Journal of the Royal Society of Medicine最新文献

{"title":"Promoting informed health choices: the long and winding road - response.","authors":"Neil Pakenham-Walsh","doi":"10.1177/01410768261435332","DOIUrl":"10.1177/01410768261435332","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"124"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who is responsible when AI kills?","authors":"Kamran Abbasi","doi":"10.1177/01410768261464040","DOIUrl":"10.1177/01410768261464040","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"119 5","pages":"123"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148339013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical screening of elderly heads of state.","authors":"Narinder Kapur, Shahina Begam","doi":"10.1177/01410768261447628","DOIUrl":"10.1177/01410768261447628","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"152-153"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mainland's <i>Elementary Medical Statistics</i> (1952): a pivotal text in statistical pedagogy.","authors":"Vern Farewell","doi":"10.1177/01410768261438374","DOIUrl":"10.1177/01410768261438374","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"141-149"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"For more events and to book online, please visit //www.rsm.ac.uk/events.","authors":"","doi":"10.1177/01410768261464122","DOIUrl":"https://doi.org/10.1177/01410768261464122","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"119 5","pages":"155"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148339064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What happens when 'AI kills a patient'?","authors":"Carl Macrae","doi":"10.1177/01410768261455555","DOIUrl":"10.1177/01410768261455555","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"125-130"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13253553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148211701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond expansion: workforce absence, administration and the persistence of NHS elective backlogs.","authors":"Cristina Tealdi, Joan E Madia, Ahmar Shah, Aziz Sheikh, Catia Nicodemo","doi":"10.1177/01410768261442040","DOIUrl":"10.1177/01410768261442040","url":null,"abstract":"<p><strong>Objective: </strong>To identify and quantify key factors driving the decline in efficiency of NHS elective care, focusing on medical workforce dynamics, resource allocation and systemic inefficiencies. We hypothesised that medical workforce sickness absence and administrative turnover significantly affect productivity and backlog growth, instead medical workforce turnover has not effect.</p><p><strong>Design: </strong>This research is a national retrospective observational study using monthly panel data from NHS Digital (January 2018-December 2023). Ordinary Least Squares regression and Generalised Method of Moments models were applied to estimate the impact of workforce and resource factors on productivity and backlog indicators. These methods will account for the unobserved factors and potential reverse causality problem.</p><p><strong>Setting: </strong>The study follows secondary care across all NHS Trusts in England, with performance measured at the Trust level.</p><p><strong>Participants: </strong>All NHS Trusts delivering elective surgical services between January 2018 and December 2023. The unit of analysis was Trust-month observations, encompassing all elective surgical patients treated in each Trust.</p><p><strong>Main outcome measures: </strong>(1) Average per capita completed surgery elective cases (proxy for productivity). (2) Ratio of incomplete elective surgery to average completed elective surgery cases (proxy for additional resources needed to meet demand).</p><p><strong>Results: </strong>A one-percentage-point increase in NHS medical workforce sickness rates was associated with a 4.4% decrease in average completed elective cases (95% CI -0.0598 to -0.0272, <i>p</i> < 0.05). Gains in administrative staff reduced excess elective surgery incomplete cases by 14.4% (95% CI -0.155 to -0.133, <i>p</i> < 0.05). Findings were robust to controls for other workforce and resource-related variables.</p><p><strong>Conclusions: </strong>Workforce expansion alone will not resolve NHS elective surgery backlogs. Reducing medical sickness absence, enhancing staff wellbeing and ensuring adequate administrative capacity are critical to improving productivity and reducing waiting times.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"131-140"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel on the making of the <i>Lancet</i> and of Thomas Wakley, 'the medical Florence Nightingale'.","authors":"Richard Smith","doi":"10.1177/01410768261439784","DOIUrl":"10.1177/01410768261439784","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"150-151"},"PeriodicalIF":5.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When red flags become rules: managing diagnostic uncertainty in primary care.","authors":"Waseem Jerjes, Azeem Majeed","doi":"10.1177/01410768261434769","DOIUrl":"10.1177/01410768261434769","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"97-101"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Interpretation of neuropsychiatric outcomes in trials of hypoglycaemic agents.","authors":"Fariha Shahid Tanveer, Muhammad Hassan Saeed","doi":"10.1177/01410768261421441","DOIUrl":"10.1177/01410768261421441","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"96"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12935578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}