Primary Care Study
  Local Study
 

Clinical practice related

1. Environmental Factors and Respiratory Morbidity in General Practice
Author : Wun Yuk Tsan, Wong TW, Tam W
Description :
The study investigated the relationship between respiratory morbidity in general practice and environmental factors (pollutants and air temperature) and drew a predictive model for the relationship. Most respiratory morbidity in general practice showed a seasonal pattern but only those of infectious nature (upper or lower respiratory tract infection, influenza) have significant relationship with change of temperature. Respiratory small particles have significant relationship with respiratory morbidity in general practice
 
2. Ability of General Practitioners in Retinal Photo Interpretation in Detecting Diabetic Retinopathy (DMR)
Author : Lam Hon Man, Tsang CYL, Tam KWT, Ngau Tau Kok Family Medicine Training Centre, Department of Health, Chan WM, Prince of Wales Hospital
Description :
The study assessed the accuracy of general practitioners (GPs) in retinophoto (RP) interpretation with respect identifying DMR, and evaluated whether training and experience in RP interpretation affect the accuracy. GP with experience in RP reading had good sensitivity in detecting referable DMR, urgently-referable DMR and maculopathy. Improvement in specificity may be desirable. They had moderate agreement with ophthalmologist in the overall grading. Training workshops improved sensitivity in detecting clinically important diabetic retinopathy and maculopathy. The sensitivity for maculopathy and the overall agreement in the detail grading could be further enhanced with experience in regular RP reading and feedback.
 
3. Doctors' Perception of Factors Affecting Doctor-Patient Relationship
Author : Cheung Kit Ying Andy
Description :
In most cases the successful doctor-patient relationship so identified are multifactorial. Accessibility, reasonable charges, doctors' competence and attitude are all important factors. The importance of patient-centred approach was also established.
 
4. The Prevalence of Functional and Psychiatric Disorders in Family Practice in Hong Kong
Author : Natalis Yuen
Description :
A cross sectional study on primary physicians in Hong Kong to indicate basic characteristics of patients and whether they have functional and psychiatric components. The study showed that a substantial proportion of practice does require skills in the psychological field as well as physical aspects of medicine.
   
5. Measuring Prescribing Patterns of HK Doctors: the HK Primary Care Prescribing Database
Author : James Dickinson, Cynthia Chan, Wun Yuk Tsan. Departments of Community and Family Medicine, The Chinese University of Hong Kong
Description :
HK doctors prescribe antibiotics at high rates, but lower than some overseas countries. Antibiotic prescribing appears to have improved over what was found n studies several years ago. Symptom-relieving drugs are commonly prescribed for many conditions such as diarrhea and respiratory symptoms that are seldom treated in some other countries. Sedating antihistamines are used much more often than the modern non-sedating drugs.
   
6. Communication Skill of Experienced General Practitioners: It there Room for Improvement and How Much can It be Improved?
Author : Cynthia Chan, Wun Yuk Tsan, James Dickinson, Cheung A, Chan KW, Lee HC, Yung S. Department of Community and Family Medicine, The Chinese University of Hong Kong
Description :
The study measured the change in communication skills of primary care physicians who took a ten-month part-time Diploma course in Family Medicine. Communication skills can be effectively taught to and learnt by experienced doctors in a large-class course with opportunities for medium-size group role-play practice and review of videotaped interviews.
   
7. Factors Affecting Uptake of Cervical and Breast Cancer Screening in Perimenopausal Hong Kong Women
Author : Cynthia Chan, Suzanne Ho, Chan SG, Yip YB, Wong FC, Cheng F. Department of Community and Family Medicine, The Chinese University of Hong Kong, Dept of Nursing and Health Sciences, The Hong Kong Polytechnic University
Description :
Regular care in a family-practice clinic with practice organization that promotes increase screening uptake in women. More effort is required to target the older, less educated and well perimenopausal women in the community.
   
8. Retinal Photos improve the detection of Diabetic Retinopathy (among Chinese diabetics in a primary care setting)Does Retinal Photography Improve the Detection of Diabetic Retinopathy in Chinese Diabetes?
Author : Lee Kai Yuen, Lam Hon Man, Luke Tsang, et al. Ngau Tau Kok Family Medicine Training Centre, Department of Health, Government of HKSAR
Description :
Retinal Photo interpreted by ophthalmologists had a good specificity. Its sensitivity was comparable to overseas figures. It was superior to direct ophthalmoscopy by general practitioners in both sensitivity and specificity. Retinal Photography did improve the detection of diabetic retinopathy in Chinese diabetes in our locality.
   
9. Antibiotic Use by Community Practitioners in Hong Kong
Author : James Dickinson, Cynthia Chan. Department of Community and Family Medicine, The Chinese University of Hong Kong
Description :
An audit program of diagnoses and prescribing for respiratory infections was conducted during a postgraduate course.
   

10.

Urinary Tract Infections in General PracticeUrinary Tract Infections in General Practice
Author : Yau Wai Keung, Lye E, Lo WM. North Kwai Chung Clinic, Department of Health, Government of HKSAR
Description :
A retrospective study which reviewed the reasons of checking mid-stream urine for culture and sensitivity test in patients attended at a government GOPC and analyzed the pattern of urinary tract infections seen at general practice.
 
go back Page 2 of 4 Next
back to top

Last Updated: 06 March 2003