BJGP Open最新文献

{"title":"Co-locating frailty intervention activities and general practice: a qualitative study exploring experiences and perceptions of participants and delivery partners.","authors":"Alexandra Thompson, Luke Robertshaw, Barbara Hanratty, Michael Ali, Jennifer Liddle","doi":"10.3399/BJGPO.2025.0007","DOIUrl":"10.3399/BJGPO.2025.0007","url":null,"abstract":"<p><strong>Background: </strong>Physical activity interventions targeting frailty improve health in later life. Integrating these interventions with primary care services may enhance perceptions and outcomes of delivery. Every Move Matters (EMM) is an 8-week group-based frailty intervention aimed at improving physical ability, social connection, and wellbeing. Recruitment is embedded within primary care pathways. EMM is delivered by external partners within or near general practice venues.</p><p><strong>Aim: </strong>To explore the experiences and perceptions of participants, intervention providers, and primary care staff involved in delivering the EMM frailty intervention, with a focus on the impact of its co-location within or near general practice settings.</p><p><strong>Design & setting: </strong>A rapid inductive qualitative evaluation of the EMM intervention co-located with primary care services.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with nine EMM attendees, six primary care staff, and three staff members from the activity provider organisation between October 2023 and March 2024. Transcripts were analysed thematically.</p><p><strong>Results: </strong>Three themes were developed: straightforward implementation and adaptation; effectiveness; and buoyant atmosphere. EMM's location within primary care reassured attendees and fostered enthusiasm and support from primary care staff, promoting recruitment and feelings of pride. A dedicated embedded postholder with access to patient records could enhance recruitment.</p><p><strong>Conclusion: </strong>Implementing co-located interventions in collaboration with primary care is possible and has benefits for intervention attendees, delivery staff, and primary care practitioners. The potential to embed other interventions within primary care settings could be explored. Closer collaboration with primary care may promote access to data for evaluation of the longer-term benefits and sustainability of a range of interventions.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207781","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 GPs with incretin mimetics: a qualitative study in Germany.","authors":"Amelie Ege, Nicole Lindner, Nele Kornder, Annika Viniol, Veronika van der Wardt","doi":"10.3399/BJGPO.2025.0135","DOIUrl":"10.3399/BJGPO.2025.0135","url":null,"abstract":"<p><strong>Background: </strong>Incretin mimetics are increasingly used to manage diabetes and to support weight loss in people with obesity. However, their application by GPs in primary care settings remains underexplored.</p><p><strong>Aim: </strong>This study aimed to investigate GPs' healthcare experiences in relation to incretin mimetics, such as semaglutide.</p><p><strong>Design & setting: </strong>A qualitative study using semi-structured interviews with GPs from Hesse in Germany, recruited through purposive sampling. Data were collected between July 2024 and May 2025.</p><p><strong>Method: </strong>We conducted 15 semi-structured interviews. Data were analysed using Braun and Clarke's thematic analysis approach.</p><p><strong>Results: </strong>We identified six key themes: incretin mimetics as a new treatment option in the treatment of diabetes and obesity; patient expectations; the media as a key driver; challenges related to financial accessibility and supply; patients' therapy adherence; and the effects on quality of life and lifestyle changes.</p><p><strong>Conclusion: </strong>Our findings emphasise that facilitating patient education using supportive educational materials might counter the lack of reliable information. Moreover, collecting both qualitative and quantitative data on incretin mimetic usage from the patient perspective would be valuable for a more comprehensive understanding of the use of the medication.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524546","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":"Feasibility and potential effectiveness of a primary care consultation tool: a pilot controlled trial.","authors":"Simone Postma, Henk Schers, Reinier Akkermans, Kees van Boven, Debby Gerritsen, Tim Olde Hartman","doi":"10.3399/BJGPO.2026.0078","DOIUrl":"10.3399/BJGPO.2026.0078","url":null,"abstract":"<p><strong>Background: </strong>The Primary Care Functioning Consultation Tool (PCFCT) supports the integration of different aspects of health related functioning for patients with multimorbidity in disease management programs.</p><p><strong>Aim: </strong>To assess feasibility, satisfaction, and potential effectiveness of the PCFCT on functioning, self-efficacy, illness perceptions, and disease performance indicators in daily general practice.</p><p><strong>Design & setting: </strong>Pilot non-randomized controlled trial in Dutch general practices METHOD: Patients with multimorbidity were allocated to the intervention group (consultations with the practice nurse using the consultation tool) or to the control group (regular consultations). Feasibility was assessed by recruitment, retention, and identified patients at baseline and 3 months. After 3 months, satisfaction of patients and nurses was measured. Potential treatment effects were assessed using the Primary Care Functioning Scale, Self-efficacy Questionnaire, Brief Illness Perception Questionnaire, and disease-related outcomes.</p><p><strong>Results: </strong>Sixty-five patients were included (31 intervention, 34 control). Both patients and practice nurses reported high satisfaction and acceptability. Nineteen control patients (59%) and 24 intervention patients (80%) completed all questionnaires at baseline and 3 months. Between-group differences were not statistically significant, however intervention patients showed small exploratory differences towards better functioning, higher self-efficacy, and more adaptive illness perceptions. Missing data ranged from 25% to>90% across disease performance indicators, precluding reliable comparisons.</p><p><strong>Conclusion: </strong>The PCFCT is feasible, acceptable, and can be embedded within existing chronic disease management, with the potential to improve patient outcomes.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686094","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":"Lessons from the COVID-19 pandemic for future primary care: a qualitative interview study with GPs and medical practice assistants in Germany.","authors":"Kahina J Toutaoui, Marius T Dierks, Christoph Heintze, Lisa Kümpel, Doreen Kuschick, Liliana Rost, Florian Wolf, Susanne Doepfmer","doi":"10.3399/BJGPO.2025.0075","DOIUrl":"10.3399/BJGPO.2025.0075","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic necessitated significant adaptations for general practices, affecting healthcare services and workload. The mixed-methods study VeCo-Praxis was designed to investigate these changes, focusing on non-COVID-related services in three German regions. This article is based on a qualitative interview study with general practitioners (GPs) and medical practice assistants (MPAs).</p><p><strong>Aim: </strong>To explore the perspectives of GPs and MPAs regarding their work and role during the pandemic and what conclusions they draw for primary care in the aftermath of the pandemic.</p><p><strong>Design & setting: </strong>A qualitative study with 15 GPs and 15 MPAs from three federal German states (August 2022-September 2023).</p><p><strong>Method: </strong>We conducted semi-structured telephone interviews and performed thematic analysis described by Braun and Clarke.</p><p><strong>Results: </strong>In this article, we focus on three key aspects: 1) the evolving role of GPs and MPAs as central healthcare coordinators; 2) frustrations stemming from inadequate collaboration with specialists, health authorities, and hospitals; and 3) conclusions and outlook for the aftermath of the pandemic. GPs reported an increased sense of responsibility but also greater exhaustion, while MPAs felt undervalued, particularly in comparison to hospital nurses. While telemedicine was helpful, both groups criticised the administrative workload, the lack of timely communication from authorities, and the lack of support with pandemic-related tasks to ensure general patient care.</p><p><strong>Conclusion: </strong>Following the pandemic it is understood that GPs and MPAs must be adequately supported in their roles, interdisciplinary collaboration must be improved, and information flows and administrative processes must be more efficient to assure better pandemic preparedness in primary care.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524567","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":"Accuracy and suitability of eating disorder screening tools for binge eating disorder and bulimia nervosa in a primary care setting: a systematic review and narrative summary.","authors":"Stella Kozmér, Ruichen Yin, Joseph Evans, Alex Burns, Jane Smith","doi":"10.3399/BJGPO.2025.0149","DOIUrl":"10.3399/BJGPO.2025.0149","url":null,"abstract":"<p><strong>Background: </strong>Despite available screening tools for eating disorders (EDs), the accuracy and suitability of these in identifying binge eating disorder (BED) and bulimia nervosa (BN) in a primary care setting are undetermined, despite BED and BN being the most common EDs.</p><p><strong>Aim: </strong>To evaluate the accuracy and suitability of ED screening tools for BED and BN in a primary care setting.</p><p><strong>Design & setting: </strong>A systematic review with narrative synthesis in a primary care setting.</p><p><strong>Method: </strong>Six databases were searched, including MEDLINE, PsycInfo, and Embase. Two independent reviewers screened studies for inclusion. Studies were included that assessed the accuracy and/or suitability of screening tools for BED and BN in primary care. Quality was assessed using the Mixed Methods Appraisal Tool. A narrative summary was created after integrating the data using a convergent segregated approach.</p><p><strong>Results: </strong>Four studies met inclusion criteria. The included studies reported on Binge Eating Disorder Screener-7 (BEDS-7), Eating Disorder Examination Questionnaire (EDE-Q), and SCOFF (sick, control, one stone, fat, food) screening tools. No studies reported on the accuracy of screening tools for BED and suitability for BN. BEDS-7 and EDE-Q screening tools reported variations in their suitability in primary care. The main barriers to implementation in primary care were time constraints and a lack of trust in screening. SCOFF showed high sensitivity (97.88%-100%) for BN but had lower specificity (89.6%-94.4%), increasing false positives.</p><p><strong>Conclusion: </strong>ED screening tools face feasibility and accuracy concerns for BED and BN. Further research is needed to validate screening tools' accuracy and suitability in a primary care setting for BED and BN in the general population.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253020","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":"Acceptability and utility of parental guidance on weight talk with children for GPs: a qualitative study.","authors":"Billy Twomey, Fiona Gillison","doi":"10.3399/BJGPO.2025.0087","DOIUrl":"10.3399/BJGPO.2025.0087","url":null,"abstract":"<p><strong>Background: </strong>Childhood overweight and obesity rates are rising globally, yet many healthcare professionals and parents worry that raising the issue could harm children's wellbeing. New, evidence-informed guidance for parents on constructive ways to talk to children about their weight has been created to address these concerns. GPs are important in providing and endorsing this guidance, as part of broader efforts to support families.</p><p><strong>Aim: </strong>To explore the acceptability and usability of this novel guidance from the perspective of general practice.</p><p><strong>Design & setting: </strong>A qualitative study with GPs in the Republic of Ireland.</p><p><strong>Method: </strong>Semi-structured interviews with practising GPs were audio recorded, transcribed verbatim, and thematically analysed.</p><p><strong>Results: </strong>Fifteen GPs (10 male, five female) participated. Three key themes were identified. Theme 1 explored how the guidance was deemed to be useful in overcoming perceived barriers to having conversations with parents about their child's weight. Participants believed it would be effective in reducing stigma, promoting conversations and providing a framework to the consultation. Theme 2 explored how the guidance could be integrated into practice, supporting an individualised and patient-centred approach. Theme 3 explored the need for a multidisciplinary approach to the complex area of supporting children with overweight and obesity, and the need to focus on consistent evidence-based information.</p><p><strong>Conclusion: </strong>The guidance was perceived as acceptable, relevant, and useful. GPs felt that evidence-based resources, like this, are needed to provide consistent and accurate information for children and parents with regards to the management of overweight and obesity.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313987","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":"Telephone-first access to general practice for older people: a qualitative study.","authors":"Joanne Parsons, Carol Bryce, Joanna Fleming, Jennifer Newbould, Jeremy Dale, Helen Atherton","doi":"10.3399/BJGPO.2025.0133","DOIUrl":"10.3399/BJGPO.2025.0133","url":null,"abstract":"<p><strong>Background: </strong>Recent years have seen increasing pressure on primary care workforce and appointments, with telephone-first introduced in the UK to manage demand and workload. Patients discuss healthcare needs via telephone with a GP before being invited to make an appointment.Older people are at increased risk of inequality in accessing primary care appointments, with more long-term conditions and increased communication difficulties using telephone. These inequalities were potentially exacerbated during the COVID-19 pandemic.</p><p><strong>Aim: </strong>This study aimed to explore experiences of older people, carers, and general practice teams in using telephone-first to access appointments.</p><p><strong>Design & setting: </strong>Qualitative study in primary care.</p><p><strong>Method: </strong>We conducted 48 interviews with older people or their carers and six focus groups with staff from general practices using telephone-first.</p><p><strong>Results: </strong>Practices and older patients had varied approaches to telephone-first. As well as adapting to the concept of triage call-back, challenges for older people and their practices included changing their understanding of what constituted consultations. Trust between patients and their general practice influenced views and experiences, with acceptance of telephone-first being linked to their overall trust in the general practice. We observed differing views on how telephone-first worked between patients and general practices reflecting poor communication between the two groups.</p><p><strong>Conclusion: </strong>Systems implemented into practices need to be adequately explained, regarding processes, staff roles, and expectations of patients, to allow for thorough understanding and a demystification of the unknown. Future research should examine how telephone-first approaches affect older patients' health outcomes.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439191","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":"Targeted Prostate Health Checks for prostate cancer in men at high risk: a feasibility pilot in primary and secondary care in North East London.","authors":"Muhammad Haider, Apple Dumagat, James Sa Green, Paula Allchorne, Angela S Wong, Asad Ashraf, Gopal Mehta, Anil Shah, Oluwabunmi Olajide, Rhian Gabe, Fiona M Walter, Yin Zhou, Stafford Scott, Sara Paparini, Benjamin W Lamb, Prabhakar Rajan","doi":"10.3399/BJGPO.2025.0219","DOIUrl":"10.3399/BJGPO.2025.0219","url":null,"abstract":"<p><strong>Background: </strong>Prostate-specific antigen (PSA)-based prostate cancer (PCa) screening risks overdiagnosis and overtreatment. PCa disproportionately affects Black men, those with a family history (FH) of the disease, and <i>BRCA1/2</i> gene variant carriers. Risk-adapted approaches are gaining interest but are underexplored.</p><p><strong>Aim: </strong>To assess the feasibility of PSA-based Targeted Prostate Health Checks (TPHCs) for men at high PCa risk, compare invitation methods, and assess sociodemographic variations.</p><p><strong>Design & setting: </strong>Prospective feasibility cohort study in four primary care networks (PCNs) in North East London.</p><p><strong>Method: </strong>Men aged 45-69 years from Black ethnic group, or with a positive PCa FH, were identified via primary care records and invited by the PCN to one of two TPHCs: (i) telephone-first (phone consultation followed by hospital-based PSA testing); or (ii) test-first (community-based PSA testing followed by phone consultation). Elevated PSA prompted multiparametric magnetic resonance imaging (mpMRI), and prostate biopsy if malignancy was suspected.</p><p><strong>Results: </strong>Of 2400 invitees, 398 (16.6%) attended. Attendance was higher with the test-first than telephone-first TPHC (22.9% versus 11.2%, <i>P</i><0.001). Only 51.4% of participants met eligibility criteria owing to inaccurate FH coding, although men who did not meet the eligibility criteria were offered PSA tests. Black men had lower prior PSA testing (55.7% versus 82.5%) and higher deprivation than White men. Elevated PSA occurred in 6.0% of participants (<i>n</i> = 22), with five PCa diagnoses (1.4%).</p><p><strong>Conclusion: </strong>Identification of men at high PCa risk is feasible using age and ethnicity primary care data, but FH coding is unreliable. Test-first invitations improved engagement. Disparities affecting Black men highlight the need for tailored outreach, and better coding of risk factors will facilitate risk-adapted screening.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266435","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":"Planetary health in general practice: a cross-sectional survey in France.","authors":"Charlotte Goolaerts, Eloïse Retailleau, Ludovic Casanova, Gaetan Gentile, Pascal Auquier, Maeva Jego, Thomas Fierling","doi":"10.3399/BJGPO.2025.0153","DOIUrl":"10.3399/BJGPO.2025.0153","url":null,"abstract":"<p><strong>Background: </strong>In 2019, a global appeal was launched by the World Organization of Family Doctors that invited GPs to take action for planetary health. In 2023, 4 years after this call, what have French GPs done to promote planetary health?</p><p><strong>Aim: </strong>To describe GPs' opinions about this subject and pro-planetary health actions in general practice and to evaluate their knowledge of planetary health.</p><p><strong>Design & setting: </strong>An online survey of GPs, locums, and medical interns in France.</p><p><strong>Method: </strong>The survey was sent by email to French general practice networks. The responses were statistically analysed, and the demographic data were analysed via descriptive statistics.</p><p><strong>Results: </strong>The 974 participants who responded placed significant importance on ecology in their personal lives (mean = 7.81/10) and were relatively aware of the environmental impact of health care. In their professional lives, they placed less importance on ecology (mean = 5.80/10). Only 23.10% (<i>n</i> = 225) reported being trained on planetary health during their medical education. During consultations regarding both health and environmental benefits, the most frequently given advice involved direct benefits to patients' health. A lack of time (<i>n</i> = 676, 69.40%) was the first barrier to integrating planetary health into practice, and the second barrier was a lack of knowledge (<i>n</i> = 606, 62.22%).</p><p><strong>Conclusion: </strong>GPs are sensitive to environmental issues, but they are more detached from these issues in their professional lives. It is crucial to strengthen prevention efforts and integrate environmental considerations into training programmes and health policies to create the conditions necessary for this change in practice.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472262","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 organisation in France: ecological analysis of mortality and life expectancy.","authors":"Florent Wullems, Henri Panjo, Jeremy Gourdiole, David De Bandt","doi":"10.3399/BJGPO.2026.0104","DOIUrl":"https://doi.org/10.3399/BJGPO.2026.0104","url":null,"abstract":"<p><strong>Background: </strong>Access to general practitioners has become a major concern in many high-income countries, including France. Evidence suggests that primary care organisation is related to population health outcomes.</p><p><strong>Aim: </strong>This study aimed to analyse the association between the territorial organisation of healthcare and two population health indicators: all-cause mortality and life expectancy at birth.</p><p><strong>Design & setting: </strong>This is a cross-sectional ecological study using exhaustive French departmental data in 2021 (<i>n</i>=96). Data were obtained from public open-data sources. Outcomes were departmental all-cause mortality rate and life expectancy at birth.</p><p><strong>Method: </strong>Explanatory variables included GP density, hospital bed density, socio-economic indicators, and demographic characteristics. Adjusted multivariable linear regression models were estimated, with log-transformation of mortality rates.</p><p><strong>Results: </strong>After adjustment, each additional GP per 10 000 inhabitants was associated with an approximately 1% lower mortality rate (-0.010 on the log-mortality scale; 95% CI [-0.019, -0.001]; <i>P</i>=0.027) and a 0.233 year higher life expectancy (95% CI [0.145, 0.322]; <i>P</i><0.001). Hospital bed density was positively associated with mortality but not with life expectancy. Higher poverty rates and greater proportions of individuals aged≥65 years or living with long-term conditions were negatively associated with health outcomes. Population density showed inconsistent associations.</p><p><strong>Conclusion: </strong>Greater GP availability was associated with lower mortality and higher life expectancy at the departmental level in France. These findings support the hypothesis that primary care organisation may be related to population health outcomes. However, causal inference cannot be established because of the ecological cross-sectional design. MESH: mortality, life expectancy, primary health care, general practice, social determinants of health.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690008","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}