conventional methods. The authors suggest that because the infrastructure already exists and because they are on the front lines of primary care, practice-based research networks offer a promising mechanism for bioterrorism surveillance and early detection.
Rapid Assessment of Agents of Biological Terrorism: Defining the Differential Diagnosis of Inhalational Anthrax Using Electronic Communication in a Practice-Based Research Network
By Jonathan L. Temte, M.D., Ph.D., et al

During Major Life Events, Patients Desire Contact with their Family Physician
A mixed methods study of 875 patients in the Netherlands found that many patients want contact with their personal physician at the time of hospital admission and other life events, like a birth or death in the family. The study further found that although patients want contact, most would never initiate it they consider that the responsibility of the physician. Patients anticipated needing contact with their personal physician if admitted to the hospital for a serious condition such as a malignancy (98 percent) or heart attack (97 percent). However, in the case of a minor foot operation, only 33 percent wanted contact with their physician. At the time of major life events, many patients anticipated needing contact as well: 81 percent in the case of a birth within the family and 90 percent in the case of a death in the family. Qualitative interviews with patients shed light on why patients desire contact with a physician. While most wanted physician-initiated emotional support, a small sub-group expressed a need for patient-initiated tangible support, such as prescribing and organizing. Importantly, the authors note that in the Netherlands, general practitioners act as the gatekeepers to secondary care. As a rule, patients are listed with one physician who receives daily information on admissions and discharges from hospitals.
Patients' Needs for Contact with Their GP
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Contact: Angela Lower
alower@aafp.org
913-906-6253
American Academy of Family Physicians
5-Oct-2004

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