Primary care is the cornerstone of our NHS

Lewith, George; Peters, David H.; Manning, Chris

doi:10.3399/bjgp16x688069

Cited by 4 publications

(4 citation statements)

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“…Previous studies have examined levels of sedentary behaviour among other professions [ 17 , 18 ], however General Practice is a different working environment, with different challenges and opportunities from other professions, even within the field of healthcare. Primary care has been described as “the cornerstone” of the NHS, providing over 300 million patient consultations per year [ 19 , 20 ]. This enables General Practitioners (GPs) to play an important role in both primary and secondary prevention, by providing evidence-based lifestyle guidance to patients.…”

Section: Introductionmentioning

confidence: 99%

Sedentary behaviour among general practitioners: a systematic review

2021

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Background Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature. Methods A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data. Results The search criteria returned 1707 studies. Thirty four full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 h sitting each day, 24% between 4 and 7 h, and 16% less than or equal to 4 h. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 h and 36 min, with 56% sitting for over 6 h per day. Both studies were of satisfactory methodological quality but had a high risk of bias. Conclusion There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Sedentary behaviour among general practitioners: a systematic review

2021

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“…Primary health care, including general practice, is often hailed as the cornerstone of any health care system given that it serves as the initial point of contact for those seeking medical assistance from either a physician or other health professional. [1][2][3] However, persistent shortages of primary care clinicians has jeopardised the sector's ability to meet public demand, placing added pressure on the existing workforce to deliver such essential health services. 4,5 Recently, Manatū Hauora (the Ministry of Health) has put forth a proposal to regulate the physician associate (PA) profession under the Health Practitioners Competence Assurance Act 2003 (HPCAA) of New Zealand, with some scholars labelling it as a potential solution to Aotearoa New Zealand's primary and secondary care workforce shortages.…”

Section: Introductionmentioning

confidence: 99%

Exploring the role of physician associates in Aotearoa New Zealand primary health care

Andrew

2024

J. Prim. Health Care

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Introduction. New Zealand's health care system faces significant shortages in health care workers. To address workforce challenges and meet the population's health needs, health care systems around the world have introduced new clinical roles, such as physician associates/ assistants (PAs) into existing health care teams. Aim. This article aims to examine the benefits, challenges, and broader implications of regulating PAs in the context of New Zealand's primary care sector, with a specific emphasis on how it may impact general practice. Methods. A range of literature surrounding the role, impact, and perception of PAs were selected and included in this article. Results. The PA profession can significantly strengthen New Zealand's primary care workforce, improving patient access and continuity of care. However, the global deployment of PAs has faced scrutiny due to concerns about its potential risks to patient safety and the overall viability of such a role. Discussion. If regulated, the PA profession can reshape New Zealand's primary care, offering a partial solution to current medical staff shortages. Trained under a generalised medical model similar to doctors, PAs possess the necessary skills to perform both routine and non-routine medical tasks. This dual capability can significantly improve primary care service provision, reduce existing workloads, and allow for a more efficient deployment of doctor expertise. However, medico-legal issues and the supervisory burden can impede widespread integration into general practice. Despite challenges, the success of the PA role relies on mutual trust, respect, and support from other clinical team members within primary health care.

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“…Previous studies have examined levels of sedentary behaviour among other professions (17,18), however General Practice is a different working environment, with different challenges and opportunities from other professions, even within the eld of healthcare. Primary care has been described as "the cornerstone" of the NHS, providing over 300 million patient consultations per year (19,20). This enables General Practitioners (GPs) to play an important role in both primary and secondary prevention, by providing evidence-based lifestyle guidance to patients.…”

Section: Introductionmentioning

confidence: 99%

Sedentary Behaviour Among General Practitioners: A Systematic Review

Mayne

Hart

Heron

2020

Preprint

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BackgroundSedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature.MethodsA systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data.ResultsThe search criteria returned 1707 studies. 34 full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 hours sitting each day, 24% between 4 and 7 hours, and 16% less than or equal to 4 hours. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 hours and 36 minutes, with 56% sitting for over 6 hours per day. Both studies were of satisfactory methodological quality but had a high risk of bias.ConclusionThere is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.

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Primary care is the cornerstone of our NHS

Cited by 4 publications

References 4 publications

Sedentary behaviour among general practitioners: a systematic review

Sedentary behaviour among general practitioners: a systematic review

Exploring the role of physician associates in Aotearoa New Zealand primary health care

Sedentary Behaviour Among General Practitioners: A Systematic Review

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