BJGP Open最新文献

{"title":"Utilisation of a GP-staffed emergency response unit: an observational study from Norway.","authors":"Anders Rønning, Ann-Chatrin Linqvist Leonardsen, Odd Martin Vallersnes, Magnus Hjortdahl","doi":"10.3399/BJGPO.2025.0101","DOIUrl":"10.3399/BJGPO.2025.0101","url":null,"abstract":"<p><strong>Background: </strong>Emergency department (ED) crowding is a growing challenge, highlighting the need for safe and effective prehospital alternatives to hospital conveyance.</p><p><strong>Aim: </strong>To investigate how a GP-staffed emergency primary care response unit (EPCRU) affects resource allocation and patient pathways.</p><p><strong>Design & setting: </strong>A prospective observational study conducted in two Norwegian municipalities served by a GP-staffed EPCRU.</p><p><strong>Method: </strong>All missions (<i>n</i> = 2950) performed by the EPCRU from April 1, 2023, to March 31, 2024, were included. Data on dispatch origin, triage (telephone and on-site), reason for dispatch, level of care, and participating services were analysed.</p><p><strong>Results: </strong>Most missions were categorized as Acute (57.6%) by the call centre and comprised a broad spectrum of conditions and severities. The EPCRU was first on scene in 44.1% of cases. In total, 44.1% of patients were treated on-site without hospital conveyance. A mismatch was observed between telephone and on-site triage: 34.2% of Acute cases were triaged as Yellow by RETTS triage on scene. The EPCRU altered expected care trajectories compared to standard ambulance response by enabling both non-conveyance and direct Emergency Department admissions.</p><p><strong>Conclusion: </strong>A GP-staffed response unit may enhance resource efficiency, patient flow, and timely care-offering potential benefits for emergency systems facing growing demand.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765622","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":"Older Chinese migrants' experiences of remote primary care in England: interview study.","authors":"Haoyue Guo, Rachael Frost, Greta Rait, Fiona Burns","doi":"10.3399/BJGPO.2025.0106","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0106","url":null,"abstract":"<p><strong>Background: </strong>Over the past decade, remote (non-face-to-face) services are being increasingly used in primary care, including interactions through telephone and online platforms. These services bring potential benefits as well as potential barriers for patients. Older migrants are a population that could face intersectional barriers when accessing healthcare; it is important to understand the impact of remote services on them.</p><p><strong>Aim: </strong>This study explores older Chinese migrants' experiences of and attitudes to primary care access through remote services.</p><p><strong>Design & setting: </strong>This is a qualitative interview study. Participants were self-identified ethnically Chinese individuals over 60 years old, recruitment was carried out through community organisations, social media, and snowballing in 2023.</p><p><strong>Method: </strong>Participants were purposively sampled for maximum variation in socio-demographics and backgrounds. Data was collected through semi-structured interviews in English and Mandarin. Interviews were recorded and transcribed verbatim; where recording was not consented to, field notes were taken. Transcripts and field notes were analysed using reflexive thematic analysis. Results were shared with participants for verification.</p><p><strong>Results: </strong>Nineteen participants were interviewed. Many technical and practical barriers exist for the participants when accessing remote primary care. Due to the different levels of access to resources, these barriers impact the most disadvantaged people the most. In addition, participants feel the need for in-person interactions to address concerns and believe remote services should not replace in-person care.</p><p><strong>Conclusions: </strong>Overall, older Chinese migrants feel few benefits from using remote primary care services. In the current digital context of the NHS, it is crucial to keep multimodal services available while rolling out new service modes and consider the needs of different populations to ensure equity in access.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034272","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":"Use of unscheduled care in the last year of life for people with multiple long-term health conditions: a retrospective cohort study of 299,361 decedents.","authors":"Sarah P Bowers, Maureen Ward, Margaret C Weir, Sarah Ee Mills, Linda Williams, Joanna Bowden, Frances Quirk","doi":"10.3399/BJGPO.2025.0049","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0049","url":null,"abstract":"<p><strong>Background: </strong>People living with and dying from multiple long-term health conditions are high users of healthcare services. Unscheduled care, the unplanned use of healthcare services, rises dramatically in the last year of life, likely reflecting unmet needs.</p><p><strong>Aim: </strong>To characterise Scotland-based decedents with multiple long-term health conditions in their last year of life and explore the relationship between characteristics and unscheduled care usage over that year.</p><p><strong>Design & setting: </strong>Retrospective cohort study of all individuals who died in Scotland between 01/01/2017 and 31/12/2021.</p><p><strong>Method: </strong>Data were linked across routine NHS Scotland datasets. Associations between sociodemographic factors, multiple long-term health conditions and unscheduled care usage in the last year of life were explored through binary logistic regression.</p><p><strong>Results: </strong>299 361 individuals died in Scotland between 01/01/2017 and 31/12/2021 - 136 953 (45.63%) had two or more long-term health conditions leading into their last year of life. More decedents with multiple long-term health conditions (97.1%) used unscheduled care compared to those without (95.6%). When adjusted for sociodemographic factors, those with multiple long-term health conditions were more likely to use unscheduled care (adjusted Odds Ratio 1.51, 95%Confidence Interval 1.45-1.57).</p><p><strong>Conclusion: </strong>People dying with multiple long-term health conditions have particularly high use of unscheduled care in the last year of life, likely reflecting unmet need. Anticipating and addressing these needs, through usual care providers, could reduce avoidable use of unscheduled care.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034330","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":"Psychological determinants of Health-Related quality of life in primary care patients with diabetic foot ulcers: a <b>cross-sectional study in Singapore</b>.","authors":"Xiaoli Zhu, Jiayi Weng, Eng Sing Lee, Frederick H F Chan, Phoebe Xh Lim, Ling Jia Goh, Jacqueline Giovanna De Roza, Yee Chui Chen, Konstadina Griva","doi":"10.3399/BJGPO.2025.0091","DOIUrl":"https://doi.org/10.3399/BJGPO.2025.0091","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers (DFUs) significantly impair health-related quality of life (HRQoL). While clinical predictors are well established, the contribution of psychological factors, particularly in primary care, remains underexplored.</p><p><strong>Aim: </strong>To examine the sociodemographic, clinical, and psychological determinants of HRQoL in individuals with DFUs to inform development of psychologically informed interventions.</p><p><strong>Design & setting: </strong>Cross-sectional study in primary care settings.</p><p><strong>Method: </strong>A total of 186 patients with DFUs completed validated measures, including psychological variables (eg, the Diabetes Distress Scale and Brief Illness Perception Questionnaire) and Wound-QoL, which assesses quality of life in Body, Psyche, and Everyday Life domains. Hierarchical multiple regression analyses evaluated the contribution of psychological variables to HRQoL.</p><p><strong>Results: </strong>Psychological burden dominated, with Psyche HRQoL impaired in 57% of participants (mean = 2.0), outpacing Everyday Life (38%; mean = 1.3) and Body domains (24%; mean = 0.8). In hierarchical models, psychological variables-together with sociodemographic and clinical factors-explained 31.4% of the variance in Body HRQoL, with interpersonal distress and threat perceptions emerging as significant predictors. A similar model accounted for 39.2% of the variance in Psyche HRQoL, with female gender, emotional burden, and threat perceptions as key predictors. Everyday Life HRQoL was significantly associated with HbA1c, independence in daily activities, emotional burden, and threat perceptions, with the full model explaining 40.9% of the variance.</p><p><strong>Conclusion: </strong>Psychological factors significantly contributed to reduced HRQoL in primary care patients with DFUs. Routine screening and targeted, psychologically informed support-particularly for women, those with poor glycaemic control, or limited functional independence-are essential to improve outcomes.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034417","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":"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":"10.3399/BJGPO.2024.0305","url":null,"abstract":"<p><strong>Background: </strong>It is estimated that more than 250 000 women in the 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.</p><p><strong>Aim: </strong>To develop and evaluate a new 'Multifactorial breast cancer risk assessment in primary care' online training for UK PCPs.</p><p><strong>Design & setting: </strong>A mixed-methods pre-post evaluation study was undertaken. Thirty-five PCPs from across the UK participated in the evaluation and data collection was completed online between May and July 2024.</p><p><strong>Method: </strong>The online training was developed following a scoping review of the literature. The Kirkpatrick model of training evaluation was used as a framework and participants were given pre-training and post-training evaluation questionnaires. Statistical analysis for the evaluation focused on the primary outcome of objective knowledge and mean changes were analysed with a paired sample <i>t</i>-test. Qualitative feedback was analysed using content analysis.</p><p><strong>Results: </strong>Objective knowledge showed a significant mean increase (0.771, 95% confidence interval [CI] = 0.187 to 1.355, <i>P</i> = 0.011). Subjective knowledge and confidence scores also showed significant mean increases (6.828, 95% CI = 5.150 to 8.506, <i>P</i><0.001; 4.085, 95% CI = 2.764 to 5.406, <i>P</i><0.001, respectively). Results on satisfaction, engagement, and relevance of the training were positive.</p><p><strong>Conclusion: </strong>The 'Multifactorial breast cancer risk assessment in primary care' online training significantly increases PCPs' knowledge and confidence to conduct multifactorial breast cancer risk assessments, and it was well received by PCPs.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","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}

{"title":"Incentivising general practice: a review of the Scottish targeted enhanced recruitment scheme (TERS) through recruitment and training data.","authors":"Markus Chan, Peter D Donnelly, Frank Sullivan, Lindsey Pope, Nitin Gambhir","doi":"10.3399/BJGPO.2024.0289","DOIUrl":"10.3399/BJGPO.2024.0289","url":null,"abstract":"<p><strong>Background: </strong>One of the challenges facing UK general practice is the dwindling workforce, particularly in deprived or remote areas. One solution is to increase trainees' 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.</p><p><strong>Aim: </strong>To evaluate the impact of the TERS grant on GPST recruitment across Scotland and within the targeted programmes.</p><p><strong>Design & setting: </strong>Analytical observational study of recruitment and training data from NHS Education for Scotland.</p><p><strong>Method: </strong>Recruitment data from 2015-2023 was provided by NES. Odds ratios (ORs) of recruitment rates were calculated before and after the introduction of TERS, as well as between programmes based on their eligibility for TERS.</p><p><strong>Results: </strong>The TERS recruited 734 individuals to GP specialty training posts across Scotland. In total, 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 = 3.87 to 5.99). The OR for the TERS grant on recruitment within eligible programmes was 2.33 (95% CI = 1.74 to 3.12).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","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}

{"title":"Prescription patterns of anxiolytics in remote consultation versus in-person consultation: a cross-sectional study in French general practice.","authors":"Flora Descans, Vincent Tarazona, David De Bandt","doi":"10.3399/BJGPO.2024.0176","DOIUrl":"10.3399/BJGPO.2024.0176","url":null,"abstract":"<p><strong>Background: </strong>Teleconsultation is a new mode of medical consultation in France, which is poorly evaluated, and anxiolytics are among the drug classes at risk of over-medication.</p><p><strong>Aim: </strong>To analyse the prescription patterns of anxiolytics in remote consultation (RC) versus in-person consultation (IPC) in general practice.</p><p><strong>Design & setting: </strong>This is a retrospective cross-sectional study in French general practice in 2021.</p><p><strong>Method: </strong>Consultations at volunteer general practice offices were analysed. The mode of consultation was extracted. For each consultation with an anxiolytic prescription, the prescribed daily dose (PDD), the age, sex, initiation or renewal of treatments, and the length time before the next consultation were recorded. χ² was performed to compare the correlation between the mode of consultation and the drug prescription. Then, for consultation with anxiolytic prescription, multivariate models were conducted to analyse the PDD and the average time interval before the next consultation adjusted for consultation characteristics.</p><p><strong>Results: </strong>A total of 46 880 consultations were included from 11 GPs. The rate of consultations with anxiolytic prescriptions was identical in RC and IPC, but the PDD was higher by 6.17 in RC compared to IPC (95% confidence interval [CI] = 0.21 to 12.12; <i>P</i> = 0.04). The average time interval before the next consultation was identical in RC and IPC.</p><p><strong>Conclusion: </strong>The rate of consultations with anxiolytic prescriptions is identical in RC and IPC, but the prescribed doses are higher in RC. Given the adverse effects of these treatments, GPs should reflect on their prescriptions to avoid over-medication.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625899","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":"Changes in heart failure healthcare in general practice during the COVID-19 pandemic: a survey.","authors":"Raphael Rothenberger, Thomas Blakeman, Carolyn A Chew-Graham, Faye Forsyth, Muhammad Hossain, Emma Sowden, Christi Deaton","doi":"10.3399/BJGPO.2024.0138","DOIUrl":"10.3399/BJGPO.2024.0138","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic accelerated the adoption of remote healthcare for the management of long-term conditions, including heart failure (HF). However, little is known about the experiences of this transition, knowledge developed during service transformation, and/or the preferences of clinicians and patients with HF going forward.</p><p><strong>Aim: </strong>This study aimed to determine the perspectives and consensus of healthcare providers, patients, and carers in the UK regarding the transition to remote healthcare for HF during the pandemic.</p><p><strong>Design & setting: </strong>A survey was conducted among individuals with HF and healthcare providers.</p><p><strong>Method: </strong>An evaluation of stakeholders' views and a consensus-development exercise regarding the use of telehealth and home monitoring devices were conducted using a modified Delphi process on an online platform. This study primarily included patients with HF with preserved ejection fraction (HFpEF).</p><p><strong>Results: </strong>Findings revealed a significant reliance on telehealth, which reportedly enhanced accessibility for patients. Integration of home monitoring devices and systems was deemed crucial for continuity of care. Although there was some consensus concerning the usefulness of remote consultations and communication, findings also highlighted their limitations and disparities in digital access and literacy.</p><p><strong>Conclusion: </strong>Remote healthcare presents opportunities and risks, emphasising the need for equitable access to telehealth technologies and thoughtful integration into healthcare systems. Balancing remote and in-person care, along with targeted training for healthcare providers, is essential for effective management and support of people with long-term conditions.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755046","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":"The patient path to diagnosis of atrial fibrillation: a qualitative study in primary care.","authors":"Patricia N Apenteng, Veronica Nanton, Trudie Lobban, Richard Lilford","doi":"10.3399/BJGPO.2025.0006","DOIUrl":"10.3399/BJGPO.2025.0006","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) is underdiagnosed and approximately 10% of ischaemic strokes occur in people with unrecognised AF.</p><p><strong>Aim: </strong>To explore the patient path to diagnosis of AF and identify ways to improve detection.</p><p><strong>Design & setting: </strong>Qualitative study in UK primary care.</p><p><strong>Method: </strong>We interviewed patients with a recent diagnosis of AF (<6 months) to understand their path to diagnosis, and interviewed primary care clinicians to explore their experience of detecting AF. The data were analysed using framework analysis.</p><p><strong>Results: </strong>Thirty patients and ten primary care clinicians were interviewed. Patients with non-specific symptoms generally did not perceive the symptoms as serious, and many delayed seeing a healthcare professional. Their experiences in primary care aligned with findings from interviews with primary care clinicians, who acknowledged that AF may not necessarily be the initial suspicion when a patient presents with certain non-specific symptoms. Primary care clinicians described narratives of good practice in the form of opportunistic pulse palpation, and challenges of detecting AF in primary care such as lack of access to Holter tests and limited opportunities to detect AF as a result of remote consultations and healthcare assistants taking on more responsibilities.</p><p><strong>Conclusion: </strong>Our findings suggest that increased public awareness of AF could improve symptom appraisal and help-seeking from healthcare professionals. Recommending opportunistic pulse palpation in primary care is also indicated. Access to Holter tests and other devices in primary care may help reduce delays in diagnosis.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754559","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":"Influence of GPs' unhealthy lifestyle on patients' adherence to lifestyle recommendations: a cross-sectional study in Belgian primary care.","authors":"Julie Kerremans, Birgitte Schoenmakers","doi":"10.3399/BJGPO.2024.0221","DOIUrl":"10.3399/BJGPO.2024.0221","url":null,"abstract":"<p><strong>Background: </strong>Research has shown that a physician's lifestyle significantly affects patient adherence to lifestyle advice.</p><p><strong>Aim: </strong>To investigate the influence of GPs' unhealthy lifestyles on patients' adherence to lifestyle recommendations.</p><p><strong>Design & setting: </strong>A cross-sectional study was conducted from 19 April 2023-12 September 2023. Adults living in Flanders or Brussels with sufficient knowledge of Dutch were included.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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 behaviours in these areas. A significant portion (68.8%) indicated they were less likely to follow advice when feeling judged. Older responders were less likely to adhere to advice from GPs with unhealthy habits and less likely to feel judged (odds ratio [OR] 0.973). Higher subjective physical health correlated with lower adherence to advice on physical activity from inactive GPs (OR 0.799).</p><p><strong>Conclusion: </strong>The lifestyle of GPs appears to affect patients' adherence to lifestyle advice, with unhealthy behaviours leading to decreased patient trust and adherence. Emphasising the importance of GPs maintaining a healthy lifestyle could enhance patient outcomes in lifestyle-related chronic disease prevention and management.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","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}