BJGP Open最新文献

{"title":"GPs' views about opioid management and tapering before hip or knee replacement surgery: a qualitative study.","authors":"Stephen Hughes, Jennifer Stevens, Justine Naylor, Asad Patanwala, Shania Liu, Jonathan Penm","doi":"10.3399/BJGPO.2025.0168","DOIUrl":"10.3399/BJGPO.2025.0168","url":null,"abstract":"<p><strong>Background: </strong>Total hip or knee replacement (arthroplasty) is common in ageing populations, as are prescribed opioids for osteoarthritis pain while awaiting such surgeries. Opioid-related harm can be minimised through pre-surgery tapering of opioids, yet the practice is uncommon.</p><p><strong>Aim: </strong>This research sought to understand GPs' understandings, beliefs, and support needs around managing patients' pain while awaiting surgery, use of opioids, and pre-surgery tapering.</p><p><strong>Design & setting: </strong>A qualitative study with GPs in Australia.</p><p><strong>Method: </strong>Semi-structured interviews were conducted. Data were transcribed, deidentified, and reflexively analysed inductively and thematically.</p><p><strong>Results: </strong>Analysis of transcript data from GP interviews (<i>n</i> =17) revealed little knowledge of, yet positive support for, pre-arthroplasty opioid tapering as a further way to minimise opioid harm. Three themes described were: 1) feeling challenged by pre-surgery pain management and opioid prescribing; 2) optimal pain management and tapering prevented by patient-related and system-level barriers; and 3) sharing workload and perceived risk - pharmacists could provide opioid management support.</p><p><strong>Conclusion: </strong>Realisation of potential opioid tapering benefits will require addressing some personal-, patient-, and system-level barriers revealed by this study. GPs view support from pharmacists as valuable and welcomed yet the required collaborative models appear, currently, underdeveloped between these primary care professions. Implementation research is a crucial next area of inquiry.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669395","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' experiences of phosphatidylethanol in hypertension treatment in primary care: a qualitative study.","authors":"Åsa Thurfjell, Maria Hagströmer, Johanna Adami, Jan Hasselström, Lena Lundh","doi":"10.3399/BJGPO.2025.0201","DOIUrl":"10.3399/BJGPO.2025.0201","url":null,"abstract":"<p><strong>Background: </strong>Alcohol is not routinely addressed in the management of hypertension. The use of the alcohol biomarker phosphatidylethanol (PEth) is increasing in primary care but patients' experiences of PEth in primary care are unexplored.</p><p><strong>Aim: </strong>To investigate the experiences of patients regarding PEth in the treatment of hypertension in primary care, regardless of their alcohol consumption levels.</p><p><strong>Design & setting: </strong>Qualitative interview study with 13 patients, mean age 67 years, with hypertension (ICD-10 code I10.9), in Swedish primary care, 2023-2025.</p><p><strong>Method: </strong>Semi-structured individual interviews were conducted, audio-recorded, transcribed, and analysed with Grounded Theory.</p><p><strong>Results: </strong>The final theory 'double-layered insight' consists of two categories: 'personal concern and agency' and 'trusting the healthcare system to deliver'<i>.</i> Each category illustrates barriers to and facilitators of motivation to change alcohol-related behaviours. The two additional categories 'losing trust' and 'empowered by insight' describe the emotional responses emerging in relation to the identified barriers and facilitators. Patients viewed physicians as having the mandate to address alcohol use, despite its sensitivity. They valued PEth for its objectivity and emphasised the importance of transparency and non-judgemental, person-centred dialogue. Although PEth could evoke discomfort, it was generally seen as meaningful, despite some ambivalence about whether testing should be optional.</p><p><strong>Conclusion: </strong>The results indicate that the judicious use of PEth is perceived to be of importance in preventing adverse outcomes and promoting positive change. The results also indicate that actions of both the patient and the GP may have an impact on the patient's alcohol use aligning with person-centred care.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366788","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":"Experiences of older Greek patients with limited English proficiency in general practice: a qualitative study.","authors":"Isabella Joy Papadopoulos, Grant Russell, Sharon Clifford, Chris Barton","doi":"10.3399/BJGPO.2025.0193","DOIUrl":"10.3399/BJGPO.2025.0193","url":null,"abstract":"<p><strong>Background: </strong>Older adults from culturally and linguistically diverse backgrounds often face communication barriers in general practice, which compromise care quality and patient safety. Limited English proficiency (LEP) is a key determinant of these barriers, yet little is known about how older patients with LEP experience communication from general practice.</p><p><strong>Aim: </strong>To identify the experiences and preferences for communication from Australian general practice by older Greek patients with LEP.</p><p><strong>Design & setting: </strong>An exploratory, qualitative, descriptive research design was used. The study took place in a Greek community club in south-east Melbourne, Australia.</p><p><strong>Method: </strong>Ten older Greek persons with LEP and two informal carers were interviewed in a mix of both English and Greek. Interviews lasted 20-45 minutes, were audio-recorded, transcribed verbatim, and translated to English. Data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Participants described diverse experiences. The following three themes emerged: 1) perceptions towards, and knowledge of, participants' doctor's clinic; 2) experiences of communication from general practice clinics; and 3) preferences for communication from general practice and what drives them.</p><p><strong>Conclusion: </strong>The preferences and needs for communication from general practice clinics among this group were influenced by age and language-related factors. It is important to consider these factors when designing and implementing communication systems in general practice.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147468417","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":"Barriers and enablers to engagement with green social prescribing in primary care: a scoping review using the socio-ecological model.","authors":"Helen Frost, Bruce Mason, Tricia R Tooman, Beth R Bareham, Lauren Ng, Holly Haines, Stella Arakelyan, Sue Lewis, Maria K Wolters, Katie Hawkins, Margaret E Ogden, Helen G Pain, Stewart W Mercer","doi":"10.3399/BJGPO.2026.0219","DOIUrl":"https://doi.org/10.3399/BJGPO.2026.0219","url":null,"abstract":"<p><strong>Background: </strong>Green social prescribing (GSP) connects individuals with nature-based interventions (NBIs) through healthcare providers, link workers, and social and community networks. While evidence supports the health benefits of NBIs, further research is needed to understand the factors that influence engagement.</p><p><strong>Aim: </strong>To explore barriers and enablers to GSP and NBIs for prescribers, service users and community providers.</p><p><strong>Design & setting: </strong>A scoping review in primary care and community settings.</p><p><strong>Method: </strong>We systematically searched Medline, Embase, CINAHL, Web of Science, and SCOPUS from 2019. We assessed quality using the Critical Appraisal Skills Programme and the Mixed Methods Appraisal Tool. We mapped data to the socioecological framework during synthesis.</p><p><strong>Results: </strong>Out of 4864 screened records, 45 studies from 11 countries were included. GSP and NBIs face micro-level barriers such as knowledge gaps, cultural and social issues, time and cost constraints and perceptions of adverse weather; meso-level and macro-level challenges include unequal access, underfunded NBIs, an emphasis on biomedical models, safety concerns, limited training, and insufficient policy support and leadership. Engagement was enabled by flexible, person-centred approaches, tailored NBIs with clear pathways, including link workers, strong cross-sector partnerships, community co-design, and public health campaigns.</p><p><strong>Conclusion: </strong>Promoting engagement with GSP and NBIs requires a multi-level approach that addresses systemic barriers through collaboration between prescribers, third-sector organisations and policymakers. Investment in workforce training and sustainable funding models is critical to support long-term success in primary care and community settings. Addressing health inequalities by improving access for people in areas of high socioeconomic deprivation remains a priority.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229006","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":"A systematic review of the perspectives of adults with type 2 diabetes mellitus or prediabetes on behavioural weight management.","authors":"Shraboni Ghosal, Neil Heron, Kayleigh J Mason, Kelvin P Jordan","doi":"10.3399/BJGPO.2025.0291","DOIUrl":"10.3399/BJGPO.2025.0291","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) is a major global health concern. Weight management in T2DM and prediabetes can improve quality of life (QoL) and glycaemic parameters. People with T2DM or prediabetes experience threats and barriers regarding weight management but current evidence is lacking in this area.</p><p><strong>Aim: </strong>To determine experiences, perceptions, facilitators, and barriers related to weight management in people with T2DM and prediabetes.</p><p><strong>Design & setting: </strong>Systematic review in primary care settings.</p><p><strong>Method: </strong>A systematic search of 10 databases including MEDLINE, CINAHL Plus, and Scopus, and hand searching (2015-2025), generated 5315 qualitative and mixed-methods studies. We used Braun and Clarke's thematic analysis to synthesise data, and Critical Appraisal Skills Programme (CASP) tools and Hawker's quality assessment tool to assess study quality, risk of bias, and strength of evidence. The JBI (formerly known as the Joanna Briggs Institute) standards and Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were adhered to, and findings were presented using narrative synthesis.</p><p><strong>Results: </strong>Thematic analysis of the article texts of 43 studies identified five overarching themes regarding success or failure of weight management in T2DM and prediabetes: (i) nutrition, diet, and exercise; (ii) patient and healthcare professional (HCP) experience and knowledge; (iii) perceptions and behaviours; (iv) challenges, threats, and barriers; and (v) roles and responsibilities. While facilitators for people with T2DM and prediabetes included better support, education, motivation, diet and/or exercise adherence, and access to care-facilitated weight management, threats or barriers included time constraints, social pressure, inequalities, language barriers, and stigma. Clinicians and other HCPs are perceived to be supportive in weight management and could help overcome threats or barriers in T2DM and prediabetes.</p><p><strong>Conclusion: </strong>Emergent evidence on weight management in type 2 diabetes mellitus (T2DM) and prediabetes indicates that stronger support and personalised approaches are essential. Tailoring programmes could improve weight management in T2DM and prediabetes. Future interventions should address inequalities, stigma, language barriers, and misinformation, and offer tailored advice on lifestyle, diet, and exercise, and improve resources for those with T2DM and prediabetes.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356865","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":"Impact of antibiotic side effects and allergies on patient adherence and attitudes: a mixed-methods study in England.","authors":"Liam Clayton, Catherine V Hayes, Luke O'Neill, Fionna Pursey, Libby Eastwood, Jonathan At Sandoe, Donna M Lecky","doi":"10.3399/BJGPO.2024.0288","DOIUrl":"10.3399/BJGPO.2024.0288","url":null,"abstract":"<p><strong>Background: </strong>The overuse and misuse of antibiotics significantly contributes to antimicrobial resistance (AMR). Adverse reactions to antibiotics are well documented, but their impact on patients' behaviours requires further exploration.</p><p><strong>Aim: </strong>To explore how side effects and allergies influence patients' behaviours around prescribed antibiotic use.</p><p><strong>Design & setting: </strong>A mixed-methods explanatory sequential study in England.</p><p><strong>Method: </strong>A survey of 1059 adults with prior experience of antibiotic side effects was conducted. Descriptive statistics identified common side effects and behavioural responses, while χ² tests explored demographic differences. Focus groups were held with 21 participants, recruited through a research panel. Thematic analysis captured deeper insight into participants' personal experiences.</p><p><strong>Results: </strong>Many antibiotic side effects were identified, presenting shortly after consumption and affecting several aspects of patients' lives. Approximately one-third of responders (31%, <i>n</i> = 325; 95% confidence interval [CI] = 28% to 34%) were unaware of potential side effects beforehand, citing inaccessible patient information leaflets and limited communication from healthcare professionals as barriers. Almost half (42%, <i>n</i> = 440; 95% CI = 39% to 45%) did not complete their antibiotic course following the side effects, with 32% (<i>n</i> = 142; 95% CI = 28% to 37%) stopping without medical advice. Many allergy diagnoses were made in childhood without follow-up assessments.</p><p><strong>Conclusion: </strong>Antibiotic side effects can significantly disrupt patients' lives and discourage appropriate use of antibiotics. Providing accessible information before prescribing may help manage expectations and support self-management of side effects. Patients with longstanding allergy labels should be encouraged to undergo reassessment to ensure that they are not contributing to AMR by unnecessarily avoiding the use of first-line antibiotics.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776074","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 feasible is self-monitoring for the management of prehypertension? A prospective, non-randomised, mixed-methods, feasibility study (the REVERSE study).","authors":"Emma Bray, Lucy Hives, Rachel Georgiou, Valerio Benedetto, Paul Heyworth, Patrick Doherty, Nefyn Howard Williams, Paul Rutter, Joe Spencer, Andrew Clegg, Caroline L Watkins","doi":"10.3399/BJGPO.2025.0231","DOIUrl":"10.3399/BJGPO.2025.0231","url":null,"abstract":"<p><strong>Background: </strong>Prehypertension (blood pressure [BP] 120-139/80-89 mmHg) affects 40% of UK adults, increasing their cardiovascular risk. While BP self-monitoring is effective in hypertension, its feasibility in prehypertension is unclear. Concerns include lack of interest, medicalisation, and unintended consequences, despite evidence suggesting it may empower individuals in risk management and prevention.</p><p><strong>Aim: </strong>To determine the feasibility of BP self-monitoring for prehypertension.</p><p><strong>Design & setting: </strong>A prospective, non-randomised, mixed-methods, feasibility study across primary care in Lancashire and South Cumbria.</p><p><strong>Method: </strong>People with prehypertension were recruited from five general practices, three pharmacies, and one provider that checked BP. Participants received a BP monitor and training, then self-monitored BP on the first 3 days of each month for 6 months. Participants submitted their results to the research team. Outcome data were collected at baseline, 6 months, and 12 months, and analysed mainly using descriptive statistics.</p><p><strong>Results: </strong>Of 162 expressions of interest, 80 people were eligible and consented; 78 from general practice, and one each from pharmacy and community providers. Of those recruited, 66 (83%) and 33 (41%) completed the 6-month and 12-month follow-up, respectively, with minimal missing data. No adverse effects were reported. Illness perceptions significantly improved (mean 26.6 [standard deviation {SD} 8.6] versus mean 22.6 [SD 8.7], <i>P</i> = 0.002), with no other significant changes. There was only one participant who did not class their ethnicity as white.</p><p><strong>Conclusion: </strong>BP self-monitoring for prehypertension is feasible in general practice, but requires further exploration with pharmacy and community providers. The homogenous sample limits generalisability, highlighting the need for targeted outreach. Findings need confirming in an effectiveness trial.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481816","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":"Expression of concern.","authors":"","doi":"10.3399/BJGPO.2026.8887","DOIUrl":"10.3399/BJGPO.2026.8887","url":null,"abstract":"","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207442","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 the barriers and facilitators to discussing social media in primary care for young adults with mental health concerns: a qualitative study.","authors":"Ruth Plackett, Iris van der Scheer, Jessica-Mae Steward, Vacha Fadia, Jessica Sheringham, Silvie Cooper, Lucy Biddle, Judi Kidger, Patricia Schartau, Kate Walters","doi":"10.3399/BJGPO.2025.0196","DOIUrl":"10.3399/BJGPO.2025.0196","url":null,"abstract":"<p><strong>Background: </strong>Social media is a pervasive part of young peoples' lives and may influence their mental health. Primary care is often the first point of care when seeking help for mental health problems. However, little is known about how young adults with mental health problems experience and perceive primary care support for managing social media.</p><p><strong>Aim: </strong>To explore young adults' views on help-seeking for social media use in primary care in relation to mental health problems.</p><p><strong>Design & setting: </strong>Qualitative interview study with 28 young adults aged 18-25 with self-reported mental health problems across England.</p><p><strong>Method: </strong>Semi-structured interviews were analysed thematically to identify barriers and facilitators to help-seeking. Themes were organised using the Theory of Planned Behaviour: attitudes, social norms, and perceived behavioural control.</p><p><strong>Results: </strong>Barriers for help-seeking included attitudes that social media was a secondary issue and low expectations of meaningful support; perceived negative attitudes and limited understanding of social media by primary care clinicians, communities and families; and constrained ability to seek help due to limited consultation time and uncertainty around how to seek help. Facilitators included clinicians offering practical strategies, raising the topic non-judgmentally, receiving training to better understand young people's digital lives, longer appointment times, and clearer information about support in primary care for social media-related concerns.</p><p><strong>Conclusion: </strong>Young adults with mental health concerns face multiple barriers to discussing social media in primary care, shaped by attitudes and structural challenges. Addressing these through clinician training, communication, and service adaptations may enhance engagement and support.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114528","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":"Trends in long COVID and post-viral fatigue in children in primary care in England.","authors":"Vishnuga Raveendran, Claire Thorne, Charlotte Jackson, Rashmi D'Souza, Pia Hardelid","doi":"10.3399/BJGPO.2026.0163","DOIUrl":"https://doi.org/10.3399/BJGPO.2026.0163","url":null,"abstract":"<p><strong>Background: </strong>Post-viral sequelae following the COVID-19 pandemic attention to post-viral fatigue and long COVID, but the impact on children and young people's (CYP) primary care use is unknown.</p><p><strong>Aim: </strong>To examine temporal, seasonal, and sociodemographic patterns in primary care consultations for long COVID and PVFS in CYP DESIGN AND SETTINGS: We conducted a retrospective, population-based dynamic cohort study using Clinical Practice Research Datalink Aurum data for CYP aged <18 years in England, between 1^st January 2006 and 31^st December 2022 (from 1^st March 2020 for long COVID); a period covering the influenza A(H1N1)pdm09 and COVID-19 pandemics.</p><p><strong>Method: </strong>Consultation rates per 100 000 child-years were calculated for long COVID and post-viral fatigue syndrome (PVFS) by calendar year, month, and sociodemographic characteristics. Trends, seasonal patterns, and differences between pandemic and non-pandemic periods (for PVFS) were described. Negative binomial regression was used to estimate associations with sociodemographic characteristics.</p><p><strong>Results: </strong>The cohort included 7,442,572 CYP (3 624 692 registered in primary care during the COVID-19 pandemic). There were 6700 long COVID and 20,440 PVFS consultations. Long COVID consultation rates were highest in 2022 (140.3 per 100,00 child-years). PVFS consultation rates peaked in 2009 and 2022 (during H1N1 and COVID pandemics) with rates of 57.1 and 56.9 per 100 000 child-years, respectively. Consultation rates were highest among older CYP, girls, and those from least deprived areas.</p><p><strong>Conclusion: </strong>Long COVID consultations were highest in 2022, and PVFS consultation rates peaked during 2009 and 2022. Our findings that rates were highest in less deprived areas and girls need further investigation.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137785","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}