The British journal of general practice : the journal of the Royal College of General Practitioners最新文献_第9页

Reflections on the use of qualitative research methods: it's not 'fluffy'. 关于使用定性研究方法的思考：它不是“蓬松的”。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-29 Print Date: 2025-06-01 DOI: 10.3399/bjgp25X742449

Carolyn A Chew-Graham

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Yonder: Urgent care triage, pre-pregnancy care, heat islands, and e-scooters. 那边：紧急护理分类、孕前护理、热岛和电动滑板车。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-29 Print Date: 2025-06-01 DOI: 10.3399/bjgp25X742605

Alex Burrell

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Navigating 'not doing' in primary care: could more explicit guidelines on record keeping help to ease clinician anxiety? 在初级保健中导航“不做”：更明确的记录保存指南是否有助于缓解临床医生的焦虑？

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-29 Print Date: 2025-06-01 DOI: 10.3399/bjgp25X742629

Claire Hastings, Samuel Finnikin, Julian Treadwell, Carolyn Tarrant, Natalie Armstrong

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What is illness? 什么是疾病？

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-29 Print Date: 2025-06-01 DOI: 10.3399/bjgp25X742545

Peter D Toon

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Barriers and facilitators to digital health technology adoption by older adults with chronic disease: an updated systematic review. 老年慢性病患者采用数字卫生技术的障碍和促进因素：最新的系统综述。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X742161

Jennifer Hepburn, Lynn Williams, Lisa McCann

{"title":"Barriers and facilitators to digital health technology adoption by older adults with chronic disease: an updated systematic review.","authors":"Jennifer Hepburn, Lynn Williams, Lisa McCann","doi":"10.3399/bjgp25X742161","DOIUrl":"https://doi.org/10.3399/bjgp25X742161","url":null,"abstract":"Background: Digital health technology has the potential to improve the management of chronic diseases in older adults. However, we need to understand the barriers and facilitators to the use of digital technology in this group. The current study aimed to update and extend a previous systematic review on the topic.Aim: Our aim was to identify barriers and facilitators to digital adoption by older adults, compare differences between urban & rural populations and explore the role of co-design.Method: A systematic literature was conducted of four databases for relevant studies published in English since the previous systematic review was undertaken. A grey literature search was also conducted.Results: Co-design was identified as a facilitator, but this only occurred in 7 out of 29 studies. Four out of 29 studies reported on rurality; however, they did not provide a definition of rurality. The PROGRESS-Plus framework helped us identify patient information reported in the studies and consider equity in the review. This highlighted the disparity in reporting between the studies and lack of standardisation.Conclusion: A lack of standardisation and agreed definition of rurality makes it difficult to compare rural and urban findings. Healthcare professions play a key role. Barriers include overworked clinicians; lack of training; funding; digital skills and workflow integration. Facilitators include enthusiasm, interest in digital data and positive feedback. Patients are more likely to adopt digital tools if endorsed by healthcare providers. Fear of replacing in-person care is a concern, especially in areas where GP-to-patient ratios are better, and satisfaction is high.","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129469","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}

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Barriers and facilitators to the uptake and delivery of routine childhood immunisations during the COVID-19 pandemic: a systematic review. COVID-19大流行期间接受和提供常规儿童免疫接种的障碍和促进因素：系统综述

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X742269

Ishveer Singh Sanghera, Sadie Lawes-Wickwar

{"title":"Barriers and facilitators to the uptake and delivery of routine childhood immunisations during the COVID-19 pandemic: a systematic review.","authors":"Ishveer Singh Sanghera, Sadie Lawes-Wickwar","doi":"10.3399/bjgp25X742269","DOIUrl":"https://doi.org/10.3399/bjgp25X742269","url":null,"abstract":"Background: Childhood vaccination remains one of the most effective public health interventions worldwide in reducing infant mortality. The COVID-19 pandemic required creative approaches to continue the delivery of vaccination clinics.Aim: To understand the barriers and facilitators to the continuation of, and access to, community-based childhood vaccination clinics during the COVID-19 pandemic.Method: A systematic search strategy was conducted in January 2023 to identify articles published between 1 January 2020 and 16 January 2023 describing barriers and facilitators for healthcare professionals and parents. Two reviewers independently screened study eligibility and assessed quality using the Mixed Methods Appraisal Tool (MMAT).Results: 6 studies: 5 mixed-methods and 1 qualitative, were included in the review. 4 studies surveyed parents (barriers/facilitators to vaccine uptake), and 2 studies interviewed healthcare professionals (barriers/facilitators to vaccine delivery).The findings were categorised into 3 main barriers: parent/carer awareness of vaccine service continuation, risk of contracting COVID-19 and GP administrative issues. Two common facilitators identified included: robust call-recall and opportunistic recommendations from clinicians.Conclusion: The most commonly reported barriers were parents believing vaccine clinics were closed and safety concerns around contracting COVID-19. Public health messages, co-designed with patients, can consider being deployed to encourage parents to bring their children back to vaccination clinics.","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129491","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}

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Impact of climate change and associated weather extremes on primary care in England among people with multiple long-term conditions. 气候变化和相关极端天气对英格兰多种长期疾病患者初级保健的影响。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X741693

Riya Tiwari, Glenn Simpson, Lucy Smith, Sian Holt, Paul Little, Miriam Santer, Joanne Lloyd, Hajira Dambha-Miller

{"title":"Impact of climate change and associated weather extremes on primary care in England among people with multiple long-term conditions.","authors":"Riya Tiwari, Glenn Simpson, Lucy Smith, Sian Holt, Paul Little, Miriam Santer, Joanne Lloyd, Hajira Dambha-Miller","doi":"10.3399/bjgp25X741693","DOIUrl":"https://doi.org/10.3399/bjgp25X741693","url":null,"abstract":"Background: Multiple long-term conditions (MLTC) refers to people living with two or more long-term health conditions, which affects around 19 million people in England. Climate change is forecast to increase extreme weather events such as heatwaves, droughts and flooding. The MLTC population have been identified as a group at high-risk from extreme weather who access primary care services frequently. With extreme weather increasing, more evidence is needed to better understand the impact on primary care services, the potential additional costs and resources needed to address these challenges.Aim: To understand the impacts of weather extremes on primary care services in England among people with MLTC.Method: We are using a purposive sampling method to recruit up to 35 voluntary participants. Focus groups or semi-structured interviews will be conducted with patients, caregivers and care professionals to elicit views on how climate change and associated weather extremes affects the health of those with MLTC, the possible impact on caregivers who look after those with MLTC and primary care services.Results: Data collection is ongoing and will be subjected to reflexive thematic analysis. Our qualitative findings will be presented at the conference including key themes on impacts to patients with MLTC and primary care services.Conclusion: This study fills an important knowledge gap and identifies opportunities for intervening and planning primary care services in the future to support patients with MLTC.","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129492","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

Ethnic diversity trends in clinical academic staffing in UK general practice (2005-2023): a retrospective descriptive analysis of open-access survey data. 英国全科医生临床学术人员的种族多样性趋势（2005-2023）：对开放获取调查数据的回顾性描述性分析。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X742305

Yasmine Zedan

{"title":"Ethnic diversity trends in clinical academic staffing in UK general practice (2005-2023): a retrospective descriptive analysis of open-access survey data.","authors":"Yasmine Zedan","doi":"10.3399/bjgp25X742305","DOIUrl":"https://doi.org/10.3399/bjgp25X742305","url":null,"abstract":"Background: Ethnic diversity in the clinical academic workforce is critical for fostering inclusive research, education, and leadership.Aim: This descriptive analysis aims to examine ethnic diversity trends in UK general practice academic staffing, focusing on changes in representation across academic ranks (professor, senior lecturer/reader, lecturer) from 2005 to 2023, using open-access survey data.Method: A descriptive analysis of the Medical Schools Council's Clinical Academic Survey data from 2005 to 2023 was conducted. Ethnicity profiles were categorised as 'White', 'Black and Minority Ethnic (BME)', and 'Not recorded'. The analysis examined ethnic representation across academic grades (professor, reader/senior lecturer, lecturer) and tracked year-on-year trends.Results: BME representation increased across academic ranks, with the largest growth seen among readers/senior lecturers, rising from 9.4% in 2005 to 19.6% in 2023. Increased representation was also noted at entry levels, with BME academics comprising 26.9% of lecturers by 2023. However, BME individuals remain underrepresented in professorship roles, where growth was modest, increasing from 9.7% in 2005 to 14.1% in 2023.Conclusion: This study highlights notable trends in the ethnic composition of UK general practice clinical academics. The findings reveal progress in BME representation at early and mid-career levels but highlight disparities in senior professorships. This suggests that barriers to advancement into senior roles remain for BME academics and underscores the need for targeted support to facilitate their career progression. Future research should explore the intersectionality of gender and ethnicity and compare these trends with other medical specialties for a comprehensive understanding of diversity in clinical academia.","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129956","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

Exploring the role of community pharmacy in providing advice and support for people with Long COVID: a qualitative study. 探讨社区药房在为长冠肺炎患者提供咨询和支持方面的作用：一项定性研究。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X742245

Tamsin Fisher, Tom Kingstone, Sukvinder Bhamra, Tracy Briggs, Adele Higginbottom, Paula Higginson, Geraint Jones, Ian Maidment, Katie Saunders, Matthew Shaw, Carolyn A Chew-Graham

{"title":"Exploring the role of community pharmacy in providing advice and support for people with Long COVID: a qualitative study.","authors":"Tamsin Fisher, Tom Kingstone, Sukvinder Bhamra, Tracy Briggs, Adele Higginbottom, Paula Higginson, Geraint Jones, Ian Maidment, Katie Saunders, Matthew Shaw, Carolyn A Chew-Graham","doi":"10.3399/bjgp25X742245","DOIUrl":"https://doi.org/10.3399/bjgp25X742245","url":null,"abstract":"Background: Long COVID affects ~2 million people across the UK. People with Long COVID (PwLC) can experience uncertainty around symptom management and prospect of recovery. There are current difficulties in accessing primary care. Community pharmacies could provide a more accessible alternative for PwLC seeking advice about symptom management. The Royal Pharmaceutical Society acknowledge the role that pharmacists could play in supporting PwLC.Aim: To understand the potential scope for the role of pharmacists in supporting PwLC.Method: Qualitative semi-structured interviews with PwLC to explore symptom management and current advice and support available; and community pharmacy staff to explore knowledge about Long COVID, and attitudes and beliefs about the potential role of community pharmacy for PwLC. A Patient Advisory Group and Expert Advisory Group are informing all aspects of the research.Results: Interviews are ongoing. Six have been completed at time of submission (PwLC [n = 5]; pharmacy staff [n = 1]). Early findings suggest PwLC do not engage with community pharmacy staff to manage their symptoms but are open to this in the future. Data from the single pharmacy staff interviewee should be treated tentatively but suggested limited awareness of, and/or contact with, PwLC. Further training was felt to be needed to support identification and signposting. Not all members of community pharmacy are likely to need the same level of training.Conclusion: Working with the Centre for Postgraduate Pharmacy Education, we will use findings to inform the development of a training resource for community pharmacy staff to better support and signpost PwLC.","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129999","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}

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Doctorates written by GPs/family physicians 2000-2024: a comprehensive international search. 2000-2024年全科医生/家庭医生撰写的博士学位：一个全面的国际搜索。

The British journal of general practice : the journal of the Royal College of General Practitioners Pub Date : 2025-05-22 Print Date: 2025-05-01 DOI: 10.3399/bjgp25X742221

Gerard Gill

{"title":"Doctorates written by GPs/family physicians 2000-2024: a comprehensive international search.","authors":"Gerard Gill","doi":"10.3399/bjgp25X742221","DOIUrl":"https://doi.org/10.3399/bjgp25X742221","url":null,"abstract":"Background: General practice/family medicine has a different outlook, and a distinct body of knowledge compared to other disciplines in clinical medicine. High-quality research is considered essential to guide the practice of modern medicine. The modern research doctorate was designed in the early 19th century to develop an independent researcher capable of being appointed as a university professor. Doctorates are an important process in advancing the academic strength of our discipline.Aim: To identify newly acquired doctorate academics in general practice whose doctorate was awarded in the period 2000-2024.Method: All doctoral theses written by qualified or training GPs/FPs between 1 Jan 2000 and 31 Dec 2024 were sought. National doctoral databases, websites of departments of GP/FP, international journals of GP/FP, and proceedings of international conferences were searched to identify those GPs/FPs who possessed a doctoral qualification. Medical registration, university department, university libraries LinkedIn, ORCID and ResearchGate websites provided data on date and university of initial medical degree and doctorate along with the title of the thesis.Results: As of 30 Sept 2024, 3001 doctorates written by 2998 GPs/FPs from 68 countries were identified. 51% of authors were female. 930 authors were now professors or associate professors. The highest thesis-producing countries were Spain (16%) the Netherlands (11%) the UK (10%) Sweden (8%) Australia (6%). Only 12 universities produced more than 2 theses a year on average. Non-OECD countries except for Brazil had very small numbers.Conclusion: Are the numbers of trained researchers sufficient to provide for our needs, particularly in less developed countries? Can the process be improved?","PeriodicalId":520790,"journal":{"name":"The British journal of general practice : the journal of the Royal College of General Practitioners","volume":"75 suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129866","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