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Recent News and Articles on the Keywords: general practitioners + general practitioner + help  Related to the article below (Last Update: 5/12/2008)

More NPs coming to north country
WatertownDailyTimes.com,  United States - May 11, 2008
Ms. Quinton is a 1986 graduate of the nurse practitioner program at Community General Hospital in Syracuse. She has worked in orthopaedics and neurosurgery ...
Do I need an entertainment lawyer?
Bizcommunity.com, South Africa -
The entertainment lawyer is not an average general legal practitioner (found in most law firms in South Africa) but rather a lawyer that devotes his ...
STEPHEN LEEDER: Throwing down GP gauntlet
Geelong Advertiser, Australia - May 9, 2008
We have a declining, and ageing, community of general practitioners. Their numbers were 104 per 100000 population in 2001 decreasing to 98 full-time ...
Purely Personal Bush honors Filipino doctor at White House
Inquirer.net, Philippines - May 10, 2008
Dr. Juan Montero, a native of Siargao island and an expat and private practitioner in Chesapeake, Virginia, was commended for his work in the Philippines. ...
Who is studying PQSW? Implications of the PQSW student profile
Communitycare.co.uk, UK - May 9, 2008
Please note that we have not included GSCC (3) figures as they use different age ranges, but their general direction is similar. ...
Teenage suicides: Study advocates greater family support
Hindu, India - Apr 22, 2008
The general practitioner was again identified as a key person in organising a support strategy for the families of suicide victims. ...
Nurse practitioners as entrepreneurs: constrained or liberated?
News-Medical.net, Australia - May 6, 2008
The evolutionary trend is from that of a sole proprietorship firm to that of a general partnership, limited liability Company, or limited liability ...
Critical Issues In Selecting An Appellate Practitioner
The Metropolitan Coporate Counsel, NJ - Apr 30, 2008
It was largely the brain child of our late partner Rex E. Lee, who had served as US Solicitor General. We started with a basic US Supreme Court practice and ...

PR Web (press release)
Integrative Medicine Practitioners Are Targeted More Often Than ...
PR Web (press release), WA - Apr 25, 2008
Although the Practitioner's Guide does not provide legal advice and is not tailored to any specific situation, it will provide physicians with general ...
Nurse practitioner uptake gaining steam
National Review of Medicine, Canada - Apr 24, 2008
"Doctors are getting more used to working with NPs," says North Bay General Hospital NP Sue LeBeau. Ms LeBeau spoke to NRM back in 2004 of the scepticism ...
Source: Google News

Further Validation of Information Recorded on a General Practitioner Based Computerized Data …
GPBCD Resource - PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 1992 - doi.wiley.com
... The current results continue to indicate that the primary illnesses diagnosed by
consultants in patients registered with general practitioners who participate ...

Effect of general practitioners' advice against smoking -
MAH Russell, C Wilson, C Taylor, CD Baker - British Medical Journal, 1979 - pubmedcentral.nih.gov
... weeks all 2138 cigarette smokers attending the surgeries of 28 general practitioners
(GPs) in ... 4 were advised to stop smoking, given a leaflet to help them, and ...

Randomised controlled trial of general practitioner intervention in patients with excessive alcohol … -
P Wallace, S Cutler, A Haines - BMJ: British Medical Journal, 1988 - pubmedcentral.nih.gov
... Abstract. OBJECTIVE: To determine effectiveness of advice from general practitioners
to heavy drinkers to reduce their excessive alcohol consumption (35 U or ...

… among general practitioners: are inappropriate referrals important and would guidelines help to … -
A Fertig, M Roland, H King, T Moore - BMJ: British Medical Journal, 1993 - pubmedcentral.nih.gov
... Understanding variation in rates of referral among general practitioners: are
inappropriate referrals important and would guidelines help to reduce rates? ...

Validation of information recorded on general practitioner based computerised data resource in the … -
H Jick, SS Jick, LE Derby - BMJ, 1991 - pubmedcentral.nih.gov
... OBJECTIVE--To determine the extent of agreement between clinical information recorded
on surgery computers of selected general practitioners and similar ...

Why general practitioners do not implement evidence: qualitative study -
AC Freeman, K Sweeney - BMJ: British Medical Journal, 2001 - pubmedcentral.nih.gov
... is used. Acknowledgments. We thank the general practitioners who gave their
time to help in this research. Footnotes. Funding: This ...

… the culture of prescribing: qualitative study of general practitioners? and patients? perceptions … -
CC Butler, S Rollnick, R Pill, F Maggs-Rapport, N … - BMJ, 1998 - pubmedcentral.nih.gov
... evidence was not ?watertight? and that antibiotics may help some patients. ... was seen
as a community issue whereas the general practitioners? priority was ...

… in primary medical care: prevalence, characteristics and detection by the general practitioner* -
S Read, M King, J Watson - Journal of Public Health, 1997 - Faculty Public Health
... The detection rate of the general practitioners (GPs) and ... General sexual dissatisfaction
was more common than specific ... in patients' notes could help GPs to ...

… trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care -
P Venning, A Durie, M Roland, C Roberts, B Leese - BMJ: British Medical Journal, 2000 - pubmedcentral.nih.gov
... effectiveness of general practitioners and nurse practitioners in primary ... a M Roland,
professor of general practice, b ... were carried out by AD with help from PV ...

Mental health, job satisfaction, and job stress among general practitioners. -
CL Cooper, U Rout, B Faragher - BMJ: British Medical Journal, 1989 - pubmedcentral.nih.gov
... Copyright notice. Mental health, job satisfaction, and job stress among general
practitioners. ... Determinants of mood in general practitioners. ...

Source: Google Scholar

Data Unclear On Ability Of General Practitioners To Give Psychosocial Help
When patients have psychosocial problems such as anxiety, depression or substance abuse, a general practice doctor is often the first healthcare professional they see. A new review of studies examines how well GPs treat these conditions.

"We found no strong evidence for either the effectiveness (or ineffectiveness) of the psychosocial interventions by GPs," wrote the review team from the Netherlands. "Of the interventions reviewed, problem-solving treatment for depression seems the most promising tool for GPs, although its effectiveness in daily practice remains to be seen."
Problem-solving treatment is a type of talk therapy. The goal is to help patients understand that their symptoms are caused by everyday problems and to teach them ways to tackle these problems.

The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

"Many patients visit their GP because of problems that are psychosocial in origin," according to the team led by Marcus Huibers, an assistant professor in the Department of Clinical Psychological Services at Maastricht University. "Consequently, GPs could benefit from tools to help those patients."

In the United States, a patient's primary care physician is often a GP generally a doctor who specializes in family medicine or general internal medicine.

The reviewers looked at 10 studies on the effectiveness of interventions by GPs for depression, smoking cessation, alcohol abuse and unexplained fatigue as well as somatization disorder, where patients have chronic, unexplained physical symptoms caused by psychological problems.

Except for problem-solving treatment for major depression, the evidence on the effectiveness of GP care for psychosocial health complaints was either limited or conflicting, the review found. However, insufficient evidence does not mean that primary care physicians should be discouraged from tending to their patients' mental health needs, the review authors said.

"The main message is that there is no reason not to start treatment for these problems with your GP," said Nancy Stevens, M.D., professor of family medicine at the University of Washington School of Medicine in Seattle. "There is nothing in the review that says we should change what we are doing, nor are there any indications that what we are doing is harmful."

Many GP office visits are for complaints that are psychosocial in nature and not always medically based, says Betsy Pedersen, Ph.D., assistant clinical professor of family medicine at the University of North Carolina School of Medicine in Chapel Hill.

"I would tell the patient to continue what they have always done and bring their concerns to their GP," Pedersen said. "The GP will have training in psychosocial problems, is well qualified to know what other resources are available and will be able to help the person link up with those resources if they are needed."
"For most psychosocial interventions, the relationship with the provider is critical," Stevens said. "The really important message from this review is that patients need to develop a relationship with a health care provider who really knows them, so that when they have psychosocial issues there is someone available who they trust and who knows how to help them through it."

The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. Visit http://www.cochrane.org for more information.

Huibers MJH, et al. Psychosocial interventions by general practitioners (Review). Cochrane Database of Systematic Reviews 2007, Issue 3.

Health Behavior News Service
Center for the Advancement of Health 2000 Florida Ave. NW, Ste 210
Washington, DC 20009
United States
http://www.hbns.org
 
 
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