British Journal of General Practice最新文献

{"title":"Alpha-gal syndrome in general practice: red meat food allergy caused by UK ticks.","authors":"James Dm Douglas, Elizabeth Furrie, Simon Jones","doi":"10.3399/bjgp25X741309","DOIUrl":"10.3399/bjgp25X741309","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 753","pages":"186-188"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733356","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":"Implementing in-vitro diagnostic point-of-care tests in community health care: how can we make this work?","authors":"Philip J Turner, Umasha Ukwatte, Ian Smith, Tim James, Paul Stephenson, Sarah Tonkin-Crine, Margaret Głogowska, Gail N Hayward","doi":"10.3399/bjgp25X741153","DOIUrl":"10.3399/bjgp25X741153","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 753","pages":"182-185"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733365","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":"Resisting in the liminal space.","authors":"Euan Lawson","doi":"10.3399/bjgp25X741057","DOIUrl":"10.3399/bjgp25X741057","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 753","pages":"147"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733370","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":"The familiar and strange art of diagnosis.","authors":"Andrew Papanikitas","doi":"10.3399/bjgp25X741165","DOIUrl":"10.3399/bjgp25X741165","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 753","pages":"167"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733373","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":"Discussions about physical activity in general practice: analysis of video-recorded consultations.","authors":"Adam Grice, Amy S Izon, Nada F Khan, Robbie Foy, Rebecca J Beeken, Suzanne H Richards","doi":"10.3399/BJGP.2024.0166","DOIUrl":"10.3399/BJGP.2024.0166","url":null,"abstract":"<p><strong>Background: </strong>Clinical guidance recommends promoting physical activity during general practice consultations. The frequency and content of physical activity discussions in UK general practice are poorly understood.</p><p><strong>Aim: </strong>To explore the content of physical activity discussions during routine consultations between patients and GPs.</p><p><strong>Design and setting: </strong>Secondary analysis was undertaken of video-recorded UK general practice consultations from the One in a Million study, which was conducted in the West of England.</p><p><strong>Method: </strong>In total, 294 consultation transcripts were available; these were screened to identify consultations that included or omitted physical activity advice when recommended by National Institute for Health and Care Excellence guidance. The content, quality, and depth of advice provided by GPs were scored to ascertain how meaningful the advice was.</p><p><strong>Results: </strong>Physical activity was relevant to management according to clinical guidance in 175/294 (59.5%) consultations. In 64 (36.6%) of these consultations, physical activity was discussed as part of clinical management; the depth of discussion was judged as 'meaningful' in 22 (12.6%) consultations. Although physical activity advice tended to be given most often for musculoskeletal problems, depth of advice did not appear to be related to the presenting problem. When physical activity advice was relevant and omitted, consultations prioritised another overriding presenting problem, or clinical management focused on another intervention.</p><p><strong>Conclusion: </strong>Physical activity advice, following national guidance, was potentially relevant to more than half of GP consultations; GPs delivered advice of varying depth in a third of these consultations. Future work should explore ways of delivering physical activity advice effectively, efficiently, and equitably within the constraints of general practice.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":"e277-e284"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082669","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":"Fixing our broken food health system.","authors":"Nada Khan","doi":"10.3399/bjgp25X741237","DOIUrl":"10.3399/bjgp25X741237","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 753","pages":"176-177"},"PeriodicalIF":5.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733362","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":"Exploring rural Scottish GPs' migration decisions: a secondary qualitative analysis considering burnout.","authors":"Helen Ann Latham, Andrew S Maclaren, Johannes H De Kock, Louise Locock, Peter Murchie, Zoë Skea","doi":"10.3399/BJGP.2024.0494","DOIUrl":"10.3399/BJGP.2024.0494","url":null,"abstract":"<p><strong>Background: </strong>The challenges of recruiting and retaining rural GPs are well described. UK data suggest high levels of burnout, characterised by detachment, exhaustion, and cynicism, plays a role in GP turnover. The contrast is engagement with work. There is limited evidence examining the relationship between work engagement and recruitment and retention in rural areas.</p><p><strong>Aim: </strong>To qualitatively investigate GPs decisions to move or stay in rural areas through exploring areas that can promote work engagement.</p><p><strong>Design and setting: </strong>This was a secondary analysis of qualitative data with Scottish GPs.</p><p><strong>Method: </strong>A secondary analysis of 44 semi-structured interviews with GPs from across Scotland was undertaken. Data were analysed thematically and the Areas of Worklife Scale was used to structure data.</p><p><strong>Results: </strong>Factors associated with burnout were identified and experienced as barriers to moving or staying rurally. Fear of dealing with pre-hospital emergency cases, clinical isolation, and rural training were concerns. Personal factors such as lack of partner employment played a key role in migration decisions. Factors associated with engagement were identified and experienced as facilitators for moving or staying rurally. Professional networks reduced professional isolation and rural GPs valued increased autonomy and time. Many felt being a rural GP was more aligned with their professional values and highly valued the rural lifestyle for themselves and their families.</p><p><strong>Conclusion: </strong>Our data suggest that factors associated with engagement and burnout can contribute to rural GPs' migration decisions. We highlight four areas that could promote desirable work environments by mitigating burnout and promoting engagement at work.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":"e187-e194"},"PeriodicalIF":5.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959005","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":"Meaningful community engagement: a Deep End perspective.","authors":"Nic Dickson, Leanne McBride, Colette Mason, Fraser Devine, Marianne McCallum","doi":"10.3399/bjgp25X740913","DOIUrl":"10.3399/bjgp25X740913","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 752","pages":"126-127"},"PeriodicalIF":5.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525378","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":"Primary care assessment of transient loss of consciousness in adults.","authors":"Connor Thorn, Thomas Round, Kim Rajappan, Nicholas R Jones","doi":"10.3399/bjgp25X741009","DOIUrl":"10.3399/bjgp25X741009","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 752","pages":"140-142"},"PeriodicalIF":5.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525381","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":"Working in a refugee camp on Lesvos.","authors":"Brian Lambert","doi":"10.3399/bjgp25X740901","DOIUrl":"10.3399/bjgp25X740901","url":null,"abstract":"","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":"75 752","pages":"125"},"PeriodicalIF":5.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525386","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}