Displaying publications 1 - 20 of 167 in total

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  1. Workload and workflow implications associated with the use of electronic clinical decision support tools used by health professionals in general practice: a scoping review
    Fletcher E, Burns A, Wiering B, Lavu D, Shephard E, Hamilton W, et al.
    BMC Prim Care, 2023 Jan 20;24(1):23.
    PMID: 36670354 DOI: 10.1186/s12875-023-01973-2
    BACKGROUND: Electronic clinical decision support tools (eCDS) are increasingly available to assist General Practitioners (GP) with the diagnosis and management of a range of health conditions. It is unclear whether the use of eCDS tools has an impact on GP workload. This scoping review aimed to identify the available evidence on the use of eCDS tools by health professionals in general practice in relation to their impact on workload and workflow.

    METHODS: A scoping review was carried out using the Arksey and O'Malley methodological framework. The search strategy was developed iteratively, with three main aspects: general practice/primary care contexts, risk assessment/decision support tools, and workload-related factors. Three databases were searched in 2019, and updated in 2021, covering articles published since 2009: Medline (Ovid), HMIC (Ovid) and Web of Science (TR). Double screening was completed by two reviewers, and data extracted from included articles were analysed.

    RESULTS: The search resulted in 5,594 references, leading to 95 full articles, referring to 87 studies, after screening. Of these, 36 studies were based in the USA, 21 in the UK and 11 in Australia. A further 18 originated from Canada or Europe, with the remaining studies conducted in New Zealand, South Africa and Malaysia. Studies examined the use of eCDS tools and reported some findings related to their impact on workload, including on consultation duration. Most studies were qualitative and exploratory in nature, reporting health professionals' subjective perceptions of consultation duration as opposed to objectively-measured time spent using tools or consultation durations. Other workload-related findings included impacts on cognitive workload, "workflow" and dialogue with patients, and clinicians' experience of "alert fatigue".

    CONCLUSIONS: The published literature on the impact of eCDS tools in general practice showed that limited efforts have focused on investigating the impact of such tools on workload and workflow. To gain an understanding of this area, further research, including quantitative measurement of consultation durations, would be useful to inform the future design and implementation of eCDS tools.

    Matched MeSH terms: Family Practice
  2. Vocational training programme in family medicine - identifying the needs
    Ho TM
    Family Practitioner, 1981;4(2):52-53.
    Matched MeSH terms: Family Practice
  3. Vision For Health: Primary Care Services In National Health Development
    Suleiman AB
    Bengkel Program Perubatan Keluarga: Posting Pusat Kesihatan, 1995.
    Citation: Abu Bakar, Suleiman
    Keynote Address. Bengkel “Program Perubatan Keluarga: Posting Pusat Kesihatan”. Pusat Kesihatan Padang Serai, Kulim, Kedah, Malaysia, 27 Mac 1995
    Matched MeSH terms: Family Practice
  4. Fulltext Unplanned pregnancies in a semi-urban practice
    Chua WT
    Family Practitioner, 1985;8(2):57-62.
    One hundred and twenty-four women from a semi-urban area who came for consultation for unplanned pregnancy during an eight month period are analysed. It is found that women with a high risk of unplanned pregnancy are mostly housewives, aged between 20 and 34, who have given birth to one or three children, the last of whom is usually below one or two years old. They belong to the lower socio-economic class and are lowly-educated. Most of them have not completed their families. Although most of them have either used or heard of contraceptives begore, the majority were not using any contraceptive at the time of consultation or were using an ineffective method. Their reasons for non-use or default are identified, many of which are related to the pill. Proper motivation of would-be contraceptive receptors and regular follow-up of acceptors by general practitioners or Family Planning Clinic Staff who are knwoledgable in all available methods of contraception are offered as a solutionto the problem of high rate of defaulting and consequent high rate of unplanned pregnancies.
    Study site: private general practice clinic, Perak, Malaysia
    Matched MeSH terms: Family Practice
  5. Ultrasound in general practice
    Singham KT
    Family Physician, 2000;11:20-20.
    Matched MeSH terms: Family Practice
  6. Ultrasound diagnosis of urinary tract disorders in general practice
    Chong HH
    Family Physician, 1990;2:25-27.
    The causes of urinary tract disorders in 69 patients evaluated with ultrasound were analysed. They included renal, ureteric, and bladder disorders.
    Matched MeSH terms: Family Practice
  7. Ultrasonography - A new diagnostic tool for general practice
    Tan FEH
    Family Practitioner, 1985;8:63-66.
    Matched MeSH terms: Family Practice
  8. Fulltext Training for rural general practice
    Strasser R, Rourke J, Anwar I, Naidoo N, Rabinowitz H, McLeod J, et al.
    ISBN: 0 7326 0961 5
    Citation: Strasser R, Rourke J, Anwar I, Naidoo N, Rabinowitz H, McLeod J, Newbery P, Aziz T, Rosenblatt R, Lee SH, Wynn-Jones J, Rajakumar MK, Yuan G, Chater B, Doolan T, Cowley J, Simpson C. Training for rural general practice. Traralgon , Victoria, Australia: Monash University School of Rural Health; World Organization of Family Doctors (WONCA), 1995
    Matched MeSH terms: Family Practice
  9. Fulltext Training for primary health care in general / family practice
    Phua KH, Jeyaratnam J
    Family Practitioner, 1986;9(1):31-34.
    Ultimately, the majority of our medical graduates ends up in primary health care either in private practice or in the government service. It would be appropriate that their education and training should meet not only the requirements of their eventual vocation, but just as importantly, the expectations of a more discerning community at large. Rising pressures on the profession to provide more cost-effective and affordable health services of good quality would put an increasing emphasis on the development and promotionof primary health care to higher standards. Primary health care workers would be hard-pressed to provide more health information and to actively participate in disease prevention and control as part of their professional duties. As medical specialisation and technology contibute towards more fragmented, complex and dehumanising forms of practice, the greater will be the need for the integrative skills of the primary physician providing personal and continuing care. The future nature of medical care will have to respond to this community demand.
    Matched MeSH terms: Family Practice
  10. Fulltext Training family doctors in a developing country
    Rajakumar MK
    International Teachers Training Workshop on Family Medicine Education, 1996.
    Matched MeSH terms: Family Practice
  11. Towards an entry standard for family physicians
    Kwa SK
    Family Physician, 2001;11:i-ii.
    Matched MeSH terms: Family Practice
  12. The value of ultrasonography in general practice
    Tan FEH
    Family Practitioner, 1985;8:48-51.
    Matched MeSH terms: Family Practice
  13. Fulltext The status of family medicine training programs in the Asia Pacific
    Ng CJ, Teng CL, Abdullah A, Wong CH, Hanafi NS, Phoa SSY, et al.
    Fam Med, 2016 Mar;48(3):194-202.
    PMID: 26950908
    BACKGROUND AND OBJECTIVES: The family medicine training programs in the Asia Pacific (AP) are evolving. To date, there is a lack of comprehensive and systematic documentation on the status of family medicine training in the AP. This study aims to determine the status of family medicine training at both the undergraduate and postgraduate levels in medical schools (universities or colleges) in the AP.
    METHODS: In 2014, the authors conducted a cross-sectional online survey to assess the undergraduate and postgraduate family medicine programs in academic family medicine departments from AP countries. A 37-item online survey questionnaire was sent to key informants from academic institutions with established family medicine departments/units. Only one response from each family medicine department/unit was included in the analysis.
    RESULTS: The medical school and country response rates were 31.31% and 64.1%, respectively. The majority of the medical schools (94.7%, n=71/75) reported having a department/unit for family medicine. Family medicine is recognized as a specialist degree by the governments of 20/25 countries studied. Family medicine is included in the undergraduate program of 92% (n=69/75) of all the participating medical schools. Only slightly more than half (53.3%) (n=40/75) reported conducting a postgraduate clinical program. Less than one third (26.7%) (n=20/75) of the medical schools conducted postgraduate research programs.
    CONCLUSIONS: Undergraduate training remains the focus of most family medicine departments/units in the AP. Nevertheless, the number of postgraduate programs is increasing. A more rigorous and long-term documentation of family medicine training in the AP is warranted.
    Matched MeSH terms: Family Practice*
  14. The role of the private practitioner in the rural development of our country
    Esslemont I
    Med J Malaya, 1962 Jun;16:306-8.
    PMID: 13890826
    Matched MeSH terms: Family Practice*
  15. Fulltext The role of the general practitioner/family physician in health care systems: a statement from WONCA, 1991
    Bentzen BG, Bridges-Webb C, Carmichael L, Ceitlin J, Feinbloom R, Metcalf D, et al.
    Citation: Bentzen BG, Bridges-Webb C, Carmichael L, Ceitlin J, Feinbloom R, Metcalf D, McWhinney I, Rajakumar MK. The Role of the General Practitioner/Family Physician in Health Care Systems: A Statement from WONCA, 1991
    Matched MeSH terms: Family Practice
  16. The role of the general practitioner in the diagnosis and management of acute myocardial infarction
    Toh CC
    Med J Malaya, 1969 Dec;24(2):85-8.
    PMID: 4244148
    Matched MeSH terms: Family Practice*
  17. The recognition of emotional illness in general practice
    Chancellor A
    Family Practitioner, 1977;2:88-90.
    Matched MeSH terms: Family Practice
  18. The present problems and future needs of primary health care in Malaysia
    Ho TM
    Int J Health Serv, 1988;18(2):281-91.
    PMID: 3378859 DOI: 10.2190/EJ77-C1UH-KHMQ-8HAX
    This article examines the numerous problems faced by primary health care in Malaysia, care that traditionally has been a private sector activity. While general practitioners have adapted, and are continually adapting, to the needs of a multiracial society with diverse cultural patterns, it is hoped that with the emergence of a dynamic discipline of family practice, family doctors will be able to provide a sophisticated form of primary health care that will serve the needs of the people.
    Matched MeSH terms: Family Practice/trends*
  19. Fulltext The prescription of psychotropic medication in general practice--a descriptive study
    Maniam T, Ting GS
    Med J Malaysia, 1990 Sep;45(3):225-30.
    PMID: 2152083
    The prescriptions of all patients who attended an urban general practice from September 1987 to December 1987 were studied. Of the 111 patients (60 females and 51 males) who received a psychotropic prescription the commonest presenting complaint was insomnia (56 patients or 50.5%). This was followed by tension, headache and unexplained aches and pains (19 patients or 17.1%), and anxiety (nine patients or 8.1%). Consistent with these presentations a vast majority (92.8%) received a benzodiazepine. The commonest drugs prescribed were Lorazepam and Bromazepam whereas the longer acting benzodiazepines were rarely used. Polypharmacy was rare.
    Matched MeSH terms: Family Practice
  20. The pathway followed by psychotic patients to a tertiary health center in a developing country: a comparison with patients with epilepsy
    Razali SM, Mohd Yasin MA
    Epilepsy Behav, 2008 Aug;13(2):343-9.
    PMID: 18514034 DOI: 10.1016/j.yebeh.2008.04.009
    The objective of this study was to describe and compare the pathways followed by Malay patients with psychoses (schizophrenia and schizophreniform disorder) and Malay patients with epilepsy to a tertiary health center in the northeastern area of peninsular Malaysia. There were 60 patients in each group. The most popular pathway for both groups was first contact with traditional or alternative healers. Consultation with Malay traditional healers (bomohs) and/or homeopathic practitioners (44.2%) was significantly higher for psychotic patients (61.7%) than for patients with epilepsy (26.7%) (chi(2)(2)=15.609, P<0.001). Direct access (24.2%) was the second most popular pathway and almost equally followed by both groups of patients. The third and last pathway was initial contact with private general practitioners and government doctors, respectively. Patients with epilepsy dominated the last two pathways. The treatment delay (TD) was significantly longer in epileptic than psychotic patients regardless of their visit to a bomoh and/or homeopathic practitioner (P<0001) or not (p<0.01). The socioeconomic status of psychotic patients also was significantly better than people with epilepsy (chi(2)=9.957, chi(2)(4), p=0.041).

    Study site: Psychiatric clinic, Hospital Universiti Sains Malaysia HUSM
    Matched MeSH terms: Family Practice/statistics & numerical data
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