Attitudes & behaviors toward the management of tobacco smoking patients: qualitative study with French primary care physicians.

Background: Smoking cessation is a major public health issue. In France, primary care physicians (PCP) are the first contact points for tobacco management. The objective of this study was to understand how PCPs are involved in the management of smoking cessation: ownership, commitment, barriers.

Continuity of care in general practice at cancer diagnosis (COOC-GP study): a national cohort study of 2853 patients.

Background: At cancer diagnosis, it is unclear whether continuity of care (COC) between the patient and GP is safeguarded.

Aim: To identify patient-GP loss of COC around the time of, and in the year after, a cancer diagnosis, together with its determinants.

Design And Setting: A post-hoc analysis of data from a prospective cohort of GPs in France, taken from a survey by the Observatoire de la Médecine Générale.

Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care†.

Background: The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature.

Objective: To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care.

Method: A retrospective cohort study using Observatory of General Medicine Datalink from 1995 to 2010.

[Feasibility and practical value of statistical matching of a general practice database and a health insurance database applied to diabetes and hypertension].

Objectives: Public Health actors in France are striving to improve the use of national databases for public health and research. The main objective of this project was to develop a research tool in ambulatory care by matching medical data and reimbursement data.

Methods: Data sources were the health insurance database (SNIIRAM) and the General Practice Observatory (OMG) database.

Performance scores in general practice: a comparison between the clinical versus medication-based approach to identify target populations.

Context: From one country to another, the pay-for-performance mechanisms differ on one significant point: the identification of target populations, that is, populations which serve as a basis for calculating the indicators. The aim of this study was to compare clinical versus medication-based identification of populations of patients with diabetes and hypertension over the age of 50 (for men) or 60 (for women), and any consequences this may have on the calculation of P4P indicators.

Methods: A comparative, retrospective, observational study was carried out with clinical and prescription data from a panel of general practitioners (GPs), the Observatory of General Medicine (OMG) for the year 2007.

Determinants of preventive services in general practice. A multilevel approach in cardiovascular domain and vaccination in France.

Background: France is in Europe, the country in which the mortality due to potentially preventable causes is the highest. At the same time, French doctors receive no incentives to undertake prevention activities. This article examined the general practitioners' (GPs) determinants (characteristics, patient list and contextual factors) of cardiovascular prevention and vaccination carried out by GPs in their offices.