Navegando por Palavras-chave "general practitioner"

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    Conhecimento dos médicos clínicos do Brasil sobre as estratégias de prevenção e tratamento da osteoporose
    (Sociedade Brasileira de Reumatologia, 2007-08-01) Szejnfeld, Vera Lucia [UNIFESP]; Jennings, Fagner [UNIFESP]; Castro, Charlles Heldan de Moura [UNIFESP]; Pinheiro, Marcelo de Medeiros [UNIFESP]; Lopes, Antonio Carlos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVES: Brazilian physicians' knowledge on osteoporosis prevention and treatment strategies was investigated in this cross-sectional study. A specific structured questionnaire was designed to evaluate physicians' knowledge regarding osteoporosis prevention and treatment as well as osteoporosis information access. PATIENTS AND METHODS: the questionnaire was made available to around 11,000physicians affiliated to the Brazilian Society of Internal Medicine (BSIM). The questionnaire was initially presented at the BSIM home-page and subsequently sent by e-mail to all BSIM members. RESULTS: a total of 329 answered questionnaires returned to the researchers. Most of the physicians that answered the questionnaire (55.3%) had time since graduation lougher than 10 years and half of them (55%) reported having easy access to bone densitometry. The great majority of the physicians (99%) believe that preventing osteoporosis is important or very important. Accordingly, 73% of the physicians believe that osteoporosis can be prevented and around 63% of them discuss the issue with their patients regularly. On the other hand, most of the physicians that answered the questionnaire do not believe that their patients are able to change life habits or will adhere to the treatment in the long-term. Only 35% of the physicians believe that current osteoporosis treatment is effective. Around 82% of the physicians make use of bone densitometry to evaluate osteoporosis. Physicians with time since graduation higher than 10 years reported using bone densitometry more often than their colleagues with less time since graduation. CONCLUSION: our results demonstrate that educational programs aiming at the general practitioner are needed in order to provide better care in terms of prevention and treatment of skeletal fragility syndromes.
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    DETERMINANTS of COMMON MENTAL DISORDERS DETECTION BY GENERAL PRACTITIONERS in the PRIMARY HEALTH CARE in BRAZIL
    (Baywood Publ Co Inc, 2011-01-01) Goncalves, Daniel A. [UNIFESP]; Fortes, Sandra; Tofoli, Luis Fernando; Campos, Monica Rodrigues; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Kings Coll London; Med Univ Estado Rio de Janeiro; Univ Fed Ceara
    Common Mental Disorders (CIVIC) are highly prevalent among patients attending primary care. Many of these disorders remain unrecognized by general practitioners (GPs), with the detection rates varying from 30 to 60%. This study aims to evaluate the CMD detection rates by Primary Heath Care (PHC) practitioners in Brazil-and factors that affect CMD detection. Methods: A cross sectional study was conducted with users of five PHC units in the city of Petropolis. the CMD prevalence of psychiatric morbidity was estimated by the General Health Questionnaire-12, and the physician's CMD detection was evaluated by a questionnaire completed by GPs after each consultation. Results: Seven hundred and fourteen subjects participated of the study, and 400 (56%) were screened positive using GHQ-12 cut-off point of 2/3. GPs diagnosed 379 people with CMD (53.1%), and 256(36%) subjects were detected by both GHQ and the GPs with an OR of 3.04 (95%CI 2.23-4.13). CMD detection accuracy by GPs was 65%. There was a strong association between the detection of CMD and the report of medically unexplained physical symptoms by GPs. Being female, married, and a frequent service user was also related to higher detection rates. Conclusion: CMD detection rate was similar to those reported worldwide, but contrary to other studies, the presence of MUS increased detection rates. the high frequency of CMD in Primary Health Care highlights the need for improving GP and health worker's training in order to enable them to accurately recognize and treat psychological distress with evidence-based interventions. (Int'l. J. Psychiatry in Medicine 2011;41:3-13)