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Australian Family Physician
Australian Family Physician

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Authors

Graeme C Miller

MBBS, PhD, FRACGP, Medical Director, Family Medicine Research Centre, Sydney School of Public Health, Sydney Medical School, University of Sydney, NSW

An analysis of general practice encounters by socioeconomic disadvantage

Socioeconomic disadvantage has a known effect on health, with less advantaged Australians self-reporting poorer health than those classified as more advantaged.1 The least advantaged Australians...


Assessment and management of asthma and chronic obstructive pulmonary disease in Australian general practice

Respiratory conditions, including asthma, chronic obstructive pulmonary disease (COPD) and respiratory infections are among the most common problems managed in Australian general practice, at 17.8%...


Asthma control in general practice GP and patient perspectives compared

 Patients’ attitudes to their asthma and perception of their asthma control are suggested reasons for dissonance between recommended and actual medication use.8,9 How clinicians perceive their...



BEACH program update

General practitioners (GPs) are the gatekeepers to our healthcare system and provide the majority of health services to the estimated 23.3 million residents in Australia.1 In 2013–14, government...



Cardiomyopathy

Male patients were three times more likely than female patients, and patients aged ≥45 years were seven times more likely than younger patients to have cardiomyopathy managed (Figure 1). The most...


Chronic alcohol abuse

Alcohol is one of the most widely used drugs in Australia. According to the 2013 National Drug Strategy Household Survey (NDSHS), about four out of five Australians aged ≥14 years consumed...



Consultations conducted in languages other than English in Australian general practice

Effective communication between general practitioners (GPs) and their patients is essential to the provision of high-quality care and the best health outcomes for patients. Criterion 1.2.3 of The...



Gallbladder disease

Gallbladder disease was managed at a rate of 0.2 per 100 encounters in BEACH, suggesting approximately 380 000 GBD patient-doctor encounters nationally per year. Gallbladder disease was managed...


Gastro-oesophageal reflux disease (GORD) in Australian general practice patients

The estimated prevalence of diagnosed GORD in patients attending general practice in Australia is 11.6% (95% confidence interval [CI], 10.5–12.6) and 7.5% (95% CI, 6.8–8.2) in the Australian...


General practice antibiotic prescribing for management of otitis media in children

Recently, given increasing concerns about antibiotic resistance and the potential for adverse effects, a ‘wait and see’ approach was recommended.1 This advises observation and analgesia for the...


General practice encounters with patients living in residential aged care facilities

In June 2012, 14% of the Australian population was aged 65 years and over. Population projections indicate this could rise to 22.4% by 2061, and the proportion aged 85 years and over may...


General practitioners and general practice registrars: A comparison of clinical activity

BackgroundIn common with many countries, the training of medical graduates for entry into general practice in Australia uses an apprenticeship model of experiential learning in accredited teaching...


Genetic testing

Analysis of BEACH data from April 2001 to March 2013 was undertaken to determine the proportion of general practitioner–patient encounters in Australia that involved ordering of genetic tests. Of 1...



GPs in teaching practices

This article is a descriptive comparison of recognised GPs who work in teaching practices with those who work in nonteaching practices. We look at GP and practice characteristics and at some...


Lifestyle risk factors and corresponding levels of clinical advice and counselling in general practice

General practitioners (GPs) are at the coalface of primary healthcare in Australia. It is estimated that approximately 85% of the population visit a GP at least once a year.1 This article focuses...


Management of childhood 
asthma in general practice

Asthma is among the most commonly managed chronic problems in general practice.1 About 2.3 million Australians (10.2%) had asthma in 2011–12, a significantly lower prevalence than in 2001 (11.6%).2...


Management of chronic heart failure in general practice in Australia

Chronic heart failure is a clinical syndrome associated with unpleasant symptoms such as shortness of breath, ankle swelling and fatigue.1 In Australia, the National Health Survey reported an...


Management of COPD in general practice

One in 20 Australian general practice patients suffer from COPD (one in 10 for patients aged 65 years or older). One in 5 are classified at the highest severity level (by the Global Initiative for...



Measuring general practice activity in Australia: A brief history

Health services research on general practice that aimed to improve the function of practice and quality of care dates from the seminal ethnographic study of English general practice by Australian...



Multimorbidity

This paper reports on the proportion of patients with multiple chronic conditions at GP encounters, using data from a 2008–2009 BEACH 
sub-study that measured the prevalence of chronic conditions.4...



Musculoskeletal injury in Australian general practice: 2000 to 2015

There has been little published research about the rate of management of musculoskeletal injuries (eg fractures, sprains/strains) in Australian general practice. There has been a national increase...


Neuropathic and non-neuropathic chronic pain at GP encounters: Prevalence, patient characteristics, suffering and pregabalin use

There is little published information about the prevalence, demographics and impairment of patients who report chronic neuropathic pain at encounters in Australian general practice. Most national...


There is little published information about the prevalence, demographics and impairment of patients who report chronic neuropathic pain at encounters in Australian general practice. Most national...


Ordering chest X-rays in Australian general practice

Chest X-rays are the most frequently ordered imaging test in Australian general practice. They accounted for 8.3% of all imaging tests ordered by general practitioners (GPs) in 2013–14 at a rate of...


Osteoporosis

From April 2010 to March 2011 in BEACH, osteoporosis was managed at a rate of 6 per 1000 general practice encounters, suggesting an average 708 000 osteoporosis patient-doctor encounters per year...



Peripheral arterial disease

Data from the Australian Medical Treatment Survey 1990–91, and from BEACH (Bettering the Evaluation and Care of Health), were analysed to detect changes in the management rate of PAD since 1990...



Self-monitoring blood glucose Non-insulin-treated type 2 diabetes in Australian general practice

There is little evidence that self-monitoring blood glucose (SMBG) benefits patients with non-insulin-treated type 2 diabetes (T2D). While considerably more expensive, SMBG appears to be no more...


Stroke

During this period, the sex-specific proportion of CVA managed (% encounters) was significantly lower in women (0.16%; 95% CI: 0.15–0.17) than in men (0.24%; 0.23–0.26). The age-specific...


Technology in practice – GP computer use by age

Of 1937 BEACH GP participants for whom age was known, 62% were aged 50 years or more. This reflects the distribution of GPs in that age group in the Australian sample frame.2 Although computer use...


Testing for gluten sensitivity

We examined the likelihood of general practitioners (GPs) ordering at least one of three coeliac/gluten-associated tests (CGATs) at BEACH GP–patient encounters in Australia in April 2000–March 2014...


The changing face of Australian general practice across the decades

General practice has always been the cornerstone of Australia’s healthcare system. Almost all Australians (85%) visit a general practitioner (GP) at least once in any given year,1 and GPs act as...


The management of unresolved gastrointestinal symptoms in Australian general practice

BEACH data collected in 2012–14 were used to investigate the management of unresolved gastrointestinal (GI) symptoms in Australian general practice. This included the characteristics of patients...



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