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How new clinical roles in primary care impact on equitable distribution of workforce: a retrospective study
CONCLUSION: Between 2019 and 2022 the distribution of administrative staff became less pro-poor, and doctors-in-training became pro-poor. The changes in inequality in all other staff groups were mixed. The introduction of PCNs has not substantially changed the longstanding inequalities in the geographical distribution of the primary care workforce.PMID:37604700 | DOI:10.3399/BJGP.2023.0007
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Joseph Hutchinson Yiu-Shing Lau Matt Sutton Kath Checkland Source Type: research

How patients in general practice voice and value their gut feelings about health: a qualitative interview study
CONCLUSION: The findings of this study provide an insight into how patients and relatives may express their gut feelings about their own or their relative's health and how they share these feelings with healthcare professionals. This may help clinicians improve their recognition of patients' gut feelings, being particularly alert to a patient or relative using phrases that relate to feelings of not trusting a situation, things seeming wrong or different from normal, and experiencing a sense of alarm. Further research should be carried out into the validity of patients' gut feelings.PMID:37604699 | DOI:10.3399/BJGP.2022.0427
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Erik Stolper Ulricke M Schuck Antoinet Hoekman Elena Shvarts Ma Loes van Bokhoven Geert J Dinant Paul Van Royen Margje Wj van de Wiel Source Type: research

Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care
CONCLUSION: Higher staffing levels are associated with more appointment provision, but not speed of appointment availability. New information on activity levels has shown evidence of substitution between GPs and other care professionals in appointment provision and demonstrated additional workload for practices serving deprived and rural areas.PMID:37604698 | DOI:10.3399/BJGP.2022.0625
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Tianchang Zhao Rachel Meacock Matt Sutton Source Type: research

Locum doctors in English general practices: evidence from a national survey
CONCLUSION: Locum working is an essential part of English general practice, but this research raises some concerns about the robustness of arrangements for locum working and the impact on quality and safety of care. Further research is needed about the clinical practice and performance of locums, and to explore how locum working can be organised in ways that assure safe and high-quality care.PMID:37604697 | DOI:10.3399/BJGP.2023.0039
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Gemma Stringer Jane Ferguson Kieran Walshe Christos Grigoroglou Thomas Allen Evangelos Kontopantelis Darren M Ashcroft Source Type: research

How new clinical roles in primary care impact on equitable distribution of workforce: a retrospective study
CONCLUSION: Between 2019 and 2022 the distribution of administrative staff became less pro-poor, and doctors-in-training became pro-poor. The changes in inequality in all other staff groups were mixed. The introduction of PCNs has not substantially changed the longstanding inequalities in the geographical distribution of the primary care workforce.PMID:37604700 | PMC:PMC10471141 | DOI:10.3399/BJGP.2023.0007
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Joseph Hutchinson Yiu-Shing Lau Matt Sutton Kath Checkland Source Type: research

How patients in general practice voice and value their gut feelings about health: a qualitative interview study
CONCLUSION: The findings of this study provide an insight into how patients and relatives may express their gut feelings about their own or their relative's health and how they share these feelings with healthcare professionals. This may help clinicians improve their recognition of patients' gut feelings, being particularly alert to a patient or relative using phrases that relate to feelings of not trusting a situation, things seeming wrong or different from normal, and experiencing a sense of alarm. Further research should be carried out into the validity of patients' gut feelings.PMID:37604699 | PMC:PMC10471142 | DOI:10.3399/BJGP.2022.0427
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Erik Stolper Ulricke M Schuck Antoinet Hoekman Elena Shvarts Ma Loes van Bokhoven Geert J Dinant Paul Van Royen Margje Wj van de Wiel Source Type: research

Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care
CONCLUSION: Higher staffing levels are associated with more appointment provision, but not speed of appointment availability. New information on activity levels has shown evidence of substitution between GPs and other care professionals in appointment provision and demonstrated additional workload for practices serving deprived and rural areas.PMID:37604698 | PMC:PMC10471139 | DOI:10.3399/BJGP.2022.0625
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Tianchang Zhao Rachel Meacock Matt Sutton Source Type: research

Locum doctors in English general practices: evidence from a national survey
CONCLUSION: Locum working is an essential part of English general practice, but this research raises some concerns about the robustness of arrangements for locum working and the impact on quality and safety of care. Further research is needed about the clinical practice and performance of locums, and to explore how locum working can be organised in ways that assure safe and high-quality care.PMID:37604697 | PMC:PMC10471140 | DOI:10.3399/BJGP.2023.0039
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Gemma Stringer Jane Ferguson Kieran Walshe Christos Grigoroglou Thomas Allen Evangelos Kontopantelis Darren M Ashcroft Source Type: research

How new clinical roles in primary care impact on equitable distribution of workforce: a retrospective study
CONCLUSION: Between 2019 and 2022 the distribution of administrative staff became less pro-poor, and doctors-in-training became pro-poor. The changes in inequality in all other staff groups were mixed. The introduction of PCNs has not substantially changed the longstanding inequalities in the geographical distribution of the primary care workforce.PMID:37604700 | DOI:10.3399/BJGP.2023.0007
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Joseph Hutchinson Yiu-Shing Lau Matt Sutton Kath Checkland Source Type: research

How patients in general practice voice and value their gut feelings about health: a qualitative interview study
CONCLUSION: The findings of this study provide an insight into how patients and relatives may express their gut feelings about their own or their relative's health and how they share these feelings with healthcare professionals. This may help clinicians improve their recognition of patients' gut feelings, being particularly alert to a patient or relative using phrases that relate to feelings of not trusting a situation, things seeming wrong or different from normal, and experiencing a sense of alarm. Further research should be carried out into the validity of patients' gut feelings.PMID:37604699 | DOI:10.3399/BJGP.2022.0427
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Erik Stolper Ulricke M Schuck Antoinet Hoekman Elena Shvarts Ma Loes van Bokhoven Geert J Dinant Paul Van Royen Margje Wj van de Wiel Source Type: research

Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care
CONCLUSION: Higher staffing levels are associated with more appointment provision, but not speed of appointment availability. New information on activity levels has shown evidence of substitution between GPs and other care professionals in appointment provision and demonstrated additional workload for practices serving deprived and rural areas.PMID:37604698 | DOI:10.3399/BJGP.2022.0625
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Tianchang Zhao Rachel Meacock Matt Sutton Source Type: research

Locum doctors in English general practices: evidence from a national survey
CONCLUSION: Locum working is an essential part of English general practice, but this research raises some concerns about the robustness of arrangements for locum working and the impact on quality and safety of care. Further research is needed about the clinical practice and performance of locums, and to explore how locum working can be organised in ways that assure safe and high-quality care.PMID:37604697 | DOI:10.3399/BJGP.2023.0039
Source: The British Journal of General Practice - August 21, 2023 Category: Primary Care Authors: Gemma Stringer Jane Ferguson Kieran Walshe Christos Grigoroglou Thomas Allen Evangelos Kontopantelis Darren M Ashcroft Source Type: research

Drug landscape in patients receiving general outpatient palliative care in Germany: results from a retrospective analysis of 10,464 patients
CONCLUSIONS: Our results support the role of GOPC as an important element in improving pharmacological symptom control and deprescription to improve quality of life of patients at the end of their life.PMID:37596590 | DOI:10.1186/s12904-023-01231-3
Source: Cancer Control - August 18, 2023 Category: Cancer & Oncology Authors: Sven H Loosen Jacqueline Schwartz Steven Grewe Sarah Krieg Andreas Krieg Tom Luedde Yann-Nicolas Batzler Karel Kostev Martin Neukirchen Christoph Roderburg Source Type: research

Livmorhalspr øvetaking i primærhelsetjenesten
Tidsskr Nor Laegeforen. 2023 Jul 25;143(11). doi: 10.4045/tidsskr.23.0066. Print 2023 Aug 15.ABSTRACTBACKGROUND: In Norway, approximately 360 000 cervical screening samples were taken in 2020, of which 11 000 were registered as inadequate. We therefore wished to investigate doctors' knowledge of cervical sample-taking in the primary health service.MATERIAL AND METHOD: An anonymous survey on cervical sample-taking was sent by email to around 4 700 members of the Norwegian College of General Practice in September 2021.RESULTS: Of the 1 039 doctors who responded to the survey, 820 (79 %) reported that they always indicate the...
Source: Tidsskrift for den Norske Laegeforening - August 17, 2023 Category: General Medicine Authors: Priyanthi Borgen Gjerde Mette Christophersen Toll ånes Ameli Trop é Maj Liv Eide Marianne Natvik Hanne Eknes Puntervoll Source Type: research