Family practice最新文献

{"title":"The benefits and harms of oral iron supplementation in non-anaemic pregnant women: a systematic review and meta-analysis.","authors":"Archie Watt, Holden Eaton, Kate Eastwick-Jones, Elizabeth T Thomas, Annette Plüddemann","doi":"10.1093/fampra/cmae079","DOIUrl":"10.1093/fampra/cmae079","url":null,"abstract":"<p><strong>Background: </strong>Iron deficiency during pregnancy poses a significant risk to both maternal and foetal health. Current international guidelines provide discrepant advice on antenatal iron supplementation for non-anaemic women.</p><p><strong>Objective: </strong>We aimed to quantify the benefits and harms of routine antenatal supplementation in non-anaemic women.</p><p><strong>Methods: </strong>The Cochrane Library, MEDLINE, Embase, and clinical trial registries were searched for randomized controlled trials and observational studies comparing oral iron supplementation with placebo or no supplement in non-anaemic pregnant women. Risk of bias was assessed for each study and the results were synthesized via meta-analysis.</p><p><strong>Results: </strong>Twenty-three eligible studies were identified with 4492 non-anaemic pregnant women. Supplemented groups had higher haemoglobin [mean difference = 6.95 g/l, 95% confidence interval (CI): 4.81-9.09, P < .001, moderate certainty, I2 = 91%] and ferritin (mean difference = 12.22 ng/ml, 95% CI: 6.92-17.52, P < .001, moderate certainty, I2 = 87%) and were at lower risk of anaemia (relative risk = 0.50, 95% CI: 0.34-0.74, P < .001, high certainty, I2 = 42%, number needed to treat (NNT) = 10). There was no difference in birth weight, preterm birth, and rate of caesarean section. Reporting on harms was inconsistent and there was insufficient evidence to determine an association between iron supplements and any negative outcome.</p><p><strong>Discussion: </strong>Prophylactic iron supplementation likely results in a large reduction in maternal anaemia during pregnancy. Future research should qualify the impact of this benefit on women's quality of life and determine which subpopulations benefit most. Evidence surrounding the harms of iron supplementation in the non-anaemic population is poor quality and inconsistent. Randomized controlled trials quantifying the risk of gastrointestinal (GI) disturbance and iron overload are essential to inform iron supplement use and reduce unwarranted variations in international guidelines.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between self-care preparedness and quality of life in a 3-year-follow-up: a study in primary health care.","authors":"Ulla Mikkonen, Nina Tusa, Sanna Sinikallio, Soili Marianne Lehto, Anu Ruusunen, Hannu Kautiainen, Pekka Mäntyselkä","doi":"10.1093/fampra/cmae069","DOIUrl":"10.1093/fampra/cmae069","url":null,"abstract":"<p><strong>Background: </strong>Measuring self-care preparedness may enable better support for patients in general practice.</p><p><strong>Objective: </strong>This study assessed the relationship between the self-care preparedness index (SCPI) and health-related quality of life (HRQoL) in a longitudinal analysis over 36 months.</p><p><strong>Methods: </strong>This was a secondary analysis of an intervention group of a randomized controlled trial. Participants were adults (n = 256) with hypertension, diabetes, or coronary artery disease in primary health care. The intervention group was included in the present study since they had answered SCPI as a part of the intervention. The relationship between SCPI and HRQoL (15D) and other outcomes were studied at baseline. The mean changes in SCPI and 15D were calculated from baseline up to 36 months. Regression-based analysis was used to study to what extent the baseline SCPI was associated with the change in SCPI and 15D and to what extent the change in SCPI was associated with the change in 15D.</p><p><strong>Results: </strong>At baseline, 15D, physical activity, self-rated health, life satisfaction, and patient activation measures had a positive linear relationship with SCPI. Body mass index and depressive symptoms had a negative linear relationship with SCPI. The longitudinal association between changes in SCPI and 15D was statistically significant and positive. The adjusted β was + 0.19 (95% confidence interval: 0.07 to 0.30, P = .002).</p><p><strong>Conclusion: </strong>Those patients who managed to increase their SCPI over the study period experienced an improvement in HRQoL.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case control study of access to medications during COVID-19 and longitudinal impact on health outcomes for primary care patients managing multiple chronic conditions.","authors":"Gail L Rose, Levi N Bonnell, Lisa W Natkin, Jennifer O'Rourke-Lavoie, Constance van Eeghen","doi":"10.1093/fampra/cmae074","DOIUrl":"10.1093/fampra/cmae074","url":null,"abstract":"<p><strong>Background: </strong>During coronavirus disease 2019 (COVID-19), people managing multiple chronic conditions (MCCs) experienced barriers to obtaining needed medications. The purposes of this paper are to (i) determine risk factors for difficulty obtaining medications during COVID-19, (ii) document reasons for the difficulty, and (iii) evaluate the impact on later physical and mental health outcomes.</p><p><strong>Method: </strong>In a randomized controlled trial conducted in 2016-2021, 1969 adult primary care patients were surveyed about physical and mental health both before and during COVID-19. They reported their needs for medication during COVID-19 and any difficulty obtaining them. Reasons for difficulty accessing medications were tabulated descriptively. Logistic regression identified predictors of medication access difficulty. Multivariable linear regression modeled the relationship between access to medications and health outcomes, accounting for pre-COVID health.</p><p><strong>Results: </strong>In total 13% of participants experienced difficulty accessing needed medications. Compared to the larger sample, those participants were younger, had more MCCs, and had lower income. They were more often female, unmarried, and were facing insecurities in housing, food, or finances (all P < 0.004). Younger age and the presence of socioeconomic insecurity at baseline increased the odds of later difficulty accessing medications. Barriers to access included concerns about contracting COVID-19 (52%), physician or pharmacy inaccessibility (38%), and cost (26%). Adjusting for baseline health, difficulty accessing medications was associated with poorer health at follow up (P = 0.001).</p><p><strong>Conclusion: </strong>People with socioeconomic disadvantages experienced a disproportionate impact of difficulty obtaining medications and poorer health outcomes due to COVID-19. They may be at greater risk in the event of future pandemics and other societal disruptions.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing and Diversifying the Primary Care Physician Workforce.","authors":"Dolly C Penn, Yewande A Oladeinde, Larissa Avilés-Santa, Eliseo J Pérez-Stable","doi":"10.1093/fampra/cmae076","DOIUrl":"10.1093/fampra/cmae076","url":null,"abstract":"<p><p>The lack of an adequate primary care physician workforce has been a decades-long challenge facing the delivery of healthcare in the United States of America (USA). Previous research has highlighted how strengthening the nation's primary care infrastructure is a critical part of improving the nation's health. Strengthening the infrastructure may also be a strategy for addressing the disproportionate burden of poor health and health outcomes experienced by underserved populations. But, little attention has been focused on how the primary care workforce may affect health disparities. This commentary highlights the importance of the provision of primary care services for populations that experience health disparities, ways that the primary care workforce shortage affects these populations, and potential solutions to expand the reach of the current workforce and to build a diverse workforce to meet the growing needs of the increasingly diverse US population.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11746927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of self-management questionnaire in diabetes mellitus (ASQ-DM-EX)-the validation of novel lived experience inventory.","authors":"Yogarabindranath Swarna Nantha, Ker-Rou Chung, Hans Willard Nelson Suresh, Venus Kai Ing Heng, Christina Gertrude Yap, Hui Lynn Tan, Chong Jie Lau, Kai Jun Soh, Rujul Suresh Babu, Jia Xin Lim","doi":"10.1093/fampra/cmaf003","DOIUrl":"10.1093/fampra/cmaf003","url":null,"abstract":"<p><strong>Background: </strong>The optimal control of type 2 diabetes (T2D) is defined by the innate mastery of self-management behaviours. This study is designed to condense the lived experiences of people with T2D in relation to factors 'exterior' to themselves into a universal self-management inventory (Assessment of Self-Management Questionnaire in Diabetes Mellitus-External Reality; ASQ-DM-EX).</p><p><strong>Methods: </strong>We collected responses to an online and physical survey from people living with T2D through a quantitative cross-sectional study. First, we tested the contextual validity and cultural preciseness of ASQ-DM-EX prototype through a preliminary pilot testing phase. These processes culminated in the development of a 91-item version of the questionnaire which was disseminated widely to evaluate the predictive strength of the ASQ-DM-EX.</p><p><strong>Results: </strong>All constructs within ASQ-DM-EX showed internal consistencies within good to excellent range (Cronbach's ⍺ = 0.70-0.94), except for the Influence construct (Cronbach's ⍺ = 0.33). An increase in ASQ-DM-EX scores was associated with a reduction in HbA1c control (r = -0.17, P < 0.05). The ASQ-DM-EX model had excellent goodness-of-fit [root mean square error of approximation < 0.01; comparative fit index = 1.00; Tucker-Lewis index = 1.00].</p><p><strong>Conclusion: </strong>The ASQ-DM-EX is a novel and holistic inventory that broadens the scope of diabetes assessment absent from contemporary self-management tools.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of general practitioners and practice nurses on nurse-led patient consultations and dose changes of permanent medications-results of a focus group study.","authors":"Solveig Weise, Tatjana Steybe, Carolin Thiel, Thomas Frese","doi":"10.1093/fampra/cmae072","DOIUrl":"10.1093/fampra/cmae072","url":null,"abstract":"<p><strong>Background: </strong>Shifting tasks from General practitioners (GPs) to practice nurses (PNs) could help address the shortage of GPs in Europe. Internationally, PN-led care (PNLC) is feasible and offers similar health outcomes to usual care. However, PN-led consultations (PN-cons) or as PN-led dosage changes for permanent medication (PN-DCPM) are uncommon in German general practice offices (GPO).</p><p><strong>Objective: </strong>To explore GPs' and PNs' views on the feasibility and acceptability of PN-cons and PN-DCPM in GPOs.</p><p><strong>Methods: </strong>In this exploratory, qualitative online focus group study, we recruited GPs, GP trainees, PNs and specialized PNs (APN) currently working in German GPO using a qualitative sampling plan. We used a semi-structured self-developed interview guide. Separate focus groups (FGs) were performed for each profession, with audio and video recordings, and the transcripts were analysed using thematic analysis.</p><p><strong>Results: </strong>Two FGs comprising 15 GPs and three FGs with 26 PNs revealed four major themes: (i) Attitudes towards PN-cons and PN-DCPM, revealing that participants were generally open towards a PN-cons, but were more reserved towards PN-DCPM. (ii) Acceptable reasons for encounters for PN-cons, e.g. diabetes or hypertension, and acceptable medications for PN-DCPM, e.g. antidiabetics, antihypertensive drugs. (iii) Conditions mentioned for implementing PN-led care were e.g. adequate qualification and supervision concepts. (iv) Perceived chances were e.g. time savings and increased quality of care and perceived risks were e.g. fear of treatment errors.</p><p><strong>Conclusion: </strong>Participants showed openness towards PN-cons and were more reserved towards PN-DCPM in German GPO. Further quantitative studies should assess how acceptance and rejection of PN-led care are distributed among patients, GPs, and PNs.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey on the implementation of family doctor contract services in China from the perspective of resident demand.","authors":"Yue-Ling Zhang, Yuan-Can Yang","doi":"10.1093/fampra/cmae075","DOIUrl":"10.1093/fampra/cmae075","url":null,"abstract":"<p><strong>Background: </strong>To understand the implementation of the family doctor contract service system in China from the perspective of resident demand.</p><p><strong>Methods: </strong>A stratified random sampling design was employed to survey 6380 residents across the eastern, central, and western regions of China. Data were processed using SPSS 22.0 and Python, and statistical methods such as chi-square and rank sum tests were applied. Multivariate logistic regression analysis was used to assess the impact of various factors.</p><p><strong>Results: </strong>(i) Overall implementation of the family doctor contract service system in China: (a) Nationwide awareness rate was 64.73%, with a contracting rate of 12.98%. (b) The overall satisfaction score for the implementation of contracted services was 3.78 out of 5, indicating general satisfaction. (ii) Regional implementation of the family doctor contract service system in the eastern, central, and western regions: (a) Awareness in the eastern region (67.76%) was higher than the national average (64.73%), while it was lower in the central region (60.44%). (b) The contracting rate in the eastern region (15.02%) was also above the national average, with the western region having the lowest rate (12.28%) but the highest willingness to contract.</p><p><strong>Conclusion: </strong>The current state of implementation of China's family doctor contract service system is far from the goals set out in the \"Guidance on Promoting High-Quality Development of Family Doctor Contract Services\". Inadequate promotion of the system and subpar service quality post-contract have led to low public trust and satisfaction. The construction of family doctor teams and the contract service guarantee mechanism remain underdeveloped.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using an SMS to improve bowel cancer screening: the acceptability and feasibility of a multifaceted intervention.","authors":"Jennifer G McIntosh, Anna Wood, Mark Jenkins, Shakira Onwuka, Patty Chondros, Tina Campbell, Edweana Wenkart, Clare O'Reilly, Ian Dixon, Julie Toner, Javiera Martinez Gutierrez, Linda Govan, Jon D Emery","doi":"10.1093/fampra/cmae073","DOIUrl":"10.1093/fampra/cmae073","url":null,"abstract":"<p><strong>Background: </strong>The Australian National Bowel Cancer Screening Program sends an immunochemical faecal occult blood test to Australians aged 50-74 years to screen for bowel cancer, but uptake is low (40.9%). The SMARTscreen trial demonstrated that sending a short messaging services (SMS) prompt from the participant's general practitioner (GP) increased the proportion of kit returns by 16.5%. This research aimed to determine the acceptability and feasibility of implementing SMARTscreen.</p><p><strong>Method: </strong>SMARTscreen was a cluster randomized controlled trial set in 21 Australian general practices in regional Australia. Participants and general practice staff involved in the trial were included in this study. Acceptability and feasibility were measured quantitatively by calculating proportions of the SMS received, viewed, or opted out of, and qualitatively by interviewing people who sent and received the SMS.</p><p><strong>Results: </strong>Of 2914 SMS sent, 2645 SMS (91%) were received by participants, 1128 (43%) people opened the weblink, and 59 (2%) people opted out of receiving future SMS. Interviews with general practice staff (n = 17) and participants (n = 18) found that sending and receiving the SMS was acceptable and feasible. The SMS was considered a low-burden activity that easily integrated into the clinic's workflow without impacting clinicians' time. Participants reported an increased intention to participate in screening, but some people worried the weblink was spam, and some suggested sending it out of working hours.</p><p><strong>Conclusion: </strong>The SMS-based intervention was widely accepted by GP staff and participants. Future research should test the SMS with and without the weblink, and send the SMS at a more convenient time of the day/week.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leaflet information by the local government on mental health during the coronavirus disease 2019 pandemic: a cross-sectional study in a rural area in Japan.","authors":"Ryu Fukase, Masayasu Murakami, Takaaki Ikeda","doi":"10.1093/fampra/cmad059","DOIUrl":"10.1093/fampra/cmad059","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic and associated infodemic increased depression and anxiety. Proper information can help combat the infodemic and promotes mental health; however, rural residents have more difficulties in getting correct information than urban residents.</p><p><strong>Objective: </strong>To examine whether the information on COVID-19 provided by the local government maintained the mental health of rural residents in Japan.</p><p><strong>Methods: </strong>A self-administered questionnaire survey of Okura Village (northern district of Japan) residents aged ≥16 years was conducted in October 2021. The main outcomes, depressive symptoms, psychological distress, and anxiety were measured using the Center for Epidemiologic Studies Depression Scale, Kessler Psychological Distress Scale, and Generalized Anxiety Disorder scale 7-item. Exposure was defined as whether the resident read the leaflet on COVID-19 distributed by the local government. The targeted maximum likelihood estimation was used to analyse the effect of leaflet reading on the main outcomes.</p><p><strong>Results: </strong>A total of 974 respondents were analysed. Reading the leaflet was significantly lower risk for depressive symptoms relative risk (95% confidence interval): 0.64 (0.43-0.95). Meanwhile, no clear effects of leaflet reading were observed on mental distress and anxiety.</p><p><strong>Conclusions: </strong>In rural areas with local governments, analogue information may be effective to prevent depression.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":"956-961"},"PeriodicalIF":2.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9543632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of social support as a moderator between resilience and levels of burden of multimorbidity management among general practitioners: a cross-sectional study in Portugal.","authors":"Filipe Prazeres, Luísa Castro, Andreia Teixeira","doi":"10.1093/fampra/cmad109","DOIUrl":"10.1093/fampra/cmad109","url":null,"abstract":"<p><strong>Background: </strong>Multimorbidity management poses significant challenges for general practitioners (GPs). The aim of this study is to analyse the role of resilience and social support on the burden experienced by GPs in managing patients with multiple health conditions in Portugal.</p><p><strong>Methods: </strong>Cross-sectional quantitative study conducted among GPs in Portugal using an online questionnaire that included validated measurement tools: Questionnaire of Evaluation of Burden of Management of Multimorbidity in General and Family Medicine (SoGeMM-MGF), European Portuguese Version of the Resilience Scale (ER14), and the Oslo Social Support Scale-3 (OSSS-3) in Portuguese. A multiple linear regression analysis was conducted to examine the factors influencing the burden of managing multimorbidity.</p><p><strong>Results: </strong>Two hundred and thirty-nine GPs were included, with 76.6% being female and a median age of 35 years. Most participants were specialists (66.9%) and had less than a decade of experience managing multimorbidity. Over 70% had not received specific training in multimorbidity. Female GPs and those with a higher proportion of multimorbid patients in the registries experienced higher burden levels. A multivariate regression model with moderation revealed that the effect of resilience on burden varied depending on the level of social support. Higher resilience was associated with higher burden in the \"Poor Social Support\" category, while it was associated with lower burden in the \"Moderate Social Support\" and \"Strong Social Support\" categories, although not statistically significant.</p><p><strong>Conclusions: </strong>The study highlights the importance of GPs' social support and resilience in managing the burden of multimorbidity, with poor social support potentially worsening the effects of high resilience.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":" ","pages":"909-915"},"PeriodicalIF":2.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138433580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}