BJGP Open最新文献_第10页

'It gives a sense of purpose' - exploring GP registrars' views on relational continuity of care: a survey. “它给人一种使命感”——探索全科医生注册者对护理关系连续性的看法：一项调查。

IF 2.5

BJGP Open Pub Date : 2025-04-16 DOI: 10.3399/BJGPO.2025.0001

Helen Leach, Helen Atherton, Jeremy Dale

{"title":"'It gives a sense of purpose' - exploring GP registrars' views on relational continuity of care: a survey.","authors":"Helen Leach, Helen Atherton, Jeremy Dale","doi":"10.3399/BJGPO.2025.0001","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0001","url":null,"abstract":"Background: Relational continuity of care has been shown to improve patient outcomes and clinician satisfaction. However, little is known about how GP registrars, the future workforce in general practice, experience this continuity, especially in the context of evolving workforces and increasing use of remote consultations.Aim: This study aimed to explore GP registrars' views on relational continuity of care and identify personal, training, and practice factors that may influence these views, including the impact of digital/remote consulting.Design & setting: A cross-sectional online survey was conducted among GP registrars in the West Midlands, England. The survey explored registrars' experiences and attitudes towards relational continuity, including the impact of remote consulting.Method: The survey combined Likert-scale and multiple-choice questions with free-text responses. Quantitative data was analysed using descriptive statistics with logistic regression to identify personal and training factors that might influence views. Content analysis was used for qualitative data.Results: 246 responses were received (estimated 14.5% response rate). Registrars valued relational continuity, particularly for patients with long-term conditions. Barriers such as rotational training, high workload, and limited appointment access were reported. Remote consulting was seen as challenging for building relationships but helpful for follow-up encounters. Few personal or training factors influenced views on relational continuity.Conclusion: Despite significant barriers, GP registrars highlighted the importance of relational continuity for patient care and clinician satisfaction. Further research is needed to explore how training models impact continuity, and how training and remote consulting can support the experience of relational continuity in practice.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988262","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}

引用次数: 0

Primary care online training on multifactorial breast cancer risk: pre-post evaluation study. 多因素乳腺癌风险的初级保健在线培训：前后评估研究。

IF 2.5

BJGP Open Pub Date : 2025-04-15 DOI: 10.3399/BJGPO.2024.0305

Francisca Stutzin Donoso, Juliet A Usher-Smith, Lorenzo Ficorella, Antonis C Antoniou, Jon Emery, Marc Tischkowitz, Tim Carver, Douglas F Easton, Fiona M Walter, Stephanie Archer

{"title":"Primary care online training on multifactorial breast cancer risk: pre-post evaluation study.","authors":"Francisca Stutzin Donoso, Juliet A Usher-Smith, Lorenzo Ficorella, Antonis C Antoniou, Jon Emery, Marc Tischkowitz, Tim Carver, Douglas F Easton, Fiona M Walter, Stephanie Archer","doi":"10.3399/BJGPO.2024.0305","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0305","url":null,"abstract":"Background: It is estimated that>250,000 women in the United Kingdom (UK) are at increased risk of breast cancer, but only a small fraction are identified. Digital tools, such as CanRisk, enable multifactorial breast cancer risk assessment. Implementation of such tools within primary care would allow primary care professionals (PCPs) to reassure women at population-level risk and identify those at increased risk who will benefit most from targeted prevention or early detection. Previous studies suggest that PCPs will require educational resources to support the delivery of multifactorial breast cancer risk assessments.Aim: To develop and evaluate a new 'Multifactorial breast cancer risk assessment in primary care' online training for UK PCPs.Design & setting: 35 PCPs from across the UK participated in the evaluation and data collection was completed online between May and July 2024.Method: Evidence-based training development and mixed-methods pre-post evaluation study. Statistical analysis for the evaluation focused on the primary outcome of objective knowledge and mean changes were analysed with a paired sample t-test. Qualitative feedback was analysed using content analysis.Results: Objective knowledge showed a significant mean increase (P=0.011,95% CI). Subjective knowledge and confidence scores also showed significant mean increases (P<0.001, 95% CI). Results on satisfaction, engagement, and relevance of the training were positive.Conclusion: The 'Multifactorial breast cancer risk assessment in primary care' online training significantly increases PCPs' knowledge and confidence to conducting multifactorial breast cancer risk assessments, and it was well received by PCPs.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052166","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}

引用次数: 0

Incentivising general practice: a review of the Scottish targeted enhanced recruitment scheme (TERS). 激励一般实践：对苏格兰定向增强型招聘计划（TERS）的回顾。

IF 2.5

BJGP Open Pub Date : 2025-04-15 DOI: 10.3399/BJGPO.2024.0289

Markus Chan, Peter D Donnelly, Frank Sullivan, Lindsey Pope, Nitin Gambhir

{"title":"Incentivising general practice: a review of the Scottish targeted enhanced recruitment scheme (TERS).","authors":"Markus Chan, Peter D Donnelly, Frank Sullivan, Lindsey Pope, Nitin Gambhir","doi":"10.3399/BJGPO.2024.0289","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0289","url":null,"abstract":"Background: One of the challenges facing UK general practice is the dwindling workforce, particularly in deprived or remote areas. One solution is to increase trainee's exposures to these environments by incentivising training in these locations. The Scottish Targeted Enhanced Recruitment Scheme (TERS) offered a one-time grant to general practice specialty trainees (GPSTs) in historically under-subscribed training programmes from 2017-2023.Aim: To evaluate the impact of the TERS grant on GPST recruitment across Scotland and within the targeted programmes.Design & setting: Analytical observational study of recruitment and training data from NHS Education for Scotland.Method: Recruitment data from 2015-2023 was provided by NHS Education for Scotland. Odds ratios of recruitment rates were calculated before and after the introduction of TERS, as well as between programmes based on their eligibility for TERS.Results: The targeted enhanced recruitment scheme recruited 734 individuals to GP specialty training posts across Scotland. 1522 individuals were recruited to programmes not eligible for TERS in the same timeframe. The odds ratio of the effect of the TERS grant on recruitment across all programmes was 4.81 (95% confidence interval OR 3.87-5.99). The OR for the TERS grant on recruitment within eligible programmes was 2.33 (95% CI OR 1.74-3.12).Conclusions: We found a one-off £20 000 conditional grant was associated with a doubling of the odds of recruitment to historically under-filled GP specialty training programmes. Further work is needed to explore the effect of the TERS grant, and its withdrawal in 2024, on retention and the GP workforce.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038547","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}

引用次数: 0

Assessment and treatment of headache in primary care: a scoping review. 初级保健中头痛的评估和治疗：范围综述。

IF 2.5

BJGP Open Pub Date : 2025-04-08 DOI: 10.3399/BJGPO.2025.0064

Jon M Dickson, Aneth Kimaro, Cheong Sxe Chang, Daniel Hind

{"title":"Assessment and treatment of headache in primary care: a scoping review.","authors":"Jon M Dickson, Aneth Kimaro, Cheong Sxe Chang, Daniel Hind","doi":"10.3399/BJGPO.2025.0064","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0064","url":null,"abstract":"Background: Good quality primary care is essential for the assessment and treatment of headaches but there is evidence that it is suboptimal.Aim: To identify the international evidence on assessment and treatment of headache in adults in primary care.Design & setting: A scoping review of the published literature following PRISMA-SCR guidelines, and a narrative review of the evidence.Method: An electronic search of MEDLINE and EMBASE (1946-2024) was undertaken. Studies meeting the eligibility criteria were included. Results were grouped by study type and were narratively reported.Results: In total 1125 articles were screened, 43 articles underwent full text review, and twenty-eight articles were included in the final review. Six studies used comparative methods, of which 3/6 investigated educational interventions. The educational interventions found positive effects on learning, and on patient outcomes such as diagnosis rates, but the only RCT did not show any benefits. Other comparative studies showed satisfaction with GPwER headache services, benefits from direct access to MRI, and benefits from a nurse-led headache service. Twenty-two studies used non-comparative methods such as surveys and interviews and investigated approaches to assessment/diagnosis, referral rationale, decision-making for prescribing prophylactic medications, educational initiatives, direct access to neuroimaging, GPwSI and nurse-led interventions.Conclusion: Despite the availability of high-quality clinical guidelines on the assessment and management of headache, the evidence shows that their implementation in primary care is problematic and educational interventions are a common focus of published studies. Further research is required to assess the quality of the current evidence and to develop, deploy and refine interventions which have a signal of efficacy.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812518","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}

引用次数: 0

The prescribing of opioids for chronic non-cancer pain in the menopausal and postmenopausal population: a drug utilisation study in the UK. 更年期和绝经后人群为慢性非癌性疼痛开具阿片类药物处方的情况：英国药物利用研究。

IF 2.5

BJGP Open Pub Date : 2025-04-08 DOI: 10.3399/BJGPO.2024.0169

Emma Tillyer, Yogini Jani, Li Wei, Ruth Brauer

{"title":"The prescribing of opioids for chronic non-cancer pain in the menopausal and postmenopausal population: a drug utilisation study in the UK.","authors":"Emma Tillyer, Yogini Jani, Li Wei, Ruth Brauer","doi":"10.3399/BJGPO.2024.0169","DOIUrl":"10.3399/BJGPO.2024.0169","url":null,"abstract":"Background: Opioid use for chronic non-cancer pain (CNCP) is consistently higher in menopausal and postmenopausal women than in younger women or men, elevating their risk of opioid-related adverse health outcomes. Since pain severity increases with hormonal changes accompanying menopause, these women should be a focus of opioid stewardship efforts.Aim: To examine opioid prescribing trends for CNCP in menopausal and postmenopausal women diagnosed with a musculoskeletal condition.Design & setting: Population-based drug utilisation study, which was undertaken with data from IQVIA Medical Research Data UK.Method: Annual opioid prescribing incidence, prevalence, and average duration of use were calculated for a cohort of women aged 50-79 years with musculoskeletal conditions newly diagnosed between 2010 and 2021. Specific results were stratified by age, pain indication, and Townsend score.Results: From 2010-2021, incident prescribing rates of opioids increased in women aged 50-54 years (161.4 [95% confidence interval {CI} = 149.7 to 174.0] per 1000 person-years at risk [PYAR] in 2010 to 239.6 [95% CI = 211.7 to 271.2] per 1000 PYAR in 2021); these women discontinued opioid use faster (<1 year) than older age groups (~2 years). Overall, opioid prescribing prevalence decreased from 23% in 2010 to 14% in 2021, and average opioid use duration decreased from 3 years to 1 year (2010-post-2017) in women aged 50-79 years.Conclusion: The overall observed decrease in prevalence and average duration of opioid use is encouraging. Incident prescriptions are rising in women aged 50-54 years and those with fibromyalgia while remaining steady in women aged 55-79 years. Understanding the impact of menopause and post-menopause on opioid use trends is important for effective opioid stewardship.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476728","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}

引用次数: 0

Prescribing practices for proton pump inhibitors among primary care physicians in England: an evaluation. 英格兰初级保健医生开具质子泵抑制剂处方的做法。

IF 2.5

BJGP Open Pub Date : 2025-04-08 DOI: 10.3399/BJGPO.2024.0059

Kate Plehhova, Joshua Wray, Patricia Aluko, Scott Sutton, Jim McArdle, Anne Dawson, Cathal Coyle, Richard M Stevens

{"title":"Prescribing practices for proton pump inhibitors among primary care physicians in England: an evaluation.","authors":"Kate Plehhova, Joshua Wray, Patricia Aluko, Scott Sutton, Jim McArdle, Anne Dawson, Cathal Coyle, Richard M Stevens","doi":"10.3399/BJGPO.2024.0059","DOIUrl":"10.3399/BJGPO.2024.0059","url":null,"abstract":"Background: Proton pump inhibitors (PPIs), the most frequently prescribed drug class globally, are often overused.Aim: To assess PPI prescribing practice in England.Design & setting: Electronic medical record (EMR) evaluation from 62 primary care GP practices in England.Method: Adult patients on continuous PPI treatment (repeat prescription or ≥4 acute prescriptions 6 months before data extraction) were included (August 2021-June 2022) to compare PPI prescribing practices versus National Institute for Health and Care Excellence (gastro-oesophageal reflux disease [GORD] and dyspepsia management) and Medicines and Healthcare products Regulatory Agency (clopidogrel and PPI interaction) guidelines.Results: We identified 77 356 patients on continuous PPI treatment. The most common (68%) diagnosis recorded in patients' EMRs and indicated for PPI use was gastroprotection, although 62% had no recorded indication. Of these 62% of patients, 40% had no medication review in the preceding year. Among those with diagnoses indicated for ≤3 months of PPI therapy (34%), 99% received their first PPI prescription ≥3 months previously. Of patients with diagnoses indicated for long-term treatment (4%), 41% had no medication review in the preceding year. Furthermore, 18% of patients using omeprazole or esomeprazole were also prescribed clopidogrel, and 19% of those prescribed treatments associated with gastrointestinal risk (n = 14 826) were not prescribed PPIs.Conclusion: This study shows that PPI prescribing in England is not in alignment with existing clinical guidelines and highlights the need for appropriate measures to increase awareness of overuse and support deprescribing where appropriate.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308711","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}

引用次数: 0

Content and timing of the 6-8 week maternal postnatal check: a mixed-methods study. 产妇产后 6-8 周检查的内容和时间：一项混合方法研究。

IF 2.5

BJGP Open Pub Date : 2025-04-08 DOI: 10.3399/BJGPO.2024.0229

Clare Macdonald, Fiona Cross-Sudworth, Laura Quinn, Christine MacArthur, Debra Bick, Ellie Jones, Beck Taylor

{"title":"Content and timing of the 6-8 week maternal postnatal check: a mixed-methods study.","authors":"Clare Macdonald, Fiona Cross-Sudworth, Laura Quinn, Christine MacArthur, Debra Bick, Ellie Jones, Beck Taylor","doi":"10.3399/BJGPO.2024.0229","DOIUrl":"10.3399/BJGPO.2024.0229","url":null,"abstract":"Background: Since 2020, the General Medical Services contract requires GP practices in England to offer women a GP appointment 6-8 weeks after birth: the '6-8 week postnatal check' or 'consultation'. Historically, provision of checks was variable, and women still frequently report poor experiences.Aim: To explore GPs' and women's perspectives of the 6-8 week postnatal check, including key components and timing.Design & setting: A mixed-methods study was undertaken with focus groups of GPs and women, and an online survey of GPs in England.Method: Focus groups explored GPs' and women's experiences of postnatal consultations. An online survey explored GPs' clinical approach, organisation, and improvement potential. Quantitative analysis examined associations between demographics and clinical approach. Thematic framework analysis was used for qualitative data.Results: In total, 18 women and 14 GPs participated in focus groups; 671 GPs completed the survey. Mental wellbeing and contraception were reported as important topics, although some women were not asked about mental health. GP survey responses indicated most recommendations from national guidance were 'always' or 'very often' covered by most, but not all GPs. Clinical coverage was higher for GPs who used clinical templates, had awareness of guidance, were female, or were a parent. Many GPs (n = 326/670, 49%) needed more time than they were allocated for the consultation (n = 524/670 [78%] allocated ≤15 minutes; n = 351/670 [52%] completed in ≤15 minutes).Conclusion: This study suggests GPs are allocated insufficient time for postnatal consultations, with substantial variation in practice. Specifying consultation duration and consideration of template usage in policy may improve care and outcomes for women.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366809","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}

引用次数: 0

Reducing pressurised metered dose inhaler prescriptions for asthma to reduce carbon emissions: a qualitative study of healthcare professional perspectives. 减少用于哮喘的加压计量吸入器处方以减少碳排放：卫生保健专业观点的定性研究。

IF 2.5

BJGP Open Pub Date : 2025-04-02 DOI: 10.3399/BJGPO.2024.0208

Lauren Franklin, Christian Mallen, Helen Twohig

{"title":"Reducing pressurised metered dose inhaler prescriptions for asthma to reduce carbon emissions: a qualitative study of healthcare professional perspectives.","authors":"Lauren Franklin, Christian Mallen, Helen Twohig","doi":"10.3399/BJGPO.2024.0208","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0208","url":null,"abstract":"Background: Prescribing of pressurised metered dose inhalers (pMDIs) is a key NHS carbon hotspot and reducing the number of these devices prescribed will help achieve NHS net zero targets.Aim: To explore primary healthcare professionals' perspectives on reducing the prescribing of pMDIs for people with asthma to reduce associated carbon emissions.Design & setting: Qualitative study of healthcare professionals (general practitioners, practice nurses and clinical pharmacists) working in general practice in England.Method: Eighteen semi-structured interviews were conducted with healthcare professionals. Participants were recruited through professional networks and using snowball sampling. Topic guides were developed to explore participant perspectives, concerns and motivations.Results: Eight general practitioners, six practice nurses and four clinical pharmacists were interviewed. Results are presented over two topics. The first explores factors influencing inhaler device choice and discusses the themes: patient-centred care, bias and assumptions, clinician confidence and knowledge, and status quo of asthma care. The second topic identifies facilitators and barriers for prescribing fewer pMDIs through the themes: understanding, attitudes to change, confidence in DPIs, engagement with sustainable prescribing, the role of incentives, and guidelines and systems.Conclusion: Interlinking personal, consultation and external factors influence which inhaler device is prescribed for patients with asthma. There are significant actionable barriers to implementing carbon-conscious prescribing, many of which would improve the quality of asthma care.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774545","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}

引用次数: 0

Influence of GPs' unhealthy lifestyle on patients' adherence to lifestyle recommendations: a cross-sectional study in Flanders, Belgium. 全科医生不健康的生活方式对患者遵守生活方式建议的影响：比利时法兰德斯的一项横断面研究

IF 2.5

BJGP Open Pub Date : 2025-04-02 DOI: 10.3399/BJGPO.2024.0221

Julie Kerremans, Birgitte Schoenmakers

{"title":"Influence of GPs' unhealthy lifestyle on patients' adherence to lifestyle recommendations: a cross-sectional study in Flanders, Belgium.","authors":"Julie Kerremans, Birgitte Schoenmakers","doi":"10.3399/BJGPO.2024.0221","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0221","url":null,"abstract":"Background: Research has shown that a physician's lifestyle significantly affects patient adherence to lifestyle advice AIM: This study investigates the influence of general practitioners' (GPs) unhealthy lifestyles on patients' adherence to lifestyle recommendations.Design & setting: A cross-sectional study was conducted from April 19, 2023, to September 12, 2023.Adults living in Flanders or Brussels with sufficient knowledge of Dutch were included.Method: Through a survey we studied the degree of willingness to follow lifestyle advice from GPs with unhealthy lifestyles. Secondary outcomes included the need for specific lifestyle advice, the feeling of being judged, and its impact on adherence.Results: Patients were less likely to follow lifestyle advice on smoking cessation (62.3%), alcohol use (64.9%), vaccination (49.7%), and eating habits (51.2%) from GPs exhibiting unhealthy behaviors in these areas. A significant portion (68.8%) indicated they were less likely to follow advice when feeling judged. Older respondents were less likely to adhere to advice from GPs with unhealthy habits and less likely to feel judged (odds ratio 0.973 to 0.979). Higher subjective physical health correlated with lower adherence to advice on physical activity from inactive GPs (odds ratio 0.799).Conclusions: The lifestyle of GPs appears to affect patients' adherence to lifestyle advice, with unhealthy behaviors leading to decreased patient trust and adherence. Emphasizing the importance of GPs maintaining a healthy lifestyle could enhance patient outcomes in lifestyle-related chronic disease prevention and management.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774524","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}

引用次数: 0

The paper study (prescribing antidepressants in primary care: ethnic inequalities in treatment). A study protocol. 论文研究（在初级保健处方抗抑郁药：治疗中的种族不平等）。研究方案。

IF 2.5

BJGP Open Pub Date : 2025-04-02 DOI: 10.3399/BJGPO.2024.0311

Lydia Poole, Amy Ronaldson, Hannah Frith, Paramjit Gill, Madiha Sajid, Rose Rickford, Andrea Martinez, Khaula Ali, Mel Ramasawmy

{"title":"The paper study (prescribing antidepressants in primary care: ethnic inequalities in treatment). A study protocol.","authors":"Lydia Poole, Amy Ronaldson, Hannah Frith, Paramjit Gill, Madiha Sajid, Rose Rickford, Andrea Martinez, Khaula Ali, Mel Ramasawmy","doi":"10.3399/BJGPO.2024.0311","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0311","url":null,"abstract":"Background: South Asians represent the largest minority ethnic group in the UK, but prior research has suggested unequal access to primary care and differences in antidepressant prescribing practices for these patients.Aim: This project aims to understand the treatment of depression in South Asian patients, with specific reference to factors affecting appropriate prescribing. The secondary aim is to understand the intersection between ethnicity, age and financial deprivation within this context.Design & setting: A mixed methods approach will be adopted, including primary and secondary analyses, to understand the ways in which inequalities may arise along the pathway from patient experience of symptoms to clinician decision to treat with antidepressants in UK primary care.Method: Two scoping reviews will inform our approach. Quantitative data analysis of UK Biobank will allow us to examine prevalence and heterogeneity in depressive symptoms, and antidepressant prescribing over time, stratified by ethnicity. Qualitative data will be generated through interviews and focus group discussions with patients and healthcare professionals to understand experiences of depression and document the depression management decision-making process.Ethics and dissemination: Ethical approval was obtained from Wales 6 Research Ethics Committee (reference 24/WA/0087). The dissemination plan will be informed by patient and public involvement (PPI) group members and engagement with stakeholders and will aim to produce a toolkit of resources for use in primary care.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774551","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}

引用次数: 0