PMID: 9651266Jul 4, 1998Paper

Influence of social problems on management in general practice: multipractice questionnaire survey

BMJ : British Medical Journal
P GulbrandsenP Hjortdahl

Abstract

To find how often social problems influence clinical management in general practice, how management is changed, and how the characteristics of patients, doctors, and the doctor-patient relationship influence this management. Multipractice survey of patients consulting general practitioners. Doctors completed a questionnaire for each patient. General practices in Buskerud county, Norway. 1401 consecutive adult patients attending 89 general practitioners. How often management of patients was influenced by different types of social problem and main reasons for consultation; frequency and intercorrelation of different types of management applied; odds ratios for social problems' influence on management, controlled for by characteristics of doctors, patients, and their relationship. In 17% of all consultations the doctors' knowledge of patients' social problems influenced their management, stressful working conditions being the most frequent influencing type of problem. Knowledge of social problems influenced management more often when the doctor knew a patient well, but less often the longer a doctor had worked in a practice. When social problems influenced management, the commonest types of management offered were extra time for c...Continue Reading

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Citations

Jun 6, 2000·Journal of Women's Health & Gender-based Medicine
Apr 16, 1999·BMJ : British Medical Journal·L Smeeth, I Heath
Dec 11, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Kariann Krohne, Søren Brage
Mar 21, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Matthew RiddChris Salisbury
May 22, 2010·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Bjørgulf Claussen
May 13, 2006·Scandinavian Journal of Primary Health Care·Gunilla NorrménDan Andersson
Mar 27, 2007·Patient Education and Counseling·Else M ZantingeJozien M Bensing
Sep 2, 2009·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Teresa R B PawlikowskaWieslawa Szumilo-Grzesik
Jul 20, 2012·The European Journal of General Practice·Øystein Hetlevik, Sturla Gjesdal
Oct 30, 2004·Scandinavian Journal of Public Health. Supplement·Rolf Wahlström, Kristina Alexanderson
Dec 1, 2002·Medical Education Online·Frances M BoyleAnne-Louise Nilsson
Jan 25, 2003·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·R V HarrisM A Lennon

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