The two-dose measles, mumps, and rubella (MMR) immunization schedule: factors affecting maternal intention to vaccinate.. Pareek P & Pattison H. (2000) British Journal of General Practice, 50, 969-971.

2002 ◽  
Vol 28 (3) ◽  
pp. 268-268
Keyword(s):  
General Practice ◽  
British Journal ◽  
Immunization Schedule ◽  
Factors Affecting

scholarly journals Skill-mix change in general practice: a qualitative comparison of three ‘new’ non-medical roles in English primary care

2019 ◽  
Vol 69 (684) ◽  
pp. e489-e498 ◽  
Author(s):  
Pauline A Nelson ◽  
Fay Bradley ◽  
Anne-Marie Martindale ◽  
Anne McBride ◽  
Damian Hodgson
Keyword(s):  
General Practice ◽  
Unintended Consequences ◽  
Structured Interviews ◽  
Implementation Barriers ◽  
Qualitative Comparison ◽  
Factors Affecting ◽  
Skill Mix ◽  
Final Sample ◽  
Advanced Practitioner ◽  
Training Schemes

BackgroundGeneral practice is currently facing a significant workforce challenge. Changing the general practice skill mix by introducing new non-medical roles is recommended as one solution; the literature highlights that organisational and/or operational difficulties are associated with skill-mix changes.AimTo compare how three non-medical roles were being established in general practice, understand common implementation barriers, and identify measurable impacts or unintended consequences.Design and settingIn-depth qualitative comparison of three role initiatives in general practices in one area of Greater Manchester, England; that is, advanced practitioner and physician associate training schemes, and a locally commissioned practice pharmacist service.MethodSemi-structured interviews and focus groups with a purposive sample of stakeholders involved in the implementation of each role initiative were conducted. Template analysis enabled the production of pre-determined and researcher-generated codes, categories, and themes.ResultsThe final sample contained 38 stakeholders comprising training/service leads, role holders, and host practice staff. Three key themes captured participants’ perspectives: purpose and place of new roles in general practice, involving unclear role definition and tension at professional boundaries; transition of new roles into general practice, involving risk management, closing training–practice gaps and managing expectations; and future of new roles in general practice, involving demonstrating impact and questions about sustainability.ConclusionThis in-depth, in-context comparative study highlights that introducing new roles to general practice is not a simple process. Recognition of factors affecting the assimilation of roles may help to better align them with the goals of general practice and harness the commitment of individual practices to enable role sustainability.

scholarly journals Youth StepCare: A pilot study of an online screening and recommendations service for depression and anxiety among youth patients in general practice.

2019 ◽  
Author(s):  
Belinda Parker ◽  
Melinda Rose Achilles ◽  
Mirjana Subotic-Kerry ◽  
Bridianne O'Dea
Keyword(s):  
Mental Illness ◽  
General Practice ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Depression And Anxiety ◽  
Practice Staff ◽  
Factors Affecting ◽  
Patient Health ◽  
Seeking Help ◽  
General Practices

Abstract Background: General Practitioners (GPs) are ideally placed to identify and manage emerging mental illness in young people, however, many report low levels of confidence in doing so. A web-based universal screening service delivered via a mobile tablet, Youth StepCare, was developed to assist GPs in identifying depression and anxiety symptoms in youth patients. This service also provided evidence-based treatment recommendations and fortnightly monitoring of symptoms. The current study assessed the feasibility and acceptability of delivering the Youth StepCare service in Australian general practices. Methods: A 12-week uncontrolled trial was undertaken between August 2018 and January 2019 in two general practices in NSW, Australia. The service was offered to all youth patients aged 14-17 years who visited a participating GP during the screening period with their parent or guardian. Youth patients reported the presence of depressive and anxiety symptoms using the self-report Patient Health Questionnaire-9 and the Generalised Anxiety Disorder Questionnaire-7. New cases were defined as those who reported symptoms but were not currently seeking help from their GP, nor had sought help in the past. Feasibility and acceptability among GPs and practice staff were assessed using a battery of questionnaires. Results: Five GPs and 6 practice staff took part. A total of 46 youth patients were approached, 28 consented and 19 completed the screener (67.9%). Nine reported symptoms of anxiety or depression, two of which were new cases (22.2%). GPs and practice staff were satisfied with the service, reporting that there was a need for the service, and that they would use it again. Conclusions: The Youth StepCare service appears to be a useful tool for identifying youth with unidentified symptoms of mental illness that can be easily embedded into general practice. Further research would benefit from exploring the factors affecting initial GP uptake and a larger trial is required to determine the efficacy of the service on young people’s symptom reduction.

scholarly journals Youth StepCare: A pilot study of an online screening and recommendations service for depression and anxiety among youth patients in general practice.

2019 ◽  
Author(s):  
Belinda Parker ◽  
Melinda Rose Achilles ◽  
Mirjana Subotic-Kerry ◽  
Bridianne O'Dea
Keyword(s):  
Mental Illness ◽  
General Practice ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Depression And Anxiety ◽  
Practice Staff ◽  
Factors Affecting ◽  
Patient Health ◽  
Seeking Help ◽  
General Practices

Abstract Background: General Practitioners (GPs) are ideally placed to identify and manage emerging mental illness in young people, however, many report low levels of confidence in doing so. A web-based universal screening service delivered via a mobile tablet, Youth StepCare, was developed to assist GPs in identifying depression and anxiety symptoms in youth patients. This service also provided evidence-based treatment recommendations and fortnightly monitoring of symptoms. The current study assessed the feasibility and acceptability of delivering the Youth StepCare service in Australian general practices. Methods: A 12-week uncontrolled trial was undertaken between August 2018 and January 2019 in two general practices in NSW, Australia. The service was offered to all youth patients aged 14-17 years who visited a participating GP during the screening period with their parent or guardian. Youth patients reported the presence of depressive and anxiety symptoms using the self-report Patient Health Questionnaire-9 and the Generalised Anxiety Disorder Questionnaire-7. New cases were defined as those who reported symptoms but were not currently seeking help from their GP, nor had sought help in the past. Feasibility and acceptability among GPs and practice staff were assessed using a battery of questionnaires. Results: Five GPs and 6 practice staff took part. A total of 46 youth patients were approached, 28 consented, and 19 completed the screener (67.9%). Nine reported symptoms of anxiety or depression, two of which were new cases (22.2%). GPs and practice staff were satisfied with the service, reporting that there was a need for the service, and that they would use it again. Conclusions: The Youth StepCare service appears to be a useful tool for identifying youth with unidentified symptoms of mental illness that can be easily embedded into general practice. Further research would benefit from exploring the factors affecting initial GP uptake and a larger trial is required to determine the efficacy of the service on young people’s symptom reduction.

Factors affecting the prescribing of psychotropic drugs in general practice consultations

1979 ◽  
Vol 9 (4) ◽  
pp. 671-679 ◽  
Author(s):  
Norma V. Raynes
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychotropic Drugs ◽  
Information Gathering ◽  
Factors Affecting ◽  
Presenting Symptoms

SYNOPSISThe characteristics of patients and information-gathering processes in general practice consultations producing prescriptions for antibiotics and psychotropic drugs are discussed. The contribution of patients presenting symptoms and the exploration of these by the general practitioner in the prescribing of psychotropic drugs, is compred with that of diagnosis.

Sign in / Sign up

Export Citation Format

Share Document