General Practice

Publication Title: 
BMC medical education

BACKGROUND: Evidence-Based Medicine (EBM) skills have been included in general practice curricula and competency frameworks. However, GPs experience numerous barriers to developing and maintaining EBM skills, and some GPs feel the EBM movement misunderstands, and threatens their traditional role. We therefore need a new approach that acknowledges the constraints encountered in real-world general practice.

Author(s): 
Galbraith, Kevin
Ward, Alison
Heneghan, Carl
Publication Title: 
BMJ open

OBJECTIVES: (1) To ascertain from patients what really matters to them on a personal level of such high importance that it should 'always happen' when they interact with healthcare professionals and staff groups. (2) To critically review existing criteria for selecting 'always events' (AEs) and generate a candidate list of AE examples based on the patient feedback data. DESIGN: Mixed methods study informed by participatory design principles. SUBJECTS AND SETTING: Convenience samples of patients with a long-term clinical condition in Scottish general practices.

Author(s): 
Bowie, Paul
McNab, Duncan
Ferguson, Julie
de Wet, Carl
Smith, Gregor
MacLeod, Marion
McKay, John
White, Craig
Publication Title: 
Medical Teacher

BACKGROUND: Recruiting general practitioners (GPs) to host students for their clerkship is difficult. GPs often assume patients dislike consulting a student-doctor. AIM: To systematically review the evidence on patient satisfaction regarding the presence/participation of a student during a consultation in general practice. METHOD: Medline search (January 1990 to July 2010). One reviewer extracted data from the articles fulfilling the criteria which were set, and a second reviewer checked these for accuracy. Due to heterogeneity a quantitative synthesis could not be performed.

Author(s): 
Mol, S. S. L.
Peelen, J. H.
Kuyvenhoven, M. M.
Publication Title: 
Journal of Health Economics

This paper analyzes and compares the incentive properties of some common payment mechanisms for GPs, namely fee for service (FFS), capitation and fundholding. It focuses on gatekeeping GPs and it specifically recognizes GPs heterogeneity in both ability and altruism. It also allows inappropriate care by GPs to lead to more serious illnesses. The results are as follows. Capitation is the payment mechanism that induces the most referrals to expensive specialty care.

Author(s): 
Allard, Marie
Jelovac, Izabela
LÈger, Pierre Thomas
Publication Title: 
BMC family practice

BACKGROUND: A robust research base is required in General Practice. The research output for General Practice is much less than those of other clinical disciplines. A major impediment to more research in this sector is difficulty with recruitment. Much of the research in this area focuses on barriers to effective recruitment and many projects have great difficulty with this process.

Author(s): 
Reed, Richard L.
Barton, Christopher A.
Isherwood, Linda M.
Baxter, Jodie M. Oliver
Roeger, Leigh
Publication Title: 
Sociology of Health & Illness

Sociologists repeatedly appeal to notions of altruism, bureaucratisation and self interest in their efforts to explain the changing place of the professions in contemporary society. We treat these three readings as institutional logics that are key to understanding the way in which doctors respond to the appraisal system at the heart of the UK's approach to revalidation.

Author(s): 
Entwistle, Tom
Matthews, Elaine
Publication Title: 
Australian Family Physician

BACKGROUND: Chronic pain is a common presentation to general practice. OBJECTIVE: This article explores the role of the mind in the experience of pain and describes how mind-body techniques can be used in the management of chronic pain. DISCUSSION: The mind, emotions and attention play an important role in the experience of pain. In patients with chronic pain, stress, fear and depression can amplify the perception of pain. Mind-body approaches act to change a person's mental or emotional state or utilise physical movement to train attention or produce mental relaxation.

Author(s): 
Hassed, Craig
Publication Title: 
Primary Health Care Research & Development

AIM: To conduct a follow-up survey ascertaining changes in usage, referral rate, beliefs and attitudes towards complementary and alternative medicine (CAM) during the last decade. BACKGROUND: In many countries, CAM use is reported to be substantial and increasing. METHODS: A questionnaire was posted to all GPs registered with the Liverpool Primary Care Trust.

Author(s): 
Perry, Rachel
Dowrick, Christopher
Ernst, Edzard
Publication Title: 
Primary Health Care Research & Development

AIM: To conduct a follow-up survey ascertaining changes in usage, referral rate, beliefs and attitudes towards complementary and alternative medicine (CAM) during the last decade. BACKGROUND: In many countries, CAM use is reported to be substantial and increasing. METHODS: A questionnaire was posted to all GPs registered with the Liverpool Primary Care Trust.

Author(s): 
Perry, Rachel
Dowrick, Christopher
Ernst, Edzard
Publication Title: 
Australian Family Physician

For the past 2 years I have been working as a mental health nurse (MHN) at Lyttleton Street Clinic, a general practice clinic in my hometown of Castlemaine in Victoria. My background is as a general and mental health nurse, more recently in the mental health sector at the Child and Adolescent Mental Health Service. I also have postgraduate qualifications in women's health and have recently trained as a yoga teacher. My position at the clinic is supported by the national Mental Health Nurse Incentive Program (MHNIP).

Author(s): 
Condon, Cindy

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