The European Journal of General Practice最新文献

{"title":"Cardiovascular risk management in patients with severe mental illness or taking antipsychotics: A qualitative study on barriers and facilitators among dutch general practitioners.","authors":"Kirsti Jakobs,&nbsp;Latoya Lautan,&nbsp;Peter Lucassen,&nbsp;Joost Janzing,&nbsp;Jan van Lieshout,&nbsp;Marion C J Biermans,&nbsp;Erik W M A Bischoff","doi":"10.1080/13814788.2022.2092093","DOIUrl":"https://doi.org/10.1080/13814788.2022.2092093","url":null,"abstract":"<p><strong>Background: </strong>Patients with severe mental illness (SMI) or receiving treatment with antipsychotics (APs) have an increased risk of cardiovascular disease. Cardiovascular risk management (CVRM) increasingly depends on general practitioners (GPs) because of the shift of mental healthcare from secondary to primary care and the surge of off-label AP prescriptions. Nevertheless, the uptake of patients with SMI/APs in CVRM programmes in Dutch primary care is low.</p><p><strong>Objectives: </strong>To explore which barriers and facilitators GPs foresee when including and treating patients with SMI or using APs in an existing CVRM programme.</p><p><strong>Methods: </strong>In 2019, we conducted a qualitative study among 13 Dutch GPs. During individual in-depth, semi-structured interviews a computer-generated list of eligible patients who lacked annual cardiovascular risk (CVR) screening guided the interview. Data was analysed thematically.</p><p><strong>Results: </strong>The main barriers identified were: (i) underestimation of patient CVR and ambivalence to apply risk-lowering strategies such as smoking cessation, (ii) disproportionate burden on GPs in deprived areas, (iii) poor information exchange between GPs and psychiatrists, and (iv) scepticism about patient compliance, especially those with more complex conditions. The main facilitators included: (i) support of GPs through a computer-generated list of eligible patients and (ii) involvement of family or carers.</p><p><strong>Conclusion: </strong>This study displays a range of barriers and facilitators anticipated by GPs. These indicate the preconditions required to remove barriers and facilitate GPs, namely adequate recommendations in practice guidelines, improved consultation opportunities with psychiatrists, practical advice to support patient adherence and incentives for practices in deprived areas.</p>","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"191-199"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40477673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning objectives of Belgian general practitioner trainees regarding their hospital training: A qualitative study.","authors":"Kimberley De Vocht,&nbsp;Katleen Verheyen,&nbsp;Nele R Michels","doi":"10.1080/13814788.2022.2081319","DOIUrl":"https://doi.org/10.1080/13814788.2022.2081319","url":null,"abstract":"<p><strong>Background: </strong>In Europe, hospital training is integrated in the postgraduate curriculum of General Practitioners (GPs) according to the European Directives. However, little is known about the specific learning objectives of GP trainees during this training.</p><p><strong>Objectives: </strong>This exploratory study investigated GP trainees' expected learning objectives for their hospital training and the factors influencing the learning process.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted in three focus groups consisting of first-year GP trainees before their hospital training. Data were coded thematically and analysed in NVivo.</p><p><strong>Results: </strong>A total of 22 Belgian GP trainees (55% females, average age of 26.2 years) were interviewed. Three major themes emerged: learning objectives, factors influencing learning and organisational aspects. GP trainees mainly wanted to improve their knowledge of common conditions by conducting consultations and follow certain patients' hospitalisation trajectory. Emergency medicine or internal medicine was the preferred specialty. Other GP trainees wanted to learn more about some specific conditions. Conversely, an overloaded work schedule was dreaded to hinder effective learning. Regular meetings and supervision from their hospital trainer were deemed crucial to strengthen GP trainees' learning trajectory.</p><p><strong>Conclusion: </strong>GP trainees wanted to learn more about both common conditions and some specific conditions. Their previous year in a GP setting strengthened their confidence and facilitated purposeful learning. Relieving GP trainees from administrative tasks when working as supplementary doctors could strike a better balance between the continuity of the clinical department and their personal learning objectives.</p>","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"173-181"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/74/IGEN_28_2081319.PMC9291655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40602908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ill physician who self-discloses: What do patients think?","authors":"Barry Knishkowy,&nbsp;Noga Guggenheim","doi":"10.1080/13814788.2022.2146091","DOIUrl":"https://doi.org/10.1080/13814788.2022.2146091","url":null,"abstract":"<p><strong>Background: </strong>Physicians with a serious illness face difficult decisions about revealing this sensitive information to patients. Self-disclosure of illness is a largely unexplored topic, particularly from the patient's perspective.</p><p><strong>Objectives: </strong>To learn about patients' emotions and reactions to their family physician's sharing with them about having a major illness.</p><p><strong>Methods: </strong>The study was carried out in a family practice office in a suburb of Jerusalem, beginning the day that a family physician returned to work after a prolonged illness. A questionnaire study was performed with nine closed and four open questions relating to patients' reactions to learning about the illness. The questionnaire was distributed to 200 consecutive patients ages 18 years or older. Data extraction, compilation, and content analysis were performed to elicit and categorise major themes and issues that arose.</p><p><strong>Results: </strong>A total of 82% of the patients were pleased that the physician shared the information with them and none were displeased. Patients expressed a wide range of reactions to being told of the illness by the physician himself, among them: empathy, surprise, appreciation, pride, criticism, comfort/discomfort, and closeness. The value of sharing personal experience and the unique connection with the family physician were emphasised.</p><p><strong>Conclusion: </strong>Physician self-disclosure of major illnesses to patients can reveal the physician's humanity, encourage empathy on the part of patients and strengthen the physician-patient relationship. This report adds to current knowledge about when to share this powerful information with patients and highlights the topic's importance in the education of future doctors.</p>","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"244-251"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and management of emergencies in primary care offices: A cross-sectional study in northwestern Germany.","authors":"Max Melzel,&nbsp;Falk Hoffmann,&nbsp;Michael H Freitag,&nbsp;Ove Spreckelsen","doi":"10.1080/13814788.2022.2094912","DOIUrl":"https://doi.org/10.1080/13814788.2022.2094912","url":null,"abstract":"<p><strong>Background: </strong>Little literature exists on emergencies within primary care offices.</p><p><strong>Objectives: </strong>We aimed to study the occurrence of emergencies and confidence in dealing with them among primary care physicians (PCPs) in Germany.</p><p><strong>Methods: </strong>We conducted a cross-sectional study among all PCPs with licences to practice with an own office (<i>n</i> = 915) in a northwestern region in Germany in 2019. Participants were asked to estimate the frequency and type of emergencies that occurred in the last 12 months in their office and about their confidence in managing emergency situations.</p><p><strong>Results: </strong>Answers from 375 PCPs could be analysed (response: 41.0%); 95.7% reported at least one emergency in their office within the last 12 months (mean 12.9). PCPs from rural offices reported more emergencies (on average 13.7 vs. 9.6). Acute coronary syndrome, cardiac arrhythmia and dyspnoea were the most common emergencies. A greater likelihood of feeling more confident in managing medical emergencies was found among male physicians, general internists, PCPs additionally qualified as emergency physicians and those with previous training in the emergency department and intensive care unit. In contrast, more general practitioners felt secure treating paediatric emergencies than general internists (highest level of confidence 22.1% vs. 16.3%).</p><p><strong>Conclusion: </strong>In Germany, emergencies in primary care offices occur on average once a month and more often in rural than urban areas. While most PCPs are confident in managing medical emergencies, some differences related to the training path became apparent. Ongoing training programmes may be tailored to improve emergency skills.</p>","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"209-216"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40514266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consequences of COVID-19 regulations on the competences of medical graduates and FM/GP interns - teachers' views.","authors":"Manfred Maier","doi":"10.1080/13814788.2022.2030589","DOIUrl":"https://doi.org/10.1080/13814788.2022.2030589","url":null,"abstract":"To reduce transmission of the coronavirus and to control the spread of COVID-19, several measures were introduced globally in early 2020. Among them was the sudden closure of educational institutions, including universities. In most countries, medical students were faced with suspension of clinical attachments and a significant change in their curriculum: theoretical lectures were presented online and clinical practice was temporarily cancelled, postponed and shortened. After almost two years, these or similar measures are still in place, albeit with local variations. Overall, medical universities and medical educators seem to have responded quickly and creatively to the new educational challenges [1]. However, can medical students under these circumstances gain the skills, experiences and attitudes they require to become competent doctors [2]? This question is, in particular, relevant for students who aim to work in General Practice/Family Medicine. Next to a broad knowledge base, the competences for this discipline require the ability to communicate empathically and efficiently with all kinds of patients. However, already before implementing the Covid 19regulations, patients were frequently complaining about the lack of good communication with their doctors. Furthermore, students need to acquire clinical reasoning skills for the outpatient setting, away from the sheltered workplace in the hospital. I did a short survey among colleagues and friends around the globe – Australia, Austria, Brazil, Estonia, Greece, Netherlands, Slovenia, Spain, Switzerland, Turkey and the UK – and asked for their views. In summary, there was agreement that the restrictions on teaching and training imposed both challenges and opportunities to Medical Faculties and Universities, that the organisation of new teaching formats and schedules was complex and that some students and teachers adapted better than others.","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"13-14"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39736595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the main motivating factors for young general practitioner trainees to work in rural areas in the Czech Republic?","authors":"Kateřina Javorská,&nbsp;David Halata,&nbsp;Josef Štolfa,&nbsp;Markéta Pfeiferová","doi":"10.1080/13814788.2022.2094913","DOIUrl":"https://doi.org/10.1080/13814788.2022.2094913","url":null,"abstract":"<p><strong>Purpose: </strong>The global health workforce suffers long-term understaffing in remote and underserved areas. To attract young doctors for rural work, it is necessary to identify the main motivating factors.</p><p><strong>Materials and methods: </strong>The pilot survey with 201 general practitioner trainees in the Czech Republic was conducted using a structured questionnaire. The response rate was 67%.</p><p><strong>Results: </strong>Not only financial support motivates general practitioner trainees for rural work. A combination of incentives from sources other than medical would greatly increase the chance for general practitioner trainees to work in rural regions.</p><p><strong>Conclusions: </strong>To what extent can the survey outcomes relate with other European regions needs to be investigated further.</p>","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"200-202"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40488769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The world is getting smaller: The importance of a global approach to general practice research and practice.","authors":"Christian Mallen","doi":"10.1080/13814788.2022.2143686","DOIUrl":"https://doi.org/10.1080/13814788.2022.2143686","url":null,"abstract":"Not even Nostradamus predicted what has happened over the past two years. The world often seemed to stand still as everyone watched with shock and fear as the events related to the COVID-19 pandemic unfolded. The pandemic has opened the eyes of patients, clinicians, and policymakers to the importance of global health. It is increasingly apparent that health problems in one part of the world can rapidly impact our populations. There are many examples of how health in local populations have been influenced by global patterns of disease. A mutation of the monkeypox virus results in previously unheard-of cases across Europe, the war in Ukraine triggers unprecedented increases in the costs of daily living and widening social inequality, and the devastating effects related to global warming continue to have an everincreasing impact on health. Health is truly international and can no longer be contained in regional silos. The world is getting smaller every day. General practitioners increasingly need to think globally. Our academic endeavours are typically focussed on regional and national clinical priorities, yet the skills possessed can benefit much broader international populations as demonstrated throughout the COVID-19 pandemic. This expertise can be translated to tackling other global challenges – but this does represent a shift in how we currently work. The clinical and academic workforce needs to prepare our existing and future practitioners for the new challenges they will inevitably face during their careers. GPs need to plan, prepare and be ready for the next problem encountered – whatever that may be and wherever it may come from. Primary care and general practice are critical to improving health and well-being in lowand middleincome countries. The World Health Organisation’s Sustainable Development Goal 3 aims to achieve ‘good health and wellbeing for all’ [1]. This is an ambitious target that can only be met by primary care. Primary care can help reduce health inequalities, providing the broadest range of services in a cost-effective manner embedded in local communities [2]. Primary care takes a holistic approach to the patient journey, considering the wider needs of individuals and their families [3]. Growing the evidence base to support this, especially in lowand middle-income countries is a key component to future success. Internationally we have seen significant investment in global health research through organisations including the Bill and Melinda Gates Foundation and the National Institute for Health Research [4,5]. Such funding is aimed at tackling the most pressing global challenges and whilst as clinicians we are often impatient for results, we are already starting to see major advances from working more closely together. Novel technologies used to develop the first COVID-19 vaccines are now directed towards other serious infections, such as Ebola [6]. For the first time, effective malaria vaccination feels like a real possibili","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":" ","pages":"242-243"},"PeriodicalIF":3.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40482758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioner-centred paediatric primary care reduces risk of hospitalisation for mental disorders in children and adolescents with ADHD: findings from a retrospective cohort study","authors":"Angelina Mueller, Olga A. Sawicki, M. Günther, Anastasiya Glushan, C. Witte, R. Klaassen-Mielke, F. Gerlach, M. Beyer, Kateryna Karimova","doi":"10.1080/13814788.2022.2082409","DOIUrl":"https://doi.org/10.1080/13814788.2022.2082409","url":null,"abstract":"Abstract Background General practitioners (GPs) play an essential role in the sustainable management of attention-deficit/hyperactivity disorder (ADHD). To our knowledge, the healthcare programme described here is the first integrated care programme for paediatric ambulatory care embedded in GP-centred-healthcare in Germany. Objectives To compare the health-service-utilisation of patients with ADHD enrolled in a GP-centred-paediatric-primary-care-programme with usual care in terms of disease-related hospitalisation, pharmacotherapy and psychotherapy. Methods In 2018, we conducted a retrospective cohort study of 3- to 18-year-old patients with ADHD in Baden-Wuerttemberg, southern Germany. The intervention group (IG) comprised patients enrolled in a GP-centred-paediatric-primary-healthcare-programme and consulted a participating GP for ADHD at least once. GP-centred-paediatric-primary-care provides high continuity of care, facilitated access to specialist care, extended routine examinations and enhanced transition to adult healthcare. Patients in the control group (CG) received usual care, meaning they consulted a non-participating GP for ADHD at least once. Main outcomes were disease-related hospitalisation, pharmacotherapy and psychotherapy. Multivariable logistic regression was performed to compare groups. Results A total of 2317 patients were included in IG and 4177 patients in CG. Mean age was 8.9 ± 4.4. The risk of mental-disorder-related hospitalisations was lower in IG than CG (odds ratio (OR): 0.666, 95% confidence interval (CI): 0.509–0.871). The prescription rate for stimulants was lower in IG (OR: 0.817; 95% CI: 0.732–0.912). There was no statistically significant difference in the participation rate of patients in cognitive behavioural therapy between groups (OR: 0.752; 95% CI: 0.523–1.080). Conclusion Children and adolescents with ADHD enrolled in GP-centred-paediatric-primary-care are at lower risk of mental-disorder-related hospitalisation and less likely to receive stimulants.","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115549340","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":"Treatment outcomes of acute streptococcal tonsillitis according to antibiotic treatment. A retrospective analysis of 242,366 cases treated in the community","authors":"Mattan Bar-Yishay, Ilan Yehoshua, Avital Bilitzky, Y. Press","doi":"10.1080/13814788.2022.2083105","DOIUrl":"https://doi.org/10.1080/13814788.2022.2083105","url":null,"abstract":"Abstract Background Acute upper respiratory infections are the most common reason for primary physician visits in the community. This study investigated whether the type of antibiotic used to treat streptococcal tonsillitis can reduce the burden by affecting the number of additional visits. Objectives To assess the effect of different antibiotic treatments for tonsillitis on the number of additional primary physician visits and the development of infectious or inflammatory sequels. Methods This retrospective study included first cases of culture-confirmed streptococcal tonsillitis (n = 242,366, 55.3% females, 57.6% aged 3–15 years) treated in primary clinics throughout Israel between the years 2010 and 2019. Primary outcomes were the number of additional primary physician visits, due to any cause or due to specific upper airway infections. Secondary outcomes were the number of developed complications, such as peritonsillar abscess, post-streptococcal glomerulonephritis, rheumatic fever, post-streptococcal arthritis, chorea and death. Results Compared to penicillin-V, adjusted incidence rate ratios (IRR) for additional primary physician visits at 30–days were highest for IM benzathine-benzylpenicillin (IRR = 1.46, CI 1.33–1.60, p < .001) and cephalosporin treatment (IRR = 1.27, CI 1.24–1.30, p < .001). Similar results were noted for visits due to specific diagnoses such as recurrent tonsillitis, otitis media and unspecified upper respiratory tract infection. Amoxicillin showed decreased adjusted odds ratio (aOR) of developing complications (aOR = 0.68, CI 0.52–0.89, p < .01 for any complication. aOR = 0.75, CI 0.55–1.02, p = .07 for peritonsillar or retropharyngeal abscess). Conclusion Penicillin-V treatment is associated with fewer additional primary physician visits compared to other antibiotic treatments. Amoxicillin and penicillin-V are associated with fewer complications. These findings are limited by the retrospective nature of the study and lack of adjustment for illness severity. Further prospective studies may be warranted to validate results.","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131518573","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":"Most valued author and reviewer in 2021","authors":"H. V. van Weert, J. Stoffers","doi":"10.1080/13814788.2022.2079850","DOIUrl":"https://doi.org/10.1080/13814788.2022.2079850","url":null,"abstract":"The European Journal of General Practice (EJGP) is the scientific journal of WONCA Europe. WONCA is an acronym comprising the first five initials of the World Organisation of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians. WONCA not only represents the discipline of general practice/family medicine and its professionals – the general practitioners/family physicians – but also academic General Practice. This dual representation translates into a firm mission statement: ‘to improve the quality of life of people through fostering high standards of care in general practice/family medicine’ [1]. One of the means to reach this goal is the EJGP. The Journal tries to support the mission by publishing highquality research – conducted by general practitioners or other researchers in general practice – which could help to improve the quality of life of the people we are serving, i.e. our patients. This goal forms the basis of our editorial policy to publish research that matters to our patients directly or indirectly. We believe that the health and quality of life of our patients is best served by GPs who provide high quality care. To this end, GPs must be not only well trained, organised and equipped but also be critical.","PeriodicalId":383035,"journal":{"name":"The European Journal of General Practice","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116782429","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}