The British journal of general practice : the journal of the Royal College of General Practitioners最新文献

{"title":"CICing the partnership model into the future: a new social enterprise model for general practice?","authors":"Adrian Crofton, Cam Donaldson","doi":"10.3399/BJGP.2025.0326","DOIUrl":"https://doi.org/10.3399/BJGP.2025.0326","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 757","pages":"347-348"},"PeriodicalIF":5.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763106","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":"It's not just coughs and colds, it's complexity.","authors":"Chris Provan","doi":"10.3399/bjgp25X742953","DOIUrl":"https://doi.org/10.3399/bjgp25X742953","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 757","pages":"349-350"},"PeriodicalIF":5.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763114","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":"Clarity of healthcare roles in electronic health records.","authors":"Victoria Tzortziou Brown, Osman Bhatti, Nilesh Bharakhada, Johnny Lyon-Maris, Rachel Power, Simon de Lusignan","doi":"10.3399/BJGP.2025.0308","DOIUrl":"10.3399/BJGP.2025.0308","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593821","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":"Equitable inclusion of patients with cancer on the palliative care register: a systematic review in primary care.","authors":"Rebecca Henderson, Sarah G Brearley, Maddy French, Natalie Ellis-Carr, Amy Gadoud","doi":"10.3399/BJGP.2025.0004","DOIUrl":"10.3399/BJGP.2025.0004","url":null,"abstract":"<p><strong>Background: </strong>GPs are instrumental to palliative care in the UK and most practices maintain a register of patients with palliative care needs. However, many people with incurable cancer who could benefit from palliative care are not included on this register, making this a potential source of end-of-life inequity.</p><p><strong>Aim: </strong>To identify barriers and facilitators to recognising the palliative care needs of patients with cancer in the UK and understand how these factors may have an impact on those vulnerable to end-of-life inequity.</p><p><strong>Design and setting: </strong>A mixed-methods systematic review.</p><p><strong>Method: </strong>Eight electronic databases (Alternative Medicine, CINAHL, Embase, Medline, PsycINFO, Scopus, SocINDEX, and Web of Science) and two preprint servers (medRXiv and Open Science Framework) were searched in November 2024. Qualitative, quantitative, and mixed-methods studies were included. Narrative synthesis was used to integrate study findings, with resulting barriers and facilitators mapped onto the COM-B model domains of capablity, opportunity, and motivation. The impact on equity was evaluated using the PROGRESS-Plus framework.</p><p><strong>Results: </strong>Searches returned 7190 citations, with 24 studies included in the review. Seven themes were identified, with barriers and facilitators mapped onto COM-B domains: conceptualisation of palliative care; navigating challenging conversations; healthcare organisation; patient help-seeking; time and resource constraints; perceptions shaping practice; and cognitive associations. There was insufficient evidence about the barriers and facilitators that may be having an impact on those vulnerable to end-of-life inequities.</p><p><strong>Conclusion: </strong>GPs experience many barriers to recognising palliative care needs. There is a need for greater understanding of the extent and nature of inequities in recognising such needs, to ensure strategies to increase recognition do not widen inequities.</p>","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":""},"PeriodicalIF":5.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236766","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":"Accessing Equitable Menopause Care in the Contemporary NHS - Women's Experiences.","authors":"Abi Eccles, Sabrina Keating, Claire Mann, Lisa Shah, Jeremy Dale, Patricia Apenteng, Neelam Heera, Nina Kuypers, Lynn Tatnell, Sarah Hillman","doi":"10.3399/BJGP.2024.0781","DOIUrl":"https://doi.org/10.3399/BJGP.2024.0781","url":null,"abstract":"<p><p>This has been amended please see letter to editor.</p>","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593820","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 heart failure patients in primary versus cardiology care - a register based study.","authors":"Eric Chen, Mozhu Ding, Karolina Szummer, Monica Bergqvist, Karin Modig, Katharina Schmidt-Mende","doi":"10.3399/BJGP.2025.0044","DOIUrl":"https://doi.org/10.3399/BJGP.2025.0044","url":null,"abstract":"<p><p><b>Background</b> Adherence to guideline-recommended drug treatment for heart failure (HF) is lower among patients managed in primary care (PC) compared to cardiology care (CC). We need to understand more about the patient group managed in PC only. <b>Aim</b> To compare sociodemographic characteristics, comorbidities, care use, and drug dispensation, of older HF patients managed exclusively in PC or also in CC. <b>Design and setting</b> Register-based study using real world administrative data from Stockholm, Sweden. <b>Method</b> The study population comprised all individuals aged ≥60 years resident in Stockholm per 31 December 2022 with HF diagnosis. The Total Population Register and several national health registers were linked, providing information on comorbidities, HF hospitalisations, PC visits, and dispensed drugs. Individuals were categorised into managed exclusively in PC or also in CC by the absence/presence of an in/outpatient appointment with a cardiologist during the last five years. <b>Results</b> HF was prevalent in 33,872 (6.5%) individuals of which 50.4% were exclusively managed in PC. Among patients also managed in CC, two thirds of HF drugs were prescribed by PC. PC patients were on average three years older, more often female, of lower socioeconomic status, had fewer comorbidities, received less guideline-recommended drugs, and had lower HF hospitalisations rates than CC patients. Residing in nursing home and having dementia were factors most strongly associated with exclusive PC management. <b>Conclusion</b> PC manages the majority of individuals with HF, who are typically older. These characteristics may explain differences in drug use.</p>","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593823","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":"GPs' perspectives on GLP-1RAs for obesity management: a qualitative study in England.","authors":"Sabrina Keating, Cervantée Wild, Jadine Scragg, Sharon Dixon, Julian Stephen Treadwell, Lisa Hinton, Susan Jebb","doi":"10.3399/BJGP.2025.0065","DOIUrl":"https://doi.org/10.3399/BJGP.2025.0065","url":null,"abstract":"<p><p><u>Background</u> Effective treatments are needed for the increasing number of people living with obesity. General practitioners (GPs) are key in managing obesity within the NHS but report low confidence in available treatment options. Glucagon-like Peptide-1 receptor agonists (GLP-1RAs) have shown promise in weight management, but at the time of this study lacked commissioned primary care service pathways for this indication. <u>Aim</u> To explore the perspectives of NHS GPs in England on GLP-1RAs and their integration into primary care for weight management. Design and Setting Participants were GPs practising in England, recruited through purposive sampling to reflect diverse geographical and socioeconomic contexts. <u>Method</u> 25 semi-structured interviews, conducted April-July 2024, were thematically analysed. <u>Results</u> Participants generally held positive views about the implementation of GLP-1RAs for weight management in primary care, however this was joined by hesitations about resource limitations. Navigating consultations with patients asking for prescriptions, or support with private use, often posed difficulties. Concerns included that GLP-1RAs could detract from tackling the broader determinants of obesity. Participants also worried that the medications could be misused, ultimately becoming an overly simplistic solution for patients, practitioners, and the wider health system. <u>Conclusion</u> Our findings suggest that while GPs view GLP-1RA integration as a valuable therapeutic option for primary care obesity management, they have concerns about this being done well. To strengthen GP support for implementation, it is essential to recognise the need for adequate resources and ensure that GLP-1RAs are integrated into a holistic strategy for addressing obesity.</p>","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593822","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":"Explaining AuDHD: Recognise It, Embrace It and Thrive With It.","authors":"Emilie Couchman","doi":"10.3399/bjgp25X742833","DOIUrl":"10.3399/bjgp25X742833","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 756","pages":"322-323"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510558","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":"Long-term nitrofurantoin use: risks and alternatives in general practice.","authors":"Nada F Khan, Hannah Warren, Tomazo J Kallis","doi":"10.3399/BJGP.2025.0320","DOIUrl":"10.3399/BJGP.2025.0320","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 756","pages":"334-335"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510561","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 Music and Mental Health Project: uniting primary health care globally through music.","authors":"Alfredo de Oliveira Neto, Arnab Bishnu Chowdhury, Christopher Dowrick","doi":"10.3399/bjgp25X742809","DOIUrl":"10.3399/bjgp25X742809","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 756","pages":"318-319"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510568","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}