British Journal of General Practice最新文献

{"title":"Yonder: Antidepressant follow-up, NHS app use, sore throats in community pharmacy, and dementia and anticholinergics.","authors":"Alex Burrell","doi":"10.3399/bjgp25X740709","DOIUrl":"10.3399/bjgp25X740709","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"84"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New-onset double vision in general practice.","authors":"Katherine Rennie, Maxwell Cooper, Sarah Cooper","doi":"10.3399/bjgp25X740781","DOIUrl":"10.3399/bjgp25X740781","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"92-94"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seven cautionary tales we tell our children: a brief literature review.","authors":"Tara George, Dani Hall, Tessa Davis, Nicola O'Shea","doi":"10.3399/bjgp25X740601","DOIUrl":"10.3399/bjgp25X740601","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"72-73"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020.","authors":"Peter J Edwards, Samuel Finnikin, Fay Wilson, Ian Bennett-Britton, Andrew Carson-Stevens, Rebecca K Barnes, Rupert A Payne","doi":"10.3399/BJGP.2024.0057","DOIUrl":"10.3399/BJGP.2024.0057","url":null,"abstract":"<p><strong>Background: </strong>Providing safety-netting advice (SNA) in out-of-hours (OOH) primary care is a recognised standard of safe care, but it is not known how frequently this occurs in practice.</p><p><strong>Aim: </strong>Assess the frequency and type of SNA documented in OOH primary care and explore factors associated with its presence.</p><p><strong>Design and setting: </strong>This was a retrospective cohort study using the Birmingham Out-of-hours general practice Research Database.</p><p><strong>Method: </strong>A stratified sample of 30 adult consultation records per month from July 2013 to February 2020 were assessed using a safety-netting coding tool. Associations were tested using linear and logistic regression.</p><p><strong>Results: </strong>The overall frequency of SNA per consultation was 78.0% (1472/1886), increasing from 75.7% (224/296) in 2014 to 81.5% (220/270) in 2019. The proportion of specific SNA and the average number of symptoms patients were told to look out for increased with time. The most common symptom to look out for was if the patients' condition worsened followed by if their symptoms persisted, but only one in five consultations included a timeframe to reconsult for persistent symptoms. SNA was more frequently documented in face-to-face treatment-centre encounters compared with telephone consultations (odds ratio [OR] 1.77, 95% confidence interval [CI] = 1.09 to 2.85, <i>P</i> = 0.02), for possible infections (OR 1.53, 95% CI = 1.13 to 2.07, <i>P</i> = 0.006), and less frequently for mental (versus physical) health consultations (OR 0.33, 95% CI = 0.17 to 0.66, <i>P</i> = 0.002) and where follow-up was planned (OR 0.34, 95% CI = 0.25 to 0.46, <i>P</i><0.001).</p><p><strong>Conclusion: </strong>The frequency of SNA documented in OOH primary care was higher than previously reported during in-hours care. Over time, the frequency of SNA and proportion that contained specific advice increased, however, this study highlights potential consultations where SNA could be improved, such as mental health and telephone consultations.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":"e80-e89"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acutely ill children, safety netting, and NHS printers.","authors":"Euan Lawson","doi":"10.3399/bjgp25X740517","DOIUrl":"10.3399/bjgp25X740517","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"51"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relatives.","authors":"Anne-Marie Slowther, Celia Janine Bernstein, Caroline Huxley, Jenny Harlock, Karin Eli, Claire Mann, Rachel Spencer, Jeremy Dale, Paramjit Gill, Hazel Blanchard, Martin Underwood, Frances Griffiths","doi":"10.3399/BJGP.2024.0248","DOIUrl":"10.3399/BJGP.2024.0248","url":null,"abstract":"<p><strong>Background: </strong>The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) has been implemented in many areas of the UK. It is unclear how ReSPECT is used in primary and community care settings.</p><p><strong>Aim: </strong>To investigate how the ReSPECT process is understood and experienced in the community by clinicians, social care staff, patients, their relatives, and identify obstacles and enablers to its implementation.</p><p><strong>Design and setting: </strong>A qualitative interview and focus-group study across 13 general practices in three areas of England, between January and December 2022.</p><p><strong>Method: </strong>We interviewed GPs, specialist nurses, patients and relatives, and senior care home staff. Focus groups were conducted with community nurses, paramedics, and home care workers. Questions focused on understanding experiences of, and engagement with, ReSPECT. We analysed data using thematic analysis and a coding framework drawn from normalisation process theory.</p><p><strong>Results: </strong>Participants included <i>n</i> = 21 GPs, <i>n</i> = 5 specialist nurses, <i>n</i> = 9 patients, <i>n</i> = 7 relatives, <i>n</i> = 31 care home staff, <i>n</i> = 9 community nurses, <i>n</i> = 7 home care workers, and <i>n</i> = 2 paramedics. Participants supported ReSPECT, regarding it as a tool to facilitate person-centred care. GPs faced challenges in timing the introduction of ReSPECT and ensuring sufficient time to complete plans with patients. ReSPECT conversations worked best when there was a trusting relationship between the clinician and the patient (and their family). Anticipating future illness trajectories was difficult, yet plans were rarely reviewed. Interpreting recommendations in emergencies was challenging.</p><p><strong>Conclusion: </strong>The ReSPECT process has not translated as well as expected in the community setting. A revised approach is needed to address the challenges of implementation in this context.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":"e143-e152"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Books: <i>Rebalancing Medicine</i>: An impossible task?","authors":"Richard Lehman","doi":"10.3399/bjgp25X740697","DOIUrl":"https://doi.org/10.3399/bjgp25X740697","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"83"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Counting the cost for children in temporary accommodation.","authors":"Laura Neilson","doi":"10.3399/bjgp25X740565","DOIUrl":"10.3399/bjgp25X740565","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"58"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poem: A Room with a View to Die For.","authors":"Sophy Wollaston","doi":"10.3399/bjgp25X740673","DOIUrl":"https://doi.org/10.3399/bjgp25X740673","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"80-81"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goldilocks and the three 'Whats'.","authors":"Andrew Papanikitas","doi":"10.3399/bjgp25X740577","DOIUrl":"10.3399/bjgp25X740577","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 751","pages":"68"},"PeriodicalIF":5.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}