发布求助
文献互助 智能选刊 最新文献

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

筛选
英文 中文
Sustaining named GP continuity requires organisational change: a comparative implementation analysis in Finland. 维持命名GP的连续性需要组织变革：芬兰的比较实施分析。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/BJGP.2026.0036
Waltteri Tuompo, Janne Mäkelä, Markku Timonen, Juha Auvinen
{"title":"Sustaining named GP continuity requires organisational change: a comparative implementation analysis in Finland.","authors":"Waltteri Tuompo, Janne Mäkelä, Markku Timonen, Juha Auvinen","doi":"10.3399/BJGP.2026.0036","DOIUrl":"10.3399/BJGP.2026.0036","url":null,"abstract":"<p><strong>Background: </strong>Maintaining doctor-patient relationship continuity remains a challenge in public primary care in Finland and internationally owing to GP workforce pressures and organisational constraints.</p><p><strong>Aim: </strong>To evaluate implementation of a named GP model and explain differences in implementation outcomes between two Finnish primary care units.</p><p><strong>Design and setting: </strong>A quasi-experimental before-after study was conducted in two Finnish primary care units with contrasting organisational settings. Patients were assigned a named GP responsible for non-urgent care. Electronic health record data covering physician consultations over 48 months were analysed.</p><p><strong>Method: </strong>Continuity was measured using the Usual Provider of Care (UPC) Index, the St Leonard's Index of Continuity of Care (SLICC), and the Own Patient Ratio (OPR). Implementation outcomes were interpreted using the RE-AIM framework. A segmented interrupted time series model was applied to OPR and SLICC, and UPC analysed using a pre-post design.</p><p><strong>Results: </strong>Named GP continuity was higher in Tuira than in Pudasjärvi across all measures. In Tuira, adoption (OPR 0.88) was high and stable with lower named GP-level variation, while reach (SLICC 0.31) and effectiveness (UPC 0.35) improved but remained modest. Although continuity improved in Pudasjärvi, adoption remained weaker (OPR 0.40), reach lower (SLICC 0.16), and maintenance less stable. Continuity of care with physicians other than the named GP increased more in Pudasjärvi.</p><p><strong>Conclusion: </strong>The named GP model was functionally adopted in Tuira but remained largely nominal in Pudasjärvi. Health systems implementing named GP models should prioritise sustained GP presence and organisational alignment to achieve continuity.</p>","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":" ","pages":"e818-e827"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475688","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}
引用次数: 0
Continuity of care measurement across health systems: UK and US insights for global primary care. 跨卫生系统护理测量的连续性：英国和美国对全球初级保健的见解。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/BJGP.2026.0475
Molly Dineen, Denis Pereira Gray, Kate Sidaway-Lee, Philip Evans, Andrew Bazemore
{"title":"Continuity of care measurement across health systems: UK and US insights for global primary care.","authors":"Molly Dineen, Denis Pereira Gray, Kate Sidaway-Lee, Philip Evans, Andrew Bazemore","doi":"10.3399/BJGP.2026.0475","DOIUrl":"10.3399/BJGP.2026.0475","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"469-471"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122901","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}
引用次数: 0
Impact of discrepancies between patient leaflets and evidence on long-term nasal steroid sprays: a guide for general practice. 长期鼻腔类固醇喷雾剂患者传单与证据之间差异的影响：一般实践指南。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/BJGP.2026.0262
Hira Hasan, Zahir Mughal, Mona Koshkouei, Emily Mackeith, Samuel Mackeith
{"title":"Impact of discrepancies between patient leaflets and evidence on long-term nasal steroid sprays: a guide for general practice.","authors":"Hira Hasan, Zahir Mughal, Mona Koshkouei, Emily Mackeith, Samuel Mackeith","doi":"10.3399/BJGP.2026.0262","DOIUrl":"10.3399/BJGP.2026.0262","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"477-479"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122986","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}
引用次数: 0
If in doubt, sit them out: concussion management in the community. 如果有疑问，让他们远离：社区的脑震荡管理。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/BJGP.2026.0408
Christian Mallen, Neil Heron, Clare Pheasey, Tom Crick, Naomi D Deakin, Peter Hutchinson
{"title":"If in doubt, sit them out: concussion management in the community.","authors":"Christian Mallen, Neil Heron, Clare Pheasey, Tom Crick, Naomi D Deakin, Peter Hutchinson","doi":"10.3399/BJGP.2026.0408","DOIUrl":"10.3399/BJGP.2026.0408","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"444-446"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122995","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}
引用次数: 0
GP continuity of care can be regained: lessons from Finland. 全科医生护理的连续性可以恢复：芬兰的经验教训。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/bjgp26X746577
Serge Engamba, Kate Sidaway-Lee, Philip Evans, Denis Pereira Gray
{"title":"GP continuity of care can be regained: lessons from Finland.","authors":"Serge Engamba, Kate Sidaway-Lee, Philip Evans, Denis Pereira Gray","doi":"10.3399/bjgp26X746577","DOIUrl":"10.3399/bjgp26X746577","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"449-450"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122911","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}
引用次数: 0
Fragmentation by design. 设计碎片化。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/bjgp26X746553
Tom Marshall
{"title":"Fragmentation by design.","authors":"Tom Marshall","doi":"10.3399/bjgp26X746553","DOIUrl":"10.3399/bjgp26X746553","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"448-449"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122914","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}
引用次数: 0
Urgent care. 紧急护理。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/bjgp26X746601
Hugh Matthews
{"title":"Urgent care.","authors":"Hugh Matthews","doi":"10.3399/bjgp26X746601","DOIUrl":"10.3399/bjgp26X746601","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"450"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122982","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}
引用次数: 0
Threadbare. 破旧的。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/bjgp26X746709
Saul Miller
{"title":"Threadbare.","authors":"Saul Miller","doi":"10.3399/bjgp26X746709","DOIUrl":"10.3399/bjgp26X746709","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"468"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122998","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}
引用次数: 0
Woke up and smell the coffee! 醒醒，闻闻咖啡！
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-10-01 DOI: 10.3399/bjgp26X746637
Andrew Papanikitas
{"title":"Woke up and smell the coffee!","authors":"Andrew Papanikitas","doi":"10.3399/bjgp26X746637","DOIUrl":"10.3399/bjgp26X746637","url":null,"abstract":"","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"76 771","pages":"460"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149123061","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}
引用次数: 0
Factors influencing implementation of decarbonisation actions in general practice: longitudinal multi-centre case-study. 影响全科实践中脱碳行动实施的因素：纵向多中心案例研究。
IF 5.2
The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2026-09-22 DOI: 10.3399/BJGP.2026.0143
Helen Twohig, Olivia Geddes, Jeremy Dale, Frederick Dahlmann, Jenny Earle, Abi Eccles, Michael Gregg, Ana Raquel Nunes, Rachel Spencer, Florence Karaba, Nicky Thomas, Helen Atherton
{"title":"Factors influencing implementation of decarbonisation actions in general practice: longitudinal multi-centre case-study.","authors":"Helen Twohig, Olivia Geddes, Jeremy Dale, Frederick Dahlmann, Jenny Earle, Abi Eccles, Michael Gregg, Ana Raquel Nunes, Rachel Spencer, Florence Karaba, Nicky Thomas, Helen Atherton","doi":"10.3399/BJGP.2026.0143","DOIUrl":"https://doi.org/10.3399/BJGP.2026.0143","url":null,"abstract":"<p><p>Background The National Health Service (NHS) aims to reach net zero by 2040. Although recognised as having a key role, little is known about how decarbonisation initiatives are implemented in general practice and how progress can be supported. Aim To explore the institutional, organisational and professional factors that influence implementation of decarbonisation actions in general practice over time. Design and setting Longitudinal qualitative case study in 12 general practices in England. Methods Practices developed a Green Action Plan (GAP) comprising 3-5 measurable actions to be implemented over 12 months. Qualitative data were collected through baseline workshops, 3-monthly follow‑up 'check-in' discussions and final focus groups. Topic guides were iteratively developed, informed by Normalisation Process Theory and the Theoretical Domains Framework, and Framework analysis was conducted Results The factors influencing decarbonisation are presented as five themes: systemic barriers; culture and communication; capacity and competing demands; 'making it work'; and behaviour, attitudes and feelings. Actions aligned with wider NHS priorities or offering time/financial efficiency were easier to embed, whereas those requiring individual behaviour change or reliant on external systems were more challenging. Lack of coordinated policy support and limited control over estates and infrastructure constrained progress. Conclusion At practice level, actions that integrate into routine work and provide efficiency gains are most feasible in enacting change. To support sustained change, directive national policies and coordinated system-level support are required. Individual behaviour change is challenging in an already pressured system, but a supportive culture and team collaboration can facilitate progress.</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":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书