BACKGROUND Knowledge of patient's reasons for encounter is useful to inform health service planning and health professional education. Our aim was to describe reasons for encounter as stated by an unselected group of young people attending primary care practices in the French-speaking part of Switzerland. METHODS Consecutive patients aged between 15 and 24 years were recruited as part of the ...

Methods A retrospective chart review of children who consulted in Pediatric Rheumatology department of Notre Dame De Secours University Hospital between April 2010 and April 2014 was performed. Only patients who met the 2001 classification criteria of the ILAR (International League of Associations for Rheumatology) were included. Epidemiologic and clinical aspects of different types of JIA were...

OBJECTIVES To examine the complexity of activities undertaken in general practice in relation to degree of rurality of the practice. DESIGN AND SETTING National mail questionnaire survey across non-metropolitan Australia in July 2002. PARTICIPANTS 1498 respondents out of 4406 GPs providing at least 375 Medicare-rebatable consultations in rural and remote locations during January-March 2002 ...

BACKGROUND A Melbourne (Australia) university affiliated, tertiary obstetric hospital provides lay and professional education about influenza vaccine in pregnancy annually each March, early in the local influenza season. Responding to a 2011 survey of new mothers' opinions, the hospital made influenza vaccine freely available in antenatal clinics from 2012. We wished to determine influenza vacc...

BACKGROUND Enrollment in interventional therapeutic clinical trials is a small fraction of all patients who might participate given reasonable access. METHODS A hierarchical approach is utilized in measuring staged participation from trial availability to patient enrollment. Our framework suggests that concern for justice comes in the design and eligibility criteria for clinical trials; atten...

OBJECTIVE To assess the rates and predictors of traversing steps essential to good medical care for chronic migraine, including: (1) medical consultation, (2) accurate diagnosis, and (3) minimal pharmacologic treatment. Candidate predictors included socioeconomic, demographic, and headache-specific variables. BACKGROUND Previous research has established that barriers to effective management f...

The aim was to build a facilitating tool for nursing consultation, aimed at caring patients with suspected or confirmed cases of COVID-19 and/or Influenza in Primary Health Care. This is an experience report students and professors during the construction consultation support instrument. elaboration took place two stages: bibliographical research carried out from scientific articles database fo...

Professional and scientific psychology appears to have rediscovered spirituality and religion during recent years, with a large number of conferences, seminars, workshops, books, and special issues in major professional journals on spirituality and psychology integration. The purpose of this commentary is to highlight some of the more compelling ethical principles and issues to consider in spir...

Following a catalogue of serious, highly publicized medical misdemeanours, the General Medical Council (GMC) has introduced plans for a new system of medical licensing in the UK called 'revalidation'. Under this, the onus will fall on individual doctors, including occupational physicians, to demonstrate their continuing fitness to practice. Doctors will need to show that they meet basic minimum...

OBJECTIVE To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice. METHOD qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses' performance chara...