BJGP Open最新文献

{"title":"Impact of a comprehensive review template on personalised care in general practice for patients with multiple long-term conditions: a mixed-methods evaluation.","authors":"Caroline Coope, Dereth Baker, Kate Alice Lippiett, Alice Moult, Lauren J Scott, Simon Chilcott, Andrew Turner, Clare Jinks, Mari Carmen Portillo, Krysia Dziedzic, Cindy Mann, Richard Byng, Grace Scrimgeour, Chris Salisbury, Rachel Johnson","doi":"10.3399/BJGPO.2025.0022","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0022","url":null,"abstract":"<p><strong>Background: </strong>Primary care is in urgent need of more effective and efficient ways of managing the care of people living with multiple long-term conditions (multimorbidity). Personalised care organised around an individual's needs and conditions, taking account of individual context and priorities and supporting self-management, may offer an improved approach.</p><p><strong>Aim: </strong>Explore the impact of a computerised template to support personalised care for patients with multiple long-term conditions within the context of routinely applied general practice.</p><p><strong>Design & setting: </strong>A convergent mixed-methods evaluation design. General practices were recruited from three areas of England: Bristol, Southampton and Staffordshire.</p><p><strong>Method: </strong>A computerised template for the review of multiple long-term conditions was made available to all general practices subscribing to a commercial template supplier. Implementation practices were supported to conduct personalised multimorbidity reviews. We used routine clinical data from implementation and control practices, a before-and-after patient questionnaire and qualitative interviews with general practice staff and patients to evaluate the impact of the intervention.</p><p><strong>Results: </strong>Thirty-two general practices were recruited of which half were implementation practices. Using the multimorbidity template has potential to improve quality of care and patient benefit with no increase in consultation numbers. Patients received a more complete assessment of their needs with a clearer focus on the problems that matter most to them. Conducting multimorbidity reviews can increase burden on nursing staff and consideration is required to the organisation of reviews and appropriate training for nursing staff.</p><p><strong>Conclusion: </strong>Use of the multimorbidity template needs to be supported by staff training, adequate practice capacity, support for system reorganisation, and attention to incentives to facilitate its benefits.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' perspectives on ecologically sustainable healthcare in general practice.","authors":"Eva H Visser, Evelyn A Brakema, Irene A Slootweg, Hedwig Mm Vos, Marieke A Adriaanse","doi":"10.3399/BJGPO.2025.0041","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0041","url":null,"abstract":"<p><strong>Background: </strong>Healthcare contributes substantially to climate change. GPs want to implement sustainable healthcare, but are hesitant; worried that this may jeopardise their doctor-patient relationship. However, whether this concern is valid should urgently be assessed.</p><p><strong>Aim: </strong>To explore patients' perspectives on sustainable healthcare in general practice.</p><p><strong>Design & setting: </strong>In 2022 and 2023 we performed an online study; participants were Dutch adults; using experimental vignettes and a questionnaire.</p><p><strong>Method: </strong>The vignettes described GP appointments for three health complaints with randomly allocated treatment advice, varying in sustainability and explanation, but with comparable health outcomes. The questionnaire assessed participants' perspectives on sustainable healthcare in general practice. We analysed the vignettes using mixed-design ANOVA and the questionnaire using descriptive statistics and correlations.</p><p><strong>Results: </strong>801 participants completed the vignettes, and 397 the questionnaire. We found no difference on satisfaction with a doctor's visit (<i>P</i>'<i>s</i>>.238) when comparing a sustainable and a less-sustainable treatment option. The effect of explicitly mentioning sustainability differed per health complaint (dyspnoea: no difference; knee pain: MD=.319, <i>P</i>=.002; erythema: MD=-.227, <i>P</i>=.003). In the questionnaire, participants reported positive expectations, and trust in the GP and treatment when delivering sustainable healthcare, but were more neutral about the GPs' role.</p><p><strong>Conclusion: </strong>We found no indication that sustainable treatment advice leads to lower satisfaction with GP care. The effect of explicitly mentioning sustainability was minimal and differed per health complaint. When directly asked, participants were mainly positive about sustainable healthcare. These results could encourage GPs to introduce sustainable treatment advice, without worrying about negatively influencing patient satisfaction.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How GPs communicate the urgent suspected cancer referral pathway to patients: a qualitative study of GP-patient consultations.","authors":"Jessica Russell, Laura Boswell, Athena Ip, Jenny Harris, Hardeep Singh, Ashley Nd Meyer, Traber D Giardina, Afsana Bhuiya, Katriina L Whitaker, Georgia B Black","doi":"10.3399/BJGPO.2024.0115","DOIUrl":"10.3399/BJGPO.2024.0115","url":null,"abstract":"<p><strong>Background: </strong>The UK National Institute for Health and Care (NICE) recommends that GPs inform patients referred onto the urgent suspected cancer (USC) pathway about what to expect from the service. However, there is a lack of evidence on patient experience and information needs at the point of referral. It is a challenge for GPs to communicate the reasons for referral and provide reassurance.</p><p><strong>Aim: </strong>To examine how GPs communicate a potential cancer diagnosis and USC referral in practice.</p><p><strong>Design & setting: </strong>This is a secondary analysis of a dataset of 23 audio-recorded GP-patient consultations, selected from a larger dataset of 200 consultations collected in Surrey and London, UK in 2017-2018. The consultations were selected based on inclusion criteria related to cancer discussions.</p><p><strong>Method: </strong>This is a qualitative analysis of video-recordings of face-to-face patient consultations.</p><p><strong>Results: </strong>We found that most GPs informed patients that they might have cancer and engaged in reassurance using personalised risk statements. Some GPs avoided all mention of cancer, using symptom-led language instead. GPs focused on communicating practical rather than support-based information. Although most GPs informed patients that they would be seen by a specialist within 2 weeks, few discussed patients' support needs during the referral period.</p><p><strong>Conclusion: </strong>Clear communication about cancer in primary care is promoted in UK policy, and has an important role driving patient investigations attendance. The study highlights the need for further research on communication practices around cancer referral to improve patient understanding and experience. Our recommendations for enhanced communication may improve patient outcomes by optimising routes to diagnosis via primary care.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practice characteristics associated with pay-for-performance in the UK: a systematic review.","authors":"Rhatica Srai, David Cromwell, Nicholas Mays, Luisa M Pettigrew","doi":"10.3399/BJGPO.2024.0174","DOIUrl":"10.3399/BJGPO.2024.0174","url":null,"abstract":"<p><strong>Background: </strong>The Quality and Outcomes Framework (QOF), a pay-for-performance programme, has been the most widespread quality initiative in NHS general practice since 2004. It has contributed between 25% and 8% of practices' income during this time, but concerns about its effect on equity have been raised.</p><p><strong>Aim: </strong>To understand which practice characteristics are associated with QOF performance.</p><p><strong>Design and setting: </strong>A systematic review was conducted, focusing on NHS general practice in the UK.</p><p><strong>Method: </strong>MEDLINE, Embase, CINAHL+, Web of Science, and grey literature were searched for studies examining the association between general practice characteristics and QOF performance.</p><p><strong>Results: </strong>Twenty-two studies, published between 2006 and 2022, exploring the relationship between six population and 15 organisational characteristics and QOF measures were found. Most studies were cross-sectional, of English general practices, and used data from the early years of QOF. A negative association was frequently found between overall QOF performance and socioeconomic deprivation; increasing proportion of registered patients aged >65 years; increasing list size; increasing mean GP age; and Alternative Provider Medical Services contracts. Group practices (versus single-handed), more full-time equivalent (FTE) GPs, and being a training practice were frequently associated with better overall QOF performance. The associations of most other characteristics with performance were inconsistent.</p><p><strong>Conclusion: </strong>Associations with characteristics both within and outside practices' control were identified. Pay-for-performance instruments may systematically disadvantage practices serving those at greatest risk of ill-health such as older and more deprived populations. Given the cross-sectional design of many studies and focus on the early years of QOF, more up-to-date evidence is needed to understand if and why these relationships persist.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acne management in Norway: general practitioner and dermatologist prescriptions (2012-2019), a nationwide overview.","authors":"Cathrine S Christiansen, Sigurd Høye, Morten Lindbaek, Jon Anders Halvorsen, Louise Emilsson","doi":"10.3399/BJGPO.2024.0211","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0211","url":null,"abstract":"<p><strong>Background: </strong>Acne is common and associated with negative psychosocial health and risk of permanent skin alterations. General practitioners (GPs) prescribe the main portion of antibiotics used for acne. Increased isotretinoin prescription by GPs can potentially reduce overall antibiotic use, but prescription practice andtrends are unknown.</p><p><strong>Aim: </strong>We aimed to examine acne treatment in Norway and quantify prescription and initiation of isotretinoin and tetracyclines.</p><p><strong>Design & setting: </strong>Data was collected from the Norwegian Prescription Database and the National GP Claims Register.</p><p><strong>Method: </strong>All patients aged 12 - 39 who received an acne diagnosis or were prescribed acne medication in Norway 2012 - 2019 were included. Linear regression was used to explore time trends.</p><p><strong>Results: </strong>In total, 316,075 patients were included (63% female). Yearly prevalence of systemic treatment increased from 1.9 in 2012 to 2.4% in 2019; isotretinoin increased by+123%, tetracyclines by+4% as measured in defined daily doses. Topical treatment increased by+13% as measured by number of prescriptions. GP prescription of tetracyclines decreased - 11%, however, courses had a mean duration of 160 days, which is longer than the recommended 90, and only 26% had a co-occurring topical treatment prescription. GPs initiated 5% of isotretinoin courses in 2012, vs. 10% in 2019, and 19% (<i>N</i>=1,339) of GPs ever initiated isotretinoin during the study period.</p><p><strong>Conclusion: </strong>GPs reduced their prescription of tetracyclines, still our data shows potential for further improvements in prescribing practice. Increased isotretinoin prescription by GPs may lead to reduced antibiotic use and better treatment regimens for moderate-severe acne.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based cardiovascular risk assessment using the cardisio^TM AI test: a prospective cohort study.","authors":"Simon V Rudland, Nisar H Shah, Alan Nevill","doi":"10.3399/BJGPO.2024.0183","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0183","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) accounts for significant morbidity and mortality disproportionately affecting hard-to-reach individuals. New technology that enables community testing rather than attending hospital may address health inequalities and facilitate new care pathways.</p><p><strong>Aim: </strong>We explored whether the Cardisio^TM test, which interprets three-dimensional vectorcardiography activity using a cloud-based AI algorithm, can identify asymptomatic cardiovascular disease.</p><p><strong>Design & setting: </strong>Prospective cohort study in three settings: general practice, pharmacy and a community health centre. Recruitment targeted asymptomatic adults aged≥18 years, with a QRISK3 score≥10% or CVD risk factors.</p><p><strong>Method: </strong>A 10 minute test using five electrodes (four chest, one back). The Cardisio^TM results are classified into red, amber, or green based on the Cardisio^TM test's perfusion (P), structure (S), and arrhythmia (A) parameters. Pre- and post-test questionnaires provided feedback on their experience. Results reviewed by an independent consultant cardiologist (CI) and dealt with according to the Study Participants results and medical profile.</p><p><strong>Results: </strong>628 tests were performed, 51% male (<i>n</i>=320), 49% (<i>n</i>=308) female, with a mean age of 54 years (18 -75 years). In the opinion of the CI there was a strong association between one or more Cardisio^TM red test results and referral to cardiology clinic being indicated (p=<0.001). The Test was understood as easy to perform, with a 87.5% recommendation rate among participants (<i>n</i>=492 of the 560).</p><p><strong>Conclusion: </strong>This simple near-patient test afforded high-risk hard-to-reach individuals access to a test more effective at identifying underlining cardiovascular disease than a traditional 12-lead ECG.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring adherence to antihypertensive medication in Black African and Black Caribbean residents in South East London: a qualitative study.","authors":"Nupur Yogarajah, Kathryn Griffiths, Kate Bramham, Amy Baraniak","doi":"10.3399/BJGPO.2024.0127","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0127","url":null,"abstract":"<p><strong>Background: </strong>Hypertension disproportionately affects individuals identifying as Black African, Black Caribbean and Black other with higher rates of uncontrolled hypertension and related organ damage including stroke and kidney disease. Improved understanding of ethnic and cultural views about hypertension is needed to support medication adherence.</p><p><strong>Aim: </strong>To explore the adherence barriers and facilitators to taking anti-hypertensive medication in people of Black African or Black Caribbean heritage in South East London (SEL).</p><p><strong>Design & setting: </strong>Qualitative study with an electronic survey followed by semi-structured interviews.</p><p><strong>Method: </strong>Public health and community interest company recruitment of 11 participants; 9 who completed an online survey and 6 who completed online interviews regarding their experience and thoughts around medical management of hypertension. Data were analysed using thematic analysis and then mapped to capacity, opportunity, and motivation behaviour (COM-B) model components.</p><p><strong>Results: </strong>Substantial barriers exist to the adherence to antihypertensive medication for Black African and Black Caribbean patients in SEL due to mistrust on both system and interpersonal levels. People felt uninvolved in treatment decisions and that there was a lack of discussion about non-medical management. Adherence was facilitated by an understanding of the consequences of not taking antihypertensive medication, although this was also associated with fear and mistrust.</p><p><strong>Conclusion: </strong>These barriers add new findings to existing studies on hypertension management and are congruent with current literature describing mistrust stemming from longstanding racial discrimination. Mapping to a COM-B model allows clinicians, and wider systems, to translate these findings into opportunities for interventions. Recommendations include patient-centred consultations to improve health literacy and shared-decision making, trust-based engagement with communities and cultural awareness training.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribing memantine in general practice in England: a survey and interview study.","authors":"Mary D Carter, Joanne Butterworth, Chris Fox, Louise Allan","doi":"10.3399/BJGPO.2025.0023","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0023","url":null,"abstract":"<p><strong>Background: </strong>Acetylcholinesterase inhibitors (AChEIs) are routinely prescribed for mild-to-moderate Alzheimer's Disease (AD). National guidance advises GPs to initiate memantine for patients already taking an AChEI, as it offers small benefits for moderate-to severe AD, with good tolerability. But this is not routinely done, potentially depriving patients of a beneficial treatment.</p><p><strong>Aim: </strong>To assess prescribing for AD in general practice, explore factors influencing prescribing, and identify additional education needs.</p><p><strong>Design & setting: </strong>Mixed methods study involving GPs in England.</p><p><strong>Method: </strong>An online survey and semi-structured interviews were conducted. Survey responses were analysed in StataNow v18.5©. Interview transcriptions were coded in NVivo v14© by two researchers, who agreed themes. Quantitative and qualitative analyses were integrated and mapped to the Theoretical Domains Framework (TDF) and Behaviour Change Wheel (BCW).</p><p><strong>Results: </strong>Survey respondents (<i>n</i>=115) mostly continued rather than initiated memantine. Fewer than half were confident in identifying AD stages and developing care plans for moderate-to-severe AD. Over 40% were unaware of current national guidance concerning memantine. Interviews (<i>n</i>=23) mostly concurred with survey findings. Direction from local formularies conflicts with current national guidance. Mapping to TDF and BCW identified barriers, facilitators and interventions for changing practice.</p><p><strong>Conclusion: </strong>Limited time, patchy support and QOF downgrading contribute to a perception that dementia is not prioritised in general practice. Local systems for diagnosis and treatment reinforce GPs' feelings of inadequacy. GPs assess the impact of AD on patients/families but may not map assessments to a disease stage for memantine initiation. Interventions to change practice should boost knowledge and confidence; local pathways should clearly reflect national guidance.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and patient-reported experience of general practice in England.","authors":"Paul Allanson, Paul Logan","doi":"10.3399/BJGPO.2024.0209","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0209","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic led to a rapid transformation of the operating model for GP practices in England, with a switch towards the use of remote rather than face-to-face appointments.</p><p><strong>Aim: </strong>To assess changes in the quality of general practice in England over the course of the COVID-19 pandemic based on patients' views of their experiences.</p><p><strong>Design & setting: </strong>Analysis of practice-level multicategory response data on patient-reported experience measures (PREMs) from annual General Practice Patient Surveys for 2018 to 2023.</p><p><strong>Method: </strong>Healthcare quality changes at both practice and national levels were assessed using an index sensitive to changes in the distribution of patient responses across the full set of PREM response categories not just in the proportion meeting some binary quality threshold.</p><p><strong>Results: </strong>Patients' reported experience of general practice improved nationally between the 2020 and 2021 surveys in spite of the restrictions on the operation of GP practices, fell sharply between 2021 and 2022 and then resumed the pre-pandemic downward trend. Variation in healthcare quality changes at the practice level was considerable between all consecutive years.</p><p><strong>Conclusions: </strong>Changes in patients' reports of their experience of general practice over the course of the pandemic reflected broader shifts in public attitudes towards the NHS as well as real changes in the nature and quality of service delivery.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioners' views on green social prescribing in Scotland: analysis of a national cross-sectional survey.","authors":"Helen Frost, Tricia R Tooman, Bruce Mason, Eddie Donaghy, Katie Hawkins, Sue Lewis, Maria Wolters, Stewart W Mercer","doi":"10.3399/BJGPO.2024.0259","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0259","url":null,"abstract":"<p><strong>Background: </strong>Green social prescribing (GSP) aims to link patients to nature-based health interventions (NBHIs) through general practitioners (GPs). However, knowledge of GPs' views on GSP is limited.</p><p><strong>Aim: </strong>To explore GPs' views on GSP and the factors influencing these views.</p><p><strong>Design & setting: </strong>National cross-sectional survey of GPs' working lives in Scotland, conducted in 2023, which included four questions about GSP.</p><p><strong>Method: </strong>Descriptive analysis of GPs' views of GSP and univariate and multivariate (binary logistic) analysis of factors influencing these views.</p><p><strong>Results: </strong>80% (<i>n</i>=1098) of GPs had heard of GSP, 81% (<i>n</i>=1160) would be happy to refer patients to NBHIs, 68% (<i>n</i>=931) thought GSP was suitable for older multimorbid patients, and 44% (<i>n</i>=599) felt that patients living in deprived areas would access GSP.Greater knowledge of GSP was associated with white ethnicity (aOR 2.04; CI 1.30-3.22, <i>P</i>=0.002) and the number of clinical sessions worked per week (aOR 0.90; CI 0.82-0.99, <i>P</i>=0.034). Higher job satisfaction was associated with more positive views about the suitability of GSP for older multimorbid patients (aOR 1.14 CI 1.00-1.30; <i>P</i>=0.043) as were views on whether patients living in deprived areas would access GSP (aOR 1.20; CI 1.06-1.45, <i>P</i>=0.013). GPs working in deprived areas also had more positive views whether patients living in deprived areas would access GSP (aOR 1.24; CI 1.06-1.45, <i>P</i>=0.008).</p><p><strong>Conclusion: </strong>GPs in Scotland are aware of and willing to refer to GSP but have concerns about accessibility for patients from deprived areas. Views were influenced by personal and practice characteristics.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}