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":"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":"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":"Qualitative assessment of physicians' appraisal of parental concerns.","authors":"Laura Cuypers, Cato Dessers, Birgitte Schoenmakers, Jaan Toelen","doi":"10.3399/BJGP.2024.0554","DOIUrl":"https://doi.org/10.3399/BJGP.2024.0554","url":null,"abstract":"<p><strong>Background: </strong>In clinical encounters with children and their parents, physicians rely on both analytical and non-analytical factors to assess the clinical problem. Research on clinical gut feeling has recognized this as a significant diagnostic factor, yet little is known about how physicians evaluate parental concerns.</p><p><strong>Aim: </strong>To investigate which parent- and physician-related factors influence a physician's assessment of parental concerns.</p><p><strong>Design and setting: </strong>Qualitative semi-structured focus group interviews were conducted with 15 general practitioners and 15 paediatricians in Belgium between May and August 2022.</p><p><strong>Method: </strong>Nine semi-structured focus group interviews were independently coded and analyzed thematically using the constant comparative analysis method.</p><p><strong>Results: </strong>The factors that physicians use to assess parental concerns can be categorized into four groups: parent-related, physician-related, context-related, and child-related factors. Within each category, there are multiple determinants, with the most influential being: having multiple children as a parent, the physician's work experience, and disease severity.</p><p><strong>Conclusion: </strong>This study confirms some determining factors that have already been described in the literature, but it also identifies new determinants (e.g., having multiple children as a parent and physician fatigue). Quantitative research could assess the extent to which the identified factors are involved in the assessment of gut feeling.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569018","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":"Patients' perceptions on reasons for self-referring to the emergency department shortly before cancer diagnosis: a qualitative study.","authors":"Xavier Bosch, Elisabet Montori-Palacin, Pedro Moreno, Ana-Maria Guio, Alfonso López-Soto","doi":"10.3399/BJGP.2024.0355","DOIUrl":"https://doi.org/10.3399/BJGP.2024.0355","url":null,"abstract":"<p><strong>Background: </strong>Some cancer patients are diagnosed following self-referral to the emergency department (ED), even after consulting primary care (PC). However, the rationale and factors involved in this decision are largely unknown.</p><p><strong>Aim: </strong>To explore patients' perceptions on reasons for emergency self-referral shortly before cancer diagnosis.</p><p><strong>Design and setting: </strong>Qualitative interview study at a high-volume public institution in Barcelona.</p><p><strong>Method: </strong>Semi-structured interviews with two patient groups: patients who self-referred as emergencies and never consulted PC (nonconsulters) and patients who self-referred despite consulting PC (consulters). Data were analysed by two independent coders-an emergency and a PC physician-using a codebook approach to thematic analysis.</p><p><strong>Results: </strong>Fifteen nonconsulters and 17 consulters were interviewed. Nonconsulters were more likely to belong to disadvantaged and ethnic communities. There was little variation between patient groups in their experiences and perceptions regarding pain intensity and related distress and ED's advantages in terms of accessibility and convenience. Cancer fear, uncertainty about symptoms, and frustration in accessing PC due to language barriers were unique among nonconsulters, leading to help-seeking delays. Patients' perception of the ED as a facility providing high-quality care and able to meet all medical needs emerged as a distinct theme among consulters.</p><p><strong>Conclusion: </strong>Healthcare organisations and public health services bear the responsibility to promote patient education and improve communication regarding the specific roles and purposes of PC and the ED. Increasing awareness and developing community-based programs that target cancer fear and fatalism may encourage early presentation to PC, especially among underrepresented and ethnic minority groups.</p>","PeriodicalId":55320,"journal":{"name":"British Journal of General Practice","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569009","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":"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":5.3,"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}