scholarly journals Internet- and mobile-based general practice: Who are the suitable consultants? (Preprint)

2017 ◽  
Author(s):  
Yan Qiu ◽  
Ying Liu ◽  
Wen Ren ◽  
Yunqing Qiu ◽  
Jingjing Ren
Keyword(s):  
General Practice ◽  
Health Education ◽  
Endocrine System ◽  
Physical Symptoms ◽  
The Internet ◽  
Quality Healthcare ◽  
High Satisfaction ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms ◽  
General Practice Clinic

BACKGROUND As a promising technology for the promotion of quality healthcare, mHealth is increasing in the world. To make full use of the advantages, an increase of internet hospitals established in China. However, there is no study of the service scope and patient satisfaction of the internet hospital yet. OBJECTIVE The aim of the study was to explore the features of outpatients in general practice clinic of the internet hospital in order to provide the references for general practitioners (GPs) who will work for online clinic. METHODS Data were collected from the internet hospital of the first affiliated hospital, Zhejiang University between February 2016 and February 2017. Patients logon the internet hospital with the computer or mobile phone. The information included patients’ characteristics and the information of diseases. RESULTS There were totally 715 visits. According to the system classification, the former five ones were musculoskeletal system (12.73%), the digestive system (11.33%), the reproductive system (9.23%), urinary tract (7.69%) and the endocrine system (6.58%). According to the management, 451 patients (63.08%) should visit the offline clinic, 181 patients (25.31%) had received medication or test appointment, 9 people (1.26%) should use emergency department, and 74 people (10.35%) need supportive counseling. All patients received the corresponding health education. According to the diagnosis, 563 patients (78.74%) are diagnosed, while 152 individuals (21.26%) are medically unexplained physical symptoms (MUPS). CONCLUSIONS Internet- and mobile-based online practice is feasible and convenient for patients with high satisfaction. Patients with chronic disease, health consultation and health education are suitable for internet hospital.

Management of patients with medically unexplained physical symptoms in Dutch general practice

2017 ◽  
Vol 97 ◽  
pp. 169-170
Author(s):  
K. Sitnikova ◽  
R. Pret-Oskam ◽  
S. Leone ◽  
H. Van Marwijk ◽  
J. Van Der Wouden ◽  
...  
Keyword(s):  
General Practice ◽  
Physical Symptoms ◽  
Medically Unexplained Physical Symptoms ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

scholarly journals Recognition of patients with medically unexplained physical symptoms by family physicians: results of a focus group study

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Madelon den Boeft ◽  
Danielle Huisman ◽  
Johannes C. van der Wouden ◽  
Mattijs E. Numans ◽  
Henriette E. van der Horst ◽  
...  
Keyword(s):  
Focus Group ◽  
Family Physicians ◽  
Physical Symptoms ◽  
Focus Group Study ◽  
Medically Unexplained Physical Symptoms ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

Learning to provide patient-centered care with patients with medically unexplained symptoms: a grounded theory study in Australian general practice.

2015 ◽  
Vol 4 (3) ◽  
pp. 173-179
Author(s):  
Louise Stone ◽  
Jill Gordon
Keyword(s):  
General Practice ◽  
Grounded Theory ◽  
Medically Unexplained Symptoms ◽  
Patient Centered Care ◽  
Physical Symptoms ◽  
Patient Centered ◽  
Grounded Theory Study ◽  
Centered Care ◽  
Medically Unexplained ◽  
Unexplained Symptoms

Background Culture shapes the way illness is experienced and disease is understood. Patients with medically unexplained symptoms describe feeling their suffering is not valued because they lack a “legitimate” diagnosis. Doctors also describe feeling frustrated with these patients. This is particularly problematic for young general practitioners (GPs) who lack experience in managing patients with medically unexplained symptoms in primary care settings.Objectives To explore how general practice supervisors help registrars to provide patient-centered care for patients with medically unexplained. Methods A constructivist grounded theory study was undertaken with 24 general practice registrars and supervisors from Australian GP training practices in urban, rural and remote environments. Participants were asked to describe patients with mixed emotional and physical symptoms without an obvious medical diagnosis. Results Registrars came from hospital posts into general practice equipped with skills to diagnose and manage organic disease but lacked a framework for assessing and managing patients with medically unexplained symptoms. They described feelings of helplessness, frustration and sometimes hostility. Because these feelings were inconsistent with their expressed value systems, they were uncomfortable and confronting. The registrars valued interactions that helped them explore this area. Conclusions In hospital practice, biomedical language and explanations predominate, but in general practice patients bring different explanatory illness models to the consultation, using their own language, beliefs and cultural frameworks. Medically unexplained symptoms occupy a contested space in both the social and medical worlds of the doctor and patient. Negative feelings and a lack of diagnostic language and frameworks may prevent registrars from providing patient-centered care.

Medically unexplained physical symptoms - a multidisciplinary approach

2011 ◽  
Vol 26 (S2) ◽  
pp. 1573-1573
Author(s):  
V. Pais ◽  
D. Correia ◽  
F. Ramalho e Silva
Keyword(s):  
Multidisciplinary Approach ◽  
Somatoform Disorders ◽  
Physical Symptoms ◽  
Medically Unexplained Physical Symptoms ◽  
Daily Work ◽  
Medline Search ◽  
Effective Interventions ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

BackgroundMedically unexplained physical symptoms (MUPS) can be defined as physical symptoms that have no currently known physical pathological cause. MUPS account for one in five new consultations in primary care and for one third of new patients when neurology consultations are considered.Patients with MUPS present significant distress and impaired function and their diagnosis is sometimes hard to establish. The classification of somatoform disorders has been found to be insufficiently useful for therapeutic and scientific purposes. Some authors suggest that new classifications should attend to clinical utility, defined as (1) the extent to which a diagnosis can help clinicians understand or conceptualize a disorder in their daily work; (2) the extent to which a diagnosis can help the clinician communicate useful information to others, including practitioners, family members, patients, and administrators; (3) the extent to which the presence of a disorder helps the clinician choose effective interventions, and (4) the extent to which a disorder can predict future clinical management needs.AimThis review aims to discuss the management of MUPS in mental health services, attending to the importance of a multidisciplinary approach.MethodsPubmed Medline search on MUPS and review of recent literature.DiscussionThe management of MUPS implies a multidisciplinary approach that can offer different solutions for different degrees of disorder severity and takes into account the perception of the patient about his own illness. New classifications of somatoform disorders that include comprehensible explanations about these symptoms could be helpful for patients and health professionals.

scholarly journals Childhood predictors of adult medically unexplained hospitalisations

2000 ◽  
Vol 176 (3) ◽  
pp. 273-280 ◽  
Author(s):  
Matthew Hotopf ◽  
Charlotte Wilson-Jones ◽  
Richard Mayou ◽  
Michael Wadsworth ◽  
Simon Wessely
Keyword(s):  
Hospital Admissions ◽  
Population Based ◽  
Physical Symptoms ◽  
Childhood Experiences ◽  
Persistent Abdominal Pain ◽  
Increased Risk ◽  
Medically Unexplained ◽  
Health And Development ◽  
Physical Diseases ◽  
Unexplained Physical Symptoms

BackgroundIt has been suggested that adults with medically unexplained physical symptoms experienced greater ill-health then others (either in themselves or their families) during childhood.AimsTo test these hypotheses.MethodWe used data from the Medical Research Council (MRC) National Survey of Health and Development, a population-based cohort study established in 1946 (n=5362). Subjects were followed from birth in 1946 until 1989 (age 43 years). As outcome, we used operationally defined medically unexplained hospital admissions at age 15–43 years. Exposure variables included childhood illness, and illness in parents during the childhood of the subjects.ResultsThe risk set (n=4603) comprised individuals still in the Survey at age 15. Ninety-five unexplained hospital admissions were identified. Subjects whose mothers reported below-average health in the father were at increased risk of subsequent unexplained admissions. Below average reported health in the mother was not associated with this increased risk. Defined physical diseases in childhood were not associated, but persistent abdominal pain at age 7–15 years was.ConclusionsUnexplained hospital admissions are associated with certain childhood experiences of illness, but defined physical illness in childhood is not a risk factor.

scholarly journals The Fish Can Sing by Halldór Laxness: Holding fast against vanity and illusion

2017 ◽  
Vol 23 (6) ◽  
pp. 428-430
Author(s):  
David S. Baldwin
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Nobel Laureate ◽  
Physical Symptoms ◽  
The Novel ◽  
Medically Unexplained Physical Symptoms ◽  
Celebrity Suicide ◽  
Medically Unexplained ◽  
Adaptive Resilience ◽  
Unexplained Physical Symptoms

SummaryIn his early novels, the Icelandic Nobel laureate Halldór Laxness portrayed troubled individuals beset by familial, societal and economic challenges within an unpredictable and often unforgiving landscape; his later work addressed humanistic concerns regarding a well-lived life and the harmony of individual and environment. His 1957 novel The Fish Can Sing lies at the cusp of these preoccupations. Laxness contrasts the economic privations experienced by hard-pressed Icelanders with the ostentatious displays of their Danish colonial overloads; he also portrays individuals afflicted by psychosis, alcohol use disorders and medically unexplained physical symptoms, and delineates the path towards a ‘celebrity’ suicide. The novel warns against self-deceptive vanity and community-endorsed illusions, and celebrates the persistent benefits of nurturing relationships, all within a lyric contemplation of individual adaptive resilience and quotidian domestic pleasures.

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