European Journal of General Practice最新文献

{"title":"Burnout among Catalan general practitioners. A repeated cross-sectional study, during and after the COVID-19 pandemic.","authors":"Maria Miñana- Castellanos, María Isabel Fernández-San-Martín, María Rodríguez-Barragán, Maria Teresa Santos E Silva Caldeira Marques, Antoni Sisó, Josep Basora, Enric Aragonès","doi":"10.1080/13814788.2025.2485073","DOIUrl":"https://doi.org/10.1080/13814788.2025.2485073","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic caused a significant impact on healthcare workers' mental health and burnout, which continues after the pandemic.</p><p><strong>Objectives: </strong>To assess the levels of burnout in general practitioners (GP) in Catalonia at three different times.</p><p><strong>Methods: </strong>Cross-sectional study involving members of the GPs' Catalan Society (<i>n</i> = 4700). A self-administered survey was sent via institutional email in June-July 2021 (T1), in March-April 2022 (T2), and in May-June 2023 (T3). Probable burnout was assessed through Maslach Burnout Inventory (MBI) test, with three independent dimensions: emotional exhaustion, depersonalisation, and personal achievement. A descriptive analysis was performed, as well as a comparison between T1, T2, and T3 results.</p><p><strong>Results: </strong>500 GPs responded in T1, 454 in T2, and 386 in T3. Samples were similar in demographic variables. Regarding burnout dimensions, the level of emotional exhaustion was 67.5% in T1, with a statistically significant decrease in T2 and T3 (56.4 and 58.1%, respectively, <i>p</i> = 0.001); levels of depersonalisation were 42.7% in T1, 37.0% in T2 and 36.7% in T3 (<i>p</i> = 0.091); levels of personal achievement were 29.9% in T1, 30.4% in T2 and 24.2% in T3 (<i>p</i> = 0.086).  Starting at high levels of emotional exhaustion and depersonalisation, the prevalence decreased significantly over time in two groups: women and GPs who worked <10 years at the same workplace.</p><p><strong>Conclusion: </strong>Catalan GPs experienced significant burnout during the COVID-19 pandemic with emotional exhaustion being particularly high. Although the prevalence of burnout decreased slightly over time, over half of the participants consistently reported high levels of emotional exhaustion.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2485073"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/13814788.2025.2477962","DOIUrl":"10.1080/13814788.2025.2477962","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2477962"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From trainee to general practitioner: A qualitative study of transition experiences of Flemish GP trainees.","authors":"Ellen Tisseghem, Joke Fleer, Melissa Horlait, Peter Pype, Emelien Lauwerier","doi":"10.1080/13814788.2024.2443603","DOIUrl":"10.1080/13814788.2024.2443603","url":null,"abstract":"<p><strong>Background: </strong>The transition from trainee to professional marks a key milestone in a family doctor's career, bringing both emotional and mental challenges. This critical period of specialisation shapes how young doctors adapt and influences their future career choices.</p><p><strong>Objectives: </strong>We explored trainees' experiences during their first year of advanced medical training in family medicine/general practice, including barriers and facilitators.</p><p><strong>Methods: </strong>Using qualitative methodology, we conducted ten focus group interviews with 111 trainees. These group interviews were held as part of small-group sessions integrated into a self-guided reflection course. All interviews were held between February 2021 and March 2021, conducted online via MS Teams, recorded, and transcribed verbatim for analysis.</p><p><strong>Findings: </strong>Our analysis uncovered two adaptational processes during this transition period: personal adaptation and professional socialisation. We interpreted this as a complex balancing act, with impact on mental health aspects such as energy, exhaustion, and self-confidence. Multiple elements at different levels influenced these processes, including the workplace (e.g. interactions with colleagues and patients), the educational program (e.g. assignments, courses), and societal expectations (e.g. role expectations, support).</p><p><strong>Conclusion: </strong>The findings highlight the importance of understanding both personal adaptation and professional socialisation to support trainees effectively during their transition into practice. Future studies should validate these findings and explore their evolution over time, particularly in relation to adaptation and career choices.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2443603"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11722024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain and feasibility of capillary self-blood collection in general practice: A cross-sectional investigative study.","authors":"Christopher Schuchardt, Frank Müller, Angelika Hafke, Eva Hummers, Julie Schanz, Alexandra Dopfer-Jablonka, Georg M N Behrens, Dominik Schröder","doi":"10.1080/13814788.2025.2501309","DOIUrl":"10.1080/13814788.2025.2501309","url":null,"abstract":"<p><strong>Background: </strong>Capillary self-blood collection (SBC) with mailed samples enables remote laboratory monitoring without in-person healthcare visits. This approach may improve continuity of care for patients, especially with chronic conditions.</p><p><strong>Objectives: </strong>Compare pain perception between venous blood draws and capillary SBC and evaluate the usability and blood volume yield of SBC devices.</p><p><strong>Methods: </strong>In this cross-sectional study, general practice patients from mid of Germany, Germany performed SBC using the Tasso+^® upper-arm device and mailed samples to a laboratory. Pain, usability, SBC volume, and associated factors were analysed using bivariate and general linear models.</p><p><strong>Results: </strong>Of 106 patients, 57.5% performed SBC without assistance. Self-perceived pain was lower among SBC draws (0.13, SD = 0.42) versus venous draws (1.21, SD = 1.60) (<i>p</i> < .001). 59.4% self-collected ≥130 μL blood plasma. Patient characteristics were not associated with SBC volume in regression analysis. Overall, the mean System Usability Scale (SUS) score was 86.2, indicating high usability. Lower school education was associated with lower usability scores, while lower fear of blood and needles were associated with higher usability scores in regression analysis.</p><p><strong>Conclusions: </strong>Capillary SBC had high feasibility and usability and caused less pain than venous draws in the general practice setting. SBC shows promises for enabling remote laboratory monitoring.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2501309"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying opportunities for shared decision-making through patients' and physicians' perceptions on the diagnostic process: A qualitative analysis of malpractice claims in general practice.","authors":"Sofie Jacobse, Hanneke Rijkels-Otters, Manon Eikens-Jansen, Trudy van der Weijden, Glyn Elwyn, Walter van den Broek, Patrick Bindels, Laura Zwaan","doi":"10.1080/13814788.2025.2501302","DOIUrl":"10.1080/13814788.2025.2501302","url":null,"abstract":"<p><strong>Background: </strong>Shared decision-making (SDM) is considered the preferred communication model, yet its applicability in the diagnostic process is understudied.</p><p><strong>Objective: </strong>To identify clinical situations in the diagnostic process that could benefit from SDM.</p><p><strong>Methods: </strong>An observational study of closed malpractice claims against general practitioners (2012-2020) related to problems of diagnosis, obtained from a liability insurance company in the Netherlands. We established SDM-selection criteria, specified for the diagnostic process (i.e. diagnostic uncertainty, multiple options and clinical equipoise). Phase 1: We selected and categorised eligible cases, using summarised information from a claim database. Phase 2: We analysed 90 fully documented claims and extracted information from GPs and patients related to the diagnostic process. Using this data, we conducted an inductive thematic analysis.</p><p><strong>Results: </strong>Phase 1: 261 out of 1477 claims (18%) met the SDM-selection criteria. The main reason for complaints was (omitted) test-ordering (155 claims, 59.4%). The most frequent final diagnoses were: fracture (49%), malignancy (10%), infection (9%), tendon rupture (8%) and cardiovascular disease (4%). Phase 2: Six types of diagnostic considerations emerged from the data: diagnostic uncertainty, using time as a diagnostic tool, management consequences, information about test indication or procedure, indications for re-evaluation and individual patient context. Contradictory statements from GPs and patients demonstrated a lack of shared understanding.</p><p><strong>Conclusion: </strong>The diagnostic process could benefit from SDM in several areas, including discussing diagnostic options, test conditions (e.g. timing and procedure) and follow-up. SDM training programs should be tailored to encourage clinicians to apply SDM in diagnostic decisions.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2501302"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reframing prevention: A clinician's perspective.","authors":"Paulo Santos","doi":"10.1080/13814788.2025.2549809","DOIUrl":"https://doi.org/10.1080/13814788.2025.2549809","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2549809"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories towards poor mental health: Can general practice contribute to prevention of bad outcomes for young children?","authors":"Philip Wilson","doi":"10.1080/13814788.2025.2524430","DOIUrl":"10.1080/13814788.2025.2524430","url":null,"abstract":"<p><p>Factors present in early life account for much of the variation in mental wellbeing in adulthood. In regions where general practitioners (GPs) provide first-contact care for pregnant women and children, there are many opportunities to identify children at risk of later psychiatric problems. These risks are contingent on genetic and antenatal factors, parent-child interaction and family functioning, and are influenced by poverty, the neighbourhood and the educational environment. Depending on the context in which they work, GPs may be able to offer support or referral to specialist services to prevent adverse outcomes. GPs are not able to predict accurately which children will be at developmental risk, so it is important to ensure that systems exist to identify neurodevelopmental problems in the whole population, whether in general practice or elsewhere. When developmental surveillance takes place outside general practice, there are strong arguments for data sharing. Awareness and systematic recording of risk factors for later psychopathology, along with appropriate intervention when available, offer the potential for substantial benefits to population mental health in the long term.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2524430"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to primary care staff conducting research - a qualitative systematic review.","authors":"Zoe Edwards, Michael Tatterton","doi":"10.1080/13814788.2025.2539777","DOIUrl":"10.1080/13814788.2025.2539777","url":null,"abstract":"<p><strong>Background: </strong>Research is vital for progress and development of healthcare and may help relieve current health service pressures through improvements and efficiencies. Research in primary care is not well established and is not part of routine practice. This study aims to investigate the barriers and facilitators to primary care staff conducting research.</p><p><strong>Method: </strong>A systematic literature review was conducted in CINAHL, Medline, APA, PsycInfo, AHMED and EMBASE from inception to April 2023. Searches were for studies involving clinical or non-clinical staff working in primary care where barriers or facilitators to conducting research were examined.</p><p><strong>Results: </strong>Twenty-one studies were included from 2000 to 2022. The QuADs quality appraisal method found that papers were of varying, often low quality. Five themes were found - research beliefs & understanding, time, funding & recognition, skills & knowledge, administration & support, ethics & understanding and communication & people. Staff thought research useful but optional and were impeded by time and funding. They need training and support to carry out research. Communication from the researchers before, during and after study completion would prevent problems and lead to more research participation in the future.</p><p><strong>Conclusion: </strong>Improved communication at all stages would serve as a facilitator to primary care staff conducting research. Clear, appropriate training for all staff would allow them to complete appropriate tasks for their roles and prevent one individual taking full responsibility. Embedding research in primary care with protected time and resources to complete it would remove barriers to taking part.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2539777"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"30th Anniversary of the <i>European Journal of General Practice</i>.","authors":"Jako S Burgers, An de Sutter, Adam Windak","doi":"10.1080/13814788.2025.2489981","DOIUrl":"10.1080/13814788.2025.2489981","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2489981"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional study of partners' tobacco consumption during their spouse's pregnancy.","authors":"Frédéric Fortin, Coralie Verrez, Thomas Hacquart, Bruno Pereira, Catherine Laporte","doi":"10.1080/13814788.2024.2438632","DOIUrl":"10.1080/13814788.2024.2438632","url":null,"abstract":"<p><strong>Background: </strong>A smoking partner is a major risk factor for passive smoking and continued maternal smoking.</p><p><strong>Objective: </strong>To assess the smoking habits, knowledge, and information received to stop smoking of smoking partners during their spouse's pregnancy.</p><p><strong>Method: </strong>This was a cross-sectional study of partners who smoked at the start of pregnancy and whose spouses had just given birth. Recruitment was carried out in maternity hospitals in the Auvergne-Rhône-Alpes region from June 2021 to December 2021. Data were collected using a self-administered questionnaire.</p><p><strong>Results: </strong>A total of 105 men using tobacco were recruited, average age 34 years (± 6.4). Of these, 46 (44%) had modified their consumption during pregnancy: 11 (10.5%) had stopped smoking until maternity hospital entry, 24 (23%) had cut down and 11 (10.5%) had relapsed after initial total cessation. A multivariate analysis revealed a statistically significant relationship between men's change in smoking behaviour during pregnancy and a first pregnancy, an overweight participant, not living in a rural area, and information provided by the General Practitioner (GP). GPs are the first point of contact for participants looking for help to quit smoking. Among men who have not changed their smoking habits, 46% have not received any information from health professionals.</p><p><strong>Conclusions: </strong>Intervention and medical information provided by GPs to smoking partners may be associated with changes in smoking habits during pregnancy. Additional prospective, comparative studies are needed to support a robust conclusion.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2438632"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}