The British journal of general practice : the journal of the Royal College of General Practitioners
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Depression in elderly people is an ongoing concern, contributing to comorbidities and increasing deaths from suicide. Alternative treatments for the elderly are needed due to risks from polypharmacy and unwanted side effects. Therefore, we considered music therapy and its evidence base as a possible management modality. ⋯ Depression in the elderly is a serious illness that can lead to reduced quality of life and poor health status. Non-pharmacological treatments need to be identified and music therapy can be an accessible way of doing this, with numerous benefits demonstrated.
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General practice has a diverse training programme. It is majority female (57%) and more than half of all trainees are from an ethnic minority, according to the GMC workforce report 2022. However, we are not seeing the same representation of ethnic minorities in academic general practice, with 85.1% of GP professors being White. ⋯ With such a diverse training scheme, we need to have a better representation of ethnic minorities in GP academia. There is a clear problem recruiting or attracting people from ethnic minorities to an academic career and work needs to be done to understand and overcome those barriers.
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A range of measures to improve service delivery have been introduced among persisting concerns about staff shortages in general practice. Innovations include practice networks, multidisciplinary roles, and use of digital technologies. Yet challenges remain that affect both patient care delivery and staff. Therefore, identifying what matters from a workforce perspective will help identify what matters to those delivering services. ⋯ The top 10 service delivery priorities require future policy solutions that are holistic and address underlying causes. Future research needs to explore interdependencies across the patient-workforce-service delivery nexus.
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The integration of health and social care services is a potential solution for improving care, despite monetary constraints and increasing demand. How two or more multiple long-term conditions (MLTC) cluster, interact and associate with socioeconomic factors, and affect access to unscheduled primary healthcare services is understudied. ⋯ This study identified MLTC clusters by social care need with the highest primary care demand. Targeting clinical practice to prevent MLTC progression for these groups may lessen future pressures on primary care demand.
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Each woman's experience of the perimenopause and/or menopause is individual and unique. Research shows women from ethnic minorities often have different experiences from their White peers, and these are not being considered in conversations about the menopause. Women from ethnic minorities already face barriers to help-seeking in primary care, and clinicians have expressed challenges in cross cultural communication including the risk that women from ethnic minorities' perimenopause and/or menopause health needs are not being met. ⋯ There is a need for increased awareness and trustworthy information resources to help women from ethnic minorities prepare for the menopause, and clinicians to recognise their experiences and offer support. This could improve women's immediate quality of life and potentially reduce future disease risk.