Journal articles on the topic 'Physicians (General practice) Australia Attitudes'
To see the other types of publications on this topic, follow the link: Physicians (General practice) Australia Attitudes.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Physicians (General practice) Australia Attitudes.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Tinley, Paul. "Occupational Stress Among Australian Podiatric Physicians in General and Geriatric Practice." Journal of the American Podiatric Medical Association 105, no. 2 (March 1, 2015): 130–34. http://dx.doi.org/10.7547/0003-0538-105.2.130.
Full textAbstract:
Background High levels of occupational stress have been reported in podiatric physicians practicing in Australia. One possible stressor is the predominance of the treatment of aged patients with chronic disease in podiatric medical practice. Methods Forty podiatric physicians attending a regional podiatric medical conference were invited to participate in the research using a convenience sampling method. Podiatric physicians were asked to complete a survey examining occupational stress in general and specifically in relation to practice with older adults (defined as those older than 65 years). Results The survey of sources of occupational stress among podiatrists identified patient demands and expectations as the most significant stressor in general and geriatric practice for the podiatric physician. The perceived limited clinical gains and chronic nature of the conditions in older patients was also ranked highly as a stressor. Conclusions Working with the elderly is a substantial part of podiatric medical practice and, as such, needs to be seen with a more positive attitude by many practitioners. The development of geriatric practice as a speciality within the profession may help raise the value of working with the elderly. This has implications for preparing podiatric physicians for practice with the geriatric population along with the need for strategies to avoid or minimize these work stressors.
2
Clayton, Alison. "Malaria therapy for general paralysis of the insane at the Sunbury Hospital for the Insane in Australia, 1925–6." History of Psychiatry 33, no. 4 (November 19, 2022): 377–93. http://dx.doi.org/10.1177/0957154x221120757.
Full textAbstract:
This paper, drawing on the published medical literature and unpublished medical record archives, provides an in-depth account of the introduction of malaria therapy for general paralysis of the insane into Australia in 1925–6, at Victoria’s Sunbury Hospital for the Insane. This study reveals a complex and ambiguous picture of the practice and therapeutic impact of malaria therapy in this local setting. This research highlights a number of factors which may have contributed to some physicians overestimating malaria therapy’s effectiveness. It also shows that other physicians of the era held a more sceptical attitude towards malaria therapy. Finally, this paper discusses the relevance of this history to contemporary psychiatry.
3
Runacres, Fiona, Heidi Gregory, and Anna Ugalde. "‘The horse has bolted I suspect’: A qualitative study of clinicians’ attitudes and perceptions regarding palliative rehabilitation." Palliative Medicine 31, no. 7 (September 26, 2016): 642–50. http://dx.doi.org/10.1177/0269216316670288.
Full textAbstract:
Background: Palliative care patients have numerous rehabilitation needs that increase with disease progression. Palliative rehabilitation practices and perceptions of palliative medicine physicians towards the role of rehabilitation are largely unstudied. Aim: To explore palliative medicine physicians’ attitudes and perceptions towards rehabilitation delivered within inpatient palliative care units. Design: Qualitative study utilizing semi-structured interviews. Transcribed interviews were analysed using thematic analysis and major themes reported as results. Participants: Australian palliative medicine physicians working in inpatient palliative care units. Results: In total, 20 physicians participated, representing specialist palliative care services across Australia. A total of 11 (55%) were males with an average of 12.5 years’ experience working in palliative care. Most participants believed rehabilitation was an important aspect of palliative care; however, few felt adequate rehabilitation programmes were available. Participants varied in their concepts of what palliative rehabilitation entailed. The term rehabilitation was seen by some as helpful (fostering hope and aiding transitions) and by others to be misleading (creating unrealistic expectations). Four key themes emerged when describing physicians’ attitudes, including (1) integrating rehabilitation within palliative care, (2) the intervention, (3) possibilities and (4) the message of rehabilitation. Conclusion: A lack of consensus exists among palliative medicine specialists regarding the definition and scope of palliative rehabilitation. Participants generally expressed a wish to offer enhanced rehabilitation interventions, however described resource and skill-set limitations as significant barriers. Further research is required to establish an evidence base for palliative rehabilitation, to support its acceptance and widespread integration within specialist inpatient palliative care.
4
Wilkinson, Jenny M., and Paul Tinley. "Knowledge, Beliefs, and Use of Complementary and Alternative Medicine by Australian Podiatric Physicians." Journal of the American Podiatric Medical Association 99, no. 2 (March 1, 2009): 121–28. http://dx.doi.org/10.7547/0980121.
Full textAbstract:
Background: Complementary and alternative medicine (CAM) is one of the fastest growing areas of health care. This has necessitated an increased awareness and understanding of CAM by conventional health professionals. Methods: A questionnaire seeking information about use of and attitudes toward CAM was mailed to 1,365 Australian podiatric physicians. Results: Ninety-one percent of Australian podiatric physicians surveyed have used at least one CAM therapy in the past 12 months, and 93% have treated patients with CAM or have recommended its use to patients. Overall, the respondents rated their knowledge of various CAM therapies as “average,” and responses on the CAM Health Belief Questionnaire indicated that respondents tended not to endorse CAM health beliefs, with statements about CAM therapies being seen as “a threat to public safety” and effects being “usually due to the placebo effect” producing the strongest responses. Conclusions: Complementary and alternative medicine therapies are already being used in podiatric medical practice, and there are significant opportunities for further research into CAM education and clinical research relevant to podiatric medicine. (J Am Podiatr Med Assoc 99(2): 121–128, 2009)
5
Magnusson, Roger S., and Peter H. Ballis. "The response of health care workers to AIDS patients' requests for euthanasia." Journal of Sociology 35, no. 3 (December 1999): 312–30. http://dx.doi.org/10.1177/144078339903500304.
Full textAbstract:
This paper reports on research into the practice of euthanasia amongst Australian health care professionals specialising in HIV/AIDS. It draws on data from thirty-nine semi-structured interviews carried out in Sydney, Melbourne, Brisbane and Canberra with physicians, general practitioners, hospital and community nurses, therapists and community workers. Using a qualitative methodology, the study seeks to identify how (illegal) euthanasia is currently practised, the degrees of involvement, the various forms that involvement takes, and the social relations which provide the context for involvement. In this paper we outline three categories of 'doers' to illustrate the range of attitudes and practices concerning euthanasia. This 'typology' carries a number of implications for recent policy debates over the legalisation of euthanasia. In particular it illustrates, at least within the context of AIDS care, the fragmentation of consensus over euthanasia amongst health care workers, the reality of current illegal euthanasia practices, and the limitations of a prohibitionist policy. While the legalisation of euthanasia within a regulatory framework is sometimes portrayed as an extreme or 'radical' response to terminal illness, the data presented in this paper suggest that prohibitionism is also radical in its failure to control euthanasia practice.
6
Faasse, Kate, and Ben Colagiuri. "Placebos in Australian general practice: A national survey of physician use, beliefs and attitudes." Australian Journal of General Practice 48, no. 12 (December 1, 2019): 876–82. http://dx.doi.org/10.31128/ajgp-11-18-4755.
Full text
7
Keenum, Amy J., Lorraine Silver Wallace, and Amy R. Barger Stevens. "Patients’ Attitudes Regarding Physical Characteristics of Family Practice Physicians." Southern Medical Journal 96, no. 12 (December 2003): 1190–94. http://dx.doi.org/10.1097/01.smj.0000077011.58103.c1.
Full text
8
Olatunbosun, O. A., L. Edouard, and R. A. Pierson. "Physicians' attitudes toward evidence based obstetric practice: a questionnaire survey." BMJ 316, no. 7128 (January 31, 1998): 365–66. http://dx.doi.org/10.1136/bmj.316.7128.365.
Full text
9
Field, Kathryn M., Suzanne Kosmider, Michael Jefford, Ross Jennens, Michael Green, and Peter Gibbs. "Chemotherapy Treatments for Metastatic Colorectal Cancer: Is Evidence-Based Medicine in Practice?" Journal of Oncology Practice 4, no. 6 (November 2008): 271–76. http://dx.doi.org/10.1200/jop.0852002.
Full textAbstract:
Purpose:The optimal regimen for the treatment of metastatic colorectal cancer (CRC) remains uncertain. We sought to document clinicians' treatment recommendations and determine the motivation behind them.Materials and Methods:A postal questionnaire was sent to all members of the Medical Oncology Group of Australia concerning chemotherapy treatment options in the setting of metastatic CRC.Results:The response rate was 59.7% (n = 188). One hundred sixty-two physicians (86%) treated patients with CRC. Of the 162 physicians, 92.6% (n = 150) recommended oxaliplatin-based regimens as first-line treatment for CRC due to perceived superior efficacy (66.9%; n = 107) or toxicity profile (17%; n = 27). Fluorouracil (FU), leucovorin (LV), and oxaliplatin (FOLFOX6) was the most popular regimen (59.3%; n = 98). Calcium and magnesium to prevent oxaliplatin-related neurotoxicity was routinely used by 34.6% of physicians (n = 56) from cycle 1. Despite the lack of phase III data at the time, 8.6% of physicians (n = 14) selected capecitabine and oxaliplatin (XELOX) a preferred first-line regimen; 61.7% of physicians (n = 100) recommended FU, LV, and irinotecan (FOLFIRI) second-line treatment. Concerning LV dose, one third of physicians (33.3%; n = 54) selected 20 mg/m2and one third of physicians (32.7%, n = 53) selected 200 mg/m2, with 25.3% of physicians (n = 41) using a fixed 50 mg bolus.Conclusion:This survey demonstrated considerable variation regarding recommended chemotherapy for patients with metastatic CRC. Of considerable concern is the use of calcium and magnesium based on retrospective data alone. Given that this variation in practice may significantly impact patient outcomes, additional studies are required to improve understanding of physician attitudes and the motivations behind treatment decision making.
10
Jassim, Ghufran, Alaa Alakri, Rawaa Alsayegh, and David Misselbrook. "Practice and Attitudes of Physicians Regarding Disclosure of Information to Patients With Serious Illness." Global Journal of Health Science 11, no. 5 (April 3, 2019): 33. http://dx.doi.org/10.5539/gjhs.v11n5p33.
Full textAbstract:
BACKGROUND: Health Information disclosure is the cornerstone in respecting the patients’ autonomy and beneficence, particularly in the context of serious illness. Some Middle Eastern cultures prioritise beneficence over patient autonomy. This may be used as a justification when patient’s family takes over the decision-making process. Although guidelines and protocols regarding information disclosure are fast evolving, there are no sufficient data regarding the application of these guidelines in the clinical context. The objective of this study is to explore the truth disclosure practices of physicians in Bahrain.
METHOD: In this cross sectional study, a random sample of 234 physicians was obtained from the database of Salmaniya Medical Complex (the largest public hospital in Bahrain). We used self-administered 21-item questionnaire to assess the practices and attitudes of physicians regarding disclosure of information to patients with serious illnesses.
RESULTS: A total of 200 physicians completed the questionnaire with a response rate of 69.6%. The question about the usual policy of disclosure revealed that 62.5% (125) of the doctors would always disclose the diagnosis to the patients, 26% (52) would often disclose the diagnosis and only 1% would never disclose the real diagnosis to a competent adult. Only 15% of the physicians would never make exceptions to their policy of “telling the patient” while all remaining physicians (85%) made exceptions to their policy either often, occasionally or rarely. The most common reason for not disclosing the diagnosis was family request (39.5%). About 64.5% of the physicians were not aware of any existing protocol or policy for diagnosis disclosure to patients. There was no statistically significant association between doctors’ policy of disclosure and other demographic variables.
CONCLUSION: Most physicians opt to disclose the truth; however, the majority would make exceptions at some point particularly upon family request. Regional truth disclosure policies should take into consideration the interplay and balance between patient autonomy and the role played by the family in the decision-making process.
11
Wiwanitkit, Viroj. "Knowledge, attitudes and practice among physicians during the COVID-19 pandemic." Sao Paulo Medical Journal 138, no. 5 (October 2020): 457. http://dx.doi.org/10.1590/1516-3180.2020.040320072020.
Full text
12
Lee, Linda K., Tun Linn Thein, Changa Kurukularatne, Victor CH Gan, David C. Lye, and Yee Sin Leo. "Dengue Knowledge, Attitudes, and Practices among Primary Care Physicians in Singapore." Annals of the Academy of Medicine, Singapore 40, no. 12 (December 15, 2011): 533–38. http://dx.doi.org/10.47102/annals-acadmedsg.v40n12p533.
Full textAbstract:
Introduction: Dengue fever remains a significant public health concern in Singapore. Appropriate, timely diagnosis and risk stratification for severe disease are crucial in the optimal management of this illness. In the outpatient setting, the primary care physician plays a key role in dengue diagnosis, management, and triage. We present a descriptive analysis of the variations in dengue knowledge, attitudes, and practices among primary care physicians (PCPs) in Singapore. Materials and Methods: A survey of 25 multiple-choice questions was mailed to 2000 PCPs in Singapore. Responses were analysed by physician age group (21-40, 41-60, and >61) and practice setting (government subsidised polyclinic or private practice). Results: Of the 3 questions assessing dengue knowledge, 89.9% chose 2 or 3 of the preferred responses. Half of the respondents utilised dengue diagnostic tests at least 50% of the time, and 75% used serology when doing so. Older respondents and those from private practices used diagnostic tests more often than their counterparts, and both groups favoured non-serology tests. About 85% of surveyed PCPs monitored confirmed or suspected cases daily, and one-third referred patients to a hospital always or often. Conclusions: While no major gaps in knowledge about dengue were identified in PCPs in Singapore, there were significant variations in clinical practice by physician age group and practice setting. The results of this survey provide a useful opportunity to identify strengths and areas in need of improved awareness in primary care management of dengue. Key words: Arbovirus, Guidelines, General practice, Ambulatory care
13
Mazińska, Beata, and Waleria Hryniewicz. "Polish Physicians’ Attitudes Towards Antibiotic Prescription and Antimicrobial Resistance." Polish Journal of Microbiology 66, no. 3 (September 27, 2017): 309–19. http://dx.doi.org/10.5604/01.3001.0010.4856.
Full textAbstract:
Antimicrobial resistance has been one of the biggest global current issues in medicine and public health. Overuse and imprudent use of antimicrobial agents are recognized as one of the leading causes of antibiotic resistance. The aim of this study was to analyze the attitudes of Polish physicians practicing at the community level towards antibiotics and antimicrobial resistance. The majority of physicians taking part in the survey believed that Polish people overuse antibiotics (98%). Most physicians (91%) considered that antimicrobial resistance is a major problem at present. The majority of physicians indicated the reasons for prescribing the antibiotic are related to health factors, such as optimal recovery (best effectiveness, least side effects) (80%), latest therapeutic guidelines (70%) and microbiological/epidemiological factors (63%). Knowledge of the National Recommendations for the management of Community-Acquired Respiratory Tract Infections 2010 (NR-CA-RTI) developed within National Programme for Protection of Antibiotics was declared by 84% of respondents. Among those who are aware of the NR-CA-RTI, the majority follow them in their daily practice (91%). Among physicians, 62% are not familiar with the Centor/McIsaac scores used to differentiate bacterial and viral infections in patients presenting with a sore throat. Among physicians familiar with the scores, 90% use them in their daily practice. Rapid microbiological detection methods for Group A beta-hemolytic streptococcal pharyngitis are used only by 20% of respondents. Almost all of physicians declared readiness to use these tests. Main sources of information on antibiotics prescribing originate from Polish medical journals, scientific conferences organized by medical societies, pharmaceutical companies.
14
Ory, PhD, Marcia G., Shinduk Lee, DrPH, Deborah Vollmer Dahlke, DrPH, Nicole Pardo, MD, Lixian Zhong, PhD, Carly E. McCord, PhD, Joy P. Alonzo, PharmD, and Matthew Lee Smith, PhD. "Physicians’ interest in different strategies for supporting pain management and opioid prescribing: A cross-sectional study." Journal of Opioid Management 18, no. 6 (November 1, 2022): 511–21. http://dx.doi.org/10.5055/jom.2022.0746.
Full textAbstract:
Objective: The purpose of this study was to explore physicians’ attitudes toward different strategies for supporting pain management and opioid prescribing and to identify factors related to their attitudes toward the support strategies.Design/setting/participants/measures: This preliminary cross-sectional study collected and analyzed online survey responses from physicians in Texas and Minnesota (N = 69) between December 2017 and February 2018. Primary outcomes were physicians’ interest in online continuing medical education (CME), mHealth patient monitoring system, and short, non-CME YouTube informational briefs about pain management and opioid prescribing. Multiple logistic regression models were used to examine the associations between physicians’ characteristics, attitudes, training, experience, practice setting, and their interest in three different support strategies.Results: About 51-58 percent of physicians indicated moderate-to-extreme interest in online CME (54 percent), mHealth monitoring (58 percent), and short, non-CME YouTube informational briefs (51 percent). Physicians, who practiced in a medium or large practice setting, were less likely to be interested in online CME or short, non-CME YouTube informational briefs. Physicians who prescribed a small number of Schedule II opioids were more likely to be interested in short, non-CME YouTube informational briefs and mHealth monitoring.Conclusions: Findings suggest that physicians may have different preferences in strategies for supporting their pain management and opioid prescribing practices. Future studies are needed to better understand the mechanisms underlying physicians’ interest in different support strategies.
15
Borgan, Saif M., Justin Z. Amarin, Areej K. Othman, Haya H. Suradi, and Yasmeen Z. Qwaider. "Attitudes of Physicians in Jordan Toward Non-Disclosure of Health Information." Sultan Qaboos University Medical Journal [SQUMJ] 21, no. 3 (August 29, 2021): 423–27. http://dx.doi.org/10.18295/squmj.4.2021.005.
Full textAbstract:
Objectives: Our aim was to investigate the attitudes of physicians in Jordan toward non-disclosure and the differential attitudes of physicians who are “always truthful” and those who are not. Methods: Our report is based on the second subset of data from a cross-sectional study of the truth disclosure practices and attitudes of physicians in Jordan, which was conducted between January and August 2016. We selected 240 physicians from four major hospitals by stratified random sampling, and we invited them to complete a self-administered questionnaire regarding truth disclosure attitudes. We compared the attitudes of physicians who were “always” truthful and those who were not. Results: In total, 164 physicians (68%) completed the questionnaire, of whom 17 (10%) were “always truthful”, while the remaining 144 (90%) were not. Physicians who were “always truthful” were more likely to indicate that non-disclosure is “unethical” (77% v. 39%; p=0.009). Moreover, physicians who were “always truthful” were more likely to disagree that non-disclosure is beneficial for the physical and psychological health of patients (82% v. 55%; p=0.03). The majority of physicians agreed that all patients have the right to know their diagnosis, most patients prefer to know their diagnosis, and the introduction of legislation to enforce disclosure would positively affect medical practice in Jordan. Conclusion: The differential attitudes of physicians who were “always truthful” and those who were “not always truthful” suggest a rationale behind independent non-disclosure, namely that non-disclosure is ethically justifiable and beneficial for the physical and psychological health of patients.Keywords: Truth Disclosure • Physicians • Attitude • Jordan • Middle East • Cross-Sectional Studies
16
Lin, Tso-Chou, Luo-Ping Ger, Joseph V. Pergolizzi, Robert B. Raffa, Ju-O. Wang, and Shung-Tai Ho. "Knowledge, Attitude and Practice Survey of Prescribing Opioids for Chronic Noncancer Pain in Taiwan—Comparison of Pain and Non-Pain Physicians." Pain Medicine 20, no. 12 (August 13, 2016): 2397–410. http://dx.doi.org/10.1093/pm/pnw189.
Full textAbstract:
Abstract Background Prescribing opioids for chronic noncancer pain (CNCP) has been strictly regulated in Taiwan. This study was undertaken to survey pain and non-pain related physicians’ knowledge, attitudes, and practices regarding prescribing opioids for CNCP. Methods A questionnaire survey was conducted in this comparison study. All 66 physicians who were treating officially registered CNCP outpatients were visited and completed anonymous questionnaires. The other physicians (anesthesiologists, oncologists, and non-pain physicians) were surveyed by a mailed questionnaire. Results A total of 266 (75%) questionnaires were received from 355 board-certified physicians. More CNCP physicians (81.8%) and anesthesiologists (69.7%) had received prior CNCP-related training courses than had oncologists (21.2%) and non-pain physicians (10.3%). Varied proportions of physicians by type were unfamiliar with the Taiwan opioid regulations (16.7–86.8%) and would accordingly skip or reduce dosage of opioid prescriptions (27.3–73.5%). In addition, non-pain physicians had a significantly lower knowledge level, more negative attitudes, and greater hesitation about prescribing opioids compared to the pain-related physicians (P < 0.001). CNCP physicians who had received CNCP-related training courses had a higher knowledge score than did those not receiving training (P = 0.002). Overall, the leading barriers for prescribing opioids were inadequate knowledge of pain management (76%), physician reluctance (73%), and family reluctance (78%). Conclusion There are substantial knowledge gaps, negative attitudes, and hesitation toward prescribing long-term opioids for CNCP patients by physicians in Taiwan, suggesting that efforts are needed to improve postgraduate education regarding adequate opioid management for CNCP.
17
Richardsen, Astrid M., and Ronald J. Burke. "Occupational Stress and Work Satisfaction among Canadian Women Physicians." Psychological Reports 72, no. 3 (June 1993): 811–21. http://dx.doi.org/10.2466/pr0.1993.72.3.811.
Full textAbstract:
The present study examined relationships among occupational stress, job satisfaction, and various individual characteristics and job-related variables in a population of 303 women physicians. Analysis showed that time pressures and threat of malpractice litigation were sources of stress and that over-all satisfaction was related to satisfaction with both professional and social aspects of the job. Low satisfaction was related to wanting higher income, changes in practice procedures, and several stressors, such as time pressures. Stress and satisfaction were also related to attitudes toward health care. Women who experienced high stress and low satisfaction were more likely to have negative views of the functioning of the health care system. In addition, demographic and practice variables contributed to negative attitudes.
18
Brodsky, Eithan, and Dina Van Dijk. "Advanced and Specialist Nursing Practice: Attitudes of Nurses and Physicians in Israel." Journal of Nursing Scholarship 40, no. 2 (June 2008): 187–94. http://dx.doi.org/10.1111/j.1547-5069.2008.00225.x.
Full text
19
Esperandio, Mary Rute Gomes, and Geilson Antonio Silva Machado. "Brazilian Physicians’ Beliefs and Attitudes Toward Patients’ Spirituality: Implications for Clinical Practice." Journal of Religion and Health 58, no. 4 (September 29, 2018): 1172–87. http://dx.doi.org/10.1007/s10943-018-0707-y.
Full text
20
Huijer, Huda Abu-Saad, Hani Dimassi, and Sarah Abboud. "Perspectives on palliative care in Lebanon: Knowledge, attitudes, and practices of medical and nursing specialties." Palliative and Supportive Care 7, no. 3 (September 2009): 339–47. http://dx.doi.org/10.1017/s1478951509990277.
Full textAbstract:
AbstractObjective:Our objective was to determine the knowledge, attitudes, and practices of physicians and nurses on Palliative Care (PC) in Lebanon, across specialties.Method:We performed a cross-sectional descriptive survey using a self-administered questionnaire; the total number of completed and returned questionnaires was 868, giving a 23% response rate, including 74.31% nurses (645) and 25.69% physicians (223).Results:Significant differences were found between medical and surgical nurses and physicians concerning their perceptions of patients' and families' outbursts, concerns, and questions. Knowledge scores were statistically associated with practice scores and degree. Practice scores were positively associated with continuing education in PC, exposure to terminally ill patients, and knowledge and attitude scores. Acute critical care and oncology were found to have lower practice scores than other specialties.Significance of results:Formal education in palliative care and development of palliative care services are very much needed in Lebanon to provide holistic care to terminally ill patients.
21
Brace, Chantalle, Selina Schmocker, Harden Huang, J. Charles Victor, Robin S. McLeod, and Erin D. Kennedy. "Physicians' Awareness and Attitudes Toward Decision Aids for Patients With Cancer." Journal of Clinical Oncology 28, no. 13 (May 1, 2010): 2286–92. http://dx.doi.org/10.1200/jco.2009.25.2874.
Full textAbstract:
Purpose Patient decision aids are interventions designed to help patients make deliberative choices about their treatment options and have been shown to significantly improve patient outcomes. Although considered optimal, decision aids are not widely used in clinical practice for cancer treatment. The objectives of this study are to determine physicians' awareness and use of decision aids, physicians' perceptions of the major barriers to the use of decision aids, and physician characteristics predictive of use of decision aids in clinical practice. Methods A population-based survey was mailed to general surgeons, medical oncologists, and radiation oncologists. Results The survey was mailed to 878 physicians, and the overall response rate to the survey was 64.5%. The majority of the participants were male and working in community hospitals for more than 10 years. Overall, 69% of the respondents were aware of decision aids, and 46% were aware of decision aids relevant to their practice. However, only 24% were currently using decision aids. The main barriers to the use of decision aids were reported as lack of awareness, lack of resources, and lack of time. Multivariate analysis showed specialty to be the only physician characteristic influencing the use of decision aids. Conclusion Approximately one third of physicians treating cancer patients are not aware of what decision aids are, and only 24% are currently using decision aids in clinical practice. Strategies to increase physician awareness about decision aids and to implement these tools into clinical practice are important.
22
Temple-Smith, M. J., G. Mulvey, and L. Keogh. "Attitudes to taking a sexual history in general practice in Victoria, Australia." Sexually Transmitted Infections 75, no. 1 (February 1, 1999): 41–44. http://dx.doi.org/10.1136/sti.75.1.41.
Full text
23
Seki, Masayasu, Yasuki Fujinuma, Masato Matsushima, Tatsuhiro Joki, Hideo Okonogi, Yasuhiko Miura, Iwao Ohno, and Jun Hiramoto. "Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study." BMJ Open 12, no. 7 (July 2022): e059925. http://dx.doi.org/10.1136/bmjopen-2021-059925.
Full textAbstract:
ObjectiveTo evaluate changes in the learning attitudes of primary care physicians.DesignQualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method.SettingJapan.ParticipantsEight primary care physicians who completed a 2-year continuing professional development (CPD) programme using a problem-based learning (PBL) approach, focused on acquiring the skills needed to practise as primary care physicians in the community.ResultsParticipants described positive changes in their attitudes and behaviours as a result of the training programme. These changes were grouped into three main themes: ‘changes in learning methods regarding medical practice’, ‘encounters with diverse perspectives and values, and confidence gained from those encounters’, and ‘showing one’s attitude towards learning and its influence on others’. The experienced practitioners participating in this study reported that the programme helped them apply their skills more broadly; for example, searching the literature for psychosocial aspects of practice and engaging more comfortably with diverse perspectives. They reported the positive impact of their learning on their coworkers.ConclusionA 2-year CPD programme using PBL can influence primary care physicians’ attitudes and learning-related behaviours. Further research is needed to determine which specific aspects of the programme are the most effective and whether the changes in attitudes and behaviours described affect patient care.
24
Cook, David A., Laurie J. Pencille, Denise M. Dupras, Jane A. Linderbaum, V. Shane Pankratz, and John M. Wilkinson. "Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants." PLOS ONE 13, no. 1 (January 31, 2018): e0191943. http://dx.doi.org/10.1371/journal.pone.0191943.
Full text
25
Hamill, Naomi Ruth, and Karl Kilian Konrad Wiener. "Attitudes of Psychologists in Australia towards evidence-based practice in psychology." Australian Psychologist 53, no. 6 (March 1, 2018): 477–85. http://dx.doi.org/10.1111/ap.12342.
Full text
26
Duivenbode, Rosie, Stephen Hall, and Aasim I. Padela. "Assessing Relationships Between Muslim Physicians’ Religiosity and End-of-Life Health-Care Attitudes and Treatment Recommendations: An Exploratory National Survey." American Journal of Hospice and Palliative Medicine® 36, no. 9 (February 27, 2019): 780–88. http://dx.doi.org/10.1177/1049909119833335.
Full textAbstract:
Background: Research demonstrates that the attitudes of religious physicians toward end-of-life care treatment can differ substantially from their nonreligious colleagues. While there are various religious perspectives regarding treatment near the end of life, the attitudes of Muslim physicians in this area are largely unknown. Objective: This article attempts to fill in this gap by presenting American Muslim physician attitudes toward end-of-life care decision-making and by examining associations between physician religiosity and these attitudes. Methods: A randomized national sample of 626 Muslim physicians completed a mailed questionnaire assessing religiosity and end-of-life care attitudes. Religiosity, religious practice, and bioethics resource utilization were analyzed as predictors of quality-of-life considerations, attitudes regarding withholding and withdrawing life-sustaining treatment, and end-of-life treatment recommendations at the bivariate and multivariable level. Results: Two-hundred fifty-five (41% response rate) respondents completed surveys. Most physicians reported that religion was either very or the most important part of their life (89%). Physicians who reported consulting Islamic bioethics literature more often had higher odds of recommending active treatment over hospice care in an end-of-life case vignette. Physicians who were more religious had higher odds of viewing withdrawal of life-sustaining treatment more ethically and psychologically challenging than withholding it and had lower odds of agreeing that one should always comply with a competent patient’s request to withdraw life-sustaining treatment. Discussion: Religiosity appears to impact Muslim physician attitudes toward various aspects of end-of-life health-care decision-making. Greater research is needed to evaluate how this relationship manifests itself in patient care conversations and shared clinical decision-making in the hospital.
27
Abu-rish, Eman Y., Eman R. Elayeh, and Michael J. Browning. "Physicians’ knowledge, attitudes and practices towards Zika virus infection in Jordan." Journal of Infection in Developing Countries 13, no. 07 (July 31, 2019): 584–90. http://dx.doi.org/10.3855/jidc.11356.
Full textAbstract:
Introduction: Zika virus (ZIKAV) disease is a public health problem of international concern. Recent evidence has documented imported ZIKAV cases into the Middle East and the existence of ZIKAV-transmitting mosquitoes in Jordan. However, limited data exist on the role of physicians in public awareness in this regard. This study aimed to assess ZIKAV knowledge, attitudes and counseling practices (KAP) of general physicians and gynecologists in Amman, Jordan.
Methodology: In this cross-sectional study, a structured paper-based questionnaire was completed by 119 participants during 2016-2017.
Results: Only 4.2% of the physicians correctly addressed ZIKAV-complication questions. A misconception of considering direct contact between individuals and breastfeeding as modes of ZIKAV transmission was observed. Only one participant correctly recognized that isolation of infected or exposed persons is not recommended. Having at least five years of experience in medical practice was the only factor that was significantly associated with a high knowledge score (P-value=0.011). Although prevention measures are the sole method to control ZIKAV spread, only 50% of participants believed in the efficacy of such measures. Despite a quarter of participants perceiving ZIKAV as a threat to their patients, none of them have counseled a patient in this regard before. The presence of an evidence of ZIKAV in Jordan and health authorities' recommendations were the most important predictors for adoption of counseling practice.
Conclusions: General physicians and gynecologists in Jordan had several gaps in knowledge of key aspects of ZIKAV disease, and there is a need for specific training programs of physicians and gynecologists.
28
Villette, Cécile, Pauline Vasseur, Nathanael Lapidus, Marion Debin, Thomas Hanslik, Thierry Blanchon, Olivier Steichen, and Louise Rossignol. "Vegetarian and Vegan Diets: Beliefs and Attitudes of General Practitioners and Pediatricians in France." Nutrients 14, no. 15 (July 28, 2022): 3101. http://dx.doi.org/10.3390/nu14153101.
Full textAbstract:
Studies suggest a decreasing trend in the consumption of meat products and a growing interest in vegetarian diets. Medical support may be relevant, especially when switching to a vegan diet. Our objective was to describe the beliefs and attitudes of primary care physicians toward vegetarian diets. A cross-sectional survey was conducted among general practitioners and pediatricians thorough a questionnaire including socio-demographic characteristics, specific care to vegetarians, and the risks and benefits of vegetarian diets according to physicians. Out of the 177 participating physicians, 104 (59%) have seen at least one vegetarian patient in consultation in the last three months. Half of the physicians declared that they would dissuade their patients from switching to a vegan diet (n = 88, 51%) and 14% (n = 24) from switching to an ovo-lacto-vegetarian (OLV) diet. Most physicians (n = 141, 88%) did not feel informed enough about these diets. Physicians thought that the most frequent deficiencies for OLV and vegan diets were iron (76% and 84%, respectively) and protein (45% and 79%, respectively). These results highlight the fact that French primary care physicians feel concerned by this subject and need more information on these diets. Specific recommendations would be useful to support their practice and relationship with vegetarians.
29
Williamson, Kelli J., Dean V. Coonrod, R. Curtis Bay, M. Jane Brady, Anu Partap, and Wauneta Lone Wolf. "Screening for Domestic Violence: Practice Patterns, Knowledge, and Attitudes of Physicians in Arizona." Southern Medical Journal 97, no. 11 (November 2004): 1049–54. http://dx.doi.org/10.1097/01.smj.0000136266.92364.b6.
Full text
30
Al Kablani, Tablib Salim, Hilal Salim Al Shamsi, and Abdullah Ghthaith Almutairi. "Reporting on Adverse Drug Reactions: Knowledge, Attitudes and Practice Among Physicians Working at Healthcare Institutions in Al-Buraimi Governorate-Oman." Global Journal of Health Science 10, no. 8 (July 24, 2018): 107. http://dx.doi.org/10.5539/gjhs.v10n8p107.
Full textAbstract:
OBJECTIVE: The study aims to evaluate postgraduate resident physicians’ knowledge, attitudes and practices related to reporting adverse drug reactions (ADRs). It also aims to investigate the causes of poor ADR reporting and to suggest possible ways to improve the reporting methods.METHODS: A cross-sectional study was conducted using a self-administered questionnaire. The questionnaire sought to obtain the physicians’ demographic characteristics, knowledge and practices in relation to ADRs and to identify the factors that affect and encourage ADR reporting. The questionnaire was distributed to physicians (n=117) working at governmental healthcare institutions in Al-Buraimi governorate in Oman.RESULTS: The response rate was 80%. Median score for the knowledge components of ADR reporting was 5 (total score: 7); it was 5 (total score: 5) for the attitude components. No significant difference for the knowledge and attitude scores was found between gender, age group or physicians’ medical speciality. Eighty-four of the physicians (89.4%) knew about pharmacovigilance and serious ADRs. Eighty-eight of the physicians (93.6%) believed that reporting ADRs should be mandatory. No statistical differences were found between general practitioners and specialists who felt that ADR reporting should be either compulsory or voluntary (p=0.080). Seventy-eight of the physicians (83%) noted that the lack of awareness about the reporting procedures is the main reason for not reporting ADRs. In this regard, there were no statistically significant differences between physicians younger than 45 or older than 45 (p=0.835).CONCLUSION: Deficits in the practice of ADR reporting can be resolved in the future only if all physicians in the healthcare profession are aware of the importance of reporting ADRs, the reporting system and their obligation to report ADRs.
31
Anderson, J. G., S. J. Jay, H. M. Schweer, and M. M. Anderson. "Why Doctors Don't Use Computers: Some Empirical Findings." Journal of the Royal Society of Medicine 79, no. 3 (March 1986): 142–44. http://dx.doi.org/10.1177/014107688607900305.
Full textAbstract:
The attitudes of 148 medical students, 141 residents, and 644 practising physicians towards computer applications in medicine were studied. The results indicate that physicians recognize the potential of computers to improve patient care, but are concerned about the possibility of increased governmental and hospital control, threats to privacy, and legal and ethical problems. In general, all three groups are uncertain as to the potential effects of computers on their traditional professional role and on the organization of practice. Practising physicians, however, express more concern about these potential effects of computers than do medical students and residents. While attitudes appear to be somewhat independent of prior computer experience, they significantly affect the extent to which physicians use a computer-based hospital information system. This may be a major reason for the slow introduction of clinical computer systems.
32
Ouedraogo, Abdoul Risgou, Ingvar Sanyu, Lamla Nqwata, Ermias Amare, Stephen Gordon, Jane Ardrey, Kevin Mortimer, and Jamilah Meghji. "Knowledge, attitudes, and practice about bronchiectasis among general practitioners in four African cities." Journal of the Pan African Thoracic Society 2 (May 25, 2021): 94–100. http://dx.doi.org/10.25259/jpats_5_2021.
Full textAbstract:
Objectives: The survey was to determine Knowledge, attitude, and practices around bronchiectasis, as a starting point for the development of guidelines for care in African Countries. Materials and Methods: This survey was administered to non-specialist physicians in urban health centers in Burkina Faso, Uganda, South Africa, and Ethiopia. Data were anonymized and analyzed at an individual level by country and health-care setting. Results: A total of 388 participants were recruited from Ouagadougou (75/388, 19.3%), Kampala (85/388, 21.9%), Johannesburg (74/388, 19.3%), and Addis Ababa (154/388, 39.6%). Median age was 30 years, and 66% were male, with a median of 3-year medical experience. Knowledge about the definition, clinical presentation, and diagnosis of disease was good. However, guidelines for local practice were largely absent. Wide variation was reported in diagnostic and management practices. Physicians recognized the need for guidelines and further training. Conclusion: This study highlighted the lack of local guidelines for bronchiectasis care in these settings and marked variation in approaches to investigation, diagnosis, and management within and between sites. Context-appropriate guidelines for bronchiectasis care in Sub-Saharan Africa are needed. These must be informed by local epidemiology, should reflect locally available resources and comorbidities including tuberculosis-disease, and should be codeveloped with local practitioners.
33
Zanaridah, Mat Nawi, Mohd Noor Norhayati, and Zakaria Rosnani. "Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study." BMJ Open 11, no. 6 (June 2021): e044372. http://dx.doi.org/10.1136/bmjopen-2020-044372.
Full textAbstract:
ObjectivesTo determine the level of knowledge and practice of evidence-based medicine (EBM) and the attitudes towards it and to identify the factors associated with its practice among primary care practitioners in Selangor, Malaysia.SettingThis cross-sectional study was conducted in randomly selected health clinics in Selangor. Data were collected from primary care physicians using self-administered questionnaires on knowledge, practice and attitudes regarding EBM.ParticipantsThe study included 225 respondents working in either government or private clinics. It excluded house officers and those working in public and private universities or who were retired from practice.ResultsA total of 32.9% had a high level of EBM knowledge, 12% had a positive attitude towards EBM and 0.4% had a good level of its practice. The factors significantly associated with EBM practice were ethnicity, attitude, length of work experience as a primary care practitioner and quick access to online reference applications on mobile phones.ConclusionsAlthough many physicians have suboptimal knowledge of EBM and low levels of practising it, majority of them have a neutral attitude towards EBM practice. Extensive experience as a primary care practitioner, quick access to online references on a mobile phone and good attitude towards EBM were associated with its practice.
34
Crowe, Jane, Addie C. Wootten, and Nicholas Howard. "Prostate cancer testing: a snapshot of the attitudes and practice of Australian general practitioners." Australian Journal of Primary Health 21, no. 1 (2015): 111. http://dx.doi.org/10.1071/py13078.
Full textAbstract:
The role of the General Practitioner (GP) in testing for and managing men with prostate cancer (PCa) is significant. Very few studies have explored the attitudes and practices of Australian GPs in the context of the role of PCa testing. In this study, a 46-item web-based questionnaire was used to assess self-reported PCa testing attitudes and practices of GPs. This questionnaire was circulated to divisions of general practice and Medicare locals for further distribution to their GP members across Australia. GPs from all states and territories participated, and a total of 136 GPs completed the survey. Of the responding GPs, 57% always or usually offered PCa testing to asymptomatic men ≤70 years of age and 60% of GPs always or usually included a digital rectal examination (DRE). Many (80%) of the GPs stated that the current PCa testing guidelines were not clear. PCa testing was offered opportunistically by 56% while 39% offered testing at the patient’s request. The results captured in this study represent a snapshot of GP attitudes and practices from across Australia. The results presented indicate a wide variation in the approaches to PCa testing in general practice across Australia, which in most part appear to be related to the lack of clarity of the current prostate cancer testing guidelines.
35
Smets, Tinne, Joachim Cohen, Johan Bilsen, Yanna Van Wesemael, Mette L. Rurup, and Luc Deliens. "Attitudes and Experiences of Belgian Physicians Regarding Euthanasia Practice and the Euthanasia Law." Journal of Pain and Symptom Management 41, no. 3 (March 2011): 580–93. http://dx.doi.org/10.1016/j.jpainsymman.2010.05.015.
Full text
36
Alexander, Paul E., Shelly-Anne Li, Marcello Tonelli, and Gordon Guyatt. "Canadian Primary Care Physicians' Attitudes Toward Understanding Clinical Practice Guidelines for Diabetes Screening." Canadian Journal of Diabetes 40, no. 6 (December 2016): 580–85. http://dx.doi.org/10.1016/j.jcjd.2016.05.018.
Full text
37
Stacy, Sylvie, Sujit Sheth, Brandon Coleman, and Wendy Cerenzia. "An assessment of the continuing medical education needs of US physicians in the management of patients with beta thalassemia." Annals of Hematology 100, no. 1 (September 1, 2020): 27–35. http://dx.doi.org/10.1007/s00277-020-04246-5.
Full textAbstract:
AbstractPatients with beta thalassemia are benefitting from longer life expectancies, highlighting the importance of appropriate transition from pediatric to adult care. Data are limited regarding continuity of care and adult hematologists’ management of patients with beta thalassemia. We conducted a survey of practicing US hematologists to identify practice gaps, attitudes, and barriers to optimal patient management among US-practicing hematologists. A total of 42 responses were collected, with 19 (45%) practicing at a beta thalassemia center of excellence (CoE). Nearly 90% of CoE physicians said they had a transition protocol or plan in place versus 30% of non-CoE physicians. Most physicians said parents should remain actively involved in medical visits. Adherence was rated as the most important patient education topic during transition. The most significant barrier cited was patient reluctance to transition away from pediatric care. Physicians in CoEs as compared with non-CoE physicians reported greater knowledge of beta thalassemia and familiarity with butyrates, gene therapy, and luspatercept. Highly rated topics for beta thalassemia-focused CME activities included management of complications and clinical trial updates. These findings suggest practice gaps and barriers to optimal care in the transition from pediatric to adult care, the ongoing management of adult patients, knowledge of the disease state, and familiarity with emerging treatments. Differences CoE vs non-CoE physician responses suggest variations in knowledge, practice, and attitudes that may be helpful in tailoring CME activities to different learner audiences. The small sample size used in some sub-analyses may not be representative of all hematologists treating beta thalassemia patients.
38
Withers, A., J. Downs, A. Wilson, and G. Hall. "P137 Diagnosis of nocturnal hypoventilation in children with neuromuscular disorders by polysomnography – a survey of clinical practice in Australia and New Zealand." SLEEP Advances 3, Supplement_1 (October 1, 2022): A73—A74. http://dx.doi.org/10.1093/sleepadvances/zpac029.205.
Full textAbstract:
Abstract Background Diagnosis of nocturnal hypoventilation requires measurement of pCO2 during sleep, which can occur via exhaled gas (capnography) or transcutaneous methods. Different national and international definitions of hypoventilation exist, which may contribute to significant variation in clinical practice. Methods An electronic survey was completed by pediatric sleep physicians in Australia and New Zealand to determine how pCO2 was measured during polysomnography, what pCO2 data was available to reporting physicians/included in the report and which definitions of hypoventilation physicians use. Results More than two thirds (70%) of physicians indicated that in their centre pCO2 was collected via transcutaneous measurement only and 30% by both transcutaneous and end-tidal measurement. Twelve definitions of hypoventilation were used, including published definitions from the American Academy of Sleep Medicine manual and the pediatric Australasian Sleep Association/Australasian Sleep Technologists Association recommendations. The most commonly used definition was an increase in pCO2 >50mmHg for >25% total sleep time. The percentage of total sleep time with pCO2 >50mmHg was routinely included in the report and/or easily available in the raw data for 70% of physicians. Discussion There was significant variation and lack of standardisation within Australia and New Zealand when measuring and reporting pCO2 during polysomnography as well as definitions of hypoventilation used by pediatric sleep physicians. The Australasian Sleep Association/Australasian Sleep Technologists Association recommendations were not frequently used, possibly due to relevant information not being available to reporting physicians, recommendations being irrelevant and/or outdated and excessive cognitive load associated with remembering multiple definitions.
39
Habib, Fatima, Jameel Nasser, Jaffer Abbas, Zahra AlMussali, and Nahla Madan. "Attitudes of primary care physicians towards insulin initiation in people with type 2 diabetes in Bahrain." Journal of the Bahrain Medical Society 25, no. 2 (2022): 87–92. http://dx.doi.org/10.26715/jbms.25_2_5.
Full textAbstract:
Objective: The aim of this study is to explore the beliefs and attitudes of primary care physicians (PCP) regarding insulin initiation in people with type 2 diabetes. Methods: A structured, adapted questionnaire was distributed to all primary care physicians. The questionnaire consisted of 2 parts: the first part collected information on physicians’ demographic characteristics; the second part contained 30 items measuring the beliefs and attitudes of physicians regarding insulin initiation. Results: A total of 171 physicians out of 245 completed the questionnaire with a response rate of 70%. Most of the physicians were between 30 and 59 years of age. The majority were females (79.4%), had been in practice for >10 years and were certified family physicians seeing more than 25 diabetic patients a week. About 75% of the physicians found initiation of insulin as one of the most difficult aspects of managing patients with type 2 diabetes. The main obstacles reported by physicians were: route of administration by injection, the risk of hypoglycemia, and the patients’ level of education. However, they agreed that the benefits of insulin outweighed the risks of hypoglycemia and weight gain. Only 45% of them agreed that patients will eventually need to go on insulin regardless of how well they adhere to treatment. Moreover, 31.8% of physicians stated that increased levels of plasma insulin will increase the risk of cardiovascular events. Conclusion: Physicians’ concerns and lack of knowledge regarding insulin use may act as barriers to insulin initiation. This may increase the risk for a higher rate of uncontrolled diabetes and its subsequent complications.
40
Murphy, Barbara, Chris Gibbs, Kate Hoppe, Deepika Ratnaike, and Harry Lovelock. "Change in mental health collaborative care attitudes and practice in Australia." Journal of Integrated Care 26, no. 1 (February 12, 2018): 29–37. http://dx.doi.org/10.1108/jica-10-2017-0033.
Full textAbstract:
Purpose The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate attitudinal and practice changes amongst health professionals after participation in MHPN’s network meetings. Design/methodology/approach In April 2016, an online survey was e-mailed to health professionals who had attended at least one network meeting during 2015. The survey asked about practice changes across seven key areas relating to increased awareness of and interaction with professionals from other disciplines. Interdisciplinary differences were investigated using the χ2 statistic (p<0.05). Findings A total of 1,375 health professionals participated in the survey. For each of the seven practice changes investigated, between 74 and 92 per cent of respondents had made the change. Those who attended more network meetings were significantly more likely to have made changes. General practitioners were significantly more likely than other professionals to have made changes. Research limitations/implications Attendance at MHPN network meetings has a positive impact on health professionals’ attitudes and practices towards a more collaborative approach to mental healthcare. Originality/value MHPN is a unique, national platform successfully delivering opportunities for interdisciplinary professional development in the primary mental health sector. The model is unique, cost-effective, practitioner driven and transferable to other settings.
41
Pradhan, Eli, Anadi Khatri, Jasmeen Tuladhar, and Dina Shrestha. "Diabetic Eye Disease Related Knowledge, Attitudes and Practices among Physicians in Nepal." Journal of Diabetes and Endocrinology Association of Nepal 2, no. 2 (December 3, 2018): 26–36. http://dx.doi.org/10.3126/jdean.v2i2.22359.
Full textAbstract:
Background: Awareness of diabetic retinopathy amongst general physicians is a major factor for the prevention of diabetes-related ocular complications.They are most often the first line of contact of diabetic patients and their knowledge and attitude are the principal indicators of their level of awareness.
Methods: This cross-sectional study was conducted in Kathmandu and is based on a structured questionnaire referring to Diabetic retinopathy formulated on Guideline for Conducting a Knowledge, Attitude and Practice Study by information, Education, and Communication expert.The questionnaire comprised of 18 questions and 45 physicians were enrolled. Significant differences and associations were determined by values of P < 0.05.
Results: All of the physicians (100%) were aware that diabetes can damage the eye and can cause visual impairment. Most of them agreed that patients with diabetes should be sent for ophthalmic evaluations with majority mandating an immediate evaluation after the diagnosis. The majority (98%) of physicians disagreed that eye examination was required only once the vision was affected. Only 56% of the physicians agreed they routinely perform direct ophthalmoscopy to examine the retina (p 0.551). Among them, nearly half (44%) reported not knowing the importance of dilating the pupil. (p=0.69).
Conclusions: The study shows a good level of diabetic retinopathy awareness and knowledge with positive attitudes toward the importance of diabetes care. At the same time, it has found that practice level despite good knowledge and attitude to be below average among the physicians who are managing diabetic patients.
42
Dennis, Madison, Mary Jane Salpeter, and Susy Hota. "Low Awareness but Positive Attitudes Toward Fecal Transplantation in Ontario Physicians." Canadian Journal of Infectious Diseases and Medical Microbiology 26, no. 1 (2015): 30–32. http://dx.doi.org/10.1155/2015/496437.
Full textAbstract:
BACKGROUND: Despite mounting evidence supporting fecal transplantation (FT) as a treatment for recurrentClostridium difficileinfection (CDI), adoption into clinical practice has been slow.OBJECTIVE: To determine the health literacy and attitudes of academic physicians in Toronto and infectious disease physicians in Ontario toward FT as a treatment for recurrent CDI, and to determine whether these are significant barriers to adoption.METHODS: Surveys were distributed to 253 general internists, infectious diseases specialists, gastroenterologists and family physicians.RESULTS: The response rate was 15%. More than 60% of physicians described themselves as being ‘not at all’ or ‘somewhat’ familiar with FT. Of the 76% of physicians who had never referred a patient for FT, the most common reason (50%) was lack of awareness of where to access the treatment. The ‘ick factor’ accounted for only 13% of reasons for not referring. No respondent believed that the procedure was too risky to consider.CONCLUSION: Despite general poor health literacy on FT, most physicians sampled share similar positive attitudes toward the treatment.
43
Allard, Christopher B., Shawn Dason, Janis Lusis, and Anil Kapoor. "Prostate cancer screening: Attitudes and practices of family." Canadian Urological Association Journal 6, no. 3 (February 26, 2013): 188–93. http://dx.doi.org/10.5489/cuaj.379.
Full textAbstract:
Introduction: The utility of prostate cancer screening is controversial. We sought to determine whether Ontario’s family physicians believe it is beneficial and to characterize their screening protocols.Methods: A survey was developed with input from urologists,family physicians and the Ontario Medical Association’s Sectionon General and Family Practice. Questions covered three domains: (1) demographics, (2) beliefs about screening utility and (3) screening practices. All 7302 family physicians in Ontario were invited by email to complete the online survey.Results: A total of 969 physicians completed the survey; 955(52.0% male, 48.0% female) were included. Most (80.97%) useprostate-specific antigen (PSA) and digital rectal examination (DRE) for screening; 9.4% use DRE alone and 7.15% PSA. Of the respondents, 8.3% do not offer prostate cancer screening. Most physicians begin offering screening at age 50 (72.9%) and stop at ages 70 or 80 (68.4%); 17.9% offer lifelong screening. In response to the statement “screening with DRE provides a survival benefit,” 37.6% and 32.6 agreed and disagreed, respectively. For “screening with PSA provides a survival benefit,” 43.3% agreed and 31.0% disagreed. For the statement “the benefits of prostate cancer screening outweigh the risks,” 51.4% agreed and 22.0% disagreed.Discussion: Although 91.7% of respondents offer prostate cancer screening, they are divided over its utility. Only 51.4% were convinced that the benefits outweighed the harms. There is significant variability between physicians’ screening protocols. A limitation of study is the possibility of selection bias. Nevertheless, this is the largest sample of Ontario family physicians ever surveyed about prostate cancer screening and highlights divergent physician practices and a need for more conclusive evidence on screening utility.
44
Sharobeam, Angelos, Abul Mamun, and Roy G. Beran. "030 Management and attitudes towards persons with epilepsy in general practice: how far have we come?" Journal of Neurology, Neurosurgery & Psychiatry 90, e7 (July 2019): A11.1—A11. http://dx.doi.org/10.1136/jnnp-2019-anzan.29.
Full textAbstract:
IntroductionPrevious surveys of general practitioners (GP) attitudes regarding epilepsy and people with epilepsy (PWE), conducted 20–30 years ago1 2, identified the need for further education in epilepsy care for GPs. This follow up study of GPs in Sydney, Australia, was conducted to determine the degree of changes in knowledge, attitudes and management of PWE, to evaluate if there had been significant improvement during this period.MethodsA piloted questionnaire addressing epilepsy investigations, preferred care provider and attitudes towards epilepsy was developed and completed by a representative sample of Sydney GPs.ResultsA total of 52 completed responses were received. 36 out of 47 GPs (77%) chose neurologists as the most important care giver, followed by the GP (9/47; 18.7%), 25/51 respondents (49%) mentioned they never personally initiated anti-epileptic medication (AEM) and another 27% (14/51 GPs) rarely commenced AEM therapy. 6/50 GPs did not mention EEG as a routine investigation and 21/50 did not mention MRI as routine for PWE. The five most commonly prescribed AEMs, according to frequency were sodium valproate (42), carbamazepine (37), levetiracetam (31), lamotrigine (16) and phenytoin (15). Newer AEMs, available for over a decade in Australia were not mentioned. Emotional, behavioral psychosocial issues were perceived to be more common amongst PWE.ConclusionThe study indicates little perceptual shift regarding GP’s attitudes to epilepsy, and significant deficiencies in knowledge, particularly with regards to investigations and management. The findings reinforce a need for more formal training of GPs caring for PWE.ReferencesBeran RG, Read T. A survey of doctors in Sydney, Australia: perspectives and practices regarding epilepsy and those affected by it. Epilepsia. 1983;24(1):79–104.Frith JF, Harris MF, Beran RG. Management and attitudes of epilepsy by a group of Sydney general practitioners. Epilepsia. 1994;35(6):1244–7.
45
Forcino, Rachel C., Renata West Yen, Maya Aboumrad, Paul J. Barr, Danielle Schubbe, Glyn Elwyn, and Marie-Anne Durand. "US-based cross-sectional survey of clinicians’ knowledge and attitudes about shared decision-making across healthcare professions and specialties." BMJ Open 8, no. 10 (October 2018): e022730. http://dx.doi.org/10.1136/bmjopen-2018-022730.
Full textAbstract:
ObjectiveIn this study, we aim to compare shared decision-making (SDM) knowledge and attitudes between US-based physician assistants (PAs), nurse practitioners (NPs) and physicians across surgical and family medicine specialties.SettingWe administered a cross-sectional, web-based survey between 20 September 2017 and 1 November 2017.Participants272 US-based NPs, PA and physicians completed the survey. 250 physicians were sent a generic email invitation to participate, of whom 100 completed the survey. 3300 NPs and PAs were invited, among whom 172 completed the survey. Individuals who met the following exclusion criteria were excluded from participation: (1) lack of English proficiency; (2) area of practice other than family medicine or surgery; (3) licensure other than physician, PA or NP; (4) practicing in a country other than the US.ResultsWe found few substantial differences in SDM knowledge and attitudes across clinician types, revealing positive attitudes across the sample paired with low to moderate knowledge. Family medicine professionals (PAs) were most knowledgeable on several items. Very few respondents (3%; 95% CI 1.5% to 6.2%) favoured a paternalistic approach to decision-making.ConclusionsRecent policy-level promotion of SDM may have influenced positive clinician attitudes towards SDM. Positive attitudes despite limited knowledge warrant SDM training across occupations and specialties, while encouraging all clinicians to promote SDM. Given positive attitudes and similar knowledge across clinician types, we recommend that SDM is not confined to the patient-physician dyad but instead advocated among other health professionals.
46
Gokmirza Ozdemir, Pinar, and Velat Celik. "Current Recommendations on the Management of Pediatric Asthma and Allergic Rhinitis during the COVID-19 Pandemic versus Real-Life Practice." International Archives of Allergy and Immunology 183, no. 2 (December 28, 2021): 217–24. http://dx.doi.org/10.1159/000521117.
Full textAbstract:
Introduction: Several statements and position papers on the management of childhood asthma and allergies during the COVID-19 pandemic have been published of late. The aim of this study was to evaluate the knowledge and awareness of pediatricians and family physicians regarding the management of asthma and allergic rhinitis during the pandemic according to recently published updated guidelines. Method: We conducted an online survey among pediatricians and family physicians in Turkey, using a questionnaire designed to evaluate 4 items: (1) the relationship between COVID-19 infection risk and pediatric asthma/allergic rhinitis and medications used in treatment; (2) the follow-up and management of asthma/allergic rhinitis according to published updated recommendations; (3) pediatricians’ and family physicians’ observations and perceptions of treatment compliance and the attitudes of their pediatric asthma patients; and (4) pediatricians and family physicians’ attitudes to using telehealth in the follow-up and management of pediatric asthma patients during the pandemic. Results: A total of 346 participants responded to the survey. The relationship between the risk of COVID-19 and asthma was known by less than 25% of the participants. More than 33% of family physicians and 20% of pediatricians were unaware that asthma medication does not lead to a susceptibility to COVID-19 infection; 55% of family physicians and 48% of pediatricians thought that patients showed better compliance with asthma controller medication; over 33% of pediatricians and approximately 50% of family physicians stated that they could not distinguish between an asthma attack and lung involvement in COVID-19 infection; of the respondents, over 75% stated that they prefer face-to-face visits with patients, even in situations that do not require a physical examination. Conclusion: The overall knowledge and awareness of pediatricians and, especially, family physicians regarding the management of pediatric asthma/allergic rhinitis during the pandemic is not at a satisfactory level. There is an urgent need to inform them about updated recommendations appearing in recent guidelines published by allergy organizations.
47
Alsaeedi, MD, Bashayer, Shahad Albusairi Albusairi, Alaa Abdulrahim Abdulrahim, and Hanaa Fayez, MD. "Knowledge, Attitude and Practice of ENT Physicians Considering Thyroid Nodules During Pregnancy: A Cross-Sectional Study." International Journal of Innovative Research in Medical Science 7, no. 11 (November 18, 2022): 641–47. http://dx.doi.org/10.23958/ijirms/vol07-i11/1562.
Full textAbstract:
Background: There is limited information considering the familiarity of ENT physicians toward thyroid nodules during pregnancy. Most surveys in this field were focused on the thyroid disorders and among other population. Therefore, the aim of this study was to evaluate the knowledge, attitude, and practice of ENT physicians toward thyroid nodules during pregnancy. Methodology: This is a cross-sectional study that was conducted among ENT physicians in Saudi Arabia in the period between July 2022 and September 2022. The study depended on self-reported questionnaire that was distributed using Google sheets via E- mail through the Saudi Commission for Health Specialties. The questionnaire was prepared by the researchers depending on the previous literature review. The questionnaire consisted of four sections of 24 questions considering demographic factors, knowledge, attitudes, and practices toward thyroid nodules. Results: In this study, we were able to collect data from 385 ENT physicians. Among the participants, 60.3 % of them were at 26-35 years group and 69.6 % were males. Moreover, 75.1 % of the participants were residents, 16.6 % were consultant and 8.3 % were registrars. 43.6 % of the ENT physicians had adequate knowledge considering thyroid nodules in pregnancy while 22.3 % of the participants had positive attitude toward thyroid nodules during pregnancy and 47.0 % of the ENT physicians in this study had proactive practice toward thyroid nodules in pregnancy. Age, higher scientific degree and occupation are factors that had significant on the physicians’ knowledge, attitude, and practice. Conclusion: Knowledge, attitude, and practices of ENT physicians toward thyroid nodules during pregnancy is not adequate. Needs for increasing the awareness of the ENT physicians throughout courses and campaigns is necessary.
48
Crocetti, Emanuele, Nadia Crotti, Maurizio Montella, and Marco Musso. "Complementary Medicine and Oncologists’ Attitudes: A Survey in Italy." Tumori Journal 82, no. 6 (November 1996): 539–42. http://dx.doi.org/10.1177/030089169608200605.
Full textAbstract:
Aims and Background There is growing interest in medical practices other than conventional medicine (complementary medicine, CM). CM is widely used by cancer patients. The purpose of the present study was to evaluate the knowledge of and the attitude towards CM in a sample of Italian allopathic oncologists. Methods Seventy-six oncologists of the Istituto Nazionale per la Ricerca sul Cancro of Genoa, 80 oncologists working at the Istituto Tumori Fondazione Pascale of Naples, and 100 hospital practitioners of the Province of Sondrio were asked to answer a self-administered structured questionnaire on CM. The level of their knowledge on CM, their opinion on CM and on CM therapists, the sources of information, the use of CM for themselves, the practice of CM and the attitude to refer patients to CM were investigated. Results Replies were received from 190 oncologists. The response rate was significantly lower for the oncologists of Naples. One-fifth of the physicians replied that they had no knowledge of CM. The main sources of information were newspapers and TV. One-fourth of the physicians had personally used CM. About one-fourth of the physicians had practiced a kind of CM. The percentage of oncologists from Genoa who would refer their cancer patients to CM was significantly higher than the others. The physicians thought that about 84% of their patients used CM. The variables considered were tested in a multivariate model. The oncologists from Genoa showed a significantly increased risk of referring their patients to CM. Oncologists who had personally used CM referred patients to CM 3 times more frequently than the others. Conclusions A large percentage of cancer patients used CM according to their physicians. The level and the quality of the knowledge of CM of the oncologists interviewed were low. The oncologists could hardly be helpful for their patients in dealing with therapies different from conventional medicine.
49
Sen, Sukanta, Sk Rafikul Rahaman, Dattatreyo Chatterjee, Shatavisa Mukherjee, Somnath Mondal, and S. K. Tripathi. "Knowledge, attitudes and practice of adverse drug reaction monitoring among physicians in India." International Journal of Basic & Clinical Pharmacology 6, no. 6 (May 23, 2017): 1497. http://dx.doi.org/10.18203/2319-2003.ijbcp20172249.
Full textAbstract:
Background: Underreporting of ADRs still remains a major obstacle in the complete success of pharmacovigilance programs. In order to improve ADR monitoring, it is thus imperative to assess the current knowledge, attitude, and practices of doctors. Therefore, the primary objective of this study was to evaluate the knowledge, attitude, and practices (KAP) of the healthcare professionals about pharmacovigilance in various tertiary care government teaching hospital vis-a-vis private clinics in West Bengal.Methods: A cross sectional, questionnaire based survey was conducted among healthcare practitioners in several tertiary care government set-ups and private set-ups in the state of West Bengal (India). The study instrument was a pre-validated structured questionnaire designed to obtain information on the knowledge of the ADRs reporting, the attitudes towards the reporting, and the factors that in practice could hinder the reporting among the doctors.Results: About 89.62% public practitioners correctly spotted the WHO definition for pharmacovigilance, while 77.5% of the private practitioners did the same. Only 19.81% of the public practitioners documented a suspected ADR in any surveillance form, while there were only 3.75% private practitioners who documented it. About 59.43% of the physicians in government hospitals published an ADR case report in any medical journal, while 81.25% private practitioners did no.Conclusions: Study revealed lack of time, incentive less extra work load being major factors responsible for ADR underreporting. In order to improve ADR reporting, continuous medical education, training and proper sensitization of healthcare professionals can help combating the existing scenario and promising an improved tomorrow. The PvPI should be widely publicized in the visual and print media to make health professionals, as well as the general population at large aware of its presence and scope. Pharmacovigilance should be integrated in undergraduate and postgraduate medical courses.
50
Nowson, Caryl A., and Stella L. O’Connell. "Nutrition Knowledge, Attitudes, and Confidence of Australian General Practice Registrars." Journal of Biomedical Education 2015 (August 5, 2015): 1–6. http://dx.doi.org/10.1155/2015/219198.
Full textAbstract:
Nutrition knowledge, attitudes, and confidence were assessed in General Practice Registrars (GPRs) throughout Australia. Of approximately 6,000 GPRs invited to complete a nutrition survey, 93 respondents (2%) completed the online survey, with 89 (20 males, 69 females) providing demographic and educational information. Fifty-one percent had graduated from medical school within the last two years. From a list of 11 dietary strategies to reduce cardiovascular risk, respondents selected weight loss (84%), reducing saturated fats (90%), a maximum of two alcoholic drinks/day (82%), and increasing vegetables (83%) as “highly appropriate” strategies, with only 51% indicating that salt reduction was “highly appropriate.” Two-thirds of registrars felt “moderately” (51%) or “very” confident (16%) providing nutrition advice. Most of them (84%) recalled receiving information during training, but only 34% recalled having to demonstrate nutritional knowledge. The results indicate that this group of Australian GPRs understood most of the key dietary recommendations for reducing cardiovascular risk but lacked consensus regarding the recommendation to reduce salt intake and expressed mixed levels of confidence in providing nutritional advice. Appropriate nutrition education before and after graduation is recommended for GPRs to ensure the development of skills and confidence to support patients to make healthy dietary choices and help prevent chronic diseases.