A cross sectional study of surgical training among United Kingdom general practitioners with specialist interests in surgery

Abstract Background The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician well-being is associated with poor patient outcomes, targeted strategies are needed. This analysis focuses on work-related factors associated with high chronic stress in GPs. Methods This cross-sectional study measured chronic stress among German GPs using the validated and standardized Trier Inventory for the Assessment of Chronic Stress (TICS-SSCS). Based on the TICS, GPs were categorized as either having low strain (≤ 25th percentile) or high strain (≥ 75th percentile) due to chronic stress. Questions on work-related challenges assessed the frequency and the subjectively perceived strain of single challenges. For exploratory analyses, these items were combined to dichotomous variables reflecting challenges that are common and that cause high strain. Variables significant in bivariate analyses were included in a multivariate logistic regression model analyzing their association with high chronic stress. Results Data of 109 GPs categorized as having low strain (n = 53) or high strain (n = 56) due to chronic stress were analyzed. Based on bivariate analyses, challenges regarding personnel matters, practice software, complexity of patients, difficult patients, care facilities, scheduling of appointments, keeping medical records up-to-date, fee structures, and expectations versus reality of care were included in the regression model. Keeping medical records up-to-date had the strongest association with high chronic stress (odds ratio 4.95, 95% confidence interval 1.29–19.06). A non-significant trend showed that medicolegal investigations were more common among GPs with high chronic stress. Conclusions This exploratory research shows that chronic stress is predominantly associated with administrative challenges. Treatment documentation, which represents a legal safeguard and is closely linked to existential concerns, has the strongest influence.

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Cross sectional study of reporting of epileptic seizures to general practitioners

BMJ ◽

10.1136/bmj.320.7227.94 ◽

2000 ◽

Vol 320 (7227) ◽

pp. 94-97 ◽

Cited By ~ 53

Author(s):

J. Dalrymple

Keyword(s):

General Practitioners ◽

Epileptic Seizures ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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The effect of deprivation on variations in general practitioners' referral rates: a cross sectional study of computerised data on new medical and surgical outpatient referrals in Nottinghamshire

BMJ ◽

10.1136/bmj.314.7092.1458 ◽

1997 ◽

Vol 314 (7092) ◽

pp. 1458-1458 ◽

Cited By ~ 19

Author(s):

J. Hippisley-Cox ◽

C. Hardy ◽

M. Pringle ◽

K. Fielding ◽

R. Carlisle ◽

...

Keyword(s):

General Practitioners ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Referral Rates

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Collaboration amongst general practitioners and gynaecologists working in primary health care in Germany: a cross-sectional study

Primary Health Care Research & Development ◽

10.1017/s1463423621000165 ◽

2021 ◽

Vol 22 ◽

Author(s):

Barbara Trusch ◽

Christoph Heintze ◽

Elena Petelos ◽

Lorena Dini

Keyword(s):

Primary Care ◽

General Practitioners ◽

Interprofessional Collaboration ◽

Cross Sectional Study ◽

Postal Survey ◽

Sectional Study ◽

Healthcare Provision ◽

Cross Sectional ◽

Federal States ◽

Key Competencies

Abstract Aim: This cross-sectional study is the first one to explore the collaboration of the influencing factors thereof amongst general practitioners (GPs) and gynaecologists (Gyns) working in primary care in urban and rural settings in Germany. Background: The number of women aged ≥ 50 years is predicted to increase in the next years in Germany. This coincides with the ageing of primary care specialists providing outpatient care. Whereas delegation of tasks to nurses as a form of interprofessional collaboration has been the target of recent studies, there is no data regarding collaboration amongst physicians in different specialisations working in primary care. We explored collaboration amongst GPs and Gyn regarding the healthcare provision to women aged ≥ 50 years. Methods: A quantitative postal survey was administered to GPs and Gyns in three federal states in Germany, focusing on care provision to women aged ≥ 50 years. A total of 4545 physicians, comprising 3514 GPs (67% of the total GP population) randomly selected, and all 1031 Gyns practicing in these states received the postal survey in March 2018. A single reminder was sent in April 2018 with data collection ending in June 2018. Multiple logistic regressions were performed for collaboration, adjusted by age and sex, alongside descriptive methods. Findings: The overall response rate was 31% (1389 respondents): 861 GPs (25%) and 528 Gyns (51%), with the mean respondent age being 54.4 years. Seventy-two per cent were female. Key competencies of collaboration are associated with working in rural federal states and with network participation. Physicians from rural states [odds ratio (OR) = 1.5, 95% confidence interval (CI) = 1.2, 1.9] and physicians in networks (OR = 3.0, CI = 2.3, 3.9) were more satisfied with collaboration. Collaboration to deliver services for women aged ≥ 50 years is more systematic amongst GPs and Gyns who are members of a network; increased networking could improve collaboration, and ultimately, outcomes too.

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