Reasons for encounter in young people consulting a family doctor in the French speaking part of Switzerland: a cross sectional study

Meynard, Anne; Broers, Barbara; Lefebvre, Danièle; Narring, Françoise; Haller, Dagmar M.

doi:10.1186/s12875-015-0375-x

Cited by 14 publications

(13 citation statements)

References 18 publications

(23 reference statements)

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“…They were not filtered, and the quantity and diversity of sites increased the external validity of the study. Moreover, the proportion of psychological reasons for consultation (8.9%) was similar to the stable proportion (8%) found in other studies (Meynard, Broers, Lefebvre, Narring, & Haller, ; Tudrej et al, ), thus adding value to our recruitment method.…”

Section: Discussionsupporting

confidence: 85%

Detection of adolescent suicidality in primary care: an international utility study of the bullying‐insomnia‐tobacco‐stress test

Binder

Heintz

Haller

et al. 2019

Early Intervention Psych

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Aim: General practitioners (GPs) are ideally placed to identify suicidality in adolescents. However, adolescents are often reluctant to confide in their GPs about these problems, and GPs are not comfortable when questioning them about suicide. We previously proposed the BITS test, a set of four opening and four additional questions, to alert doctors about possible suicidality in an adolescent. We validated its use in the identification of suicidality ("frequent suicidal ideation or suicide attempts at one time or another)" in 15-year-old adolescents in a school setting. The objective of the present study was to assess the detection utility of this method in 13-to-18-year-olds in primary care.Methods: We carried out a screening utility study in general practices in 17 Frenchspeaking sites in four countries and three continents. Each GP was instructed to use the bullying, insomnia, tobacco, stress (BITS) test with five to ten 13-to-18-year-old adolescents, consulting consecutively, for any reason. They subsequently asked them questions about their suicidality. Results:One hundred and two GPs tested a total of 693 adolescents; 13.0% of the adolescents (girls 15.4%, boys 9.9%) reported suicidality (1.6% known, 11.4% previously unknown). A score of at least 3 on the BITS scale was associated with suicidality (sensitivity: 65.9, specificity: 82.5%). Conclusions:The BITS test is a pragmatic instrument, alerting the GP to an adolescent's previously unknown suicidability, whatever the reason for consultation. K E Y W O R D S adolescent, general practice, mass screening, primary health care, suicide attempt

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Section: Discussionsupporting

confidence: 85%

Detection of adolescent suicidality in primary care: an international utility study of the bullying‐insomnia‐tobacco‐stress test

Binder

Heintz

Haller

et al. 2019

Early Intervention Psych

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“…The RFEs were coded using the International Classification of Primary Care, second edition (ICPC-2), which is commonly used in primary care settings [ 21 , 22 ]. This standardized classification is based on codes that are classified in 17 chapters representing body systems and problem areas [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

et al. 2022

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Background Physical examination is a core component of consultation. Little is known about the status quo of physical examinations performed by general practitioners in community health service institutions in China. The aim of this study was to investigate general practitioners’ performance of physical examinations in consultations. Methods An observational study was conducted in 5 community health service institutions in Beijing between November 2019 and January 2020. Eleven general practitioners were observed for one workday. Information of consecutive consultations was recorded including patient characteristics, reasons for encounter, physical examinations performed by general practitioners, length of consultation time and time spent on specific activities in consultations. Results A total of 682 consultations of 11 general practitioners were recorded. Physical examinations were performed in 126 consultations (15.8%). Physical examination was more likely to be performed in patients visiting with symptoms (P < 0.001). Majority of the 126 physical examinations were distributed in “Head, face, and neck examination” (n = 54, 42.9%) and “Cardiovascular examination” (n = 55, 43.7%). No physical examination was performed on skin, male genitalia, female breasts and genitalia, and neurological systems. Total 2823 min of activities were observed and recorded. General practitioners only spent 3.1% of the recorded time on physical examination, which was less than the time spent on taking history (18.2%), test (4.9%), diagnosis (22.7%), therapy (38.4%), and health education (8.6%). The average time spent on physical examinations was 0.8±0.4 min per consultation. Conclusion Physical examination was insufficiently performed by general practitioners in community health service institutions in Beijing. More time and commitment should be advocated for improving the quality of physical examinations in primary care.

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“…The RFEs was coded using the International Classi cation of Primary Care, second edition (ICPC-2), which was usually used in primary care settings [18,19]. This standardized classi cation is based on codes that are classi ed in 17 chapters representing body systems and problem areas [20].…”

Section: Data Codingmentioning

confidence: 99%

Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

Wei

Wang

Pan

et al. 2021

Preprint

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BackgroundPhysical examination is a central part of consultation. Evidence showed that clinical use of physical examination in hospital has decreased, but little is known about physical examination performed by general practitioners in community health service institutions.ObjectiveThis study aimed to investigate general practitioners’ performance of physical examination in community health service institutions in Beijing.MethodsAn observational study was conducted in 5 community health service institutions in Beijing, China between November 2019 and January 2020. And 11 participated general practitioners were observed for one workday. Information was recorded including patient characteristics, patient reasons for encounter, physical examinations provided by general practitioners, the length of consultation and time spent on specific activities in consultations.ResultsA total of 682 consultations were recorded from 11 general practitioners. Physical examination occurred in 15.8% of the consultations. Among the recorded 126 examinations, most were distributed in “Head, face, and neck examination” (n = 54, 42.9%) and “Cardiovascular examination” (n = 55, 43.7%), and no physical examination was performed on skin, male genitalia, female breasts and genitalia, and neurological systems. A total of 2823 minutes of activities were recorded. general practitioners only spent 3.1% of their time on physical examination, less than the time spent on taking history (18.2%), test (4.9%), diagnosis (22.7%), therapy (38.4%), and health education (8.6%). The mean length of time spent on physical examination portions was 0.8 ± 0.4 minutes.ConclusionPhysical examination was infrequently performed by general practitioners in community health service institutions in Beijing. More time and attention were needed for general practitioners performing a careful and appropriate physical examination in primary care.

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Reasons for encounter in young people consulting a family doctor in the French speaking part of Switzerland: a cross sectional study

Cited by 14 publications

References 18 publications

Detection of adolescent suicidality in primary care: an international utility study of the bullying‐insomnia‐tobacco‐stress test

Detection of adolescent suicidality in primary care: an international utility study of the bullying‐insomnia‐tobacco‐stress test

Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

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