European Journal of General Practice最新文献

{"title":"Are practice nurse-led patient consultations acceptable for the general population in Germany? Results from a population-based survey.","authors":"Celina Wiens, Felix Lässig, Thomas Frese, Marcus Heise, Jan Schildmann, Rafael Mikolajczyk, Solveig Weise","doi":"10.1080/13814788.2026.2716980","DOIUrl":"10.1080/13814788.2026.2716980","url":null,"abstract":"<p><strong>Background: </strong>Delegating tasks from the general practitioners (GPs) to practice nurses (PNs) may support healthcare challenges. While PN-led care is well accepted in countries with established models, transferability to Germany remains unclear. Qualitative data suggest openness towards PN-led consultations (PNLC), but quantitative evidence is scarce.</p><p><strong>Objectives: </strong>To assess willingness, condition-specific preferences, and influencing factors towards PNLC in general population.</p><p><strong>Methods: </strong>We conducted a cross-sectional online survey within the HeReCa-Study panel between July to September 2023 using a pretested questionnaire. Participants were randomly selected from five German states, stratified by urbanity and age. Analyses included descriptive statistics, bivariate and multivariable logistic regression (IBM SPSS 25.0; R 4.5.2).</p><p><strong>Results: </strong>The response was 50.0% (1,532/3,066). Approximately 39.7% received care in single-handed practices (SHP). Among included participants without prior PNLC experience (<i>n</i> = 1,419), willingness to accept PNLC was 83.6%. Willingness was highest for superficial wounds, respiratory infections, and chronic conditions and lowest for new-onset back pain. Higher trust in PNs' professional (OR 2.46; 95% CI 1.60-3.82) and communication skills (OR 1.80; 1.18-2.75) increased willingness. Older age (OR 0.32; 0.10-0.90 in 74-83 versus 22-33-year-olds) and treatment in SHP vs. no (OR 0.69; 0.48-0.99) were associated with lower willingness. Sex, regional variables and population density showed no relevant associations.</p><p><strong>Conclusion: </strong>Acceptability of PNLC among the German general population is high. Trust in PNs' professional and communication skills, and younger age, are associated with increased willingness for PNLC, while treatment in SHP showed a negative association. Our findings may inform implementation of PNLC in other countries.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2716980"},"PeriodicalIF":2.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842122","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":"Discrepancies in low-value practices across cardiovascular disease prevention guidelines. A narrative review.","authors":"Carlos Brotons, Irene Moral, Tom Axelrod, John Brandt Brodersen, Carlos Martins, Serdar Öztora, Iva Petričušić, Veerle Piessens, Carlen Reyes, Laura Rodriguez-Benito, Andras Terebessi","doi":"10.1080/13814788.2026.2729221","DOIUrl":"10.1080/13814788.2026.2729221","url":null,"abstract":"<p><strong>Background: </strong>Low-value practices are interventions that do not provide health benefits due to lack of effectiveness or associated risks that outweigh the potential benefits.</p><p><strong>Objectives: </strong>The purpose of this study is to demonstrate discrepancies across various cardiovascular prevention guidelines published by numerous institutions and organisations, and establish an objective overview of the current state of the art and formulate recommendations for general practitioners.</p><p><strong>Methods: </strong>A narrative review of clinical practice guidelines for CVD prevention published in English between January 2017 and December 2025 was conducted. Searches focused on major European, British, North American, and Australian scientific societies; only guidelines containing explicit recommendations on low-value or unnecessary practices were included. We identified the scientific evidence supporting these recommendations and searched for ongoing clinical trials - specifically in cases where recommendations were based on a single randomised trial, large non-randomised studies, retrospective data, or expert opinion.</p><p><strong>Results: </strong>Guidelines show significant discrepancies regarding recommendations for low-value practices. These primarily relate to the evaluation of the coronary artery calcium (CAC) score, determination of lipoprotein(a) (Lp(a)), screening for abdominal aortic aneurysm (AAA), and the initiation of lipid-lowering treatment in older adults. Controversy and uncertainty were most evident when recommendations were based on non-randomised clinical trials or expert opinion.</p><p><strong>Conclusions: </strong>While some guidelines align, others exhibit clear discrepancies, illustrating the uncertainty of the scientific evidence and differing interpretations. Until robust evidence from high-quality clinical trials becomes available, clinicians should exercise caution regarding certain screening procedures and therapeutic interventions in CVD prevention within general practice.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2729221"},"PeriodicalIF":2.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013266","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":"Technological translation tools for official language minorities in primary and emergency care: A rapid scoping review and environmental scan.","authors":"Ann Roex, Aurore Torsin, Ayse Akalin, Nick Verhaeghe, Maaike Fobelets","doi":"10.1080/13814788.2026.2741182","DOIUrl":"10.1080/13814788.2026.2741182","url":null,"abstract":"<p><strong>Background: </strong>Language barriers cause miscommunication in healthcare, thereby threatening care quality and patient safety, including for official language minorities. Various technological solutions exist to minimise these barriers.</p><p><strong>Aim: </strong>To map and summarise technological translation tools used in patient-provider communication in primary and/or emergency care.</p><p><strong>Method: </strong>A rapid scoping review using adapted Joanna Briggs Institute (JBI) methodology combined with an environmental scan. MEDLINE, Web of Science, and grey literature <i>via</i> ProQuest, ClinicalTrials.gov were searched. The environmental scan included a structured Google search, documents from the DOcKTEuR project steering committee and relevant Belgian organisations' websites. Sources describing technological translation tools used during clinical encounters with patients experiencing language barriers in primary or emergency care, published in English, French, or Dutch from 2019 onward were included. Qualitative content analysis was conducted following PRISMA-ScR guidance.</p><p><strong>Results: </strong>Twenty sources were included. Five categories were identified: video interpreter, telephone interpreter, translation application (AI), fixed-phrase healthcare translation application, and portable general translation device. Three domains of characteristics emerged: patient-provider interaction, operational feasibility, and ethical considerations. Video interpreter support provided high-quality interpretation and non-verbal communication however faced scheduling and technical challenges. Telephone interpreter support provided broad language coverage but lacked visual cues. AI-based applications enabled rapid multilingual support but raised concerns about accuracy. Fixed-phrase applications facilitated predefined healthcare communication, whereas portable devices offered flexible support but raised concerns about contextual appropriateness.</p><p><strong>Conclusion: </strong>Technological translation tools vary in interaction quality, feasibility and ethical considerations. Evidence remains limited and heterogeneous, highlighting the need for robust evaluation of effectiveness, safety, and implementation in routine practice.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2741182"},"PeriodicalIF":2.7,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171853","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":"What has been used to improve patients' spiritual health in primary care: A realist review.","authors":"Ishbel Orla Whitehead, Philip Mordue, Mark Adley, Elizabeth Westhead, Jabez Barnabas, Amy O'Donnell, Barbara Hanratty","doi":"10.1080/13814788.2026.2739239","DOIUrl":"10.1080/13814788.2026.2739239","url":null,"abstract":"<p><strong>Background: </strong>Spiritual health is a vital aspect of holistic health linked to improved outcomes, yet little is known about approaches used in primary care to support this dimension of wellbeing.</p><p><strong>Objectives: </strong>To identify which interventions have been used to improve patients' spiritual health in primary care, and what works, for whom, and in which contexts.</p><p><strong>Methods: </strong>A qualitative realist review was registered with PROSPERO and conducted in line with RAMESES standards. Systematic database searches were completed in May 2024 and June 2025. Iterative analysis and synthesis were informed by discussions with professionals to situate findings within real-world practice contexts.</p><p><strong>Results: </strong>Five European interventions were identified, each offering person-centred, listening-based support to address spiritual or existential concerns. These services operated in small, motivated pockets of practice rather than as routine provision. Validated outcome measures showed improvements in emotional wellbeing, but none directly assessed spiritual health. Most interventions followed a chaplaincy model adapted from hospital care and faced barriers to wider implementation: limited funding, workforce pressures, and inconsistent referral pathways.</p><p><strong>Conclusion: </strong>Spiritual health interventions can provide valuable holistic support within primary care, but current provision is fragmented, locally driven, and often unsustainable. Improving timely referrals, increasing practitioner confidence, and reducing stigma surrounding spiritual health are priorities. A social asset-based approach may complement existing practice by equipping primary care staff to recognise spiritual need and connect patients with community organisations. Further research is required to determine the acceptability, effectiveness, and scalability of chaplaincy and alternative asset-based models of spiritual care within primary care.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2739239"},"PeriodicalIF":2.7,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167999","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":"Challenges and strategies for managing early-to-moderate chronic kidney disease in primary care: A systematic integrative review in high-income countries.","authors":"Agnès Oude Engberink, Elodie Million, Killian L'Helgouarc'h, Alix Tarbé, Armel Leroux, Fanny Jourdain, Béatrice Lognos, Olivier Moranne","doi":"10.1080/13814788.2026.2704287","DOIUrl":"10.1080/13814788.2026.2704287","url":null,"abstract":"<p><strong>Background: </strong>Early-to-moderate chronic kidney disease (CKD) is largely managed in primary care, yet reported practices vary across settings. Understanding how CKD is identified and managed in routine practice is essential to inform improvements in care.</p><p><strong>Objective: </strong>To synthesise empirical evidence on the management of adults with early-to-moderate CKD in primary care in high-income countries including real-world practices and initiatives to improve CKD management.</p><p><strong>Methods: </strong>We conducted a systematic integrative review of quantitative, qualitative, and mixed-methods studies published between 2000 and 2022. MEDLINE, Embase, the Cochrane Library, KT+, and PDQ-Evidence databases were searched. Eligible studies reported management practices for early-to-moderate CKD in primary care. Findings were synthesised using a convergent integrated narrative approach.</p><p><strong>Results: </strong>A total of 90 studies were included (46 descriptive, 23 qualitative or mixed-methods studies, and 21 interventional), representing over 33 million patients and 3,180 healthcare professionals. Across studies, substantial variability in screening, monitoring, referral practices, and implementation of management strategies was reported. Low screening rates among at-risk populations, incomplete follow-up after abnormal results, variability in medication use and risk-factor control, and heterogeneous referral practices were common findings. Patients often had limited awareness of CKD, and organisational barriers affected engagement in care. Various initiatives, including interprofessional models, decision-support tools, patient education, and multimodal interventions, showed heterogeneous effects across settings.</p><p><strong>Conclusions: </strong>Management of early-to-moderate CKD in primary care varies considerably across high-income countries. Reported findings suggest that improving CKD care may require context-adapted strategies combining organisational, clinical, and educational components, particularly those involving multidisciplinary collaboration and decision support.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2704287"},"PeriodicalIF":2.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674434","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":"The impact of professional characteristics and person-centred care on general practitioners' stress levels. Findings from the cross-sectional PACE GP/FP study in 24 European countries.","authors":"Katarzyna Nessler, Krzysztof Studzinski, Zalika Klemenc-Ketiš, Heather L Rogers, Torunn Bjerve Eide, Sara Ares Blanco, Heidrun Lingner, Sanda Kreitmayer, Jesús González-Lama, Esther Van Poel, Didem Kafadar, Kathryn Hoffmann, Thomas Frese, Radost Assenova, Mehmet Ungan, Gorka Vuletić, Erika Zelko, Rosa Megallón-Botaya, Marion Tomičić, Fatima Mendez Lopez, Zoi Tsimtsiou, Miguel J Mora, Vinita Mahtani, Ewa Wójtowicz, Adam Windak, Goranka Petriček","doi":"10.1080/13814788.2026.2652678","DOIUrl":"10.1080/13814788.2026.2652678","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) face numerous challenges that can contribute to stress. Understanding these factors is crucial for developing interventions to support physician wellbeing and maintain high-quality care.</p><p><strong>Objectives: </strong>The study aims to explore the factors associated with perceived stress among European GPs, including attitudes towards person-centred care (PCC), demographics, and professional characteristics.</p><p><strong>Methods: </strong>The PACE GP/FP study is an online, cross-sectional, multi-centred survey conducted in 24 European countries between November 2022 and January 2024. The survey tool included the Perceived Stress Scale (PSS), the Patient-Practitioner Orientation Scale (PPOS), and questions on GPs' demographics and practice characteristics. Linear mixed models analysed the relationship between these variables and perceived stress.</p><p><strong>Results: </strong>In total, 3522 GPs were included in the analysis. The mean PSS score indicated moderate levels of stress. Female gender and younger age were associated with increased stress. Also, a higher number of daily patient contacts and a greater perceived responsibility for vulnerable patient populations (e.g. migrants, those with limited social support, or psychiatric vulnerabilities) were significantly associated with higher stress. A stronger patient-centred orientation was associated with lower perceived stress.</p><p><strong>Conclusion: </strong>The findings have implications for interventions to reduce GP stress, such as training programs promoting PCC, optimising patient contact rates, and providing targeted support for GPs caring for vulnerable patients. Further research is needed to explore these factors' complex interplay and impact on GP wellbeing.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2652678"},"PeriodicalIF":2.7,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678557","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":"Healthcare inequalities in general practice due to educational level: A retrospective cohort study analysing patients' presentation and GP response to requests.","authors":"Sjoerd Hulshof, Tim C Olde Hartman, Reinier Akkermans, Henk J Schers, Annemarie A Uijen","doi":"10.1080/13814788.2026.2649992","DOIUrl":"10.1080/13814788.2026.2649992","url":null,"abstract":"<p><strong>Background: </strong>Educational level is an important social determinant of health and may contribute to healthcare inequity by affecting how patients present health problems.</p><p><strong>Objectives: </strong>Explore the interaction between patients' educational level (1), their presentation of health problems to general practitioners (GPs) and (2) GP's responses to requested interventions.</p><p><strong>Design and setting: </strong>Retrospective cohort study within a Dutch primary care practice-based research network.</p><p><strong>Methods: </strong>All new episodes of care of patients' aged ≥25 years between 2014 and 2022 were included. Data were collected on the reason for encounter (RFE) at initial contact within each episode, and patients' educational level. Differences were analysed in incidence of RFE types (symptoms, intervention-requests, self-diagnoses) and GP's policies regarding requested diagnostic and therapeutic interventions among patients with low, medium and high educational levels.</p><p><strong>Results: </strong>Patients with lower educational levels more frequently presented symptoms (59.7% versus 56.5%) and were less likely to present with intervention requests (OR 0.88) or self-diagnosis (OR 0.83). They requested more urine tests (RR 1.28), but fewer blood tests (RR 0.90), diagnostic imaging (RR 0.75) and referrals to primary (RR 0.74) and secondary care (RR 0.87). GPs responded more often to urine test requests (RR 1.25), but less often to referral requests to primary (RR 0.68) and secondary care (RR 0.80) among patients with lower educational levels.</p><p><strong>Conclusion: </strong>This study emphasises GPs' need to understand how educational status affects patient's presentation and intervention preferences, which can improve communication, shared decision-making and enhance equitable healthcare delivery by addressing an important social determinant of health.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2649992"},"PeriodicalIF":2.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678535","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":"Cancer screening in patients with severe psychiatric disorders in France: Towards a coordinated and inclusive approach.","authors":"Nadine Pellen, Bleuenn Gouzien, Manon Troënes, Sarah Khelifi, Gaëlle Ragot, Aziliz Le Glaz","doi":"10.1080/13814788.2026.2619260","DOIUrl":"10.1080/13814788.2026.2619260","url":null,"abstract":"<p><strong>Background: </strong>The close link between mental health and physical health is evident in patients with severe psychiatric disorders (SPD), such as schizophrenia and bipolar disorder. SPD is associated with a reduction in life expectancy, due to excess mortality from cardiovascular disease and cancer. In patients with SPD, reduced access to cancer screening programs, due to cognitive, organisational and social barriers, leads to late detection and worse prognosis.</p><p><strong>Objectives: </strong>The objective was to identify the barriers and facilitators to systematic cancer screening in patients with SPD, with a focus on the role of general practitioners (GPs) in improving access to preventive care.</p><p><strong>Method: </strong>This study was conducted in the Finistère department, France. A qualitative study based on semi-structured interviews with GPs, recorded, anonymised, transcribed verbatim, and analysed using a grounded theory approach.</p><p><strong>Results: </strong>From October 2023 to February 2024, 25 GPs were interviewed. The analysis highlighted 3 areas for improving access to cancer screening: logistic support, active involvement of the family and professional support networks and coordination among the healthcare providers. Barriers included the patients' lack of autonomy, difficulties in accessing transport, precariousness and complexity of the screening process, particularly for at-home screening tests. Family and friends play a key role, but remain vulnerable to caregiver burnout.</p><p><strong>Conclusion: </strong>These results confirm the importance of a multi-professional and integrative approach, with GPs playing a central role in addressing the specific vulnerabilities of this population. More research, involving patients, caregivers and psychiatric teams, is needed to co-construct appropriate, sustainable and ethically sound solutions.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"32 1","pages":"2619260"},"PeriodicalIF":2.7,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12912238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183332","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":"Factors influencing appropriate vestibular care: An interview study with general practitioners and patients.","authors":"Hà T N Ngo, Otto R Maarsingh, Pauline Slottje, Marco H Blanker, Jettie Bont, Vincent A van Vugt","doi":"10.1080/13814788.2025.2600144","DOIUrl":"10.1080/13814788.2025.2600144","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) frequently prescribe anti-vertigo drugs (AVDs), even though there is limited evidence for their effectiveness. Meanwhile, they rarely apply vestibular rehabilitation, a treatment for various vestibular disorders with a strong evidence base.</p><p><strong>Objectives: </strong>This study aimed to identify barriers and facilitators to appropriate vestibular care in general practice.</p><p><strong>Methods: </strong>We conducted a qualitative study in Dutch general practice using semi-structured interviews with GPs and patients with vestibular symptoms. We used purposive sampling to select participants. Interviews were audio-recorded, transcribed verbatim, and thematically analysed following the Template Analysis approach using MAXQDA 2022 software.</p><p><strong>Results: </strong>We interviewed 11 GPs and 15 patients. We assessed barriers and facilitators to appropriate vestibular care for GPs (i.e. not prescribing AVDs, advising vestibular exercises) and patients (i.e. not using AVDs, doing vestibular exercises). We identified four themes: competence, mindset, relational determinants, and accessibility to care. Facilitators included adequate knowledge about vestibular disorders, GPs valuing delivering high-value care, positive experiences with physiotherapy, patients' coping skills, personal continuity, close collaboration between GP and colleagues, social support, and sufficient time and availability of providers. Barriers included diagnosis and treatment insecurity among GPs, patients doubting the GPs' competence, patients' desperation for treatment and GPs accommodating these wishes, positive experiences with AVDs, prescriptions by other providers, and insurance not covering physiotherapy.</p><p><strong>Conclusion: </strong>Multiple barriers and facilitators shape appropriate vestibular care in general practice. Interventions should strengthen GPs' and patients' knowledge of vestibular management. Internet-based vestibular rehabilitation may address key barriers, particularly logistic and financial ones.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"31 1","pages":"2600144"},"PeriodicalIF":2.5,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12710262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764155","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":"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}