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British Journal of General Practice最新文献

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Paramedic or GP consultations in primary care: prospective study comparing costs and outcomes. 初级医疗中的辅助医务人员或全科医生会诊：比较成本和结果的前瞻性研究。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-11-08 DOI: 10.3399/BJGP.2024.0469
William Hollingworth, Nouf S Gadah-Jeynes, Hazel Taylor, Kirsty Garfield, Sarah Voss, Matthew Booker
{"title":"Paramedic or GP consultations in primary care: prospective study comparing costs and outcomes.","authors":"William Hollingworth, Nouf S Gadah-Jeynes, Hazel Taylor, Kirsty Garfield, Sarah Voss, Matthew Booker","doi":"10.3399/BJGP.2024.0469","DOIUrl":"https://doi.org/10.3399/BJGP.2024.0469","url":null,"abstract":"<p><strong>Background: </strong>General Practice faces pressures due to increased demand and a shortage of GPs. Paramedics in General Practice (PGPs), increasingly contribute to managing minor illnesses, conducting home visits, and providing urgent consultations.</p><p><strong>Aim: </strong>Explore the impact of paramedic-consultations on patient-reported experience, safe management and NHS costs.</p><p><strong>Design & setting: </strong>Prospective cohort study comparing PGP with GP consultations at 34 GP sites in England.</p><p><strong>Methods: </strong>Eligible participants had a consultation with a PGP (25 PGP sites) or GP (9 non-PGP sites) between May 2022 and February 2023. Questionnaires were provided after the initial consultation and 30 days later. Questionnaires assessed patient experience, outcomes and perceived safety (PCOQ and PREOS-PC), quality of life (EQ-5D-5L) and health care use.</p><p><strong>Results: </strong>Of 715 participants recruited, 489 completed the 30-day questionnaire. We found no evidence that PGP-consultations resulted in greater improvement/deterioration in patient-reported health and wellbeing; confidence in health provision; health knowledge; or confidence in the health plan over the 30-day period. However, the PGP group reported lower confidence in health provision, poorer perceptions of practice engagement in safety promotion and more communication problems with staff immediately after the initial consultation. Patients receiving PGP-consultations reported fewer GP appointments during the 30-day period, however savings to the NHS were offset by higher use of other healthcare professionals.</p><p><strong>Conclusion: </strong>Well-designed training and supervision are needed to ensure PGPs have the right knowledge and can clearly convey health care plans to patients. While PGPs may reduce GP workload pressure, they do not necessarily reduce NHS costs.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633294","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}
引用次数: 0
Cardiovascular disease - risk assessment and reduction: NICE 2023 update for GPs. 心血管疾病--风险评估与降低：针对全科医生的 NICE 2023 更新。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739905
Emily Williams, Thomas Round, Nicholas R Jones
{"title":"Cardiovascular disease - risk assessment and reduction: NICE 2023 update for GPs.","authors":"Emily Williams, Thomas Round, Nicholas R Jones","doi":"10.3399/bjgp24X739905","DOIUrl":"10.3399/bjgp24X739905","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"523-526"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559526","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}
引用次数: 0
CGRP therapy in primary care for migraine: prevention and acute medication. 偏头痛初级保健中的 CGRP 治疗：预防和急性药物治疗。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739893
Katherine Phillips, Benjamin R Wakerley
{"title":"CGRP therapy in primary care for migraine: prevention and acute medication.","authors":"Katherine Phillips, Benjamin R Wakerley","doi":"10.3399/bjgp24X739893","DOIUrl":"10.3399/bjgp24X739893","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"521-522"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559527","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}
引用次数: 0
Challenging the status quo: deprescribing antihypertensive medication in older adults in primary care. 挑战现状：基层医疗机构为老年人开具降压药处方。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739689
James P Sheppard, Richard J McManus
{"title":"Challenging the status quo: deprescribing antihypertensive medication in older adults in primary care.","authors":"James P Sheppard, Richard J McManus","doi":"10.3399/bjgp24X739689","DOIUrl":"10.3399/bjgp24X739689","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"484-486"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559528","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}
引用次数: 0
Conversations matter: improving the diagnosis experience for people with type 2 diabetes. 对话很重要：改善 2 型糖尿病患者的诊断体验。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739713
Eleanor Barry, David Blane, Jamie Ross, Jenifer Freeman
{"title":"Conversations matter: improving the diagnosis experience for people with type 2 diabetes.","authors":"Eleanor Barry, David Blane, Jamie Ross, Jenifer Freeman","doi":"10.3399/bjgp24X739713","DOIUrl":"10.3399/bjgp24X739713","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"489-490"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559529","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}
引用次数: 0
Primary care health professionals' approach to clinical coding: a qualitative interview study. 基层医疗卫生专业人员的临床编码方法：定性访谈研究。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739737
Peter G Davies
{"title":"Primary care health professionals' approach to clinical coding: a qualitative interview study.","authors":"Peter G Davies","doi":"10.3399/bjgp24X739737","DOIUrl":"10.3399/bjgp24X739737","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"492"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559534","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}
引用次数: 0
Are good GPs holistic? 优秀的全科医生是整体性的吗？
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739749
Andrew Papanikitas
{"title":"Are good GPs holistic?","authors":"Andrew Papanikitas","doi":"10.3399/bjgp24X739749","DOIUrl":"10.3399/bjgp24X739749","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"503"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559522","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}
引用次数: 0
Books: The Story of a Heart: Two remarkable families. 书籍一颗心的故事两个了不起的家庭
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739857
Trisha Greenhalgh
{"title":"Books: <i>The Story of a Heart</i>: Two remarkable families.","authors":"Trisha Greenhalgh","doi":"10.3399/bjgp24X739857","DOIUrl":"10.3399/bjgp24X739857","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"514"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559524","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}
引用次数: 0
Do I know you? (well enough to complete your multisource feedback … ). 我认识你吗？(了解到足以完成您的多源反馈......）。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739821
Paula Wright
{"title":"Do I know you? (well enough to complete your multisource feedback … ).","authors":"Paula Wright","doi":"10.3399/bjgp24X739821","DOIUrl":"10.3399/bjgp24X739821","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"510-511"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559530","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}
引用次数: 0
General practice should tackle healthcare inequalities but not health inequalities. 全科医生应解决医疗不平等问题，但不应解决健康不平等问题。
IF 5.3 2区 医学
British Journal of General Practice Pub Date : 2024-10-31 Print Date: 2024-11-01 DOI: 10.3399/bjgp24X739833
Dipesh Gopal
{"title":"General practice should tackle healthcare inequalities but not health inequalities.","authors":"Dipesh Gopal","doi":"10.3399/bjgp24X739833","DOIUrl":"10.3399/bjgp24X739833","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"74 748","pages":"512"},"PeriodicalIF":5.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559531","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}
引用次数: 0
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