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Preserving the craft of medicine. 保存医术。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-06-10 DOI: 10.1177/01410768251350949
Kamran Abbasi
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引用次数: 0
Do we manage time or time manages us? 是我们管理时间还是时间管理我们?
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-04-16 DOI: 10.1177/01410768251331906
Dinesh Bhugra
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引用次数: 0
History of clinical trials for the treatment of tuberculosis in China. Part 1: early 'translational' work and observational and non-randomised studies. 中国结核病治疗的临床试验史。第1部分:早期“转化”工作以及观察性和非随机研究。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-05-27 DOI: 10.1177/01410768251337675
Xuan Yu, Yaolong Chen, Scott H Podolsky
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引用次数: 0
Keeping 'quiet quitting' away among Filipino nurses. 解决菲律宾护士“悄悄辞职”问题的潜在策略。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-04-16 DOI: 10.1177/01410768251335184
Dalmacito A Cordero
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引用次数: 0
Deprivation and general practitioners' working lives: Repeated cross-sectional study. 剥夺与全科医生的工作生活:重复横断面研究。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-04-21 DOI: 10.1177/01410768251330076
Michael Anderson, Jonathan Gibson, Benjamin Walker, Joseph Hutchinson, Katherine Checkland, Matt Sutton

ObjectivesTo examine how area deprivation affects the working lives of general practitioners (GPs).DesignWe analysed responses to four repeated cross-sectional surveys between 2015 and 2021. We used linear regression to relate the population deprivation ranking of the GP's practice to job pressures, job satisfaction, intentions to quit direct patient care and hours worked. We used interval regression to relate reported income from GP work to this same deprivation ranking. We adjusted for GP characteristics, including employment status, gender, age and years qualified.SettingPrimary medical care in England.ParticipantsGPs.Main outcome measuresFourteen reported job pressures, 10 domains of job satisfaction, intentions to quit direct patient care, reported income from GP work and hours worked per week.ResultsDeprivation ranking was significantly associated with higher pressures related to perceived problem patients (difference between lowest and highest deprivation = 0.258 on five-point scale, 95% CI: 0.165, 0.350), insufficient resources within the practice (0.229, 95% CI: 0.107, 0.351), and finding a locum (0.260, 95% CI: 0.130, 0.390). Deprivation ranking was also associated with significantly lower reported annual income (-£5,525, 95% CI: -£8,773, -£2,276). There were no statistically significant associations between deprivation ranking and the other outcome measures.ConclusionsPerceived problem patients, insufficient resources and finding temporary cover are key drivers of GP job pressures in practices serving more deprived populations. GPs in more deprived areas also report lower incomes. These factors should be the target of increased investment and policy interventions to improve recruitment and retention of GPs in these areas.

目的探讨区域剥夺对全科医生工作生活的影响。design分析了2015年至2021年间四次重复横断面调查的反馈。我们使用线性回归将全科医生的人口剥夺排名与工作压力、工作满意度、放弃直接病人护理的意图和工作时间联系起来。我们使用区间回归将报告的全科医生工作收入与同样的剥夺排名联系起来。我们调整了GP特征,包括就业状况、性别、年龄和合格年限。主要结果测量:14个报告的工作压力,10个工作满意度领域,放弃直接病人护理的意图,报告的全科医生工作收入和每周工作时间。结果剥夺等级与与感知问题患者相关的较高压力(最低和最高剥夺在五分制上的差异= 0.258,95% CI: 0.165, 0.350)、实践资源不足(0.229,95% CI: 0.107, 0.351)和寻找医生(0.260,95% CI: 0.130, 0.390)显著相关。贫困排名还与报告的年收入显著降低有关(- 5,525英镑,95% CI: - 8,773英镑,- 2,276英镑)。在剥夺等级和其他结果测量之间没有统计学上的显著关联。结论对问题患者的认知、资源不足和寻找临时掩护是贫困人群全科医生工作压力的主要驱动因素。贫困地区的全科医生收入也较低。这些因素应该成为增加投资和政策干预的目标,以改善这些领域普通医生的招聘和保留。
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引用次数: 0
Learning the craft - own experience. 学习手艺-自己的经验。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-04-17 DOI: 10.1177/01410768251331935
Denis Pereira Gray
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引用次数: 0
Vaccination in pregnancy: the vaccine bit is easy, the behaviour is hard. 怀孕期间接种疫苗:接种疫苗很容易,行为却很难。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-05-01 Epub Date: 2025-05-15 DOI: 10.1177/01410768251335168
Mohammad S Razai, Pippa Oakeshott, Jo Parsons
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引用次数: 0
Compassion fatigue: result or cause of burnout? And do doctors get it? 同情疲劳:倦怠的结果还是原因?医生能理解吗?
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1177/01410768251320166
Dinesh Bhugra
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引用次数: 0
Learning the craft - general practice stories. 学习手艺——一般实践故事。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-04-01 Epub Date: 2025-04-17 DOI: 10.1177/01410768251317087
Denis Pereira Gray
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引用次数: 0
From JRSM Open. 来自JRSM Open。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1177/01410768251337087
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引用次数: 0
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