journal
MENU ▼
Read by QxMD icon Read
search

British Journal of General Practice: the Journal of the Royal College of General Practitioners

journal
https://read.qxmd.com/read/30858336/symptom-management-for-medically-unexplained-symptoms-in-primary-care-a-qualitative-study
#1
Janna Gol, Tom Terpstra, Peter Lucassen, Juul Houwen, Sandra van Dulmen, Tim C Olde Hartman, Judith Rosmalen
BACKGROUND: GPs have a central position in the care of patients with medically unexplained symptoms (MUS), but GPs find their care challenging. Currently, little is known about symptom management by GPs in daily practice for patients with MUS. AIM: This study aimed to describe management strategies used by GPs when confronted with patients with MUS in daily practice. DESIGN AND SETTING: Qualitative study in which videos and transcripts of 39 general practice consultations involving patients with MUS in the region of Nijmegen in the Netherlands in 2015 were analysed...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30858335/patients-understanding-of-cellulitis-and-their-information-needs-a-mixed-methods-study-in-primary-and-secondary-care
#2
Emma Teasdale, Anna Lalonde, Ingrid Muller, Joanne Chalmers, Peter Smart, Julie Hooper, Magdy El-Gohary, Kim S Thomas, Miriam Santer
BACKGROUND: Cellulitis is a painful infection of the skin and underlying tissues, commonly affecting the lower leg. Approximately one-third of people experience recurrence. Patients' ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition. AIM: To explore patients' perceptions of cellulitis, and their information needs. DESIGN AND SETTING: Mixed-methods study comprising semi-structured, face-to-face interviews and a cross-sectional survey, recruiting through primary and secondary care, and advertising...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30858334/exploring-public-attitudes-towards-the-new-faster-diagnosis-standard-for-cancer-a-focus-group-study-with-the-uk-public
#3
Marianne Piano, Georgia Black, Dorothee Amelung, Emily Power, Katriina L Whitaker
BACKGROUND: The Faster Diagnosis Standard (FDS) is to be introduced in England in 2020. This standard is a new policy in which patients should have cancer ruled out or diagnosed within 28 days of referral. AIM: To explore public attitudes towards the FDS within the context of their recent referral experiences. DESIGN AND SETTING: Four 90-minute focus groups (two in Guildford, two in Bradford). METHOD: Participants aged >50 years without a current cancer diagnosis ( N = 29), who had completed certain diagnostic tests, for example, ultrasound, and received results within the last 6 months were recruited...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30858333/parental-and-clinician-agreement-of-illness-severity-in-children-with-rtis-secondary-analysis-of-data-from-a-prospective-cohort-study
#4
Esther T van der Werf, Niamh M Redmond, Sophie Turnbull, Hannah Thornton, Matthew Thompson, Paul Little, Tim J Peters, Peter S Blair, Alastair D Hay
BACKGROUND: Severity assessments of respiratory tract infection (RTI) in children are known to differ between parents and clinicians, but determinants of perceived severity are unknown. AIM: To investigate the (dis)agreement between, and compare the determinants of, parent and clinician severity scores. DESIGN AND SETTING: Secondary analysis of data from a prospective cohort study of 8394 children presenting to primary care with acute (≤28 days) cough and RTI...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30858332/missed-opportunities-for-diagnosing-brain-tumours-in-primary-care-a-qualitative-study-of-patient-experiences
#5
Fiona M Walter, Clarissa Penfold, Alexis Joannides, Smiji Saji, Margaret Johnson, Colin Watts, Andrew Brodbelt, Michael D Jenkinson, Stephen J Price, Willie Hamilton, Suzanne E Scott
BACKGROUND: Brain tumours are uncommon, and have extremely poor outcomes. Patients and GPs may find it difficult to recognise early symptoms because they are often non-specific and more likely due to other conditions. AIM: To explore patients' experiences of symptom appraisal, help seeking, and routes to diagnosis. DESIGN AND SETTING: Qualitative study set in the East and North West of England. METHOD: In-depth interviews with adult patients recently diagnosed with a primary brain tumour and their family members were analysed thematically, using the Model of Pathways to Treatment as a conceptual framework...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30858331/the-leaf-plot-a-novel-way-of-presenting-the-value-of-tests
#6
Malcolm G Coulthard, Tom Coulthard
No abstract text is available yet for this article.
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803983/factors-affecting-the-changing-role-of-gp-clinicians-in-community-hospitals-a-qualitative-interview-study-in-england
#7
David Seamark, Deborah Davidson, Angela Ellis-Paine, Jon Glasby, Helen Tucker
BACKGROUND: GPs were a key driving force for the development of a network of community hospitals across England, and have provided medical cover for most of them. However, during the past decade there has been a significant shift, with the dominant trend appearing to be one of declining GP involvement. AIM: To explore how and why the role of GPs within community hospitals in England is changing. DESIGN AND SETTING: Qualitative study in a sample of nine diverse community hospitals in England...
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803982/a-method-for-measuring-continuity-of-care-in-day-to-day-general-practice-a-quantitative-analysis-of-appointment-data
#8
Kate Sidaway-Lee, Denis Pereira Gray, Philip Evans
BACKGROUND: Despite patient preference and many known benefits, continuity of care is in decline in general practice. The most common method of measuring continuity is the Usual Provider of Care (UPC) index. This requires a number of appointments per patient and a relatively long timeframe for accuracy, reducing its applicability for day-to-day performance management. AIM: To describe the St Leonard's Index of Continuity of Care (SLICC) for measuring GP continuity regularly, and demonstrate how it has been used in service in general practice...
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803981/self-harm-in-young-people-the-exceptional-potential-of-the-general-practice-consultation
#9
EDITORIAL
Faraz Mughal, Opeyemi Babatunde, Lisa Dikomitis, Judith Shaw, Ellen Townsend, M Isabela Troya, Carolyn A Chew-Graham
No abstract text is available yet for this article.
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803980/incentive-schemes-to-increase-dementia-diagnoses-in-primary-care-in-england-a-retrospective-cohort-study-of-unintended-consequences
#10
Dan Liu, Emily Green, Panagiotis Kasteridis, Maria Goddard, Rowena Jacobs, Raphael Wittenberg, Anne Mason
BACKGROUND: The UK government introduced two financial incentive schemes for primary care to tackle underdiagnosis in dementia: the 3-year Directed Enhanced Service 18 (DES18) and the 6-month Dementia Identification Scheme (DIS). The schemes appear to have been effective in boosting dementia diagnosis rates, but their unintended effects are unknown. AIM: To identify and quantify unintended consequences associated with the DES18 and DIS schemes. DESIGN AND SETTING: A retrospective cohort quantitative study of 7079 English primary care practices...
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803979/sex-differences-in-fitness-to-practise-test-scores-a-cohort-study-of-gps
#11
Emily Unwin, Katherine Woolf, Jane Dacre, Henry Ww Potts
BACKGROUND: Tests of competence are written and clinical assessments taken by doctors under investigation by the General Medical Council (GMC) who have significant performance concerns. Male doctors on average perform more poorly in clinical assessments than female doctors, and are more likely to be sanctioned. It is unclear why. AIM: To examine sex differences in the tests of competence assessment scores of GPs under investigation by the GMC, compared with GPs not under investigation, and whether scores mediate any relationship between sex and sanction likelihood...
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30803978/gps-management-of-polypharmacy-and-therapeutic-dilemma-in-patients-with-multimorbidity-a-cross-sectional-survey-of-gps-in-france
#12
Hélène Carrier, Anna Zaytseva, Aurélie Bocquier, Patrick Villani, Hélène Verdoux, Martin Fortin, Pierre Verger
BACKGROUND: GPs are confronted with therapeutic dilemmas in treating patients with multimorbidity and/or polypharmacy when unfavourable medication risk-benefit ratios (RBRs) conflict with patients' demands. AIM: To understand GPs' attitudes about prescribing and/or deprescribing medicines for patients with multimorbidity and/or polypharmacy, and factors associated with their decisions. DESIGN AND SETTING: Cross-sectional survey in 2016 among a national panel of 1266 randomly selected GPs in private practice in France...
February 25, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30745357/efficiency-versus-thoroughness-in-medication-review-a-qualitative-interview-study-in-uk-primary-care
#13
Polly Duncan, Christie Cabral, Deborah McCahon, Bruce Guthrie, Matthew J Ridd
BACKGROUND: Medication reviews may improve the safety of prescribing and the National Institute for Health and Care Excellence (NICE) highlights the importance of involving patients in this process. AIM: To explore GP and pharmacist perspectives on how medication reviews were conducted in general practice in the UK. DESIGN AND SETTING: Analysis of semi-structured interviews with GPs and pharmacists working in the South West of England, Northern England, and Scotland, sampled for heterogeneity...
February 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30745356/gps-online-turning-expectations-into-reality-with-the-new-nhs-app
#14
EDITORIAL
Paul Beaney, Anjolaoluwa Odulaja, Andy Hadley, Clive Prince, Ruth Chambers Obe
No abstract text is available yet for this article.
February 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30745355/management-of-depression-and-referral-of-older-people-to-psychological-therapies-a-systematic-review-of-qualitative-studies
#15
Rachael Frost, Angela Beattie, Cini Bhanu, Kate Walters, Yoav Ben-Shlomo
BACKGROUND: Depressive symptoms are common in later life and increase both the risk of functional and cognitive decline and the use of healthcare services. Despite older people expressing preferences for talking therapies, they are less likely to be referred than younger adults, particularly when aged ≥80 years. AIM: To explore how healthcare professionals (HCPs) manage older people in relation to depression and referrals to psychological therapies. DESIGN AND SETTING: Systematic review and thematic synthesis of qualitative studies...
February 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30745354/access-to-primary-health-care-for-asylum-seekers-and-refugees-a-qualitative-study-of-service-user-experiences-in-the-uk
#16
Cara Kang, Louise Tomkow, Rebecca Farrington
BACKGROUND: Asylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care. AIM: To examine ASR experiences accessing primary health care in the UK in 2018...
February 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30692092/recognising-laryngeal-cancer-in-primary-care-a-large-case-control-study-using-electronic-records
#17
Elizabeth A Shephard, Molly Al Parkinson, William T Hamilton
BACKGROUND: Over 1700 people are diagnosed with laryngeal cancer annually in England. Current National Institute for Health and Care Excellence (NICE) guidelines on referral for suspected laryngeal cancer were based on clinical consensus, in the absence of primary care studies. AIM: To identify and quantify the primary care features of laryngeal cancer. DESIGN AND SETTING: Matched case-control study of patients aged ≥40 years using data from the UK's Clinical Practice Research Datalink...
January 28, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30692091/disease-related-factors-affecting-timely-lymphoma-diagnosis-a-qualitative-study-exploring-patient-experiences
#18
Debra A Howell, Ruth I Hart, Alexandra G Smith, Una Macleod, Russell Patmore, Eve Roman
BACKGROUND: Expediting cancer diagnosis is widely perceived as one way to improve patient outcomes. Evidence indicates that lymphoma diagnosis is often delayed, yet understanding of issues influencing this is incomplete. AIM: To explore patients' and their relatives' perceptions of disease-related factors affecting time to diagnosis of Hodgkin and non-Hodgkin lymphoma. DESIGN AND SETTING: Qualitative UK study involving patients with indolent and aggressive lymphomas, and their relatives, from an established population-based cohort in the north of England...
January 28, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30692090/stressed-gps-a-call-for-action
#19
EDITORIAL
Sanju George, Clare Gerada
No abstract text is available yet for this article.
January 28, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://read.qxmd.com/read/30692089/cbt-to-reduce-healthcare-use-for-medically-unexplained-symptoms-systematic-review-and-meta-analysis
#20
Brittni Jones, Amanda C de C Williams
BACKGROUND: Studies have reported that medically unexplained symptoms (MUS) tend to be associated with increased healthcare use, which is demanding of resources and potentially harmful to patients. This association is often used to justify the funding and study of psychological interventions for MUS, yet no systematic review has specifically examined the efficacy of psychological interventions in reducing healthcare use. AIM: To conduct a systematic review and meta-analysis to evaluate the effectiveness of cognitive behavioural therapies (CBT) for MUS in reducing healthcare use...
January 28, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
journal
journal
20265
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"