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

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https://www.readbyqxmd.com/read/28533201/enuresis-practical-guidelines-for-primary-care
#1
Johan Vande Walle, Soren Rittig, Serdar Tekgül, Paul Austin, Stephen Shei-Dei Yang, Pédro-José Lopez, Charlotte Van Herzeele
No abstract text is available yet for this article.
May 22, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28533200/beliefs-about-prescribed-medication-among-older-patients-with-polypharmacy-a-mixed-methods-study-in-primary-care
#2
Barbara Clyne, Janine A Cooper, Fiona Boland, Carmel M Hughes, Tom Fahey, Susan M Smith
BACKGROUND: Polypharmacy (≥5 medications) is common in older patients and is associated with adverse outcomes. Patients' beliefs about medication can influence their expectations for medication, adherence, and willingness to deprescribe. Few studies have examined beliefs about prescribed medication among older patients with polypharmacy in primary care. AIM: To explore medication-related beliefs in older patients with polypharmacy and factors that might influence beliefs...
May 22, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28533199/clinical-relevance-of-thrombocytosis-in-primary-care-a-prospective-cohort-study-of-cancer-incidence-using-english-electronic-medical-records-and-cancer-registry-data
#3
Sarah Er Bailey, Obioha C Ukoumunne, Elizabeth A Shephard, Willie Hamilton
BACKGROUND: Thrombocytosis (raised platelet count) is an emerging risk marker of cancer, but the association has not been fully explored in a primary care context. AIM: To examine the incidence of cancer in a cohort of patients with thrombocytosis, to determine how clinically useful this risk marker could be in predicting an underlying malignancy. DESIGN AND SETTING: A prospective cohort study using Clinical Practice Research Datalink data from 2000 to 2013...
May 22, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28533198/chlamydia-and-hiv-testing-contraception-advice-and-free-condoms-offered-in-general-practice-a-qualitative-interview-study-of-young-adults-perceptions-of-this-initiative
#4
Leah Ffion Jones, Ellie Ricketts, Katy Town, Claire Rugman, Donna Lecky, Kate Folkard, Anthony Nardone, Thomas Nathan Hartney, Cliodna McNulty
BACKGROUND: Opportunistic chlamydia screening is actively encouraged in English general practices. Based on recent policy changes, Public Health England piloted 3Cs and HIV in 2013-2014, integrating the offer of chlamydia testing with providing condoms, contraceptive information, and HIV testing (referred to as 3Cs and HIV) according to national guidelines. AIM: To determine young adults' opinions of receiving a broader sexual health offer of 3Cs and HIV at their GP practice...
May 22, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28483824/patients-preferences-for-gp-consultation-for-perceived-cancer-risk-in-primary-care-a-discrete-choice-experiment
#5
Katriina L Whitaker, Alex Ghanouni, Yin Zhou, Georgios Lyratzopoulos, Stephen Morris
BACKGROUND: Contacting a doctor for advice when experiencing a potential cancer symptom is an important step in early diagnosis, but barriers to consultation are commonly reported. Understanding barriers to consulting in primary care within the cancer context provides opportunities to improve earlier diagnosis of cancer AIM: To investigate patients' GP consultation preferences when presented with a potential cancer symptom, and to describe whether these preferences are mediated by variable levels of cancer risk...
May 8, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28483823/patient-use-of-blood-pressure-self-screening-facilities-in-general-practice-waiting-rooms-a-qualitative-study-in-the-uk
#6
Alice C Tompson, Sabrina Grant, Sheila M Greenfield, Richard J McManus, Susannah Fleming, Carl J Heneghan, Fd Richard Hobbs, Alison M Ward
BACKGROUND: Blood pressure (BP) self-screening, whereby members of the public have access to BP monitoring equipment outside of healthcare consultations, may increase the detection and treatment of hypertension. Currently in the UK such opportunities are largely confined to GP waiting rooms. AIM: To investigate the reasons why people do or do not use BP self-screening facilities. DESIGN AND SETTING: A cross-sectional, qualitative study in Oxfordshire, UK...
May 8, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28483822/influences-on-gp-coping-and-resilience-a-qualitative-study-in-primary-care
#7
Anna Cheshire, Damien Ridge, John Hughes, David Peters, Maria Panagioti, Chantal Simon, George Lewith
BACKGROUND: 'Neoliberal' work policies, austerity, NHS restructuring, and increased GP consultation rates provide the backdrop against increasing reports of GP burnout and an impending shortage of GPs. AIM: To explore GPs' experiences of workplace challenges and stresses, and their coping strategies, particularly focusing on understanding the impact of recent NHS workplace change. DESIGN AND SETTING: Study design was qualitative, with data collected from two focus groups and seven one-to-one telephone interviews...
May 8, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28483821/gps-confidence-in-caring-for-their-patients-on-the-autism-spectrum-an-online-self-report-study
#8
Silvana Unigwe, Carole Buckley, Laura Crane, Lorcan Kenny, Anna Remington, Elizabeth Pellicano
BACKGROUND: In the UK, GPs play a key role in the identification and management of children, young people, and adults on the autism spectrum, but there is a paucity of research on GPs' perceptions of working with these patients. AIM: To understand GPs' perceived self-efficacy in identifying and managing their patients on the autism spectrum, and the factors affecting this. DESIGN AND SETTING: An online self-report survey was developed for completion by GPs across the UK...
May 8, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28483820/lung-cancer-in-symptomatic-patients-presenting-in-primary-care-a-systematic-review-of-risk-prediction-tools
#9
Mia Schmidt-Hansen, Sabine Berendse, Willie Hamilton, David R Baldwin
BACKGROUND: Lung cancer is the leading cause of cancer deaths. Around 70% of patients first presenting to specialist care have advanced disease, at which point current treatments have little effect on survival. The issue for primary care is how to recognise patients earlier and investigate appropriately. This requires an assessment of the risk of lung cancer. AIM: The aim of this study was to systematically review the existing risk prediction tools for patients presenting in primary care with symptoms that may indicate lung cancer DESIGN AND SETTING: Systematic review of primary care data...
May 8, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28438775/emergency-diagnosis-of-cancer-and-previous-general-practice-consultations-insights-from-linked-patient-survey-data
#10
Gary A Abel, Silvia C Mendonca, Sean McPhail, Yin Zhou, Lucy Elliss-Brookes, Georgios Lyratzopoulos
BACKGROUND: Emergency diagnosis of cancer is common and aetiologically complex. The proportion of emergency presenters who have consulted previously with relevant symptoms is uncertain. AIM: To examine how many patients with cancer, who were diagnosed as emergencies, have had previous primary care consultations with relevant symptoms; and among those, to examine how many had multiple consultations. DESIGN AND SETTING: Secondary analysis of patient survey data from the 2010 English Cancer Patient Experience Survey (CPES), previously linked to population-based data on diagnostic route...
April 24, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28347987/outcome-prioritisation-tool-for-medication-review-in-older-patients-with-multimorbidity-a-pilot-study-in-general-practice
#11
Jojanneke Jgt van Summeren, Jan Schuling, Flora M Haaijer-Ruskamp, Petra Denig
BACKGROUND: Several methods have been developed to conduct and support medication reviews in older persons with multimorbidity. Assessing the patient's priorities for achieving specific health outcomes can guide the medication review process. Little is known about the impact of conducting such assessments. AIM: This pilot study aimed to determine proposed and observed medication changes when using an outcome prioritisation tool (OPT) during a medication review in general practice...
March 27, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28289016/gambling-problems-among-patients-in-primary-care-a-cross-sectional-study-of-general-practices
#12
Sean Cowlishaw, Lone Gale, Alison Gregory, Jim McCambridge, David Kessler
BACKGROUND: Primary care is an important context for addressing health-related behaviours, and may provide a setting for identification of gambling problems. AIM: To indicate the extent of gambling problems among patients attending general practices, and explore settings or patient groups that experience heightened vulnerability. DESIGN AND SETTING: Cross-sectional study of patients attending 11 general practices in Bristol, South West England...
March 13, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28289015/trends-in-attractiveness-of-general-practice-as-a-career-surveys-of-views-of-uk-trained-doctors
#13
Trevor W Lambert, Fay Smith, Michael J Goldacre
BACKGROUND: It is current UK policy to expand the numbers of newly qualified doctors entering training to become GPs, to meet increased demand. AIM: To report on trends in young doctors' views on the attractiveness of general practice as a career, compared with hospital practice. DESIGN AND SETTING: Questionnaire surveys in the UK. METHOD: Surveys of doctors, 3 years after graduation, conducted in successive year-of-qualification cohorts between 1999 and 2015...
March 13, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28289014/addressing-the-crisis-of-gp-recruitment-and-retention-a-systematic-review
#14
Catherine Marchand, Stephen Peckham
BACKGROUND: The numbers of GPs and training places in general practice are declining, and retaining GPs in their practices is an increasing problem. AIM: To identify evidence on different approaches to retention and recruitment of GPs, such as intrinsic versus extrinsic motivational determinants. DESIGN AND SETTING: Synthesis of qualitative and quantitative research using seven electronic databases from 1990 onwards (Medline, Embase, Cochrane Library, Health Management Information Consortium [HMIC], Cumulative Index to Nursing and Allied Health Literature (Cinahl), PsycINFO, and the Turning Research Into Practice [TRIP] database)...
March 13, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28246099/developing-and-testing-of-a-screening-tool-to-predict-people-without-ige-mediated-allergy-a-quantitative-analysis-of-the-predictive-value-of-a-screening-tool
#15
Victoria S Hammersley, Jessica Harris, Aziz Sheikh, Emma Davidson, Samantha Walker
BACKGROUND: Consultations in primary care for allergies are common. It can be difficult to differentiate between IgE-mediated (atopic) symptoms - which respond to allergen-specific interventions - and those that are non-atopic, without performing objective tests that are largely unavailable in UK general practice. AIM: To develop and test a screening tool that can accurately discriminate between atopic and non-atopic individuals. DESIGN AND SETTING: A validation study that took place in 2012 in adult volunteers aged >16 years in Scotland...
February 28, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28246098/opiate-addiction-and-overdose-experiences-attitudes-and-appetite-for-community-naloxone-provision
#16
Tomás Barry, Jan Klimas, Helen Tobin, Mairead Egan, Gerard Bury
BACKGROUND: More than 200 opiate overdose deaths occur annually in Ireland. Overdose prevention and management, including naloxone prescription, should be a priority for healthcare services. Naloxone is an effective overdose treatment and is now being considered for wider lay use. AIM: To establish GPs' views and experiences of opiate addiction, overdose care, and naloxone provision. DESIGN AND SETTING: An anonymous postal survey to GPs affiliated with the Department of Academic General Practice, University College Dublin, Ireland...
February 28, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28246097/exposure-of-undergraduates-to-authentic-gp-teaching-and-subsequent-entry-to-gp-training-a-quantitative-study-of-uk-medical-schools
#17
Hugh Alberti, Hannah L Randles, Alex Harding, Robert K McKinley
BACKGROUND: It has been suggested that the quantity of exposure to general practice teaching at medical school is associated with future choice of a career as a GP. AIM: To examine the relationship between general practice exposure at medical school and the percentage of each school's graduates appointed to a general practice training programme after foundation training (postgraduate years 1 and 2). DESIGN AND SETTING: A quantitative study of 29 UK medical schools...
February 28, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28450345/the-friends-and-family-test-in-general-practice-in-england-a-qualitative-study-of-the-views-of-staff-and-patients
#18
Tommaso Manacorda, Bob Erens, Nick Black, Nicholas Mays
BACKGROUND: The Friends and Family Test (FFT) was introduced into general practices in England in 2015 to provide staff with information on patients' views of their experience of care. AIM: To examine the views of practice staff and patients of the FFT, how the results are used, and to recommend improvements. DESIGN AND SETTING: A qualitative study of a national representative sample of 42 general practices. METHOD: Semi-structured interviews with 43 clinicians, 48 practice managers, and 27 patient representatives...
May 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28450344/chronic-obstructive-pulmonary-disease-and-comorbidities-a-large-cross-sectional-study-in-primary-care
#19
Ula Chetty, Gary McLean, Deborah Morrison, Karolina Agur, Bruce Guthrie, Stewart W Mercer
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is common, and a major cause of morbidity and mortality worldwide. Recent studies suggest that comorbidities of COPD increase the risk of hospitalisation, polypharmacy, and mortality, but their estimated prevalence varies widely in the literature. AIM: To evaluate the prevalence of 38 physical and mental health comorbidities in people with COPD, and compare findings with those for people without COPD in a large nationally representative dataset...
May 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28450343/clinical-assessment-and-management-of-multimorbidity-nice-guideline
#20
David Kernick, Carolyn A Chew-Graham, Norma O'Flynn
No abstract text is available yet for this article.
May 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
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