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British Journal of General Practice最新文献

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Optimising access to primary care services for young people: lessons from England and Australia. 优化年轻人获得初级保健服务的途径:英格兰和澳大利亚的经验教训。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739461
Emma R Rengasamy, Harriet Hiscock, Tamsin Newlove-Delgado, Faraz Mughal
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引用次数: 0
Regression to 'barefoot'. 倒退到 "赤脚"。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739533
Ken Menon
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引用次数: 0
Tackling health inequalities together: inclusion health and co-production. 共同解决健康不平等问题:包容健康与共同生产。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739365
Helen McGeown, Lucy Potter, Danny Sherwood, Jeremy Horwood, Cait Taylor, Michelle Farr
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引用次数: 0
Trust. 信任
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739629
Saul Miller
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引用次数: 0
What's new in osteoporosis management? Leading the fight in primary care. 骨质疏松症治疗有何新进展?引领基层医疗保健。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739641
Ashley Hawarden, Zoe Paskins, Faraz Mughal
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引用次数: 0
Collaboration across the primary and specialist care interface in Early Intervention in Psychosis services: a qualitative study. 精神病早期干预服务中基层/专科医生之间的合作:一项定性研究。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/BJGP.2023.0558
Michelle Rickett, Tom Kingstone, Veenu Gupta, David Shiers, Paul French, Belinda Lennox, Mike Crawford, Ed Penington, Anna Hedges, Jo Ward, Ryan Williams, Paul A Bateman, Carolyn A Chew-Graham

Background: People with new psychotic symptoms may be managed in an Early Intervention in Psychosis (EIP) service. They may be discharged back to primary care at the end of their time in an EIP service.

Aim: To explore the role of primary care in supporting people with psychosis in an EIP service.

Design and setting: Qualitative study, within a programme of work to explore the optimum duration of management in an EIP service in England.

Method: Semi-structured interviews were carried out with people in EIP services, carers, GPs, and EIP practitioners between September 2022 and September 2023. Data collection continued until information power was achieved. Data were thematically analysed using principles of constant comparison.

Results: While most service users and carers described their experiences of EIP services as positive, there are issues around access to and discharge from the services. GPs reported difficulties in referring people into EIP services, having little contact with people who are supported by EIP services, and not being included in planning discharge from EIP services to primary care. Service users and carers described challenges at the point of discharge from EIP services to primary care, associated with feelings of abandonment.

Conclusion: This study suggests that GPs should have a role in the support of people in EIP services (in particular, monitoring and managing physical health) and their carers. Inclusion of GPs in managing discharge from EIP services is vital. We suggest that a joint consultation with the service user, their carer (if they wish), along with the EIP care coordinator and GP would make this transition smoother.

背景新出现精神病症状的患者可能会在思觉失调早期干预服务(EIP)中接受治疗。在 EIP 服务结束后,他们可能会被送回基层医疗机构。目的 探讨初级医疗在支持 EIP 服务中的精神病患者方面所扮演的角色。设计和设置 定性研究,在一项探索 EIP 服务最佳管理期限的工作计划中进行。方法 对接受 EIP 服务的患者、照护者、全科医生 (GP) 和 EIP 从业人员进行半结构式访谈。结果 全科医生报告称,他们很难将患者转介到 EIP 服务机构,与接受 EIP 服务支持的患者接触很少,也不参与规划从 EIP 服务机构到初级保健机构的出院事宜。结论 本研究表明,全科医生应在支持 EIP 服务对象(尤其是监测和管理身体健康)及其照护者方面发挥作用。让全科医生参与 EIP 服务的出院管理至关重要。我们建议,与服务使用者、其照顾者(如果他们愿意)以及 EIP 护理协调员和全科医生共同协商,将使这一过渡更加顺利。
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引用次数: 0
A bitter pill to swallow: the rising use of street valium in Scotland. 难以下咽的苦药:苏格兰街头安定片使用率的上升。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739557
Paul McNamara, Yoosuf Ibrahim
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引用次数: 0
Managing chronic cough in adults in primary care. 在初级保健中处理成人慢性咳嗽。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739653
Kevin Gruffydd-Jones, Sean Parker
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引用次数: 0
Books: Fighting for the Soul of General Practice: the Algorithm Will See You Now: A strong manifesto. 书籍为全科医学的灵魂而战:算法现在就能看到你:一份强有力的宣言。
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739605
Andrew Papanikitas
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引用次数: 0
General practice in interesting times. 有趣时代的综合实践
IF 5.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-26 Print Date: 2024-10-01 DOI: 10.3399/bjgp24X739521
Andrew Papanikitas
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引用次数: 0
期刊
British Journal of General Practice
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