European Journal of General Practice最新文献

{"title":"European general practitioners' attitudes towards person-centred care and factors that influence its implementation in everyday practice: The protocol of the cross-sectional PACE GP/FP study in 24 European countries.","authors":"Goranka Petriček, Zalika Klemenc-Ketiš, Zlata Ožvačić Adžić, Venija Cerovečki, Sara Willems, Zoi Tsimtsiou, Erika Zelko, Claire Collins, Kathryn Hoffmann, Torunn Bjerve Eide, Sara Ares Blanco, Thomas Frese, Heidrun Lingner, Radost Assenova, Péter Torzsa, Bohumil Seifert, Mehmet Ungan, Sabine Bayen, Adam Windak, Joana Azeredo, Katarina Stavrikj, Sanda Kreitmayer, Milena Kostić, Iliana-Carmen Busneag, Tuomas Koskela, Alice Serafini, Joanne Butterworth, Dorien Louise Maria Zwart, Jesús González-Lama, Gorka Vuletić, Esther Van Poel, Ksenija Tušek Bunc, Canan Tuz, Vildan Mevsim, Martin Seifert, Mina Dahli, Pero Hrabač, Miroslav Hanževački, Jelena Rakić Matić, Marion Tomičić, Marko Rađa, Bruno Heleno, Krzysztof Studzinski, Ádám Becze, Rosa Megallón-Botaya, Heather Lynn Rogers, Christine Brütting, Didem Kafadar, David Lerma Irureta, Davide Fornacciari, Katarzyna Nessler, Kiril Soleski, Fátima Méndez-López, Oğulcan Çöme, Abeer Ahmad, Davorina Petek","doi":"10.1080/13814788.2025.2463630","DOIUrl":"10.1080/13814788.2025.2463630","url":null,"abstract":"<p><strong>Background: </strong>Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, general practitioners (GPs) face obstacles in effectively implementing it, with associated factors remaining unclear.</p><p><strong>Objectives: </strong>The PACE GP/FP study aims to explore GPs' attitudes towards PCC and the factors facilitating or hindering its implementation in daily practice across European countries. This paper outlines the PACE GP/FP study protocol.</p><p><strong>Methods: </strong>The cross-sectional design with data collection <i>via</i> an online survey distribution to GPs in 24 European countries. Study instruments include two validated questionnaires (Perceived Stress Scale (PSS) and Patient Physician Orientation Scale (PPOS)) and additional items covering general information about the doctor and their practice, as well as facilitators and barriers to PCC. These additional items were specifically developed for the study, translated using the forward-backward method, evaluated through cognitive debriefing, and integrated into the REDCap platform to create language and country-specific survey links. The STROBE checklist guides the reporting of the manuscript.</p><p><strong>Conclusion: </strong>The PACE GP/FP study will provide a comprehensive exploration of GPs' attitudes towards PCC and the factors shaping its practice in Europe. The findings from the PACE GP/FP study will provide evidence for designing future implementation strategies and guide targeted interventions to promote PCC in primary care across Europe.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2463630"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505893","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":"Biomedical dominance and the underrepresentation of primary care: An analyses of self-claimed research priorities of German medical schools.","authors":"Frank Müller, Eva Hummers, Eva Maria Noack","doi":"10.1080/13814788.2025.2561685","DOIUrl":"10.1080/13814788.2025.2561685","url":null,"abstract":"<p><strong>Background: </strong>Primary care providers deliver the majority of medical care serving as essential first points of contact and care coordinators. Despite the significant challenges they face, primary care research seems to lag behind and stay low-funded. Since the mid-1990s, academic reforms have emphasised metrics like third-party funding and high-impact publications. Medical schools were encouraged to develop distinct research profiles and to compete both internally and externally, leading to shifts in how research areas were prioritised, potentially disadvantaging primary care research.</p><p><strong>Objectives: </strong>To investigate the thematic priorities in German medical schools' research, assess the diversification of these priorities, and examine the role of primary care research.</p><p><strong>Methods: </strong>We conducted an analysis of the research priorities of all 39 German medical schools associated with the German Association of Medical Faculties. Data was extracted from medical school websites in October 2023. Research priorities were categorised and analysed using descriptive statistics and relationship mapping.</p><p><strong>Results: </strong>Research profile topics per medical school ranged from 1 to 7 (mean 3.51, SD 1.41). The most common research priorities were 'Neuroscience & Neurology' (69.2%), 'Immunology/Infectiology/Immunotherapy' (59.0%), and 'Oncology' (51.3%). Only a few institutions, primarily those in rural areas or recently established medical schools, prioritised adjacent primary care research fields such as health services research or community medicine.</p><p><strong>Conclusion: </strong>Our analysis reveals a significant concentration of research priorities in a few biomedical fields across German medical schools, with an underrepresentation of primary care research. This suggests a potential misalignment between academic focus and societal healthcare needs.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2561685"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226425","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}

{"title":"A narrative approach for the management of low back pain in general practice: An in-depth patient interviews study.","authors":"Guillaume Dalle, Camila Aloiso Alves, Pascal Clerc, Julien Le Breton","doi":"10.1080/13814788.2025.2522183","DOIUrl":"10.1080/13814788.2025.2522183","url":null,"abstract":"<p><strong>Background: </strong>The broad range of definitions of low back pain (LBP) and the many associated risk factors on which management strategies are based do not seem to be relevant for general practitioners.</p><p><strong>Objectives: </strong>Given the challenges of treating LBP and its impact on individuals' life, we aimed to explore the lived experiences of LBP patients to better understand their feelings, needs, and the internal and external resources they use for coping and treatment.</p><p><strong>Methods: </strong>We used a comprehensive, qualitative, biographical approach to understand the patient's life events and the origins of these events in social life. First, each patient's life story was analysed individually to understand how they constructed their experiences. Then, a joint analysis identified common themes and overlapping patterns across different patient trajectories.</p><p><strong>Results: </strong>We identified two main action profiles. The first ('risk-taking') reflected a desire for personal independence, where patients struggled to change their habits despite experiencing pain. In the second profile ('quest for meaning'), painful experiences led patients to reflect on their lifestyle and self-functioning, prompting adjustments in their daily habits.</p><p><strong>Conclusion: </strong>A comprehensive approach to understanding the patients' behaviour in relation to their LBP can improve care strategies. General practitioners should consider not only the physical symptoms but also the patient's social and personal context, including relationships, living environment, work activity, limitations, and guiding values.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2522183"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555852","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 antidepressant deprescribing - A qualitative interview study with general practitioners in Germany.","authors":"Jochen Vukas, Vita Brisnik, Linda Sanftenberg, Peter Henningsen, Jochen Gensichen, Tobias Dreischulte","doi":"10.1080/13814788.2025.2531879","DOIUrl":"10.1080/13814788.2025.2531879","url":null,"abstract":"<p><strong>Background: </strong>Long-term use of antidepressants frequently extends beyond clinical guidelines, with limited structured support for deprescribing in primary care. Little is known about the factors that influence general practitioners (GPs) in Germany regarding deprescribing of antidepressants.</p><p><strong>Objectives: </strong>To identify barriers and facilitators that influence GPs in Germany regarding antidepressant deprescribing. To provide points of departure for developing a targeted intervention to address these challenges.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 20 GPs in Bavaria and purposively sampled for diversity in gender and professional experience. The interview topic guide was informed by the Capability-Opportunity-Motivation-Behaviour (COM-B) model and the Theoretical Domains Framework (TDF). Interviews were transcribed verbatim. Thematic analysis was conducted using a structured coding approach.</p><p><strong>Results: </strong>Key barriers to deprescribing included time constraints, limited practical tools, and inadequate collaboration with specialists, as well as uncertainty about when to deprescribe. Social and psychological factors, such as patient fears, were also significant. Facilitators included strong GP-patient communication, the use of digital tools, pharmacist support, and positive attitudes towards deprescribing.</p><p><strong>Conclusion: </strong>Antidepressant deprescribing in German primary care is shaped by systemic, social, and behavioural factors. Addressing time constraints, enhancing interdisciplinary collaboration, and integrating decision-support tools into clinical practice could facilitate deprescribing. These insights inform targeted interventions to promote safe and evidence-based antidepressant use. Further research is recommended to develop an intervention suitable for real-world usage.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2531879"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700340","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":"Primary care patients' perspectives on CT coronary calcium scoring and exercise electrocardiography.","authors":"Moniek Koopman, Robert Willemsen, Carine Doggen, Bastiaan Kietselaer, Peter van Ooijen, Jan Willem Gratama, Richard Braam, Geert-Jan Dinant, Rykel van Bruggen, Pim van der Harst, Rozemarijn Vliegenthart","doi":"10.1080/13814788.2025.2545304","DOIUrl":"https://doi.org/10.1080/13814788.2025.2545304","url":null,"abstract":"<p><strong>Background: </strong>Computed tomography coronary calcium scoring (CT-CCS) shows higher sensitivity for obstructive coronary artery disease (OCAD) detection than exercise electrocardiography (x-ECG), but its role as initial diagnostic test in primary care remains unclear.</p><p><strong>Objective(s): </strong>This study assessed patients' perspectives on CT-CCS or x-ECG testing and diagnostic results.</p><p><strong>Methods: </strong>In this one-year pilot study, 38 general practitioner practices were included. After cluster randomisation, 19 practices were assigned to refer patients with atypical angina pectoris or non-specific thoracic complaints for CT-CCS and 19 practices were assigned to request x-ECG. Patients' management remained at the discretion of the GPs. Patients' perspectives on the diagnostic test were assessed through a questionnaire, and clinical data were collected using electronic patient records. Outcome measures included patients' perspectives, OCAD diagnosis and initiation of cardiovascular risk management (CVRM).</p><p><strong>Results: </strong>101 patients (25 x-ECG; 76 CT-CCS) were included. Overall, CT-CCS patients were more satisfied with the test compared to x-ECG patients (<i>p</i> < 0.001), found the test easier to undergo (<i>p</i> < 0.001), had a higher willingness to retest (<i>p</i> = 0.01) and better perception of the information received from the GP (<i>p</i> = 0.03). Four of 17 CT-CCS patients (24%) with CT-CCS ≥100 were diagnosed with OCAD, and 14 (82%) started CVRM. The only patient with a positive x-ECG out of 25 (4%) was included in CVRM but not diagnosed with OCAD.</p><p><strong>Conclusion: </strong>CT-CCS patients were overall more satisfied with their test than x-ECG patients. Coronary calcium scoring is a promising diagnostic tool for detecting OCAD in primary care.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2545304"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979208","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":"10.1080/13814788.2025.2557121","DOIUrl":"10.1080/13814788.2025.2557121","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2557121"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014500","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":"General practitioners' perspectives on diagnosis and treatment of uncomplicated urinary tract infections: A qualitative study in the Northern Dutch-German cross-border region.","authors":"Aida Bedri, Vaitiare Mulderij-Jansen, Imke Aits, Matthijs Berends, Michael H Freitag, Henk van der Worp, Corinna Glasner, Marco H Blanker","doi":"10.1080/13814788.2025.2536227","DOIUrl":"https://doi.org/10.1080/13814788.2025.2536227","url":null,"abstract":"<p><strong>Background: </strong>In the Netherlands and Germany, most antibiotics are prescribed in primary care, with urinary tract infections (UTIs) being the most common reason. The resistance rates of pathogens causing UTIs are rising in Europe. Differences in clinical practice guidelines may play a role and influence the prevalence of antibiotic resistance and treatment options. Therefore, we aim to explore the reality of general practices, including the diagnosis and management of uncomplicated UTIs in the Northern Dutch-German cross-border region.</p><p><strong>Methods: </strong>From January 2023 to April 2024, a qualitative study was performed using semi-structured interviews with German and Dutch general practitioners (GPs). The number of interviews was determined when data saturation was reached. The interviews were recorded, transcribed, translated and anonymised. MAXQDA (Version 24.1.0.) was utilised to code the interviews. The analysis was done using structured qualitative content analysis.</p><p><strong>Results: </strong>We recruited 13 GPs in Germany and 10 GPs in the Netherlands. Four main themes were identified: diagnosis, treatment options, decision making and guidelines. Dutch GPs delegated most diagnosis and treatment tasks to practice assistants, which is facilitated by the more stringent use of guidelines. More variety was seen in the types of antibiotics and herbal remedies used by German GPs.</p><p><strong>Conclusions: </strong>This study provides valuable insights into GPs' decision making regarding the diagnosis and treatment of UTI. Increasing awareness of UTI diagnosis and treatment can help GPs assess their own practices and think more critically of their antibiotic use. Further research is needed to explore the effects on antibiotic resistance in the cross-border region.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2536227"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979089","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}