The British journal of general practice : the journal of the Royal College of General Practitioners
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Providing high-quality clinical care and good patient experience are priorities for most healthcare systems. ⋯ Better-funded general practices were more likely to have higher reported patient experience ratings across a wide range of domains.
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Randomized Controlled Trial
Matching depression management to severity prognosis in primary care: results of the Target-D randomised controlled trial.
Mental health treatment rates are increasing, but the burden of disease has not reduced. Tools to support efficient resource distribution are required. ⋯ Matching management to prognosis using a person-centred e-health platform improves depressive symptoms at 3 months compared to usual care and could feasibly be implemented at scale. Scope exists to enhance the uptake of management options.
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Remote consulting was introduced quickly into UK general practice in March 2020 as an emergency response to COVID-19. In July 2020, 'remote-first' became long-term government policy. ⋯ As the first wave of the pandemic came and went, media depictions of remote consulting evolved from an 'efficiency and safety' narrative to a 'risks, inequalities, and lack of choice' narrative. To restore public trust in general practice, public communication should emphasise the wide menu of consulting options now available to patients and measures being taken to assure safety and avoid inequity.
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Randomized Controlled Trial
Use of a personalised depression intervention in primary care to prevent anxiety: a secondary study of a cluster randomised trial.
In the predictD-intervention, GPs used a personalised biopsychosocial programme to prevent depression. This reduced the incidence of major depression by 21.0%, although the results were not statistically significant. ⋯ A personalised intervention delivered by GPs for the prevention of depression provided a modest but statistically significant reduction in the incidence of anxiety.
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Observational Study
Management of non-urgent paediatric emergency department attendances by GPs: a retrospective observational study.
Non-urgent emergency department (ED) attendances are common among children. Primary care management may not only be more clinically appropriate, but may also improve patient experience and be more cost-effective. ⋯ Given the rising demand for children's emergency services, GP in ED care models may improve the management of non-urgent ED presentations. However, further research that incorporates causative study designs is required.