A comment on ‘the impact of statins, ace inhibitors and gastric acid suppressants on pneumonia mortality in a UK general practice population cohort’

2009 ◽  
Vol 18 (11) ◽  
pp. 1121-1122 ◽  
Author(s):  
Nam-Kyong Choi ◽  
Yoosoo Chang ◽  
Byung-Joo Park
Keyword(s):  
General Practice ◽  
Gastric Acid ◽  
Ace Inhibitors ◽  
Population Cohort ◽  
Practice Population ◽  
The Impact

The impact of statins, ace inhibitors and gastric acid suppressants on pneumonia mortality in a UK general practice population cohort

2009 ◽  
Vol 18 (8) ◽  
pp. 697-703 ◽  
Author(s):  
Puja R. Myles ◽  
Richard B. Hubbard ◽  
Jack E. Gibson ◽  
Zara Pogson ◽  
Christopher J.P. Smith ◽  
...  
Keyword(s):  
General Practice ◽  
Gastric Acid ◽  
Ace Inhibitors ◽  
Population Cohort ◽  
Practice Population ◽  
The Impact

scholarly journals Factors influencing variation in participation in the National Diabetes Audit and the impact on the Quality and Outcomes Framework indicators of diabetes care management

2018 ◽  
Vol 6 (1) ◽  
pp. e000554 ◽  
Author(s):  
Caroline E Wright ◽  
Stephen Yeung ◽  
Helen Knowles ◽  
Antoinette Woodhouse ◽  
Emma Barron ◽  
...  
Keyword(s):  
General Practice ◽  
Diabetes Management ◽  
Geographic Area ◽  
Related Factors ◽  
Practice Size ◽  
Practice Population ◽  
Quality And Outcomes ◽  
General Practices ◽  
The Impact ◽  
Quality And Outcomes Framework

ObjectiveParticipation in the National Diabetes Audit (NDA) has become a contractual requirement for all general practices in England and is used as part of the assessment framework for sustainability and transformation partnership (STP) footprints. The study aimed to investigate general practice-related factors which may influence participation in the NDA, and the impact that participation in the NDA may have on diabetes management and patient care.Research designA cross-sectional analysis of routine primary care data from 45 725 646 patients aged 17+ years registered across 7779 general practices in England was performed using logistic regression. The main outcome measures included general practice voluntary participation in the NDA, general practice-related factors (practice size, deprivation, diabetes prevalence, geographic area, practice population age) and diabetes management outcomes (cholesterol, blood pressure, hemoglobin A1c (HbA1c)).ResultsParticipation in the NDA differed significantly according to practice size (t(7653)=−9.93, p=0.001), level of deprivation (χ2(9)=36.17, p<0.0001), diabetes prevalence (p<0.0001), practice population age (p<0.0001), and geographic area (χ2(26)=676.9, p<0.0001). In addition, the Quality and Outcomes Framework diabetes indicator HbA1c (OR 1.01, CI 1.0 to 1.01, p=0.0001) but not cholesterol (p=0.055) or blood pressure (p=0.76) was independently associated with NDA participation when controlling for practice-related factors.ConclusionVariation in NDA participation exists. It is suggested that some practices may need additional support when submitting data to the NDA and that NDA participation may have an impact on diabetes outcomes. However, the use of NDA outcomes as a measure of progress with diabetes care by STPs is still unclear and further investigation is needed.

scholarly journals Pneumonia mortality in a UK general practice population cohort

2009 ◽  
Vol 19 (5) ◽  
pp. 521-526 ◽  
Author(s):  
P. R. Myles ◽  
R. B. Hubbard ◽  
J. E. Gibson ◽  
Z. Pogson ◽  
C. J. P. Smith ◽  
...  
Keyword(s):  
General Practice ◽  
Population Cohort ◽  
Practice Population

A general practice provider federation in a mixed health economy in England: a case study investigation

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696929
Author(s):  
Jill Mitchell
Keyword(s):  
General Practice ◽  
Shared Vision ◽  
Health Economy ◽  
Structured Interviews ◽  
The North ◽  
Common Strategy ◽  
Common Purpose ◽  
Collaborative Working ◽  
The Impact

BackgroundThere is an emerging debate that general practice in its current format is out-dated and there is a requirement to move to a federated model of provision where groups of Practices come together. The emergence of federations has developed over the past 5 years but the factors that influence how federations develop and the impact of this new model is an under researched area.AimThe study explored the rationale around why a group of independent GP practices opted to pursue an alternative business venture and the benefits that this strategy offered.MethodA single organisational case study of a federation in the North of England was conducted between 2011–2016. Mixed methods data collection included individual and group semi-structured interviews and quantitative surveys.ResultsFederations promote collaborative working, relying on strategic coherence of multiple individual GP practices through a shared vision and common purpose. Findings revealed many complexities in implementing a common strategy across multiple independent businesses. The ability of the federation to gain legitimacy was two dimensional – externally and internally. The venture had mixed successes, but their approach to quality improvement proved innovative and demonstrated outcomes on a population basis. The study identified significant pressures that practices were experiencing and the need to seek alternative ways of working but there was no shared vision or inclination to relinquish individual practice autonomy.ConclusionOrganisational development support is critical to reform General Practice. Whether central funding through the GP Five Year Forward View will achieve the scale of change required is yet to be evidenced.

Sign in / Sign up

Export Citation Format

Share Document