How hard do general practitioners work?

نویسنده

  • J Bain
چکیده

assessment of the so called "avoidable factors" as in the Confidential Inquiry into Maternal Deaths.'4 This raises two problems. Firstly, the concept of avoidability, like that of causality, is highly subjective. Secondly, no one can know whether the absence of the "avoidable" factor would have prevented the death; indeed, the Northern region working party abandoned its search for "avoidable" factors. Other studies, including those in Exeter'2 and Leicestershire,'3 have avoided this dilemma by doing a case-control study.'5 The spate of perinatal mortality surveys which took place in NHS areas and districts in the late 1970s seems now to be subsiding. In some cases local surveys acted as pilot studies for regional surveys which have now superseded them. In others, the funding ran out, or the key person moved to another job. So what is the future? In Scotland, the perinatal mortality survey begun in 197716 has now developed so that it has been linked to the SMR2 maternity discharge data system and become part of that country's routine data collection system. 17 The regions of England and Wales might profitably follow this example when they too have a maternity data system-based either on the Standard Maternity Information System or the system proposed by the Steering Group on Health Services Information.8 Basing a survey on a system containing data about all births both reduces duplication of effort and increases the potential for selecting controls for case-control studies. Attention also needs to be given to the question of an appropriate cut off point for perinatal mortality surveys. Unlike perinatal mortality rates, late neonatal and post-neonatal mortality rates are not falling,4 and the principal factors behind many late neonatal and postneonatal deaths are determined at or around the time of birth (p 151 1).19 Some surveys cover only the perinatal period, while others cover the late neonatal period as well, but even these miss some relevant deaths. Calls have been made from time to time for a single national inquiry to be mounted in England and Wales as is done for maternal deaths. The consensus seems to be, however, that local and regional surveys are more flexible and allow attention to be directed to local problems. At the same time the local surveys would be more powerful if they had a common core of data.2021 At present the Scottish and Northern region survey teams are pooling their experience and making recommendations about how …

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Awareness and Performance of Iranian General Practitioners in Diagnosis and Clinical Management of Polycystic Ovary Syndrome

Introduction: Polycystic ovary syndrome is very common among Iranian women. Patients with this syndrome are more likely to see general practitioners than gynecologists. This study aimed to investigate the level of knowledge and clinical management of general practitioners regarding the diagnosis and treatment of this syndrome. Materials and Methods: This cross-sectional study was performed usin...

متن کامل

Frequency of Burnout among General Practitioners of Kerman City, 2008

Background & Aims: Excessive stress in addition to causing physical and psychological problems in General Practitioners (GPs), can lead to decreased quality of patient care. This research aimed to find the frequency of burnout in general practitioners of Kerman city. Methods: This descriptive analytic study was carried out on 150 GPS in Kerman city in 2009. Data gathering was done by Maslach qu...

متن کامل

Comparison Lecturing Method And Self-Learning on Knowledge of General Practitioners Participating in Continuing Education Course for Irritable Bowel Syndrome

Introduction: The aim of continuing medical education (CME) is to enhance knowledge and improves performance. Various ways is used in continuing education training. Stay away from work to participate in retraining will make problems for physicians and patients. Use the self-learning program might be a good way of continuing education. This study designed to compare training with lecturing metho...

متن کامل

Fighting with fire--how bushfire suppression can impact on fire fighters' health.

BACKGROUND Each year bushfire threatens Australia's rural, forest, and urban-rural areas. Australia's rural fire fighters work to curtail this threat in hot, smoky conditions, often at risk to their physical health. General practitioners, especially in rural areas, can help preserve the health of fire fighters during the fire season by understanding the stressors they face on the fireground. ...

متن کامل

Educational Needs of General Practitioners Who Enrolled as Family Physicians in National Family Medicine Program and Referral System

Introduction: General practitioners who intend to work as “family physician” in Iranian National Family Physician Program should be ready to provide necessary care and services for the population under their coverage. The aim of this study was to survey and prioritize their educational needs required for the determined tasks in order to design proper educational programs. Methods: This cross-s...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • British medical journal

دوره 290 6461  شماره 

صفحات  -

تاریخ انتشار 1984