General Practise Specialist in Nepal.

General movement assessment: predicting cerebral palsy in clinical practise.

OBJECTIVE The general movement assessment (GMA) method is used to predict cerebral palsy (CP) in infants with high risk of developing neurological dysfunctions. Most of the work on GMA has been performed from the same group of researchers. The aim of this study was to demonstrate to what extent GMA predicted CP in our hands. METHOD A prospective study was performed using the Prechtl classific...

The general practitioner and the specialist.

General practitioners ' referrals to specialist outpatient clinics

There has been much concern about the wide variations in general practitioners' referral rates and the consequent implications for cost and quality of care. This has led to a call to evaluate the appropriateness and effectiveness of referrals. A collaborative audit of referrals to outpatient clinics was conducted by 127 general practitioners in 33 practices in the Oxford region. Records were ke...

Positive experiences with a specialist as facilitator in general practice.

INTRODUCTION The use of facilitators for quality improvement in general practice has accelerated during the past decade. As general practitioners (GPs) or pharmacists have typically been used as facilitators, there is a lack of knowledge of how other professionals function as facilitators. This article explores the experiences and assessments of GPs and nurses participating in a project in whic...

Specialist outreach clinics in general practice: what do they offer?

BACKGROUND Specialist outreach clinics in general practice, in which hospital-based specialists hold outpatient clinics in general practitioners' (GPs) surgeries, are one example of a shift in services from secondary to primary care. AIM To describe specialist outreach clinics held in fundholding general practices in two specialties from the perspective of patients, GPs, and consultants, and ...