Subjects -> MEDICAL SCIENCES (Total: 8359 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (210 journals)
    - ANAESTHESIOLOGY (119 journals)
    - CARDIOVASCULAR DISEASES (329 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (228 journals)
    - DENTISTRY (288 journals)
    - DERMATOLOGY AND VENEREOLOGY (162 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (119 journals)
    - ENDOCRINOLOGY (148 journals)
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    - GERONTOLOGY AND GERIATRICS (132 journals)
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    - INTERNAL MEDICINE (164 journals)
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    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2268 journals)
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    - RHEUMATOLOGY (76 journals)
    - SPORTS MEDICINE (78 journals)
    - SURGERY (393 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (150 journals)

MEDICAL SCIENCES (2268 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 201 - 400 of 3562 Journals sorted alphabetically
Audiology - Communication Research     Open Access   (Followers: 10)
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal  
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 2)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 3)
Avicenna Journal of Clinical Medicine     Open Access  
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 2)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 4)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 4)
Bangladesh Journal of Medical Physics     Open Access   (Followers: 1)
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 1)
Bangladesh Medical Journal     Open Access  
Bangladesh Medical Journal Khulna     Open Access  
Basal Ganglia     Hybrid Journal  
Basic Sciences of Medicine     Open Access   (Followers: 2)
Batı Karadeniz Tıp Dergisi / Medical Journal of Western Black Sea     Open Access  
Baylor University Medical Center Proceedings     Hybrid Journal  
BBA Clinical     Open Access  
BC Medical Journal     Free  
Benha Medical Journal     Open Access  
Beni-Suef University Journal of Basic and Applied Sciences     Open Access   (Followers: 4)
Bijblijven     Hybrid Journal  
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Bio-Algorithms and Med-Systems     Hybrid Journal   (Followers: 2)
BioDiscovery     Open Access   (Followers: 2)
Bioelectromagnetics     Hybrid Journal   (Followers: 2)
Bioelectronic Medicine     Open Access   (Followers: 1)
Bioengineering & Translational Medicine     Open Access  
Bioethics     Hybrid Journal   (Followers: 17)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
Biologics in Therapy     Open Access  
Biology of Sex Differences     Open Access   (Followers: 2)
Biomarker Research     Open Access   (Followers: 3)
Biomarkers in Medicine     Hybrid Journal   (Followers: 2)
BioMed Research International     Open Access   (Followers: 4)
Biomédica     Open Access  
Biomedical & Life Sciences Collection     Full-text available via subscription   (Followers: 3)
Biomedical and Biotechnology Research Journal     Open Access   (Followers: 1)
Biomedical Engineering     Hybrid Journal   (Followers: 17)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 13)
Biomedical Engineering Letters     Hybrid Journal   (Followers: 6)
Biomedical Engineering Research     Open Access   (Followers: 7)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Biomedical Journal     Open Access   (Followers: 3)
Biomedical Materials     Hybrid Journal   (Followers: 7)
Biomedical Microdevices     Hybrid Journal   (Followers: 8)
Biomedical Optics Express     Open Access   (Followers: 6)
Biomedical Photonics     Open Access  
Biomedical Reports     Full-text available via subscription  
Biomedical Research Reports     Full-text available via subscription   (Followers: 2)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Biomedical Science and Engineering     Open Access   (Followers: 7)
BioMedicine     Open Access  
Biomedicine Hub     Open Access  
Biomedicines     Open Access   (Followers: 1)
Biomedika     Open Access  
Biomolecular and Health Science Journal     Open Access   (Followers: 1)
Biophysics Reports     Open Access  
BioPsychoSocial Medicine     Open Access   (Followers: 8)
Biosalud     Open Access   (Followers: 1)
Biostatistics & Epidemiology     Hybrid Journal   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BIRDEM Medical Journal     Open Access   (Followers: 1)
Birth Defects Research     Hybrid Journal  
Birth Defects Research Part A : Clinical and Molecular Teratology     Hybrid Journal   (Followers: 3)
Birth Defects Research Part C : Embryo Today : Reviews     Hybrid Journal  
BJR|Open     Open Access   (Followers: 1)
BJS Open     Open Access   (Followers: 1)
Black Sea Journal of Health Science     Open Access  
BLDE University Journal of Health Sciences     Open Access  
Blickpunkt Medizin     Hybrid Journal  
BMC Biomedical Engineering     Open Access  
BMC Medical Ethics     Open Access   (Followers: 21)
BMC Medical Research Methodology     Open Access   (Followers: 9)
BMC Medicine     Open Access   (Followers: 13)
BMC Obesity     Open Access   (Followers: 8)
BMC Proceedings     Full-text available via subscription   (Followers: 1)
BMC Research Notes     Open Access   (Followers: 4)
BMC Sports Science, Medicine and Rehabilitation     Open Access   (Followers: 34)
BMH Medical Journal     Open Access   (Followers: 2)
BMI Journal : Bariátrica & Metabólica Iberoamericana     Open Access  
BMJ     Hybrid Journal   (Followers: 1751)
BMJ Case Reports     Hybrid Journal   (Followers: 26)
BMJ Evidence-Based Medicine     Hybrid Journal   (Followers: 3)
BMJ Global Health     Open Access   (Followers: 3)
BMJ Innovations     Hybrid Journal   (Followers: 6)
BMJ Leader     Hybrid Journal  
BMJ Open     Open Access   (Followers: 42)
BMJ Open Quality     Open Access   (Followers: 19)
BMJ Open Science     Open Access   (Followers: 1)
BMJ Sexual & Reproductive Health     Hybrid Journal   (Followers: 2)
BMJ Surgery, Interventions, & Health Technologies     Open Access  
Bodine Journal     Open Access  
Boletín del Consejo Académico de Ética en Medicina     Open Access  
Boletín del ECEMC     Open Access  
Boletin Médico de Postgrado     Open Access  
Boletín Médico del Hospital Infantil de México     Open Access  
Bone     Hybrid Journal   (Followers: 18)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Bone Marrow Research     Open Access   (Followers: 2)
Bone Reports     Open Access  
Bosnian Journal of Basic Medical Sciences     Open Access  
Bozok Tıp Dergisi / Bozok Medical Journal     Open Access  
Brachytherapy     Full-text available via subscription   (Followers: 6)
Brain and Development     Full-text available via subscription   (Followers: 5)
Brain Connectivity     Hybrid Journal   (Followers: 5)
Brain Impairment     Full-text available via subscription   (Followers: 2)
Brazilian Journal of Medical and Biological Research     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Brazilian Journal of Pain (BrJP)     Open Access  
Brazilian Journal of Physical Therapy     Open Access   (Followers: 1)
Breastfeeding Review     Full-text available via subscription   (Followers: 18)
British Journal of Biomedical Science     Full-text available via subscription   (Followers: 7)
British Journal of General Practice     Full-text available via subscription   (Followers: 38)
British Journal of Hospital Medicine     Full-text available via subscription   (Followers: 16)
British Medical Bulletin     Hybrid Journal   (Followers: 6)
Buddhachinaraj Medical Journal     Open Access  
Bulletin Amades     Open Access  
Bulletin de la Société de pathologie exotique     Hybrid Journal   (Followers: 1)
Bulletin of Legal Medicine     Open Access  
Bulletin of Medical Sciences     Open Access  
Bulletin of the History of Medicine     Full-text available via subscription   (Followers: 18)
Bulletin of the Menninger Clinic     Full-text available via subscription  
Bulletin of The Royal College of Surgeons of England     Free  
Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products     Open Access  
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz     Hybrid Journal   (Followers: 6)
Burapha Journal of Medicine     Open Access  
Burns     Hybrid Journal   (Followers: 10)
Cadernos de Naturologia e Terapias Complementares     Open Access   (Followers: 1)
Calcified Tissue International     Hybrid Journal   (Followers: 2)
Canadian Bulletin of Medical History     Hybrid Journal  
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Pain     Open Access   (Followers: 2)
Canadian Journal of Rural Medicine     Full-text available via subscription   (Followers: 1)
Canadian Medical Association Journal     Open Access   (Followers: 17)
Canadian Medical Education Journal     Open Access   (Followers: 10)
Canadian Prosthetics & Orthotics Journal     Open Access  
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Cardiac Electrophysiology Clinics     Full-text available via subscription   (Followers: 1)
Care Management Journals     Hybrid Journal   (Followers: 5)
Case Reports     Open Access  
Case Reports in Acute Medicine     Open Access  
Case Reports in Clinical Medicine     Open Access   (Followers: 1)
Case Reports in Clinical Nutrition     Open Access   (Followers: 1)
Case Reports in Medicine     Open Access   (Followers: 2)
Case Reports in Transplantation     Open Access  
Case Reports in Vascular Medicine     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Study and Case Report     Open Access   (Followers: 5)
CBU International Conference Proceedings     Open Access   (Followers: 3)
Cell & Bioscience     Open Access   (Followers: 6)
Cell Adhesion & Migration     Open Access   (Followers: 9)
Cell and Molecular Response to Stress     Full-text available via subscription   (Followers: 2)
Cell and Tissue Transplantation and Therapy     Open Access   (Followers: 2)
Cell Cycle     Full-text available via subscription   (Followers: 6)
Cell Death and Differentiation     Hybrid Journal   (Followers: 7)
Cell Death Discovery     Open Access   (Followers: 1)
Cell Health and Cytoskeleton     Open Access   (Followers: 1)
Cell Medicine     Open Access   (Followers: 6)
Cell Research     Hybrid Journal   (Followers: 8)
Cell Transplantation     Open Access   (Followers: 4)
CEN Case Reports     Hybrid Journal  
Central African Journal of Medicine     Full-text available via subscription  
Ceylon Journal of Medical Science     Open Access  
Ceylon Medical Journal     Open Access  
Chattagram Maa-O-Shishu Hospital Medical College Journal     Open Access  
Chiang Mai Medical Journal     Open Access  
ChiangRai Medical Journal     Open Access  
Chimerism     Full-text available via subscription  
Chinese Journal of Integrative Medicine     Hybrid Journal   (Followers: 3)
Chinese Journal of Natural Medicines     Full-text available via subscription   (Followers: 1)
Chinese Medical Journal     Open Access   (Followers: 10)
Chinese Medical Record English Edition     Hybrid Journal  
Chinese Medical Sciences Journal     Full-text available via subscription   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 4)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Chronic Diseases and Translational Medicine     Open Access  
Chronic Illness     Hybrid Journal   (Followers: 6)
Chronic Wound Care Management and Research     Open Access   (Followers: 4)
Chronobiology International     Hybrid Journal   (Followers: 3)
ChronoPhysiology and Therapy     Open Access  
Chulalongkorn Medical Bulletin     Open Access  
Chulalongkorn Medical Journal     Open Access  
Ciencia e Innovación en Salud     Open Access  
Ciencia e Investigación Medico Estudiantil Latinoamericana     Open Access  
Ciencias Clínicas     Open Access  

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Similar Journals
Journal Cover
British Journal of General Practice
Journal Prestige (SJR): 0.906
Citation Impact (citeScore): 1
Number of Followers: 38  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 0960-1643 - ISSN (Online) 1478-5242
Published by RCGP Homepage  [1 journal]
  • Predictors of emergency department and GP use among patients with mental
           health conditions: a public health survey
    • Authors: Pooja Saini; Jason McIntyre, Rhiannon Corcoran, Konstantinos Daras, Clarissa Giebel, Elizabeth Fuller, Jane Shelton, Timothy Wilson, Terence Comerford, Rajan Nathan, Mark Gabbay
      Abstract: BackgroundHigh demand for health services is an issue of current importance in England, in part because of the rapidly increasing use of emergency departments (EDs) and GP practices for mental health conditions and the high cost of these services.AimTo examine the social determinants of health service use in people with mental health issues.Design and settingTwenty-eight neighbourhoods, each with a population of 5000–10 000 people, in the north west coast of England with differing levels of deprivation.MethodA comprehensive public health survey was conducted, comprising questions on housing, physical health, mental health, lifestyle, social issues, environment, work, and finances. Poisson regression models assessed the effect of mental health comorbidity, mental and physical health comorbidity, and individual mental health symptoms on ED and general practice attendances, adjusting for relevant socioeconomic and lifestyle factors.ResultsParticipants who had both a physical and mental health condition reported attending the ED (rate ratio [RR] = 4.63, 95% confidence interval [CI] = 2.86 to 7.51) and general practice (RR = 3.82, 95% CI = 3.16 to 4.62) more frequently than all other groups. Having a higher number of mental health condition symptoms was associated with higher general practice and ED service use. Depression was the only mental health condition symptom that was significantly associated with ED attendance (RR = 1.41, 95% CI = 1.05 to 1.90), and anxiety was the only symptom significantly associated with GP attendance (RR = 1.19, 95% CI = 1.03 to 1.38).ConclusionMental health comorbidities increase the risk of attendances to both EDs and general practice. Further research into the social attributes that contribute to reduced ED and general practice attendance rates is needed.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X707093
      Issue No: Vol. 70, No. 690 (2019)
       
  • Threats to safe transitions from hospital to home: a consensus study in
           North West London primary care
    • Authors: Ola Markiewicz; Mary Lavelle, Fabiana Lorencatto, Gaby Judah, Hutan Ashrafian, Ara Darzi
      Abstract: BackgroundTransitions between healthcare settings are vulnerable points for patients.AimTo identify key threats to safe patient transitions from hospital to primary care settings.Design and settingThree-round web-based Delphi consensus process among clinical and non-clinical staff from 39 primary care practices in North West London, England.MethodRound 1 was a free-text idea-generating round. Rounds 2 and 3 were consensus-obtaining rating rounds. Practices were encouraged to complete the questionnaires at team meetings. Aggregate ratings of perceived level of importance for each threat were calculated (1–3: ‘not important’, 4–6: ‘somewhat important’, 7–9: ‘very important’). Percentage of votes cast for each patient or medication group were recorded; consensus was defined as ≥75%.ResultsA total of 39 practices completed round 1, 36/39 (92%) completed round 2, and 30/36 (83%) completed round 3. Round 1 identified nine threats encompassing problems involving communication, service organisation, medication provision, and patients who were most at risk. ‘Poor quality of handover instructions from secondary to primary care teams’ achieved the highest rating (mean rating at round 3 = 8.43) and a 100% consensus that it was a ‘very important’ threat. Older individuals (97%) and patients with complex medical problems taking>5 medications (80%) were voted the most vulnerable. Anticoagulants (77%) were considered to pose the greatest risk to patients.ConclusionThis study identified specific threats to safe patient transitions from hospital to primary care, providing policymakers and healthcare providers with targets for quality improvement strategies. Further work would need to identify factors underpinning these threats so that interventions can be tailored to the relevant behavioural and environmental contexts in which these threats arise.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X707105
      Issue No: Vol. 70, No. 690 (2019)
       
  • Electronic care coordination systems for people with advanced progressive
           illness: a mixed-methods evaluation in Scottish primary care
    • Authors: Anne M Finucane; Deborah Davydaitis, Zoe Horseman, Emma Carduff, Paul Baughan, Julia Tapsfield, Juliet A Spiller, Richard Meade, Brigid Lydon, Ian M Thompson, Kirsty J Boyd, Scott A Murray
      Abstract: BackgroundElectronic care coordination systems, known as the Key Information Summary (KIS) in Scotland, enable the creation of shared electronic records available across healthcare settings. A KIS provides clinicians with essential information to guide decision making for people likely to need emergency or out-of-hours care.AimTo estimate the proportion of people with an advanced progressive illness with a KIS by the time of death, to examine when planning information is documented, and suggest improvements for electronic care coordination systems.Design and settingThis was a mixed-methods study involving 18 diverse general practices in Scotland.MethodRetrospective review of medical records of patients who died in 2017, and semi-structured interviews with healthcare professionals were conducted.ResultsData on 1304 decedents were collected. Of those with an advanced progressive illness (79%, n = 1034), 69% (n = 712) had a KIS. These were started a median of 45 weeks before death. People with cancer were most likely to have a KIS (80%, n = 288), and those with organ failure least likely (47%, n = 125). Overall, 68% (n = 482) of KIS included resuscitation status and 55% (n = 390) preferred place of care. People with a KIS were more likely to die in the community compared to those without one (61% versus 30%). Most KIS were considered useful/highly useful. Up-to-date free-text information within the KIS was valued highly.ConclusionIn Scotland, most people with an advanced progressive illness have an electronic care coordination record by the time of death. This is an achievement. To improve further, better informal carer information, regular updating, and a focus on generating a KIS for people with organ failure is warranted.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X707117
      Issue No: Vol. 70, No. 690 (2019)
       
  • Detection of frailty in older patients using a mobile app: cross-sectional
           observational study in primary care
    • Authors: Vanessa Aznar–Tortonda; Antonio Palazon–Bru, David Manuel Folgado–de la Rosa, Virginia Espinola–Morel, Bierca Fermina Perez–Perez, Ana Belen Leon–Ruiz, Vicente Francisco Gil–Guillen
      Abstract: BackgroundThe main instruments used to assess frailty are the Fried frailty phenotype and the Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale. Both instruments contain items that must be obtained in a personal interview and cannot be used with an electronic medical record only.AimTo develop and internally validate a prediction model, based on a points system and integrated in an application (app) for Android, to predict frailty using only variables taken from a patient’s clinical history.Design and settingA cross-sectional observational study undertaken across the Valencian Community, Spain.MethodA sample of 621 older patients was analysed from January 2017 to May 2018. The main variable was frailty measured using the FRAIL scale. Candidate predictors were: sex, age, comorbidities, or clinical situations that could affect daily life, polypharmacy, and hospital admission in the last year. A total of 3472 logistic regression models were estimated. The model with the largest area under the receiver operating characteristic curve (AUC) was selected and adapted to the points system. This system was validated by bootstrapping, determining discrimination (AUC), and calibration (smooth calibration).ResultsA total of 126 (20.3%) older people were identified as being frail. The points system had an AUC of 0.78 and included as predictors: sex, age, polypharmacy, hospital admission in the last year, and diabetes. Calibration was satisfactory.ConclusionA points system was developed to predict frailty in older people using parameters that are easy to obtain and recorded in the clinical history. Future research should be carried out to externally validate the constructed model.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X706577
      Issue No: Vol. 70, No. 690 (2019)
       
  • Steps to benefit from social prescription: a qualitative interview study
    • Authors: Kirsty Payne; Elizabeth Walton, Christopher Burton
      Abstract: BackgroundThe popularity of social prescribing has grown in recent years following a series of high-profile recommendations in scientific reviews, political reports, and media coverage. Social prescribing has the potential to address multiple health and social problems, but few studies have examined how it works.AimTo explore the ways by which social prescribing may be beneficial to individuals undertaking socially prescribed activity (SPA).Design and settingA qualitative interview study involving people attending a range of SPA.MethodParticipants were purposively recruited from a multi-activity social prescribing provider. Data were collected using semi-structured face-to-face interviews. Analysis used a thematic approach, in which emerging themes were contextualised with interview transcripts and findings from existing literature.ResultsThe study identified five themes, which together formed a journey of engagement and participation. While not always present for any one individual, the themes occurred in a consistent order: receiving professional support for social problems; engaging with others through participation in SPA; learning different ways to relate to other people and developing new skills; changing perceptions by realising personal assets and becoming open to the possibility of new futures; and developing a positive outlook on the present while moving forwards in pursuit of future goals and better health.ConclusionSPA appears to benefit individuals by a process that begins with personalised professional help to address social problems and moves through engagement with activities and others, to the recognition of personal and social assets and opportunities.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X706865
      Issue No: Vol. 70, No. 690 (2019)
       
  • Ethics education and moral decision-making in clinical commissioning: an
           interview study
    • Authors: Selena Knight; Benedict WJ Hayhoe, Lucy Frith, Mark Ashworth, Imran Sajid, Andrew Papanikitas
      Abstract: BackgroundClinical commissioning involves ethically challenging decisions about health resource allocation. However, commissioners come from a range of professional backgrounds with varying levels of training and expertise in ethical decision-making. Hence, they may lack the relevant training and resources to feel fully prepared for this increasingly demanding role.AimThis study aims to provide insight into how prepared commissioners feel in making ethical decisions; what ethics learning needs they might have; and how these might be addressed.Design and settingThis qualitative interview study explored the experiences of commissioners working for clinical commissioning groups (CCGs) in England.MethodEighteen participants were interviewed between December 2017 and July 2018 using a purposive sampling approach to participant selection. Transcriptions were coded and analysed using the constant comparative method of thematic analysis.ResultsMost participants had not received ethics training in preparation for, or during, their commissioning role, and reported difficulties identifying and analysing ethical issues. Participants often felt uncomfortable about decisions they were involved in, attributing this to a number of factors: a sense of moral unease; concerns that CCGs’ decision-making processes were not sufficiently transparent; and that CCGs were not fully accountable to the population served.ConclusionCommissioners face complex decisions involving ethical issues, and associated moral unease is exacerbated by a lack of ethics training and lack of confidence in identifying and analysing these. This study shows a clear need for additional support and ethics training for commissioners to support them in this area of decision-making.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X707129
      Issue No: Vol. 70, No. 690 (2019)
       
  • Using quality indicators to predict inspection ratings: cross-sectional
           study of general practices in England
    • Authors: Thomas Allen; Kieran Walshe, Nathan Proudlove, Matt Sutton
      Abstract: BackgroundThe Care Quality Commission regulates, inspects, and rates general practice providers in England. Inspections are costly and infrequent, and are supplemented by a system of routine quality indicators, measuring patient satisfaction and the management of chronic conditions. These indicators can be used to prioritise or target inspections.AimTo determine whether this set of indicators can be used to predict the ratings awarded in subsequent inspections.Design and settingThis cross-sectional study was conducted using a dataset of 6860 general practice providers in England.MethodThe indicators and first-inspection ratings were used to build ordered logistic regression models to predict inspection outcomes on the four-level rating system (‘outstanding’, ‘good’, ‘requires improvement’, and ‘inadequate’) for domain ratings and the ‘overall’ rating. Predictive accuracy was assessed using the percentage of correct predictions and a measure of agreement (weighted κ).ResultsThe model correctly predicted 79.7% of the ‘overall’ practice ratings. However, 78.8% of all practices were rated ‘good’ on ‘overall’, and the weighted κ measure of agreement was very low (0.097); as such, predictions were little more than chance. This lack of predictive power was also found for each of the individual domain ratings.ConclusionThe poor power of performance of these indicators to predict subsequent inspection ratings may call into question the validity and reliability of the indicators, inspection ratings, or both. A number of changes to the way data relating to performance indicators are collected and used are suggested to improve the predictive value of indicators. It is also recommended that assessments of predictive power be undertaken prospectively when sets of indicators are being designed and selected by regulators.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X707141
      Issue No: Vol. 70, No. 690 (2019)
       
  • Trends in GP incomes in England, 2008-2017: a retrospective analysis of
           repeated postal surveys
    • Authors: Rose Atkins; Jon Gibson, Matt Sutton, Sharon Spooner, Katherine Checkland
      Abstract: BackgroundThere is widespread concern over the recruitment and retention of GPs in England. Income is a fundamental consideration affecting the attractiveness of working in general practice.AimTo report on trends in average incomes earned by GPs in England, adjusted for inflation and contracted time commitment.Design and settingPostal surveys of random samples of GPs working in England in 2008, 2010, 2012, 2015, and 2017.MethodTrends in average reported incomes of partner and salaried GPs were directly standardised for the reported number of sessions worked per week and adjusted for inflation.ResultsData were obtained from between 1000 and 1300 responders each year, representing response rates between 25% and 44%. Almost all responders (96%) reported the income they earned from their job as a GP. Mean nominal annual income decreased by 1.1% from £99 437 in 2008 to £98 373 in 2017 for partner GPs and increased by 4.4% from £49 061 to £51 208 for salaried GPs. Mean sessions worked decreased from 7.7 to 7.0 per week for partner GPs and decreased from 5.6 to 5.3 per week for salaried GPs. Mean income adjusted for sessions worked and inflation decreased by 10.0% for partner GPs and by 7.0% for salaried GPs, between 2008 and 2017.ConclusionThe decrease in GP income adjusted for sessions worked and inflation over the last decade may have contributed to the current problems with recruitment and retention.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X706073
      Issue No: Vol. 70, No. 690 (2019)
       
  • The real costs of teaching medical students in general practice: a
           cost-collection survey of teaching practices across England
    • Authors: Joe Rosenthal; Robert K McKinley, Chris Smyth, John L Campbell
      Abstract: BackgroundCurrent funding arrangements for undergraduate medical student placements in general practice are widely regarded as outdated, inequitable, and in need of urgent review.AimTo undertake a detailed costing exercise to inform the setting of a national English tariff for undergraduate medical student placements in general practice.Design and settingA cost-collection survey in teaching practices across all regions of England between January 2017 and February 2017.MethodA cost-collection template was sent to 50 selected teaching practices across all 25 medical schools in England following the development of a cost-collection tool and an initial pilot study. Detailed guidance on completion was provided for practices. Data were analysed by the Department of Health and Social Care.ResultsA total of 49 practices submitted data. The mean cost per half-day student placement in general practice was 111 GBP, 95% confidence interval = 100 to 121 (146 USD), with small differences between students in different years of study. Based on 10 sessions per student per week this equated to around 1100 GBP (1460 USD) per student placement week.ConclusionThe costs of undergraduate placements in general practice are considerably greater than funding available at time of writing, and broadly comparable with secondary care funding in the same period. The actual cost of placing a medical student full time in general practice for a 37-week academic year is 40 700 GBP (53 640 USD) compared with the average payment rate of only 22 000 GBP (28 990 USD) per year at the time this study was undertaken.
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp19X706553
      Issue No: Vol. 70, No. 690 (2019)
       
  • Poor NHS
    • Authors: Roger Jones
      Pages: 3 - 3
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707237
      Issue No: Vol. 70, No. 690 (2019)
       
  • Investing in social care to reduce healthcare utilisation
    • Authors: Lloyd D Hughes; Maggie Keeble
      Pages: 4 - 5
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707249
      Issue No: Vol. 70, No. 690 (2019)
       
  • Mental health in diabetes: can’t afford to address the service gaps or
           can’t afford not to'
    • Authors: Amrit Sachar; Tony Willis, Neel Basudev
      Pages: 6 - 7
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707261
      Issue No: Vol. 70, No. 690 (2019)
       
  • The potential of placing a digital assistant in patients’ homes
    • Authors: Ruth Chambers; Paul Beaney
      Pages: 8 - 9
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707273
      Issue No: Vol. 70, No. 690 (2019)
       
  • Supporting patients who are deaf who use a signed language in general
           practice
    • Authors: Sarah Bown; Russell Aldersson, Kristiaan Dekesel
      Pages: 10 - 11
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707285
      Issue No: Vol. 70, No. 690 (2019)
       
  • So why should I go to the RCGP Annual Conference …'
    • Authors: Katie Barnett
      Pages: 12 - 12
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707297
      Issue No: Vol. 70, No. 690 (2019)
       
  • Research in the context of the climate emergency
    • Authors: Keir Philip
      Pages: 12 - 12
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707309
      Issue No: Vol. 70, No. 690 (2019)
       
  • Mitigating climate change: using the physician’s tool of the trade
    • Authors: Naomi D Adelson
      Pages: 12 - 13
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707321
      Issue No: Vol. 70, No. 690 (2019)
       
  • De rerum natura: is this now just the nature of things, or has it always
           been so'
    • Authors: Paul Lord
      Pages: 13 - 13
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707333
      Issue No: Vol. 70, No. 690 (2019)
       
  • What makes a good-quality GP report for an Initial Child Protection
           Conference'
    • Authors: Edel C McGinnity
      Pages: 13 - 13
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707345
      Issue No: Vol. 70, No. 690 (2019)
       
  • Spiritual intervention and the 'LOADS SHARED’ mnemonic
    • Authors: Ian J Hamilton
      Pages: 13 - 13
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707357
      Issue No: Vol. 70, No. 690 (2019)
       
  • Debrief: The political doctor
    • Authors: Euan Lawson
      Pages: 23 - 23
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707489
      Issue No: Vol. 70, No. 690 (2019)
       
  • The GP crisis: a tale of two peaks
    • Authors: Dipesh P Gopal; Ebrahim Mulla
      Pages: 24 - 24
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707501
      Issue No: Vol. 70, No. 690 (2019)
       
  • Psychological mislabelling in chronic pain: reducing the risk
    • Authors: Howard B Pikoff
      Pages: 25 - 25
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707525
      Issue No: Vol. 70, No. 690 (2019)
       
  • Creative enquiry and the clinical encounter
    • Authors: Louise Younie; Deborah Swinglehurst
      Pages: 26 - 27
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707549
      Issue No: Vol. 70, No. 690 (2019)
       
  • Yonder: Medication adherence, Twitter, head and neck cancer, and knitting
    • Authors: Ahmed Rashid
      Pages: 28 - 28
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707561
      Issue No: Vol. 70, No. 690 (2019)
       
  • Lifestyle walks: an outside walking group intervention for patients with
           mental health issues
    • Authors: Peter Churn
      Pages: 29 - 29
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707537
      Issue No: Vol. 70, No. 690 (2019)
       
  • Our prescription for climate change: reduce and recycle inhalers!
    • Authors: Theresia Auguste Mikolasch; Collette Isabel Stadler
      Pages: 30 - 30
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707717
      Issue No: Vol. 70, No. 690 (2019)
       
  • Exhibition: William Blake
    • Authors: Sunil Bhanot
      Pages: 31 - 31
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707585
      Issue No: Vol. 70, No. 690 (2019)
       
  • Books: The Exceptional Potential of General Practice: Making a Difference
           in Primary Care
    • Authors: Ben Jackson
      Pages: 32 - 32
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707609
      Issue No: Vol. 70, No. 690 (2019)
       
  • Books: Hello World: How to be Human in the Age of the Machine
    • Authors: Rebecca Cox
      Pages: 32 - 32
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707621
      Issue No: Vol. 70, No. 690 (2019)
       
  • Books: The 4 Pillar Plan: How to Relax, Eat, Move, Sleep Your Way to a
           Longer, Healthier Life
    • Authors: Dougal Jeffries
      Pages: 33 - 33
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707633
      Issue No: Vol. 70, No. 690 (2019)
       
  • Books: Out of the Woods: A Journey Through Depression and Anxiety
    • Authors: Ian Williams
      Pages: 33 - 33
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707645
      Issue No: Vol. 70, No. 690 (2019)
       
  • Books: Reimagining Global Health: An Introduction
    • Authors: Gervase Vernon
      Pages: 34 - 34
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707597
      Issue No: Vol. 70, No. 690 (2019)
       
  • It’s all about the notes
    • Authors: Saul Miller
      Pages: 35 - 35
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707657
      Issue No: Vol. 70, No. 690 (2019)
       
  • Core management data in general practice
    • Authors: Denis Pereira Gray; Kate Sidaway-Lee, Helen Kingdon, Molly Dineen, Philip Evans, Alex Harding
      Pages: 36 - 37
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707669
      Issue No: Vol. 70, No. 690 (2019)
       
  • Redefining the core values and tasks of GPs in the Netherlands
           (Woudschoten 2019)
    • Authors: Henriette E van der Horst; Niek de Wit
      Pages: 38 - 39
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707681
      Issue No: Vol. 70, No. 690 (2019)
       
  • Diabetes quality improvement at scale: how Barking and Dagenham,
           Redbridge, and Havering CCGs tackled the 'Seven Spreadly Sins’
    • Authors: Anju Gupta; Ann Baldwin, Jyoti Sood, Richard Clements
      Pages: 40 - 41
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707693
      Issue No: Vol. 70, No. 690 (2019)
       
  • Urine sample collection from young pre-continent children: common methods
           and the new Quick-Wee technique
    • Authors: Jonathan Kaufman; Meredith Temple-Smith, Lena Sanci
      Pages: 42 - 43
      PubDate: 2019-12-26T16:05:23-08:00
      DOI: 10.3399/bjgp20X707705
      Issue No: Vol. 70, No. 690 (2019)
       
 
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