public health efforts and programs aimed at preventing chronic disease so difficult to implement and maintain? Also, why is primary care—the key medical specialty for helping persons with chronic disease manage their illnesses—in decline? Public health suffers from its often being socially controversial, personally intrusive, irritating to many powerful corporate interests, and structurally designed to (...)
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  10.  1
    Moral Flux in Primary Care : The Effect of Complexity.John Spicer, Sanjiv Ahluwalia & Rupal Shah - 2021 - Journal of Medical Ethics 47 (2):86-89.
    In this article, we examine the inter-relationship between moral theory and the unpredictable and complex world of primary health care, where the values of patient and doctor, or groups of patients and doctors, may often clash. We introduce complexity science and its relevance to primary care; going on to explore how it can assist in understanding ethical decision making, as well as considering implications for clinical practice. Throughout the article, we showcase aspects and key concepts using (...)
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  11.  25
    Primary Care Physician Attitudes and Values Toward End-of-Life Care and Physician-Assisted Death.David J. Doukas, Daniel W. Gorenflo & Barbara Supanich - 1999 - Ethics and Behavior 9 (3):219 – 230.
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  12.  5
    Identifying Patterns in Primary Care Consultations: A Cluster Analysis.Joachim P. Sturmberg, Eu-Gene Siew, Leonid Churilov & Kate Smith-Miles - 2009 - Journal of Evaluation in Clinical Practice 15 (3):558-564.
  13.  12
    Understanding the Body–Mind in Primary Care.Annette Sofie Davidsen, Ann Dorrit Guassora & Susanne Reventlow - 2016 - Medicine, Health Care and Philosophy 19 (4):581-594.
    Patients’ experience of symptoms does not follow the body–mind divide that characterizes the classification of disease in the health care system. Therefore, understanding patients in their entirety rather than in parts demands a different theoretical approach. Attempts have been made to formulate such approaches but many of these, such as the biopsychosocial model, are still basically dualistic or methodologically reductionist. In primary care, patients often present with diffuse symptoms, making primary care the ideal environment for (...)
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  14.  15
    Prevention in Primary Care: Facilitators and Barriers to Transform Prevention From a Random Coincidence to a Systematic Approach.Hedwig M. M. Vos, Iris M. A. Adan, François G. Schellevis & Antoine L. M. Lagro-Janssen - 2014 - Journal of Evaluation in Clinical Practice 20 (3):208-215.
  15.  27
    Misprescription of Antibiotics in Primary Care: A Critical Systematic Review of its Determinants.Paula Lopez-Vazquez, Juan M. Vazquez-Lago & Adolfo Figueiras - 2012 - Journal of Evaluation in Clinical Practice 18 (2):473-484.
  16.  11
    Pain and Addiction in Specialty and Primary Care: The Bookends of a Crisis.Joseph R. Schottenfeld, Seth A. Waldman, Abbe R. Gluck & Daniel G. Tobin - 2018 - Journal of Law, Medicine and Ethics 46 (2):220-237.
    Specialists and primary care physicians play an integral role in treating the twin epidemics of pain and addiction. But inadequate access to specialists causes much of the treatment burden to fall on primary physicians. This article chronicles the differences between treatment contexts for both pain and addiction — in the specialty and primary care contexts — and derives a series of reforms that would empower primary care physicians and better leverage specialists.
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  17.  33
    Evidence‐Based Practice Among Primary Care Physicians in Kuwait.Abeer Sh Ahmad, Nouf Be Al‐Mutar, Fahad As Al‐Hulabi, Eman Sl Al‐Rashidee & Lukman Thalib - 2009 - Journal of Evaluation in Clinical Practice 15 (6):1125-1130.
  18.  14
    Patient Safety in Primary Care has Many Aspects: An Interview Study in Primary Care Doctors and Nurses.Sander Gaal, Esther Van Laarhoven, René Wolters, Raymond Wetzels, Wim Verstappen & Michel Wensing - 2010 - Journal of Evaluation in Clinical Practice 16 (3):639-643.
  19.  4
    Somatoform Disorder in Primary Care: The Influence of Co-Morbidity with Anxiety and Depression on Health Care Utilization.Paul Hüsing, Bernd Löwe, Katharina Piontek & Meike Shedden-Mora - 2018 - Journal of Evaluation in Clinical Practice 24 (4):892-900.
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  20.  37
    Ethics Case Consultation in Primary Care: Contextual Challenges for Clinical Ethicists.Anne Slowther - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):397.
    The development of ethics case consultation over the past 30 years, initially in North America and recently in Western Europe, has primarily taken place in the secondary or tertiary healthcare settings. The predominant model for ethics consultation, in some countries overwhelmingly so, is a hospital-based clinical ethics committee. In the United States, accreditation boards suggest the ethics committee model as a way of meeting the ethics component of the accreditation requirement for payment by Health Maintenance Organizations, and in some European (...)
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  21.  33
    Organization of Diabetes Primary Care: A Review of Interventions That Delegate General Practitioner Tasks to a Nurse. [REVIEW]Andrea S. Fokkens, P. Auke Wiegersma & Sijmen A. Reijneveld - 2011 - Journal of Evaluation in Clinical Practice 17 (1):199-203.
  22. Placebo Use in the United Kingdom: Results From a National Survey of Primary Care Practitioners.Jeremy Howick - 2013 - PLoS 8 (3).
    Objectives -/- Surveys in various countries suggest 17% to 80% of doctors prescribe ‘placebos’ in routine practice, but prevalence of placebo use in UK primary care is unknown. Methods -/- We administered a web-based questionnaire to a representative sample of UK general practitioners. Following surveys conducted in other countries we divided placebos into ‘pure’ and ‘impure’. ‘Impure’ placebos are interventions with clear efficacy for certain conditions but are prescribed for ailments where their efficacy is unknown, such as antibiotics (...)
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  23.  8
    The Accuracy of Primary Care Teams in Diagnosing Disorders of the Shoulder.Shelain Patel, Fahad S. Hossain, Henry B. Colaco, Moataz El-Husseiny & Marcus H. Lee - 2011 - Journal of Evaluation in Clinical Practice 17 (1):118-122.
  24.  11
    Effectiveness of Educational Interventions on the Improvement of Drug Prescription in Primary Care: A Critical Literature Review.Adolfo Figueiras, Isabel Sastre & Juan Jesus Gestal-Otero - 2001 - Journal of Evaluation in Clinical Practice 7 (2):223-241.
  25.  14
    Collaborating with a Primary Care‐Based Research Network.Emma J. Frew, Vicky Hammersley, Jane Wolstenholme & David K. Whynes - 2001 - Journal of Evaluation in Clinical Practice 7 (3):339-342.
  26.  4
    Primary Care Groups and NHS Rationing: Implications of the Child B Case.Susan Pickard & Rod Sheaff - 1999 - Health Care Analysis 7 (1):37-56.
    Implementing The new NHS and the 1997 NHS Act will gradually extend cash-limiting into primary health care, especially general practice. UK policy-makers have avoided providing clear, unambivalent direction about how to 'ration' NHS resources. The 'Child B' case became an epitome of public debate about NHS rationing. Among many other decision-making processes which occurred, Cambridge and Huntingdon Health Authority applied an ethical code to this rationing decision. Using new data this paper analyses the rationing criteria NHS managers and (...)
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  27.  25
    Public Attitudes Towards the Use of Primary Care Patient Record Data in Medical Research Without Consent: A Qualitative Study.M. R. Robling - 2004 - Journal of Medical Ethics 30 (1):104-109.
    Objectives: Recent legislative changes within the United Kingdom have stimulated professional debate about access to patient data within research. However, there is currently little awareness of public views about such research. The authors sought to explore attitudes of the public, and their lay representatives, towards the use of primary care medical record data for research when patient consent was not being sought.Methods: 49 members of the public and four non-medical members of local community health councils in South Wales, (...)
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  28.  17
    Primary Care Confidentiality for Spanish Adolescents: Fact or Fiction?M. D. Perez-Carceles - 2006 - Journal of Medical Ethics 32 (6):329-334.
    Background: By providing healthcare to adolescents, a major opportunity is created to help them cope with the challenges in their lives, develop healthy behaviour and become responsible healthcare consumers. Confidentiality is a major issue in adolescent healthcare, and its perceived absence may be the main barrier to an adolescent seeking medical care. Little is known, however, about confidentiality for adolescents in primary care practices in Spain.Objective: To ascertain the attitudes of Spanish family doctors towards the right of (...)
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  29.  44
    The Clash of Medical Civilizations: Experiencing “Primary Care” in a Neoliberal Culture. [REVIEW]Brian McKenna - 2012 - Journal of Medical Humanities 33 (4):255-272.
    An anthropologist describes how he found himself at the vortex of a “clash of medical civilizations:” neoliberalism and the international primary health care movement. His involvement in a $6 million social change initiative in medical education became a basis to unlock the hidden tensions, contradictions and movements within the “primary care” phenomenon. The essay is structured on five ethnographic stories, situated on a continuum from “natural” species-level primary care to “unnatural” neoliberal primary (...). Food is an element of all tales. Taking the long view of history/prehistory permits us to better recognize ideological distortions in order to more capably transform medicine. (shrink)
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  30.  19
    Evidence‐Based Practice in Primary Care: Past, Present and Future.Irene Benech, Allson E. Wilson Rgn & Anthony C. Dowell - 1996 - Journal of Evaluation in Clinical Practice 2 (4):249-263.
  31.  13
    Structured Primary Care for Type 2 Diabetes has Positive Effects on Clinical Outcomes.Andrea S. Fokkens, P. Auke Wiegersma, Frank W. Beltman & Sijmen A. Reijneveld - 2011 - Journal of Evaluation in Clinical Practice 17 (6):1083-1088.
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  32.  18
    Concierge, Wellness, and Block Fee Models of Primary Care: Ethical and Regulatory Concerns at the Public–Private Boundary.Lynette Reid - 2017 - Health Care Analysis 25 (2):151-167.
    In bioethics and health policy, we often discuss the appropriate boundaries of public funding; how the interface of public and private purchasers and providers should be organized and regulated receives less attention. In this paper, I discuss ethical and regulatory issues raised at this interface by three medical practice models in which physicians provide insured services while requiring or requesting that patients pay for services or for the non-insured services of the physicians themselves or their associates. This choice for such (...)
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  33.  47
    Introducing the Learning Practice – I. The Characteristics of Learning Organizations in Primary Care.Rosemary Rushmer, Diane Kelly, Murray Lough, Joyce E. Wilkinson & Huw T. O. Davies - 2004 - Journal of Evaluation in Clinical Practice 10 (3):375-386.
  34.  3
    Aging, Primary Care, and Self-Sufficiency: Health Care Workforce Challenges Ahead.Fitzhugh Mullan, Seble Frehywot & Laura J. Jolley - 2008 - Journal of Law, Medicine and Ethics 36 (4):703-708.
    Health care depends on people. It is the health workforce — doctors, nurses, pharmacists, lab technicians, and nursing assistants, to mention a few — that, in large measure, determine the quality and effectiveness of any health enterprise. The nature of the health workforce was integral to the health care reform debates of the early 1990s and will surely be central in proposals to improve the quality, accessibility, and cost of U.S. health care in the future. Therefore, as (...)
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  35.  9
    Aging, Primary Care, and Self-Sufficiency: Health Care Workforce Challenges Ahead.Fitzhugh Mullan, Seble Frehywot & Laura J. Jolley - 2008 - Journal of Law, Medicine and Ethics 36 (4):703-708.
    A combination of “environmental factors” in the U.S. has led to an increased demand for health care professionals. However, there has been a significant decrease in the number of U.S. medical graduates selecting careers in family medicine and general internal medicine, thus driving demand for international medical graduates. At the heart of our national workforce policy needs to be good domestic and foreign policies, such as self-sufficiency approaches that include strategies to incentivize rural and underserved practice for U.S. medical (...)
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  36.  36
    Evaluating the Impact of an Evidence‐Based Medicine Educational Intervention on Primary Care Doctors' Attitudes, Knowledge and Clinical Behaviour: A Controlled Trial and Before and After Study.Kerem Shuval, Eldar Berkovits, Doron Netzer, Igal Hekselman, Shai Linn, Mayer Brezis & Shmuel Reis - 2007 - Journal of Evaluation in Clinical Practice 13 (4):581-598.
  37.  2
    Factors Associated With Depressive Episode Recurrences in Primary Care: A Retrospective, Descriptive Study.Shysset Nuggerud-Galeas, Bárbara Oliván Blázquez, María Cruz Perez Yus, Begoña Valle-Salazar, Alejandra Aguilar-Latorre & Rosa Magallón Botaya - 2020 - Frontiers in Psychology 11.
    Introduction and ObjectiveThe early identification of depressive patients having a poor evolution, with frequent relapses and/or recurrences, is one of the priority challenges in this study of high prevalence mental disorders, and specifically in depression. So, this study aims to analyze the factors that may be associated with an increased risk of recurrence of major depression episodes in patients treated in primary care.MethodsA retrospective, descriptive study of cases-controls was proposed. The cases consisted of patients who had been diagnosed (...)
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  38.  2
    Primary Care Providers' Perceptions of Care.Mary C. Keizer, John-François Kozak & John F. Scott - forthcoming - Journal of Palliative Care.
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  39. Primary Care Case Management for Medicaid Recipients: Evaluation of the Maryland Access to Care Program.W. N. Evans, J. A. Schoenman & L. C. Schur - 2002 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 34:155-170.
     
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  40.  9
    Primary Care Doctors’ Assessment of and Preferences on Their Remuneration.Stefanos Karakolias, Catherine Kastanioti, Mamas Theodorou & Nikolaos Polyzos - 2017 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 54:004695801769227.
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  41.  9
    US Primary Care Physicians’ Opinions About Conscientious Refusal: A National Vignette Experiment.Simon G. Brauer, John D. Yoon & Farr A. Curlin - 2016 - Journal of Medical Ethics 42 (2):80-84.
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  42.  1
    Primary Care Physicians Need a Better Understanding of Temperamental Variation.William B. Carey - 2011 - Hastings Center Report 41 (2):S14-S14.
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  43. Primary Care and Clinical Governance.N. H. S. Executive, A. McColl, P. Roberick, H. Smith, E. Wilkinson, M. Moore, A. Farooqui, K. Khunti & R. Sorrie - 2002 - Journal of Evaluation in Clinical Practice 6 (2):111-20.
     
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  44.  7
    Primary Care Physicians' Views About Gatekeeping in Clinical Research Recruitment: A Qualitative Study.Marilys Guillemin, Rosalind McDougall, Dominique Martin, Nina Hallowell, Alison Brookes & Lynn Gillam - 2017 - Ajob Empirical Bioethics 8 (2):99-105.
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  45.  16
    Primary Care: Where Medicine Fails Ed. By Spyros Andreopoulos. [REVIEW]Charles L. Hudson - 1975 - Perspectives in Biology and Medicine 19 (1):150-151.
  46.  1
    Primary Care Providers Perform More Neurologic Visits Than Neurologists Among Medicare Beneficiaries.Chun Chieh Lin, Chloe E. Hill, James F. Burke, Kevin A. Kerber, Sarah E. Hartley, Brian C. Callaghan & Lesli E. Skolarus - forthcoming - Journal of Evaluation in Clinical Practice.
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  47.  15
    Rethinking Primary Care Visits: How Much Can Be Eliminated, Delegated or Performed Outside of the Face-to-Face Visit?Mary Pelak, Amy R. Pettit, Christian Terwiesch, Jennifer C. Gutierrez & Steven C. Marcus - 2015 - Journal of Evaluation in Clinical Practice 21 (4):591-596.
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  48.  6
    Primary Care Doctor Attributions for Why Patients Did Not Receive Adequate Antidepressant Treatment.Paul A. Pirraglia, Vyshali Murthy & Jeffrey B. Weilburg - 2007 - Journal of Evaluation in Clinical Practice 13 (3):473-475.
  49.  6
    Primary Care and Chronic Disease: The Intersection of Comfort and Specialty Involvement - a Cross-Sectional Study.Andrew Schreiner & Kit Simpson - 2017 - Journal of Evaluation in Clinical Practice 23 (3):494-497.
  50. Putting Primary Care Into Practice.Edward Volpintesta - 1998 - Hastings Center Report 28 (3):3.
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