General Practitioners

Publication Title: 
BMC family practice

BACKGROUND: The health of doctors who work in primary care is threatened by workforce and workload issues. There is a need to find and appraise ways in which to protect their mental health, including how to achieve the broader, positive outcome of well-being. Our primary outcome was to evaluate systematically the research evidence regarding the effectiveness of interventions designed to improve General Practitioner (GP) well-being across two continua; psychopathology (mental ill-health focus) and 'languishing to flourishing' (positive mental health focus).

Author(s): 
Murray, Marylou
Murray, Lois
Donnelly, Michael
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: 
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: 
BMC complementary and alternative medicine

BACKGROUND: Naturopathy forms an increasingly significant part of the Australian healthcare setting, with high utilisation of naturopaths by the Australian public and a large therapeutic footprint in rural and regional Australia. However, despite these circumstances, there has been little exploration of the interface between naturopathy providers and conventional primary health care practitioners in rural and regional Australia.

Author(s): 
Wardle, Jon L.
Sibbritt, David W.
Adams, Jon
Publication Title: 
Chinese Journal of Integrative Medicine

In the West, hundreds of randomized controlled trials (RCTs) have been performed testing acupuncture. They include two types: those that compare acupuncture to other therapies, usual care or no treatment (pragmatic trials), and those that have placebo controls (efficacy trials). Acupuncture has generally performed well against other therapies or no treatment, but until recently, the evidence from placebo controlled trials has been considered equivocal or contradictory.

Author(s): 
Kaptchuk, Ted J.
Chen, Ke-ji
Song, Jun
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: Massage therapists are an important part of the health care setting in rural and regional Australia and are the largest complementary and alternative medicine (CAM) profession based on both practitioner numbers and use. The purpose of this study was to survey medical general practitioners (GPs) in rural and regional New South Wales, Australia, to identify their knowledge, attitudes, relationships, and patterns of referral to massage therapy in primary health care.

Author(s): 
Wardle, Jon L.
Sibbritt, David W.
Adams, Jon
Publication Title: 
The European journal of health economics: HEPAC: health economics in prevention and care

BACKGROUND: Health economists have largely ignored complementary and alternative medicine (CAM) as an area of research, although both clinical experiences and several empirical studies suggest cost-effectiveness of CAM. OBJECTIVE: To explore the cost-effectiveness of CAM compared with conventional medicine.

Author(s): 
Kooreman, Peter
Baars, Erik W.
Publication Title: 
Homeopathy: The Journal of the Faculty of Homeopathy

INTRODUCTION: Homeopathy has attracted considerable recent attention from the Australian conventional medical community. However, despite such increased attention there has been little exploration of the interface between homeopathy and Australian conventional medical practice. This article addresses this research gap by exploring homeopathic practice and referral by rural and regional Australian general practitioners (GPs). MATERIALS AND METHODS: A 27-item questionnaire was sent to all 1486 GPs currently practising in rural and regional New South Wales, Australia (response rate 40.7%).

Author(s): 
Wardle, J.
Adams, J.
Sibbritt, D.
Publication Title: 
Australian Family Physician

BACKGROUND: The 2009/A/H1N1 influenza vaccination campaign was managed mainly by general practitioners (GPs); however, little is known about the challenges GPs encountered during the vaccination campaign. AIM: To analyse the challenges GPs encountered during the 2009/A/H1N1 vaccination campaign. METHODS: In-depth, semi-structured qualitative interviews were conducted with GPs in Australia, Israel and England, and subjected to thematic analysis. RESULTS: GPs experienced different levels of autonomy when organising vaccinations in clinics.

Author(s): 
Kunin, Marina
Engelhard, Dan
Thomas, Shane
Ashworth, Mark
Piterman, Leon
Publication Title: 
Australian Family Physician

BACKGROUND: The 2009/A/H1N1 influenza vaccination campaign was managed mainly by general practitioners (GPs); however, little is known about the challenges GPs encountered during the vaccination campaign. AIM: To analyse the challenges GPs encountered during the 2009/A/H1N1 vaccination campaign. METHODS: In-depth, semi-structured qualitative interviews were conducted with GPs in Australia, Israel and England, and subjected to thematic analysis. RESULTS: GPs experienced different levels of autonomy when organising vaccinations in clinics.

Author(s): 
Kunin, Marina
Engelhard, Dan
Thomas, Shane
Ashworth, Mark
Piterman, Leon

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