241 results match your criteria BJGP open[Journal]


Older persons' experience with health care at two primary level clinics in Cape Town, South Africa: a qualitative assessment.

BJGP Open 2020 Jun 30. Epub 2020 Jun 30.

The Albertina and Walter Sisulu Institute of Ageing in Africa, Division of Geriatric Medicine, Department of Medicine, University of Cape Town, Cape Town, South Africa

Background: Efficient methods of assessing older persons' healthcare needs are required in busy public sector primary healthcare clinics in South Africa. These clinics are the main points of entry into the healthcare system. This study was part of a larger study to test the local applicability and adaptability of the World Health Organization's (WHO) Age Friendly Primary Care Toolkit for assessing and managing chronic diseases and common geriatric syndromes. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101048DOI Listing

Individualised placement support as an employment intervention for individuals with chronic pain: a qualitative exploration of stakeholder views.

BJGP Open 2020 Jun 30. Epub 2020 Jun 30.

Medical Research Council Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK.

Background: Individualised Placement and Support (IPS) is a tailored, client-centred employment intervention for people with chronic health conditions. It involves the integration of vocational advisers within health teams to optimise return-to-work strategies. The intervention aims to get clients into employment by complementing traditional job searching skills with placements, and one-to-one mentoring alongside a work-focused health intervention. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101036DOI Listing

Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: an integrative review.

BJGP Open 2020 Jun 30. Epub 2020 Jun 30.

University of Central Lancashire, Preston, UK.

Background: Globally, people with intellectual disabilities and/or autism experience health inequalities. Death occurs at a younger age and the prevalence of long-term morbidities is higher than in the general population. Despite this, their primary healthcare access rates are lower than the general population, their health needs are often unmet, and their views and experiences are frequently overlooked in research, policy, and practice. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101030DOI Listing

Spontaneous parieto-occipital haematoma: lessons for the primary care clinician.

Authors:
Rajesh Pandey

BJGP Open 2020 Jun 23. Epub 2020 Jun 23.

Priory Road Surgery, Hastings, UK

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http://dx.doi.org/10.3399/bjgpopen20X101104DOI Listing

Development of an information leaflet and diagnostic flow chart to improve the management of urinary tract infections in older adults: a qualitative study using the Theoretical Domains Framework.

BJGP Open 2020 Jun 23. Epub 2020 Jun 23.

Public Health England, Primary Care Interventions Unit, Gloucester, UK

Background: Urinary tract infections (UTIs), older age, lack of access to health care, and recent antibiotic use are risk factors for () bloodstream infections.

Aim: To explore the diagnosis and management of UTIs in primary care to inform the development of an information leaflet, a diagnostic flow chart, and recommendations for other resources.

Design & Setting: The study had a qualitative design and was undertaken in primary care settings and care homes. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101044DOI Listing

Pharmacists detecting atrial fibrillation in general practice: a qualitative focus group study.

BJGP Open 2020 Jun 23. Epub 2020 Jun 23.

Medway School of Pharmacy, University of Kent, Kent, UK.

Background: Atrial fibrillation (AF) affects up to 10% of people aged ≥65 years, yet a third of all cases remain undetected. Practice-based pharmacists are in an ideal position to facilitate opportunistic AF screening, while increasing general practice capacity at a time of workforce crisis.

Aim: To explore the perspectives of three stakeholder groups involved in the 'Pharmacists Detecting Atrial Fibrillation' (PDAF) study to elucidate the facilitators and barriers to pharmacist-led AF screening in general practice. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101042DOI Listing

Intellectual stimulation in family medicine: an international qualitative study of student perceptions.

BJGP Open 2020 Jun 23. Epub 2020 Jun 23.

Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Background: Globally, medical schools struggle to ensure there is a sufficient number of graduates choosing family medicine as a career to meet societal needs. While factors impacting career choice are complex, one possible disincentive to choosing family medicine is the perception that it is less intellectually stimulating than specialty care.

Aim: The study sought to elicit student views on intellectual stimulation in family medicine, and their understanding of academic family medicine. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101045DOI Listing

Supporting patients with long-term problems after Lyme disease.

Authors:
Victoria Cairns

BJGP Open 2020 Jun 16. Epub 2020 Jun 16.

Consultant Statistician, Oxford, UK

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http://dx.doi.org/10.3399/bjgpopen20X101102DOI Listing

Guidance for post-discharge care following acute kidney injury: an appropriateness ratings evaluation.

BJGP Open 2020 Jun 16. Epub 2020 Jun 16.

National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Greater Manchester, Centre for Primary Care and Health Services Research, Institute of Population Health, University of Manchester, Manchester, UK.

Background: Acute kidney injury (AKI) is associated with poor health outcomes, including increased mortality and rehospitalisation. National policy and patient safety drivers have targeted AKI as an example to ensure safer transitions of care.

Aim: To establish guidance to promote high-quality transitions of care for adults following episodes of illness complicated by AKI. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101054DOI Listing

Healthcare professionals' perspectives on lung cancer screening in the UK: a qualitative study.

BJGP Open 2020 Jun 10. Epub 2020 Jun 10.

King's Health Economics, King's College London, London, UK.

Background: Lung cancer screening with low-dose computed tomography (LDCT) has been shown to decrease mortality. Low lung cancer survival rates in the UK, driven primarily by late-stage presentation, provide the impetus for implementing screening. Nascent guidance on screening in the UK recommends primary care case-finding. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101035DOI Listing

Prison and opportunities for the management of COVID-19.

BJGP Open 2020 Jun 10. Epub 2020 Jun 10.

Professor of Public Health Policy and Practice, Liverpool John Moores University, Liverpool, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101106DOI Listing

Comparing international postgraduate training and healthcare context with the UK to streamline overseas GP recruitment: four case studies.

BJGP Open 2020 Jun 10. Epub 2020 Jun 10.

Royal College of General Practitioners, London, UK.

Background: There are ambitious overseas recruitment targets to alleviate current GP shortages in the UK. GP training in European Economic Area (EEA) countries is recognised by the General Medical Council (GMC) as equivalent UK training; non-EEA GPs must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained GPs. The CEGPR may be a barrier to recruiting GPs from non-EEA countries. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101034DOI Listing

Exercise for premenstrual syndrome: a systematic review and meta-analysis of randomised controlled trials.

BJGP Open 2020 Jun 10. Epub 2020 Jun 10.

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.

Background: Exercise is recommended as a treatment for premenstrual syndrome (PMS) in clinical guidelines, but this is currently based on poor-quality trial evidence.

Aim: To systematically review the evidence for the effectiveness of exercise as a treatment for PMS.

Design & Setting: This systematic review searched eight major databases, including MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL), and two trial registries from inception until April 2019. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101032DOI Listing

Grief symptoms and primary care use: a prospective study of family caregivers.

BJGP Open 2020 Jun 10. Epub 2020 Jun 10.

Research Unit for General Practice, Aarhus, Denmark.

Background: Family caregivers to patients who are severely ill have high use of primary health care and psychotropic medication. However, it remains sparsely investigated whether healthcare services target the most vulnerable caregivers.

Aim: This study aimed to examine associations between family caregivers' grief trajectories of persistent high-grief symptom level (high-grief trajectory) versus persistent low-grief symptom level (low-grief trajectory), as well as early contacts with GPs or psychologists and the use of psychotropic medication. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101063DOI Listing

A brave new world: the new normal for general practice after the COVID-19 pandemic.

BJGP Open 2020 Jun 2. Epub 2020 Jun 2.

Academic Unit of Primary Care, Faculty of Medicine and Health, University of Leeds, Leeds, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101103DOI Listing

Exploring whether teaching activity is a way to improve GPs' satisfaction and wellbeing: a cross-sectional study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Center of General Medicine and Public Health, Department of Family Medicine, Medecin Associé, Lausanne, Switzerland

Background: GP dissatisfaction and stress at work have been a growing domain of interest for several decades. However, few studies have focused on positive predictors of GPs' satisfaction and wellbeing. The diversity of activities could be one area that could be explored to aid job satisfaction. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101038DOI Listing

The challenge of pain identification, assessment, and management in people with dementia: a qualitative study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

School of Primary Community and Social Care, Keele University, Keele, UK.

Background: Painful conditions are common in older adults, including people with dementia. The symptoms associated with dementia (for example, diminished language capacity, memory impairment, and behavioural changes), however, may lead to the suboptimal identification, assessment, and management of pain. Research has yet to qualitatively explore pain management for community-dwelling people with dementia. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101040DOI Listing

A genetic risk assessment for prostate cancer influences patients' risk perception and use of repeat PSA testing: a cross-sectional study in Danish general practice.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Department of Public Health, Research Unit for General Practice Aarhus University, Aarhus, Denmark.

Background: Prostate cancer (PC) is the most common cancer among men in the western world. Genetic lifetime risk assessment could alleviate controversies about prostate specific antigen (PSA) testing for early diagnosis.

Aim: To determine how men interpret information about their lifetime risk for PC and how this can affect their choice of having a repeated PSA test. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101039DOI Listing

Uptake of direct oral anticoagulants in primary care: an ecological and economic study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK.

Background: Clinical trials indicate that direct oral anticoagulants (DOACs) are as effective as warfarin at preventing ischaemic stroke. It is unclear, however, whether relative changes in DOAC uptake have affected clinical and economic outcomes in practice.

Aim: To investigate variations in DOAC uptake and the relationship with hospital admissions and cost. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101033DOI Listing

COVID-19: Needs-led implementation and the immediate potential of remote monitoring.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Postdoctoral Researcher, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101093DOI Listing

Beyond symptoms: why do patients see the doctor?

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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http://dx.doi.org/10.3399/bjgpopen20X101088DOI Listing

Non-COVID-19 general practice and our response to the pandemic.

Authors:
Dipesh P Gopal

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Honorary Research Fellow in Primary Care, and General Practitioner, Institute of Population Health Sciences, Barts and The London School of Medicine and Dentistry Blizard Institute, London, UK

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http://dx.doi.org/10.3399/bjgpopen20X101095DOI Listing

Managing Ramadan queries in COVID-19.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Consultant Endocrinologist and General Physician and Honorary Clinical Senior Lecturer, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101097DOI Listing

GP perspectives on hospital discharge letters: an interview and focus group study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Centre for Applied Linguistics, University of Warwick, Coventry, UK.

Background: Written discharge communication following inpatient or outpatient clinic discharge is essential for communicating information to the GP, but GPs' opinions on discharge communication are seldom sought. Patients are sometimes copied into this communication, but the reasons for this variation, and the resultant effects, remain unclear.

Aim: To explore GP perspectives on how discharge letters can be improved in order to enhance patient outcomes. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101031DOI Listing

The prognostic value of national early warning scores (NEWS) during transfer of care from community settings to hospital: a retrospective service evaluation.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Background: The National Early Warning Score (NEWS) calculated from physiological observations provides a simple away to identify and respond to the deteriorating patient. There is increasing interest in the application of NEWS to facilitate referrals from the community.

Aim: To establish whether elevated NEWS are associated with adverse outcomes at 5 and 30 days when obtained in a community setting at the time of transfer to an acute setting. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101071DOI Listing

Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Bristol Medical School, University of Bristol, Bristol, UK.

Background: General practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England proposes development of the multidisciplinary, integrated primary care workforce to support frontline service delivery, including the employment of paramedics. However, very little is known about the safety, clinical effectiveness, or cost-effectiveness of paramedics working in general practice. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101037DOI Listing

Should azithromycin be used to treat COVID-19? A rapid review.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Post-Doctoral Researcher, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Background: There are no established effective treatments for COVID-19. While novel drugs are being developed, azithromycin has been identified as a candidate treatment in the interim.

Aim: To review the evidence for the effectiveness and safety of azithromycin in treating COVID-19. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101094DOI Listing

Discussing alcohol use with the GP: a qualitative study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

General Practice Department, Toulouse III University, Toulouse, France.

Background: Despite most GPs recognising their role in the early diagnosis of alcohol use disorder (AUD), only 23% of GPs routinely screen for alcohol use. One reason GPs report for not screening is their relationship with patients; questions regarding alcohol use are considered a disturbance of a relationship built on mutual trust.

Aim: To analyse the feelings and experiences of patients with AUD concerning early screening for alcohol use by GPs. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101029DOI Listing

Paying SPECIAL consideration to the digital sharing of information during the COVID-19 pandemic and beyond.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Post-Doctoral Research Fellow, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101072DOI Listing

Who cares for syphilis? A cross-sectional study on diagnosis and treatment of syphilis by GPs in Amsterdam, the Netherlands.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

General Practice, Amsterdam UMC - Location AMC, Amsterdam, Netherlands.

Background: Syphilis is a re-emerging infection. Sexually transmitted infection (STI) clinics and GPs are important providers of STI care in the Netherlands. The role of GPs in syphilis care is assumed to be small, since most men who have sex with men (MSM) visit STI clinics for STI care. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101027DOI Listing

Evaluating the effectiveness of a support programme for people with type 2 diabetes mellitus in primary care: an observational prospective study in Ecuador.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

College of Medicine, Pontifical Catholic University of Ecuador, Quito, Ecuador.

Background: The success of primary health care relies on the integration of empowered practitioners with cooperative patients regardless of socioeconomic status. Using resources efficiently would help to improve healthcare promotion and reduce complications of chronic non-communicable diseases (NCDs). The importance of network support programmes relies on the fact that they allow to accurately deliver medical care by shaping a sense of community and purpose among the patients. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101025DOI Listing

To monitor the COVID-19 pandemic we need better quality primary care data.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101070DOI Listing

GPs' involvement in diagnosing, treating, and referring patients with suspected or confirmed primary cutaneous melanoma: a qualitative study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Professor of Cancer Epidemiology, Cancer Epidemiology and Prevention Research, Sydney School of Public Health, The University of Sydney, Sydney, Australia.

Background: In Australia, melanoma is managed in primary and secondary care settings. An individual concerned about a suspicious lesion typically presents first to their GP.

Aim: To identify factors influencing GPs' decisions to diagnose, treat, or refer patients with suspected melanoma. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101028DOI Listing

Tendency to contact general practice instead of self-care: a population vignette study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

The Academic Unit of Primary Medical Care, The Medical School, University of Sheffield, Sheffield, UK.

Background: Demand for general practice in the UK is higher than supply. Some patients seek appointments with GPs for minor illnesses rather than self-care.

Aim: To identify the characteristics of people with a tendency to contact GPs rather than self-care. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101024DOI Listing

Ready for a long fight against the COVID-19 outbreak: an innovative model of tiered primary health care in Taiwan.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Professor of Family Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan

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http://dx.doi.org/10.3399/bjgpopen20X101068DOI Listing

COVID-19: Risk of increase in smoking rates among England's 6 million smokers and relapse among England's 11 million ex-smokers.

Authors:
Pooja Patwardhan

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Sessional GP, and Medical Director, Centre for Health Research and Education, UK

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http://dx.doi.org/10.3399/bjgpopen20X101067DOI Listing

Should chloroquine and hydroxychloroquine be used to treat COVID-19? A rapid review.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Post-Doctoral Researcher, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Background: On the 11 March 2020, the World Health Organization (WHO) declared that COVID-19 was a pandemic. To date, there are no medical treatments for COVID-19 with proven effectiveness. Novel treatments and/or vaccines will take time to be developed and distributed to patients. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101069DOI Listing

Exploring how GPs discuss statin deprescribing with older people: a qualitative study.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Professor, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.

Background: Given uncertainty surrounding benefits and harms, shifts in patient health status, and changing patient goals and preferences, statin deprescribing may be considered in some older people. This decision should be carefully discussed between GPs and patients.

Aim: To explore how GPs discuss deprescribing of statins with their older patients. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101022DOI Listing

Treatment of impacted ear wax: a case for increased community-based microsuction.

BJGP Open 2020 Jun 23;4(2). Epub 2020 Jun 23.

GP, Trinity Court Surgery, Stratford-Upon-Avon, UK

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http://dx.doi.org/10.3399/bjgpopen20X101064DOI Listing

Investigating whether shared video-based consultations with patients, oncologists, and GPs can benefit patient-centred cancer care: a qualitative study.

BJGP Open 2020 Jun 23;4(2). Epub 2020 Jun 23.

Associate Professor, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.

Background: Guidelines have proposed that GPs should have a central role as coordinators of care and support patients with cancer during all stages of treatment, follow-up, and rehabilitation. Multidisciplinary video consultation involving the patient with cancer, the oncologist, and the GP may help to define roles and tasks, and this resulting clarity may enable greater support for patients with cancer.

Aim: To explore the consultation structure, content, and task clarification when a GP and an oncologist are attending a video consultation with a patient with cancer. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101023DOI Listing

The effect of 'paying for performance' on the management of type 2 diabetes mellitus: a cross-sectional observational study.

BJGP Open 2020 23;4(2). Epub 2020 Jun 23.

Senior Lecturer, Department of General Practice, Graduate Entry Medical School, University of Limerick, Plassey, Limerick, Republic of Ireland.

Background: The 'cycle of care' (COC) pay for performance (PFP) programme, introduced in 2015, has resourced Irish GPs to provide structured care to PCRS eligible patients with type 2 diabetes mellitus (T2DM).

Aim: To investigate the effect of COC on management processes.

Design &setting: Cross-sectional observational study undertaken with two points of comparison (2014 and 2017) in participating practices (Republic of Ireland general practices), with comparator data from the United Kingdom National Diabetes Audit (UKNDA) 2015-2016. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101021DOI Listing

The rise of the statins and the burdening inefficiencies in liver monitoring.

BJGP Open 2020 Jun 23;4(2). Epub 2020 Jun 23.

GP, Birmingham & Solihull CCG, Birmingham, UK.

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http://dx.doi.org/10.3399/bjgpopen20X101066DOI Listing

Perceptions of healthcare professionals and people with type 2 diabetes on emotional support: a qualitative study.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Professor of Diabetes Medicine and Honorary Consultant, Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.

Background: Type 2 diabetes mellitus (T2DM) is a demanding condition that impacts the person living with the condition physically and psychologically. Promoting emotional support is a key strategy to improve diabetes care.

Aim: To explore the views and experiences of people with T2DM and healthcare professionals (HCPs) on emotional support in diabetes care, and identify barriers and facilitators to the provision of emotional support in clinical practice. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101018DOI Listing

Learning or leaving? An international qualitative study of factors affecting the resilience of female family doctors.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Professor of Primary Care, Norwich Medical School, University of East Anglia, Norwich, UK.

​BACKGROUND: Many countries have insufficient numbers of family doctors, and more females than males leave the workforce at a younger age or have difficulty sustaining careers. Understanding the differing attitudes, pressures, and perceptions between genders toward their medical occupation is important to minimise workforce attrition. ​AIM: To explore factors influencing the resilience of female family doctors during lifecycle transitions. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101017DOI Listing

Identification and management of frailty in English primary care: a qualitative study of national policy.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Clinical Senior Lecturer in Primary Care, NIHR Collaboration for Leadership in Applied Health Research and Care Greater Manchester, Division of Population Health, Health Services Research & Primary Care, School of Health Sciences, University of Manchester, Manchester, UK.

Background: Policymakers are directing attention to addressing the needs of an ageing population. Since 2017, general practices in England have been contractually required to identify and code 'frailty' as a new clinical concept and, in doing so, support targeted management for this population with the aim of improving outcomes. However, embedding frailty policies into routine practice is not without challenges and little is currently known about the success of the programme. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101019DOI Listing

Exploring patients' and clinicians' experiences of video consultations in primary care: a systematic scoping review.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Associate Professor, Warwick Medical School, University of Warwick, Warwick, UK

Background: Video consultation (VC) is an emerging consultation mode in general practice. The challenges and benefits of implementing it are not necessarily realised until it is in use, and being experienced by patients and clinicians. To date, there has been no review of the evidence about how patients and clinicians experience VC in general practice. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101020DOI Listing

Change in the use of diagnostic tests in the management of lower respiratory tract infections: a register-based study in primary care.

BJGP Open 2020 1;4(1). Epub 2020 May 1.

Associate Professor, Department of Clinical Sciences Malmö, Family Medicine, Lund University, Malmö, Sweden.

Background: Differentiating between pneumonia and acute bronchitis is often difficult in primary care. There is no consensus regarding clinical decision rules for pneumonia, and guidelines differ between countries. Use of diagnostic tests and change of management over time is not known. Read More

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http://dx.doi.org/10.3399/bjgpopen20X101015DOI Listing