Background: Acquisition of family medical history (FMH) is emphasized as a part of obtaining a complete medical history, but whether FMH is consistently documented and utilized in primary care, as well as how it can a...Background: Acquisition of family medical history (FMH) is emphasized as a part of obtaining a complete medical history, but whether FMH is consistently documented and utilized in primary care, as well as how it can affect patient care in this context, remains unclear. Thus, the objectives of this study were to determine: 1) if FMH is regularly acquired in a representative primary care practice (the Queen’s Family Health Team, QFHT);2) what is included in the FMH obtained;3) what the utility of FMH is with regards to patient management in primary care;and 4) to utilize healthcare practitioners’ perspectives in order to elucidate any findings regarding the acquisition and utility of FMH at the QFHT. Methods: Patients were interviewed in order to obtain their FMH. For each patient, the FMH obtained was compared to the FMH documented in the patient’s record to determine the record’s completeness. Each patient’s FMH was analyzed for significant history of coronary artery disease (CAD), diabetes mellitus type II (DMII), substance abuse (SA) and colorectal cancer (CRC). Participants were patients scheduled for appointments at the QFHT between May and July 2011. Any patient of the QFHT older than 25 years was eligible to participate. Clinical staff of the QFHT completed an online questionnaire to determine healthcare practitioners’ perspectives regarding the acquisition and utility of FMH. Results: 83 patients participated in the study. Participants ranged in age from 25 - 86 years (median: 63 years);69% were female. FMH present in patients’ records was often either incomplete (42% of charts reviewed) or not documented at all (51% of charts reviewed). Knowledge of FMH can affect patient management in primary care for the diseases assessed (CAD, DMII, SA and CRC). HCP do consider FMH to be important in clinical practice and 86% of respondents stated that they regularly inquired about patients’ FMH. Interpretation: Despite the belief by HCP that FMH is important, there is a disparity between this belief and their practices regarding its documentation and utilization. Finally, analysis of the FMH of the representative population studied shows that information commonly missing in patients’ FMH can affect patient management at a primary care level.展开更多
Objective: Discuss impacts of family environment over Hainan province adolescent drug taking behavior.Methods: Adopt "Investigation Questionnaire of Family Environment of Drug Abuse Adolescent in Hainan Province&...Objective: Discuss impacts of family environment over Hainan province adolescent drug taking behavior.Methods: Adopt "Investigation Questionnaire of Family Environment of Drug Abuse Adolescent in Hainan Province" that compiled by self and "Family Environment Scale(FES-CV-Ⅲ)" for research tools.To carry out questionnaire investigation to the 352 drug taking adolescents,who come from "The First Reeducation Through Labor Institute in Hainan Province","The Second Reeducation Through Labor Institute in Hainan Province" and "The Center of Spirit Drug Treated in Hainan Province",then give the data analysis and correlation analysis of the differences.Results: The Cohesion、Intellectual-Cultural orientation、Active-Recreational orientation、Organization、Expressiveness、Independence and Achievement Orientation scores of the drug taking adolescent families in Hainan province were significantly lower than normal samples in China,but the Moral-Religious Emphasis、Conflict and Control scores were significantly higher than the normal samples.Conclusions: The drug taking adolescent not only lack of well-educated families,but also has not been a good school education;most of their families belong to the low social class;adverse family environment is an important reason for drug abuse by adolescent.展开更多
Honorable Wan Qishan,Excellencies, Ladies and Gentlemen,It is my pleasure and honor to attend and to be given the privilege to speak at this prominent event on behalf of the Russian Committee of Solidarity and Coopera...Honorable Wan Qishan,Excellencies, Ladies and Gentlemen,It is my pleasure and honor to attend and to be given the privilege to speak at this prominent event on behalf of the Russian Committee of Solidarity and Cooperation with the Peoples of Africa and Asia and its President Mr. Umakhanov. We would like to thank the Chinese People’s Association for Peace and Disarmament.展开更多
文摘Background: Acquisition of family medical history (FMH) is emphasized as a part of obtaining a complete medical history, but whether FMH is consistently documented and utilized in primary care, as well as how it can affect patient care in this context, remains unclear. Thus, the objectives of this study were to determine: 1) if FMH is regularly acquired in a representative primary care practice (the Queen’s Family Health Team, QFHT);2) what is included in the FMH obtained;3) what the utility of FMH is with regards to patient management in primary care;and 4) to utilize healthcare practitioners’ perspectives in order to elucidate any findings regarding the acquisition and utility of FMH at the QFHT. Methods: Patients were interviewed in order to obtain their FMH. For each patient, the FMH obtained was compared to the FMH documented in the patient’s record to determine the record’s completeness. Each patient’s FMH was analyzed for significant history of coronary artery disease (CAD), diabetes mellitus type II (DMII), substance abuse (SA) and colorectal cancer (CRC). Participants were patients scheduled for appointments at the QFHT between May and July 2011. Any patient of the QFHT older than 25 years was eligible to participate. Clinical staff of the QFHT completed an online questionnaire to determine healthcare practitioners’ perspectives regarding the acquisition and utility of FMH. Results: 83 patients participated in the study. Participants ranged in age from 25 - 86 years (median: 63 years);69% were female. FMH present in patients’ records was often either incomplete (42% of charts reviewed) or not documented at all (51% of charts reviewed). Knowledge of FMH can affect patient management in primary care for the diseases assessed (CAD, DMII, SA and CRC). HCP do consider FMH to be important in clinical practice and 86% of respondents stated that they regularly inquired about patients’ FMH. Interpretation: Despite the belief by HCP that FMH is important, there is a disparity between this belief and their practices regarding its documentation and utilization. Finally, analysis of the FMH of the representative population studied shows that information commonly missing in patients’ FMH can affect patient management at a primary care level.
文摘Objective: Discuss impacts of family environment over Hainan province adolescent drug taking behavior.Methods: Adopt "Investigation Questionnaire of Family Environment of Drug Abuse Adolescent in Hainan Province" that compiled by self and "Family Environment Scale(FES-CV-Ⅲ)" for research tools.To carry out questionnaire investigation to the 352 drug taking adolescents,who come from "The First Reeducation Through Labor Institute in Hainan Province","The Second Reeducation Through Labor Institute in Hainan Province" and "The Center of Spirit Drug Treated in Hainan Province",then give the data analysis and correlation analysis of the differences.Results: The Cohesion、Intellectual-Cultural orientation、Active-Recreational orientation、Organization、Expressiveness、Independence and Achievement Orientation scores of the drug taking adolescent families in Hainan province were significantly lower than normal samples in China,but the Moral-Religious Emphasis、Conflict and Control scores were significantly higher than the normal samples.Conclusions: The drug taking adolescent not only lack of well-educated families,but also has not been a good school education;most of their families belong to the low social class;adverse family environment is an important reason for drug abuse by adolescent.
文摘Honorable Wan Qishan,Excellencies, Ladies and Gentlemen,It is my pleasure and honor to attend and to be given the privilege to speak at this prominent event on behalf of the Russian Committee of Solidarity and Cooperation with the Peoples of Africa and Asia and its President Mr. Umakhanov. We would like to thank the Chinese People’s Association for Peace and Disarmament.
