BMC primary care最新文献

{"title":"Exploring entrepreneurship among general practitioners: a scoping review of education and practice.","authors":"Maryam Pirouzi, Matire Harwood, Shane Scahill","doi":"10.1186/s12875-026-03241-5","DOIUrl":"https://doi.org/10.1186/s12875-026-03241-5","url":null,"abstract":"<p><strong>Objective: </strong>The increasing complexity of healthcare systems demands a general practice workforce equipped with entrepreneurial competencies to lead innovation, adapt to system pressures, and enhance service sustainability. Traditional medical education for general practitioners (GPs) emphasizes clinical expertise but often overlooks essential skills in business acumen, leadership, and innovation. The aim of this scoping review was to examine how entrepreneurship is conceptualized, practiced, and supported among GPs in primary care, with a particular focus on identifying the barriers, enablers, and gaps across education, practice, and policy.</p><p><strong>Methods: </strong>A scoping review following the Arksey and O'Malley framework and JBI's guidelines, to ensure methodological rigor. Literature searches were performed across SCOPUS, PubMed, and EMBASE (via Ovid), supplemented by citation searches. The strategy focused on entrepreneurship, primary healthcare, and General Practitioner. After screening and removing duplicates, relevant publications were selected through team discussion, resolving discrepancies by consensus. All included papers were coded for key themes and patterns, followed by thematic analysis to uncover key insights and trends in the field.</p><p><strong>Results: </strong>Eighteen studies were included, with most (13) examining entrepreneurship in GP practice, three focusing on education, and two addressing both. Seven themes were identified: challenges in practice, areas and types of investment, medical school characteristics, contextual factors, entrepreneurial skills, behaviours and orientation, policy-level factors, and motivations. Barriers were most pronounced at the micro (individual) and meso (practice/organisational) levels, including limited business training, role conflict, operational difficulties, and lack of structural support. Macro-level constraints, such as restrictive funding and regulation, further curtailed innovation. Despite these barriers, GPs engaged in diverse entrepreneurial activity, from corporate and partnership models to social ventures, often in response to workforce pressures and growing demand for chronic care. Evidence was heavily concentrated in Western contexts, highlighting the need for more globally diverse perspectives.</p><p><strong>Conclusion: </strong>The review highlights significant gaps in educational preparation and systemic support, pointing to the need for changes in curricula, policy incentives, and practice structures. Guidance from medical councils, accreditation bodies, and GP associations will be key to embedding entrepreneurship into GP training and practice.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare activities before familial hypercholesterolemia diagnosis: a nationwide register-based study in Denmark.","authors":"Simon Graff, Kirsten Høj, Bo Christensen, Flemming Bro, Helle Lynge Kanstrup, Henrik Schou Pedersen","doi":"10.1186/s12875-026-03256-y","DOIUrl":"https://doi.org/10.1186/s12875-026-03256-y","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status of standard precautions: a cross-sectional evaluation of healthcare workers' knowledge and practice across northern Nigeria.","authors":"Chinonyerem O Iheanacho, Kauthar Hassan El-Badway, Amina El-Yakub, Patience Ofianya Ejembi, Joshua David Ekere, Christian Ekefre Etim","doi":"10.1186/s12875-026-03254-0","DOIUrl":"https://doi.org/10.1186/s12875-026-03254-0","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ongoing quest for the independent patient: an interview study on healthcare professionals' perspectives on integrating self-monitoring of blood pressure in hypertension care.","authors":"Erica Kelemit, Elnura Halmambetova, Evalill Nilsson, Cecilia Fagerström, Linda Ljungholm","doi":"10.1186/s12875-026-03244-2","DOIUrl":"https://doi.org/10.1186/s12875-026-03244-2","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scaling up an integrated primary mental health screening programme in South Africa through co-development and continuous quality improvement.","authors":"André J van Rensburg, Zamasomi Luvuno, Tasneem Kathree, Nikiwe Hongo, Londiwe Mthethwa, Merridy Grant, Arvin Bhana, Deepa Rao, Inge Petersen","doi":"10.1186/s12875-026-03223-7","DOIUrl":"https://doi.org/10.1186/s12875-026-03223-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite global progress in developing integrated mental healthcare on primary healthcare level, particularly in low-and-middle income countries, descriptions of scaling-up efforts remain scarce. The aim of this study was two-fold. First, to describe a collaborative approach to embed a common mental health conditions screening tool and process within district primary health care systems in KwaZulu-Natal, South Africa. Second, to explore perceptions of participating frontline workers and policy makers of the barriers and facilitators to embedding the tool using this collaborative approach as part of a scale-up process.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following a participatory action research approach, a learning collaborative was established that involved (1) mental health service coordinators from each district of the province of KwaZulu-Natal (n = 11), (2) provincial managers and policymakers (n = 4), and (3) members of the local research team. The capacity building programme was co-developed during a series of participatory workshops, and the common mental health conditions screening tool and associated processes were implemented and workshopped iteratively. The development and implementation of this programme as part of scaling up the screening intervention was assessed drawing from workshop proceedings, individual interviews with district coordinators (n = 11), and a focus group discussion (n = 8). Data were transcribed verbatim and thematically analysed guided by the Consolidated Framework for advancing Implementation Research.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The participatory development and implementation process resulted in consensus building, curriculum development, situational analyses, training, and continuous quality improvement. The collaborative and co-development approach to the capacity building curriculum was broadly favoured. Outer Settings emerged in terms of a lack of formal guidance documents for district mental health services, limited intersectoral collaboration, and limited community mental health literacy. In terms of Inner Settings, mental health continued to be under-prioritised in district services, with a lack of ring-fenced funding and data monitoring systems. Regarding Individuals, PHC staff were less well-trained and did not always want to engage in mental healthcare, with limited opportunity for capacity development. In terms of Implementation Processes, the flexibility of programme was particularly well illustrated during the disruptions of COVID-19, and adaptations were added to the programme to help address mental health and containing leadership among primary healthcare workers. While this period resulted in virtual workshops, face-to-face meetings were favoured.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The scaling-up of an integrated primary mental health screening innovation requires capacity building among mid-level management, and a co-developed, collaborative programme built on c","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of an mhGAP-based epilepsy training program on primary healthcare providers in Palestine: a quasi-experimental study in an under-resourced setting.","authors":"Abeer Ghanayem, Hussein Hallak","doi":"10.1186/s12875-026-03246-0","DOIUrl":"https://doi.org/10.1186/s12875-026-03246-0","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and opportunities in financing urban primary healthcare in Iran: pathways to universal health coverage.","authors":"Leila Zamani-Nezhad, Mahmood Nekoei-Moghadam, Mohammadreza Amiresmaili, Ali Akbar Haghdoost, Vahid Yazdi-Feyzabadi","doi":"10.1186/s12875-026-03224-6","DOIUrl":"https://doi.org/10.1186/s12875-026-03224-6","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatricians' psychopharmacological practice: a pilot survey in Poland and Ukraine.","authors":"Igor Martsenkovsky, Barbara Remberk, Inna Martsenkovska, Dmytro Martsenkovskyi","doi":"10.1186/s12875-026-03243-3","DOIUrl":"https://doi.org/10.1186/s12875-026-03243-3","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of antibiotic prescription indexes by patient and physician gender and age: a cross-sectional study based on administrative data.","authors":"Lorenzo Stacchini, Silvia Forni, Tommaso Manciulli, Guglielmo Bonaccorsi, Leonardo Grilli, Flavia Franconi, Fabrizio Gemmi","doi":"10.1186/s12875-026-03221-9","DOIUrl":"https://doi.org/10.1186/s12875-026-03221-9","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic treatment for respiratory tract infections for migrants in Norway during the COVID-19 pandemic: a population-wide registry study.","authors":"Leo Larsen, Valborg Baste, Esperanza Diaz, Guri Rortveit, Knut Erik Emberland","doi":"10.1186/s12875-026-03249-x","DOIUrl":"https://doi.org/10.1186/s12875-026-03249-x","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}