Weight Management with Orlistat in Type 2 Diabetes - An Electronic Healthcare Records Study
CONCLUSIONS: Orlistat was significantly associated with weight loss in T2DM/prediabetes when taken for at least 12 weeks. However, orlistat is infrequently prescribed and often taken for <12 weeks. Orlistat may be a useful adjunct to lifestyle modifications in T2DM/prediabetes however barriers to continuing orlistat means it may not be effective for everyone in managing weight loss.PMID:38621802 | DOI:10.3399/BJGP.2023.0684 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Shraboni Ghosal Neil Heron Kayleigh Mason James Bailey Kelvin Jordan Source Type: research

Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data
CONCLUSION: Higher disease-related and overall RGP UPC are both associated with lower mortality. However, changing RGP did not significantly affect mortality, indicating a compensatory benefit of informational and management continuity in a patient list system.PMID:38621803 | DOI:10.3399/BJGP.2023.0211 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Sahar Pahlavanyali Øystein Hetlevik Valborg Baste Jesper Blinkenberg Steinar Hunskaar Source Type: research

Support for primary care prescribing for adult ADHD in England: national survey
CONCLUSION: Elements supporting appropriate shared care prescribing of ADHD medication via primary care are not universally available in England. Co-ordinated approaches are needed to address these gaps.PMID:38621804 | DOI:10.3399/BJGP.2023.0595 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Anna Price Kieran Becker John Ward Obioha Ukoumunne Rebecca Gudka Anita Salimi Faraz Mughal G J Melendez-Torres Jane Smith Tamsin Newlove-Delgado Source Type: research

Operational failures in general practice: a consensus-building study on the priorities for improvement
CONCLUSION: This study identified the highest-priority operational failures in general practice according to GPs and patients, and indicates where improvement efforts relating to operational failures in general practice should be focused.PMID:38621805 | DOI:10.3399/BJGP.2023.0321 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Carol Sinnott Ahmed Alboksmaty Jordan M Moxey Katherine I Morley Sarah Parkinson Jenni Burt Mary Dixon-Woods Source Type: research

Does shortage of GPs matter? A cross-sectional study of practice population life expectancy
CONCLUSION: The number of GPs, continuity of care, and access in England are declining, and it is worrying that these features of general practice were positively associated with life expectancy.PMID:38621806 | DOI:10.3399/BJGP.2023.0195 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Richard Baker Louis S Levene Christopher Newby George K Freeman Source Type: research

Ethnic inequities in 6-8 week baby check coverage in England 2006-2021: a cohort study using the Clinical Practice Research Datalink
CONCLUSIONS: Coordinated action at the level of integrated commissioning boards, primary care networks and GP practices is required to better understand the reasons behind these inequities and redress the persistent disparities in 6-8 week baby check coverage.PMID:38621807 | DOI:10.3399/BJGP.2023.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Claire Xiaochi Zhang Maria A Quigley Clare Bankhead Chun Hei Kwok Nikesh Parekh Claire Carson Source Type: research

Media depictions of primary care tele-consultation safety: analysis of UK newspapers
Conclusions The media predominantly reported negative impacts of remote consultations on patient safety, particularly involving missed and/or delayed diagnoses. Our work highlights the importance of further exploration into the safety of remote consultations, and the impact of erroneous media reporting on policies and policymakers.PMID:38621808 | DOI:10.3399/BJGP.2023.0543 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Kaiyang Song Molly Hey Rebecca Elizabeth Payne Source Type: research

Trends in clinical workload in UK primary care 2005-2019
CONCLUSION: Findings show sustained increases in consulting rates, consultation duration and clinical workload until 2014. From 2015, however, rising demand for healthcare and a larger administrative workload have led to capacity constraints as the system nears saturation.PMID:38621809 | DOI:10.3399/BJGP.2023.0527 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Lyvia de Dumast Patrick Moore Kym Snell Tom Marshall Source Type: research

Acceptability of magnetic resonance imaging for prostate cancer diagnosis with patients and GPs: a qualitative interview study
CONCLUSION: Prostate MRI appears to be acceptable to patients. Some differences were found between patients in London and Devon, mainly around burden of testing and opportunity costs. Further exploration of GPs' knowledge and understanding of prostate MRI could inform future initiatives to widen access to diagnostic testing in primary care.PMID:38575181 | PMC:PMC11005921 | DOI:10.3399/BJGP.2023.0083 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Samuel Wd Merriel Stephanie Archer Alice S Forster David Eldred-Evans John S McGrath Hashim U Ahmed Willie Hamilton Fiona M Walter Source Type: research

Supporting healthcare professionals to address child weight with parents: a qualitative study
CONCLUSION: A range of barriers exist to HCPs addressing child excess weight with parents in primary care and community settings. Actions to effect structural changes and support HCPs in developing relevant knowledge and skills are required to overcome these barriers.PMID:38575182 | PMC:PMC11005922 | DOI:10.3399/BJGP.2023.0238 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Miranda Pallan Frances Mason Helen M Parretti Peyman é Adab Sally Abbott Kate Jolly Source Type: research

Improving access to general practice for and with people with severe and multiple disadvantage: a qualitative study
CONCLUSION: The co-designed strategies described in this study could be adapted locally and evaluated in other areas. Investing in this focused way of working may improve accessibility to health care, health equity, and staff wellbeing.PMID:38575183 | PMC:PMC11005924 | DOI:10.3399/BJGP.2023.0244 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Lucy C Potter Tracey Stone Julie Swede Florrie Connell Helen Cramer Helen McGeown Maria Carvalho Jeremy Horwood Gene Feder Michelle Farr Bridging Gaps Source Type: research

Acceptability of magnetic resonance imaging for prostate cancer diagnosis with patients and GPs: a qualitative interview study
CONCLUSION: Prostate MRI appears to be acceptable to patients. Some differences were found between patients in London and Devon, mainly around burden of testing and opportunity costs. Further exploration of GPs' knowledge and understanding of prostate MRI could inform future initiatives to widen access to diagnostic testing in primary care.PMID:38575181 | PMC:PMC11005921 | DOI:10.3399/BJGP.2023.0083 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Samuel Wd Merriel Stephanie Archer Alice S Forster David Eldred-Evans John S McGrath Hashim U Ahmed Willie Hamilton Fiona M Walter Source Type: research

Supporting healthcare professionals to address child weight with parents: a qualitative study
CONCLUSION: A range of barriers exist to HCPs addressing child excess weight with parents in primary care and community settings. Actions to effect structural changes and support HCPs in developing relevant knowledge and skills are required to overcome these barriers.PMID:38575182 | PMC:PMC11005922 | DOI:10.3399/BJGP.2023.0238 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Miranda Pallan Frances Mason Helen M Parretti Peyman é Adab Sally Abbott Kate Jolly Source Type: research

Improving access to general practice for and with people with severe and multiple disadvantage: a qualitative study
CONCLUSION: The co-designed strategies described in this study could be adapted locally and evaluated in other areas. Investing in this focused way of working may improve accessibility to health care, health equity, and staff wellbeing.PMID:38575183 | PMC:PMC11005924 | DOI:10.3399/BJGP.2023.0244 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Lucy C Potter Tracey Stone Julie Swede Florrie Connell Helen Cramer Helen McGeown Maria Carvalho Jeremy Horwood Gene Feder Michelle Farr Bridging Gaps Source Type: research

Acceptability of magnetic resonance imaging for prostate cancer diagnosis with patients and GPs: a qualitative interview study
CONCLUSION: Prostate MRI appears to be acceptable to patients. Some differences were found between patients in London and Devon, mainly around burden of testing and opportunity costs. Further exploration of GPs' knowledge and understanding of prostate MRI could inform future initiatives to widen access to diagnostic testing in primary care.PMID:38575181 | PMC:PMC11005921 | DOI:10.3399/BJGP.2023.0083 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 4, 2024 Category: Primary Care Authors: Samuel Wd Merriel Stephanie Archer Alice S Forster David Eldred-Evans John S McGrath Hashim U Ahmed Willie Hamilton Fiona M Walter Source Type: research