Objective: To investigate the feasibility of providing general practitioners (GPs) direct and fast referral access to transvaginal ultrasound (TVUS).
Design: A prospective cohort study.
Setting: A total of 232 Danish general practices in parts of the Central Denmark Region.
Introduction: Danish women exit cervical cancer screening at age 65 years, but 23% of cervical cancer cases occur beyond this age. In addition, due to gradual implementation of cervical cancer screening, older women are underscreened by today´s standards. A one-time screening with HPV test was therefore offered to Danish women born before 1948.
View Article and Find Full Text PDFAim: In countries like Denmark, cervical cancer incidence is at present relatively high in elderly women, while routine screening stops at age 65 years. On this background, all women aged 69 and above were invited to human papillomavirus (HPV)-screening in Denmark in 2017.
Methods: Women were identified from the Central Population Register and personally invited by digital or ordinary mail to have a screening sample taken by their general practitioner.
Background: Ovarian cancer (OC) survival rates are lower in Denmark than in countries with similar health care. Prolonged time to diagnosis could be a contributing factor. The Danish cancer patient pathway (CPP) for OC was introduced in 2009.
View Article and Find Full Text PDFBackground: It has now for many years been recognised that patient evaluations should be undertaken as an integral part of the complex task of improving the quality of general practice care. Yet little is known about the general practitioners' (GPs') benefit from patient evaluations. Aim 1 was to study the impact on the GPs of a patient evaluation and subsequent feedback of results presented at a plenary session comprising a study guide for the results and group discussions.
View Article and Find Full Text PDFIntroduction: This study aimed to examine if and how the patients' assessment of their general practitioner (GP) was associated with the organization of the practice, the number of listed patients and the number of staff members.
Material And Methods: A survey among patients registered with the participating GPs assessing 23 aspects of the GP-patient relationship, medical care, information and support, organisation of care and accessibility. Analysis of the associations between the assessments and practice characteristics was performed.
Introduction: The aim of the present study was to examine to which extent the patients' assessment of their general practitioner was associated which the gender and age of the physician.
Material And Methods: A survey among patients registered with the GPs assessing 23 aspects of the GP-patient relationship, medical care, information and support, organisation of care and accessibility. Analyses of associations between the assessments and the gender and age of the physicians.
Introduction: Patients' experiences constitute a significant part of the quality assessment of general practice care. The aim of the present study was to examine the patients' assessment of their general practitioners (GPs) and to determine to which extent the assessments were associated with patient characteristics.
Material And Methods: A survey among patients registered with the participating GPs assessing 23 aspects of the GP-patient relationship, medical care, information and support, organisation of care and accessibility.
Quality improvement in health care should include patient evaluations. Patient evaluation is a relevant instrument for assessing those aspects of care which are significant for the patient's experience of quality and for assessing courses of treatment. The striving for 100% satisfaction should be balanced by the regard for quality viewed from a professional and an organizational perspective.
View Article and Find Full Text PDFScand J Prim Health Care
December 2008
Objective: Patient priorities and patient evaluations indicate that accessibility should receive more attention to increase quality in general practice. The definition of family medicine emphasizes the patient-centred approach, communication skills, continuity, and clinical skills. We aimed to explore the associations between the 23 items in the Europep questionnaire measuring patient evaluation of general practice and the patients' recommendation of their general practitioner (GP) to friends and to study the relationship of these items with the core competences of family medicine.
View Article and Find Full Text PDFScand J Prim Health Care
September 2008
Objective: The Danish version of the 23-item EUROPEP questionnaire measuring patient evaluation of general practice has not been evaluated with regard to psychometric properties. This study aimed to assess data quality and internal consistency and to validate the proposed factorial structure.
Setting: General practice in Denmark.
Background: Knowledge of the extent to which patient characteristics are systematically associated with variation in patient evaluations will enable us to adjust for differences between practice populations and thereby compare GPs. Whether this is appropriate depends on the purpose for which the patient evaluation was conducted. Associations between evaluations and patient characteristics may reflect gaps in the quality of care or may be due to inherent characteristics of the patients.
View Article and Find Full Text PDFBackground: Variation in patients' evaluation due to general practitioner (GP) and practice factors may provide information useful in a quality improvement context. However, the extent to which differences in patients' evaluation of the GPs are associated with differences in GP and practice characteristics must also be ascertained in order to facilitate comparison of adjusted patient evaluations between GPs. The aim of this study was to determine such associations in a setting where GPs serve a list of patients and act as gatekeepers.
View Article and Find Full Text PDFObjective: . To determine whether adding a reminder procedure to the personal handing out of questionnaires to patients by general practitioners (GPs) in a patient evaluation survey added further information to the study and whether this influenced the results of the evaluations fed back to the GPs.
Design: Patient evaluation survey in general practice.
Patients' evaluations have several functions as quality measurements: A general judgement of the quality of the health care system and a direct assessment of defined aspects of service and care. In this article the concept of patient satisfaction and the application of patients' evaluations on quality improvement in the health care system is discussed. Despite many attempts to formulate an explanatory theory about the matter, a useful theoretical basis for the concept of satisfaction is still missing.
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