Background: Dissemination of evidence-based mental health clinical practice guidelines had not been studied in Australia prior to the National General Practice Guideline Implementation Program. This naturalistic research reports ten national interventions designed to disseminate the NHMRC 1997 Clinical Practice Guideline Depression in Young People for GPs (GDIYP-GP) through 123 Divisions of General Practice. The guideline covered depression and suicide in young people aged 13 to 20 years. Aim: To evaluate a 'coordinated link agent' and 'enhanced packaged approach' for disseminating a national guideline by engaging 20 Divisions in using 5 dissemination models and to measure Divisions' capacities in performing unfunded local dissemination to GPs. Method: An Implementation Kit was the main national intervention, housing the guidelines and 5 models: Education by the Division; Education by an external provider; 3) Clinical Audit; 4) Segmented Formats and 5) Appraisal. Five studies are reported: 1) an organisational census on guideline-related practices in all topics; 2) a Case Study Database of 3 consecutive interviews of 51 participating Divisions; 3) a Guideline Appraisal study of 9 cohorts of doctors; 4) a Clinical Audit study of 54 doctors involving 1200 patients; and 5) a 'Segmented Formats' documentary analysis of Division communications on GDIYP-GP. Results: Prior dissemination by most Divisions was administrative mail outs rather than planned programs. In all, 70 instead of the pilot 20 organisations participated (57% of the sector) using 10,000 guidelines: 45 participated by 7 weeks and 71 by 35 weeks and the majority used multiple active strategies showing fidelity to the Kit. Education by the Division, Segmented Formats and Appraisal were the most adopted models. GDIYP-GP was acceptable and relevant to the majority of Divisions and to 9 samples of doctors. Conclusion: Divisions are one appropriate system through which evidence-based mental health guidelines can be disseminated to general practitioners. Uptake can be rapid using a flexible enhanced package approach with link-agent support. 3-6 months is needed for organisations to begin effective interventions. Divisions reorient their approach with guidance toward evidence-based dissemination but Division and practice barriers

Background: Dissemination of evidence-based mental health clinical practice guidelines had not been studied in Australia prior to the National General Practice Guideline Implementation Program. This naturalistic research reports ten national interventions designed to disseminate the NHMRC 1997 Clinical Practice Guideline Depression in Young People for GPs (GDIYP-GP) through 123 Divisions of General Practice. The guideline covered depression and suicide in young people aged 13 to 20 years. Aim: To evaluate a 'coordinated link agent' and 'enhanced packaged approach' for disseminating a national guideline by engaging 20 Divisions in using 5 dissemination models and to measure Divisions' capacities in performing unfunded local dissemination to GPs. Method: An Implementation Kit was the main national intervention, housing the guidelines and 5 models: Education by the Division; Education by an external provider; 3) Clinical Audit; 4) Segmented Formats and 5) Appraisal. Five studies are reported: 1) an organisational census on guideline-related practices in all topics; 2) a Case Study Database of 3 consecutive interviews of 51 participating Divisions; 3) a Guideline Appraisal study of 9 cohorts of doctors; 4) a Clinical Audit study of 54 doctors involving 1200 patients; and 5) a 'Segmented Formats' documentary analysis of Division communications on GDIYP-GP. Results: Prior dissemination by most Divisions was administrative mail outs rather than planned programs. In all, 70 instead of the pilot 20 organisations participated (57% of the sector) using 10,000 guidelines: 45 participated by 7 weeks and 71 by 35 weeks and the majority used multiple active strategies showing fidelity to the Kit. Education by the Division, Segmented Formats and Appraisal were the most adopted models. GDIYP-GP was acceptable and relevant to the majority of Divisions and to 9 samples of doctors. Conclusion: Divisions are one appropriate system through which evidence-based mental health guidelines can be disseminated to general practitioners. Uptake can be rapid using a flexible enhanced package approach with link-agent support. 3-6 months is needed for organisations to begin effective interventions. Divisions reorient their approach with guidance toward evidence-based dissemination but Division and practice barriers

Background: Dissemination of evidence-based mental health clinical practice guidelines had not been studied in Australia prior to the National General Practice Guideline Implementation Program. This naturalistic research reports ten national interventions designed to disseminate the NHMRC 1997 Clinical Practice Guideline Depression in Young People for GPs (GDIYP-GP) through 123 Divisions of General Practice. The guideline covered depression and suicide in young people aged 13 to 20 years. Aim: To evaluate a 'coordinated link agent' and 'enhanced packaged approach' for disseminating a national guideline by engaging 20 Divisions in using 5 dissemination models and to measure Divisions' capacities in performing unfunded local dissemination to GPs. Method: An Implementation Kit was the main national intervention, housing the guidelines and 5 models: Education by the Division; Education by an external provider; 3) Clinical Audit; 4) Segmented Formats and 5) Appraisal. Five studies are reported: 1) an organisational census on guideline-related practices in all topics; 2) a Case Study Database of 3 consecutive interviews of 51 participating Divisions; 3) a Guideline Appraisal study of 9 cohorts of doctors; 4) a Clinical Audit study of 54 doctors involving 1200 patients; and 5) a 'Segmented Formats' documentary analysis of Division communications on GDIYP-GP. Results: Prior dissemination by most Divisions was administrative mail outs rather than planned programs. In all, 70 instead of the pilot 20 organisations participated (57% of the sector) using 10,000 guidelines: 45 participated by 7 weeks and 71 by 35 weeks and the majority used multiple active strategies showing fidelity to the Kit. Education by the Division, Segmented Formats and Appraisal were the most adopted models. GDIYP-GP was acceptable and relevant to the majority of Divisions and to 9 samples of doctors. Conclusion: Divisions are one appropriate system through which evidence-based mental health guidelines can be disseminated to general practitioners. Uptake can be rapid using a flexible enhanced package approach with link-agent support. 3-6 months is needed for organisations to begin effective interventions. Divisions reorient their approach with guidance toward evidence-based dissemination but Division and practice barriers

Background: Dissemination of evidence-based mental health clinical practice guidelines had not been studied in Australia prior to the National General Practice Guideline Implementation Program. This naturalistic research reports ten national interventions designed to disseminate the NHMRC 1997 Clinical Practice Guideline Depression in Young People for GPs (GDIYP-GP) through 123 Divisions of General Practice. The guideline covered depression and suicide in young people aged 13 to 20 years. Aim: To evaluate a 'coordinated link agent' and 'enhanced packaged approach' for disseminating a national guideline by engaging 20 Divisions in using 5 dissemination models and to measure Divisions' capacities in performing unfunded local dissemination to GPs. Method: An Implementation Kit was the main national intervention, housing the guidelines and 5 models: Education by the Division; Education by an external provider; 3) Clinical Audit; 4) Segmented Formats and 5) Appraisal. Five studies are reported: 1) an organisational census on guideline-related practices in all topics; 2) a Case Study Database of 3 consecutive interviews of 51 participating Divisions; 3) a Guideline Appraisal study of 9 cohorts of doctors; 4) a Clinical Audit study of 54 doctors involving 1200 patients; and 5) a 'Segmented Formats' documentary analysis of Division communications on GDIYP-GP. Results: Prior dissemination by most Divisions was administrative mail outs rather than planned programs. In all, 70 instead of the pilot 20 organisations participated (57% of the sector) using 10,000 guidelines: 45 participated by 7 weeks and 71 by 35 weeks and the majority used multiple active strategies showing fidelity to the Kit. Education by the Division, Segmented Formats and Appraisal were the most adopted models. GDIYP-GP was acceptable and relevant to the majority of Divisions and to 9 samples of doctors. Conclusion: Divisions are one appropriate system through which evidence-based mental health guidelines can be disseminated to general practitioners. Uptake can be rapid using a flexible enhanced package approach with link-agent support. 3-6 months is needed for organisations to begin effective interventions. Divisions reorient their approach with guidance toward evidence-based dissemination but Division and practice barriers

Doctor of Philosophy (PhD) / This thesis describes a study of the utilisation of computers by individual general practitioners (GPs) in Australia, and compares the practice behaviour of GPs who use a computer as a clinical tool, either by prescribing, ordering tests, or storing patient data in an electronic medical record format, with those who do not use a computer for these functions. A survey of individual GP’s use of computers was conducted among 1,336 GPs who participated in the Bettering the Evaluation and Care of Health (BEACH) program between October 2003 and March 2005. The GPs were then assigned to groups according to their clinical use (or not) of a computer, and were compared on a range of variables including the characteristics of the GPs themselves, their practices, their patients, the morbidity they managed for their patients, and the managements they provided. Their behaviour was also compared, using a set of quality indicators designed for use with the BEACH data, and applicable in a primary care setting, to determine whether the clinical use of a computer has an affect on the quality of care GPs provide to their patients. Finally, GPs who use clinical software with embedded pharmaceutical advertising were compared with GPs not exposed to advertisements via this media, to determine whether such advertising influences the prescribing behaviour of GPs to favour advertised brands. From 44 quality indicators examined, clinical computer users performed ‘better’ on four and ‘worse’ on four. For the remaining 36 they exhibited no difference. Exposure to pharmaceutical advertising embedded in clinical software did not influence the prescribing behaviour of the GPs so exposed. Despite the belief espoused in the literature that computer use will improve the quality of patient care, I have found no evidence to demonstrate that the use of a computer for clinical activity has (as yet) affected, either positively or negatively, the quality of care GPs provide to their patients. The current push to computerise general practice will mean that this method of assessment will be difficult to replicate in the future, given the absence of control groups. Other research methods will need to be developed.

Patient-doctor relationships between same-sex attracted women and general practitioners (GPs) have been presented as problematic in the literature. The problems arise from women’s concerns about the potential for negative attitudes amongst GPs. They also relate to GPs’ concerns about offending patients if they ask about sexual orientation due to the stigmatised nature of minority sexual orientation. As a result, disclosure of sexual orientation can be difficult and the patient-doctor relationship can be compromised. The aim of this study was to explore the nature of patient-doctor relationships in this context and how optimal relationships can be achieved. / Using a critical hermeneutic approach, I conducted in-depth interviews with 33 same-sex attracted women and 28 doctors. This included 24 pairs of people in a current patient-doctor relationship. I found that women commonly experienced silencing of their minority sexual orientation within general practice settings, but that this was occasionally desired and not problematic for some women and most GPs. For other women and for many GPs, the silence resulting from a lack of disclosure was a response to perceived risks to women’s personal identity and GPs’ professional identity. Few GPs asked directly about sexual orientation, placing the burden of responsibility for disclosure on same-sex attracted women. Building reciprocal trust could overcome the perceived risks inherent in revealing minority sexual orientation. I initially defined optimal patient-doctor relationships in terms of existing models of cultural competence and patient-centredness; however I found that such relationships were built on cultural sensitivity rather than cultural competence, and relationship-centredness rather than patient-centredness. / I developed a new model of sexual identity disclosure that demonstrated the key influences on disclosure of sexual orientation to GPs for same-sex attracted women. These influences were women’s sexual identity experience, risk perceptions, and the level of knowing within the patient-doctor relationship. The model depicts women’s range and fluidity of sexual identity experiences and challenges current assumptions that disclosure is essential for effective health care. The model has transformative potential for general practice education and research. It could assist GPs to understand that not all women desire disclosure, but that the majority of women are happy to disclose if asked. GPs would be encouraged to take note of the socio-political environment in which women live and its influence on women’s fears and actual experiences of discrimination. Finally, understanding the role of trust and reciprocal knowing in mitigating perceived risks would encourage GPs to focus more on relationship building. This could also assist GPs to overcome their own perceptions of risk and encourage them to broach the subject of sexual orientation, ultimately enhancing the patient-doctor relationship.

Thesis (Ph.D.)--Victoria University (Melbourne, Vic.), 2008.

Thesis (Ed. D.)--West Virginia University, 1998. / Title from document title page. Document formatted into pages; contains x, 126 p. Includes abstract. Includes bibliographical references (p. 81-87).

Το Διαδίκτυο, γνωστό συνήθως και με την αγγλική άκλιτη ονομασία Internet, ανήκει στα μέσα μαζικής επικοινωνίας (ΜΜΕ). Ως μέσο έχει διπλή υπόσταση: υλική (που αποτελείται από τον συνδυασμό δικτύων βασισμένων σε λογισμικό και υλικό), και άϋλη (αυτό, δηλαδή, που "κάνει" / προσφέρει στην κοινωνία το Διαδίκτυο ως μέσο). Ο σκοπός αυτής της μελέτης είναι να παρουσιαστούν τα κριτήρια με τα οποία μπορεί ν’ αξιολογηθεί η ποιότητα μιας ιστοσελίδας με περιεχόμενα Ακτινολογίας και Γενικής Ιατρικής και ο σχεδιασμός ενός πρότυπου ιστοτόπου που να παρέχει ακτινολογικές πληροφορίες στον Γενικό Ιατρό, έχοντας σαν βάση τον ιστότοπο της Εταιρείας Γενικής Ιατρικής. Το υλικό της ερευνητικής μελέτης αποτέλεσαν επτά (7) ιστότοποι που είναι σχετικοί με περιεχόμενο Γενικής Ιατρικής και Ακτινολογίας. Επελέγησαν με βάση την επισκεψιμότητά τους. Αξιολογήθηκαν με βάση πρώτον τα κριτήρια της ποιότητας ενός site σχετιζόμενο με ιατρικό περιεχόμενο, δεύτερον με τα τεχνικά κριτήρια και τρίτον με τα κριτήρια ποιότητας ενός ιστοτόπου από το Ίδρυμα Health on Net Fountation (HON). Επίσης αξιολογήθηκαν με βάση την επισκεψιμότητά τους παγκοσμίως – αλλά και στη χώρα τους. Παράλληλα παρατηρήθηκε η δημοτικότητά τους από τον αριθμό των sites που τα έχουν ως link. Επιπλέον καταμετρήθηκε το upstream link των υπό παρακολούθηση ιστοτόπων με κάποιες από τις παγκόσμιες μηχανές αναζήτησης. Αξιολογήθηκε επίσης το επίσημο site της Ελληνικής Εταιρείας Γενικής Ιατρικής (ΕΛΕΓΕΙΑ) για στοιχεία ακτινολογικής υφής στο συγκεκριμένο ερώτημα που υπήρξε και στα διεθνή sites, που ήταν η ύπαρξη ακτινογραφίας θώρακα σε λοίμωξη αναπνευστικού. Μόνο 3 ιστότοποι πληρούσαν τα 18 από τα 19 κριτήρια. Και τα 7 sites πληρούσαν τα τεχνικά κριτήρια και τα κριτήρια του HON. Βάση επισκεψιμότητάς και δημοτικότητάς τους, πρώτο βρέθηκε το site του British Medical Journal με δεύτερο της Αμερικανικής Ακαδημίας των Οικογενειακών Ιατρών. Το site της ΕΛΕΓΕΙΑ δεν παρείχε καμία πληροφορία ακτινολογικού περιεχομένου. Παρατηρείται θετικότατη εφαρμογή στα τεχνικά κριτήρια αξιολόγησης και ποιότητας καθώς και στα κριτήρια του HON. Μεγάλη είναι και η επισκεψιμότητα και η δημοτικότητα των υπό αξιολόγηση sites. Εύκολη και χρηστική η λειτουργικότητα τους με άμεση παρουσίαση στοιχείων – απαντήσεων. Το μόνο αρνητικό που παρουσιάστηκε στην πλειοψηφία των sites (έξι στα επτά) ήταν η αποχή παρουσίας εικόνας ως πληροφορίας. Οι προτάσεις για δημιουργία πρότυπου ιστοτόπου βασιζόμενες στο site της ΕΛΕΓΕΙΑΣ (αφού δεν παρείχε καμία πληροφορία) είναι η συνεργασία με τους Ακτινολόγους (Ελληνικής Εταιρείας Ακτινολογίας) για την συγγραφή θεμάτων κοινού ενδιαφέροντος. Παρουσίαση του συνόλου των ακτινολογικών εξετάσεων για κάθε πιθανό παθολογικό – χειρουργικό θέμα. Παράλληλα αναφορά στην σωστή χρήση των σκιαγραφικών, στην σωστή συνταγογράφησή τους, στην σωστή προετοιμασία (αν χρειαζόταν και πότε) του ασθενούς, σε πιθανά προβλήματα από την χρήση των σκιαγραφικών (π.χ. αλλεργία), στις εν δυνάμει παρενέργειες στον ασθενή και στο περιβάλλον του κλπ. Η ανακοίνωση νέων τεχνολογιών και μεθόδων απεικόνισης. Δημιουργία e-learning (συνεχιζόμενη ιατρική εκπαίδευση) για ειδικευόμενους και ειδικευμένους Γενικούς Ιατρούς. Επίσης δημιουργία link με παροχή πληροφοριών με θεωρία και εικόνες, ημερομηνία τελευταίας ενημέρωσης, δημιουργία μηχανής αναζήτησης, χωρίς log in, καταμέτρηση επισκεπτών του link ημερησίως και ετήσια. Ένα τέτοιο link θα βελτίωνε την καθημέρα πράξη των Γενικών / Οικογενειακών Ιατρών. / The Internet, commonly known with the English name Internet, belongs to the media. As an instrument has a dual personality: the material (which consists of a combination of network-based software and hardware) and intangible (that is, to "do" / offers society the Internet as a medium). The purpose of this study is to present the criteria which can be evaluated by the quality of a website with content Radiology and General Medicine and design a standard website. The research material consisted of seven (7) sites that are relevant to content Radiology and General Medicine. Selected based on their trafficing. Evaluated on the basis of firstly quality criteria for a site related to medical content, secondly the technical criteria and thirdly, the quality criteria of the website of the Health on Net Fountation (HON). Also evaluated based on their traffic worldwide - and at home. Occurred while the popularity of the number of sites who have them as a link. Moreover surveyed upstream link of the monitored sites with some of the world's search engines. Also evaluated the official site of the Greek Society of General Medicine (ELEGEIA) for X-ray texture data on this question has been, and international sites, as was the presence of chest radiography in a respiratory infection. Only three (out of 18 met the 19 criteria) from 7 sites did not meet in full the 19 quality criteria. And 7 sites met the technical criteria and criteria of HON. Base traffic and popularity, first found the site of the British Medical Journal in second the American Academy of Family Physicians. The site's ELEGEIA provided no information radiological nature. There is a very positive implementation of the technical evaluation criteria and quality criteria and the HON’s criteria. Great is the traffic and the popularity of the evaluated sites. Simple and utilitarian functionality with immediate display of data - responses. The only negative that occurred in most sites (six out of seven) was present abstinence as the image information. Proposals to create a standard site in the site of ELEGEIA (having provided no information) is a collaboration with radiologists (Greek Society of Radiology) for writing topics of common interest. Presentation of all radiological examinations every possible pathological - surgical issue. Also reference to the proper use of contrast substances, the right prescription, the proper preparation (if needed and when) the patient to possible problems with the use of contrast substances (eg allergy), the potential side effects to the patient and the environment etc. The announcement of new imaging technologies and methods. Create e-learning (continuing medical education) for junior and qualified general practitioners. Also creation a link with information theory and images, date of last update, creation of a search engine, free log in, counting visitors to link daily and annual. Such a link would improve the daily lives of General practice / Family Physicians.

Το Διαδίκτυο, γνωστό συνήθως και με την αγγλική άκλιτη ονομασία Internet, ανήκει στα μέσα μαζικής επικοινωνίας (ΜΜΕ). Ως μέσο έχει διπλή υπόσταση: υλική (που αποτελείται από τον συνδυασμό δικτύων βασισμένων σε λογισμικό και υλικό), και άϋλη (αυτό, δηλαδή, που "κάνει" / προσφέρει στην κοινωνία το Διαδίκτυο ως μέσο). Ο σκοπός αυτής της μελέτης είναι να παρουσιαστούν τα κριτήρια με τα οποία μπορεί ν’ αξιολογηθεί η ποιότητα μιας ιστοσελίδας με περιεχόμενα Κλινικής Ακτινοπροστασίας και Γενικής Ιατρικής και ο σχεδιασμός ενός πρότυπου ιστοτόπου που να παρέχει ακτινολογικές πληροφορίες στον Γενικό Ιατρό, έχοντας σαν βάση τον ιστότοπο της Εταιρείας Γενικής Ιατρικής. Το υλικό της ερευνητικής μελέτης αποτέλεσαν πέντε (5) ιστότοποι που είναι σχετικοί με περιεχόμενο Γενικής Ιατρικής και κλινικής Ακτινοπροστασίας. Επελέγησαν με βάση την επισκεψιμότητά τους. Αξιολογήθηκαν με βάση πρώτον τα κριτήρια της ποιότητας ενός site σχετιζόμενο με ιατρικό περιεχόμενο, δεύτερον με τα τεχνικά κριτήρια και τρίτον με τα κριτήρια ποιότητας ενός ιστοτόπου από το Ίδρυμα Health on Net Fountation (HON). Επίσης αξιολογήθηκαν με βάση την επισκεψιμότητά τους παγκοσμίως – αλλά και στη χώρα τους. Παράλληλα παρατηρήθηκε η δημοτικότητά τους από τον αριθμό των sites που τα έχουν ως link. Επιπλέον καταμετρήθηκε το upstream link των υπό παρακολούθηση ιστοτόπων με κάποιες από τις παγκόσμιες μηχανές αναζήτησης. Αξιολογήθηκε επίσης το επίσημο site της Ελληνικής Εταιρείας Γενικής Ιατρικής (ΕΛΕΓΕΙΑ) για στοιχεία κλινικής ακτινοπροστασίας. Μόνο 4 ιστότοποι πληρούσαν τα 18 από τα 19 κριτήρια. Και τα 5 sites πληρούσαν τα τεχνικά κριτήρια και τα κριτήρια του HON. Βάση επισκεψιμότητάς και δημοτικότητάς τους, πρώτο βρέθηκε το site της Αμερικάνικης Εταιρείας Προστασίας του Περιβάλλοντος, με δεύτερο της Αμερικανικής Ακαδημίας των Οικογενειακών Ιατρών. Το site της ΕΛΕΓΕΙΑ δεν παρείχε καμία πληροφορία ακτινολογικού περιεχομένου. Παρατηρείται θετικότατη εφαρμογή στα τεχνικά κριτήρια αξιολόγησης και ποιότητας καθώς και στα κριτήρια του HON. Μεγάλη είναι και η επισκεψιμότητα και η δημοτικότητα των υπό αξιολόγηση sites. Εύκολη και χρηστική η λειτουργικότητα τους με άμεση παρουσίαση στοιχείων – απαντήσεων. Οι προτάσεις για δημιουργία πρότυπου ιστοτόπου βασιζόμενες στο site της ΕΛΕΓΕΙΑΣ (αφού δεν παρείχε καμία πληροφορία) είναι η συνεργασία με τους Ακτινολόγους (Ελληνικής Εταιρείας Ακτινολογίας) για την συγγραφή θεμάτων κοινού ενδιαφέροντος. Παρουσίαση του συνόλου των ακτινολογικών εξετάσεων για κάθε πιθανό παθολογικό – χειρουργικό θέμα. Παράλληλα αναφορά στην σωστή χρήση των σκιαγραφικών, στην σωστή συνταγογράφησή τους, στην σωστή προετοιμασία (αν χρειαζόταν και πότε) του ασθενούς, σε πιθανά προβλήματα από την χρήση των σκιαγραφικών (π.χ. αλλεργία), στις εν δυνάμει παρενέργειες στον ασθενή και στο περιβάλλον του κλπ. Η ανακοίνωση νέων τεχνολογιών και μεθόδων απεικόνισης. Δημιουργία e-learning (συνεχιζόμενη ιατρική εκπαίδευση) για ειδικευόμενους και ειδικευμένους Γενικούς Ιατρούς. Επίσης δημιουργία link με παροχή πληροφοριών με θεωρία και εικόνες, ημερομηνία τελευταίας ενημέρωσης, δημιουργία μηχανής αναζήτησης, χωρίς log in, καταμέτρηση επισκεπτών του link ημερησίως και ετήσια. Ένα τέτοιο link θα βελτίωνε την καθημέρα πράξη των Γενικών / Οικογενειακών Ιατρών. / The Internet, commonly known with the English name Internet, belongs to the media. As an instrument has a dual personality: the material (which consists of a combination of network-based software and hardware) and intangible (that is, to "do" / offers society the Internet as a medium). The purpose of this study is to present the criteria which can be evaluated by the quality of a website with content clinical radiation protection and General Medicine and design a standard website. The research material consisted of five (5) sites that are relevant to content clinical radiation protection and General Medicine. Selected based on their trafficing. Evaluated on the basis of firstly quality criteria for a site related to medical content, secondly the technical criteria and thirdly, the quality criteria of the website of the Health on Net Fountation (HON). Also evaluated based on their traffic worldwide - and at home. Occurred while the popularity of the number of sites who have them as a link. Moreover surveyed upstream link of the monitored sites with some of the world's search engines. Also evaluated the official site of the Greek Society of General Medicine (ELEGEIA) for clinical radiation protection. Only 4 (out of 18 met the 19 criteria) from 5 sites did not meet in full the 19 quality criteria. And 5 sites met the technical criteria and criteria of HON. Base traffic and popularity, first found the site of the American Association for protection of the environment in second the American Academy of Family Physicians. The site's ELEGEIA provided no information radiological nature. There is a very positive implementation of the technical evaluation criteria and quality criteria and the HON’s criteria. Great is the traffic and the popularity of the evaluated sites. Simple and utilitarian functionality with immediate display of data - responses. Proposals to create a standard site in the site of ELEGEIA (having provided no information) is a collaboration with radiologists (Greek Society of Radiology) for writing topics of common interest. Presentation of all radiological examinations every possible pathological - surgical issue. Also reference to the proper use of contrast substances, the right prescription, the proper preparation (if needed and when) the patient to possible problems with the use of contrast substances (eg allergy), the potential side effects to the patient and the environment etc. The announcement of new imaging technologies and methods. Create e-learning (continuing medical education) for junior and qualified general practitioners. Also creation a link with information theory and images, date of last update, creation of a search engine, free log in, counting visitors to link daily and annual. Such a link would improve the daily lives of General practice / Family Physicians.