Diagnosis of pelvic inflammatory disease and barriers to conducting pelvic examinations in Australian general practice: findings from an online survey

Sexual Health ◽  
2021 ◽  
Author(s):  
Helen Bittleston ◽  
Jacqueline Coombe ◽  
Meredith Temple-Smith ◽  
Deborah Bateson ◽  
Jill Hunady ◽  
...  
Keyword(s):  
General Practice ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Online Survey ◽  
Australian General Practice ◽  
Pelvic Examinations

scholarly journals Updating and validating quality prescribing indicators for use in Australian general practice

2020 ◽  
Vol 26 (1) ◽  
pp. 31
Author(s):  
Cuu Phuong Linh Dang ◽  
Li Shean Toh ◽  
Nick Cooling ◽  
Shane Jackson ◽  
Colin Curtain ◽  
...  
Keyword(s):  
General Practice ◽  
Delphi Technique ◽  
Online Survey ◽  
Delphi Panel ◽  
Medicines Management ◽  
Group Discussions ◽  
Prescribing Indicators ◽  
Australian General Practice ◽  
Two Phases ◽  
Quality Prescribing Indicators

This study aims to update and validate quality prescribing indicators (QPIs) for Australian general practice. The study comprised two phases: (1) developing preliminary potential QPIs based on the 2006 National Prescribing Service (NPS) MedicineWise indicators, published literature, international indicators and guidelines, and through qualitative focus group discussions; and (2) validating the proposed QPIs through a two-round online survey using the Delphi technique. The Delphi panel included four GPs, four pharmacists and two clinical pharmacologists. The Delphi panel rated the potential QPIs for their validity, importance and feasibility using a 1–10 Likert scale. In round one, all proposed QPIs presented as ‘prescribing rules’ achieved high scores regarding validity, importance and feasibility No rule was eliminated and three new rules were introduced. Rules were reworded into ‘prescribing indicators’ for round two, which resulted in 35 indicators being accepted and two indicators being eliminated. The final QPIs also include seven drug–drug interactions, which received high scores in round one. In conclusion, 42 QPIs were nominated for use in Australian general practice, based on their validity, importance and feasibility. If implemented, these QPIs have the potential to assist in efforts to improve the quality and safety of medicines management.

Pelvic examination leads to changed clinical management in very few women diagnosed with asymptomatic chlamydia infection

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 498 ◽  
Author(s):  
Yi Man Lee ◽  
Anil Samaranayake ◽  
Christopher K. Fairley ◽  
Marcus Y. Chen ◽  
Fiona MacFarlane ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Management ◽  
Chlamydia Infection ◽  
Health Clinic ◽  
Pelvic Examination ◽  
Pelvic Examinations

The present study aimed to determine whether pelvic examinations change clinical management of women with asymptomatic chlamydia infection. Records for women with asymptomatic chlamydia who underwent a pelvic examination at a sexual health clinic in Melbourne, Australia (January 2006 to June 2007) were analysed retrospectively. Of 91 cases, 31 (34%) warranted examination; one woman (1%; 95% confidence interval: 0.5%, 6.4%) had muco-purulent cervicitis and mild tenderness, and was treated for possible pelvic inflammatory disease. These data suggest that a pelvic examination will lead to changes in treatment for very few women diagnosed with asymptomatic chlamydia infection.

scholarly journals Management or missed opportunity? Mental health care planning in Australian general practice

2019 ◽  
Vol 25 (4) ◽  
pp. 332
Author(s):  
Michelle Banfield ◽  
Louise M. Farrer ◽  
Christopher Harrison
Keyword(s):  
General Practice ◽  
Mental Disorders ◽  
Online Survey ◽  
Care Plan ◽  
Health Care Planning ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Care Plans ◽  
Australian General Practice ◽  
Gp Care

General practice care plans are designed to improve the management of chronic illness, facilitating multidisciplinary care and enabling GPs and consumers to work collaboratively. Evidence suggests that they work well for chronic physical illnesses, but it is unclear if they operate as intended for people with mental disorders. The aims of this study were to: (1) compare rates of creation and review of GP care plans for mental disorders and type II diabetes; and (2) examine consumer experiences. Secondary analysis of 109589 recorded encounters from a national cross-sectional study in Australian general practice (2006–16) demonstrated that encounters involving creation of a care plan for depression or anxiety were significantly higher than those for diabetes, bipolar disorder and schizophrenia. Rates of review were commensurate with creation of plans for diabetes, but not for mental disorders. Eighteen people with a GP care plan completed an online survey about their experiences, reporting that care plans facilitated access to allied health professionals, but did not improve the quality of care they received. Findings suggest that care plans are underutilised for people with low prevalence mental disorders, and while they offer financial benefits to consumers, they may not result in ongoing, collaborative care.

Diagnostik und Therapie der Adnexitis (Pelvic Inflammatory Disease)

2020 ◽  
Vol 77 (4) ◽  
pp. 164-170
Author(s):  
Franziska Siegenthaler ◽  
Elke Krause ◽  
Michael D. Mueller
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Diagnostik Und Therapie ◽  
Operative Exploration

Zusammenfassung. Die Adnexitis, im anglo-amerikanischen Sprachgebrauch hat sich der Sammelbegriff Pelvic Inflammatory Disease (PID) durchgesetzt, stellt ein häufiges medizinisches Problem dar. Die Diagnose einer PID kann schwierig sein, da die klinischen Manifestationen unspezifisch sind und sie andere Becken- und Bauchprozesse imitieren können. Infektionen im Bereich der Adnexen können schwerwiegend sein und Langzeitkomplikationen (chronische Unterbauchschmerzen, Infertilität) verursachen, weshalb eine rasche Diagnosestellung und der frühzeitige Beginn einer adäquaten Antibiotika Therapie von grosser Wichtigkeit sind. Unkomplizierte PID haben meistens einen günstigen Verlauf, bei komplizierten Formen mit Tuboovarialabzess ist meist eine operative Exploration notwendig.

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