The British journal of general practice : the journal of the Royal College of General Practitioners
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Serious mental illness (SMI) - which comprises long-term conditions such as schizophrenia, bipolar disorder, and other psychoses - has enormous costs for patients and society. In many countries, people with SMI are treated solely in primary care, and have particular needs for physical care. ⋯ With appropriate adaptation for different contexts, and in line with the relative responsibilities of primary and secondary care, use of the quality indicators has the potential to improve care and to improve the physical and mental health of people with SMI. However, before the indicators can be used to monitor or incentivise primary care quality, more robust links need to be established, with improved patient outcomes.
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The negative impact of work has been the traditional focus of GP surveys. We know little about GP positive mental health and psychological resources. ⋯ GPs have levels of positive mental health that are comparable to the local population and better than other occupational groups, such as vets and teachers. Male and younger GPs may have most to gain from wellbeing interventions.
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Multicenter Study
Psychological morbidity and return to work after injury: multicentre cohort study.
The benefits of work for physical, psychological, and financial wellbeing are well documented. Return to work (RTW) after unintentional injury is often delayed, and psychological morbidity may contribute to this delay. The impact of psychological morbidity on RTW after a wide range of unintentional injuries in the UK has not been adequately quantified. ⋯ Primary care professionals can identify patients at risk of delayed RTW who may benefit from management of psychological morbidity and support to RTW.
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Observational Study
Empathy, burnout, and antibiotic prescribing for acute respiratory infections: a cross-sectional primary care study in the US.
The impact of physician-patient relationship factors, such as physician empathy and burnout, on antibiotic prescribing has not been characterised. ⋯ The authors found no significant association between empathy or burnout measures and antibiotic prescribing for ARIs in primary care. Other physician characteristics should be investigated to explain individual variation in antibiotic prescribing.