Women's interest in GP-initiated pre-conception counselling in the Netherlands

Background. Pre-conception counselling has the potential to reduce pregnancy complications and congenital disorders. The timing of counselling, before conception, is crucial to maximize the benefit. As many couples are unaware of their risk status and the fact that the first period of pregnancy is crucial, they do not seek information before...

The pattern of health care utilization of elderly people with arthritic pain in the hip or knee

Objective: The aim of the study was to determine the pattern of health care utilization of people aged 55-74 years with arthritic pain in the knee or hip. Design: People with current pain were identified in a population- based study. A filter model was used to describe the pattern of health care utilization of people who presented as patients at...

Prevalentie van chronische-vermoeidheidsyndroom in 4 huisartspraktijken in de regio Leiden [Prevalence of chronic fatigue syndrome in four general practices in Leyden region]

Objective. To determine the prevalence of chronic fatigue syndrome (CFS) in general practice. Design. Descriptive. Setting. General practice and primary health care centres in Leyden region, the Netherlands. Method. RNUH-LEO is a computerized database which contains the anonymized patient information of one general practice (with two...

The whispered voice: The best test for screening for hearing impairment in general practice?

Hearling loss is an important health problem in the elderly which sometimes leads to social isolation. In a study with 62 patients, the diagnostic value of four simple tests for screening for hearing loss in general practice was examined. When paying attention to the loudness of the whispering, the whispered voice test can be a valuable test for...

Mogelijke rol voor de huisarts bij het terugdringen van de beperkingen door verouderingsaandoeningen: Gehoor- en visusstoornissen, incontinentie en artrose [Possible role of general practitioners in pushing back age-related impairments: Auditory and visual disorders, incontinence and osteoarthritis]

Objective. To determine which age-related disorders lend themselves for screening followed by intervention in general practice. Setting. Department of General Practice Medicine, University of Leiden. Design. Descriptive. Methods. This study concerned eight frequent age-related disorders: auditory and visual disorders, cognitive limitations,...