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Caring for children's health and wellbeing
Published in Jackie Musgrave, Health and Wellbeing for Babies and Children, 2022
GPs are medically trained doctors who are trained to diagnose and treat a wide range of medical conditions. Therefore, the treatment of acute conditions, such as short-lived viral or bacterial infections are managed by GPs. Chronic health conditions are often managed within general practice. If children require minor surgery or tests to aid diagnosis, GPs are likely to refer children on to secondary care, which can be a local hospital which has a dedicated children's ward.
The professional sector
Published in Miho Ushiyama, Incorporating Patient Knowledge in Japan and the UK, 2019
While I was in the UK, I registered with the NHS and received NHS treatment during my times of illness. I first had to register with a local NHS clinic and undergo a simple health check-up. When falling ill, I had to make an appointment to see a GP at the local clinic. I found that it was typically possible to make an appointment within a week. However, I knew that during times of emergency, walk-in centres or emergency services were available without any appointment. On the day of the appointment, patients like me would receive a consultation with their GP, and if necessary, they might undergo tests or receive prescriptions. Outpatient prescriptions are not free, so this type of medication would need to be purchased from a pharmacy. However, exemptions are made for those unable to pay, such as children under 16, students aged 16–18, the elderly people, and low-income earners. Although patients are referred to specialist clinics or hospitals when their GP deems it necessary, I did not experience this and was able to receive all my treatment at a local clinic. In fact, the actual number of patients who see specialists make up just 2%–5% of those seen by GPs, and the majority of patients are successfully treated at their local clinic (Takeuchi and Takenoshita, 2009). This is also true for atopic dermatitis treatment; most patients rely only on the primary care of their GP, and it is rare for them to visit dermatology specialists (Scottish Intercollegiate Guidelines Network, 2011).
Getting started – information about depression
Published in Cate Howell, Keeping the Blues Away, 2018
Some people find it really helpful to attend a support group to talk with others who are experiencing the same sort of problems. It can be really useful to attend a group and see that you are not alone in dealing with depression, and to share ideas. Speak with your GP or MHP or check with your local Community Health Centre about what is available in your area.
Relationship between medical programme progress test performance and surgical clinical attachment timing and performance
Published in Medical Teacher, 2023
Andy Wearn, Vanshay Bindra, Bradley Patten, Benjamin P. T. Loveday
Year 4 of the programme is 44 weeks, with 3 weeks of vacation and 4 weeks of non-attachment learning. The remaining time is divided between eight clinical discipline contexts (general medicine, geriatrics, specialty medicine, general practice/primary care, general surgery, emergency medicine, anaesthetics, and musculoskeletal) ranging from 1 to 6 weeks in duration. The GSA is 6 weeks long and students may be assigned to general, paediatric or vascular surgery teams. There are three assessment components: two clinical supervisor’s reports (CSR), a logbook (documents history taking, clinical examination, and self-directed learning from cases), and critical appraisal of a published study to answer a surgery-related question (CAT). Students receive a categorical grade for each component, based on standards, and a rubric is then used to combine them into four outcomes (distinction, pass, borderline performance, fail).
Changes in the use and uptake of a national out-of-hours telephone triage service by younger and older patients seeking non-urgent unplanned care surrounding the COVID-19 pandemic in Flanders (Belgium)
Published in Acta Clinica Belgica, 2023
Farah Islam, Koen Milisen, Marc Gellens, Joël Enckels, Ewa Kocot, Christoph Sowada, Marc Sabbe
In Belgium, there is a national non-clinical telephone triage service which aims to provide remote healthcare services to patients seeking non-urgent out-of-hours (OOH) medical assistance during evening, weekends, and public holidays. Namely, the 1733 OOH telephone triage service was launched in 2016 and is currently available across several regions in Belgium (more information available at: www.1733.be). Currently, persons contacting this number from available regions are immediately directed to a telephone triage operator who is trained to conduct an individualized assessment of a patient using a set of medical dispatch protocols. Following a series of guided questions prompted by these protocols, operators must estimate the level of urgency of a call and refer the patient to the most appropriate level of care (such as dispatch of an emergency vehicle (i.e. Mobile Emergency Group (MUG), Paramedic Intervention Team (PIT) or Ambulance), a General Practitioner (GP) home visit within 1 hour, referral to a local walk-in clinic of GPs within 12 hours or delay of care (see Additional file 1).
The incidence of lower respiratory tract infections and pneumococcal vaccination status in adults in flemish primary care
Published in Acta Clinica Belgica, 2021
Tine De Burghgraeve, Séverine Henrard, Bart Verboven, Gijs Van Pottelbergh, Bert Vaes, Catharina Mathei
Data were obtained from Intego, a Flemish general practice-based morbidity registration network, based at the Academic Centre for General Practice at the University of Leuven [26]. All the information is routinely collected in the electronic health records by the general practitioner (GP) during daily practice. Currently, 111 GPs, all using the medical software program Medidoc®, are collaborating in the Intego project. These GPs work in 49 practices evenly spread throughout Flanders, the northern part of Belgium. Patients in this registration network cover about 2% of the Flemish population. The Intego GPs prospectively and continuously register all new diagnoses together with new drug prescriptions, laboratory test results, vaccinations, and some background information (including sex and year of birth) using computer-generated keywords linked to codes. Using specially framed extraction software, new data were collected on a yearly basis from the computers of the participating GPs by a trusted third party and entered into a central database. Registered data were continuously updated, accumulating a history for each patient.