The views of singlehanded general practitioners: a qualitative study.

Green, J M

doi:10.1136/bmj.307.6904.607

Cited by 20 publications

(19 citation statements)

References 9 publications

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“…One of the biggest benefits of independence was simply stated as the freedom to make practical, personal decisions much like the single handed General Practitioners (GPs) in Green's research. 27 These "small freedoms" were often expressed in relative terms and the antithesis of being an independent was positioned as working for a large multiple. In total 22 of the 43 pharmacists had professional experience of working for multiples prior to entering the independent sector, either on permanent contract or as locums.…”

Section: Resultsmentioning

confidence: 99%

Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Duckett

2015

Research in Social and Administrative Pharmacy

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Section: Resultsmentioning

confidence: 99%

Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Duckett

2015

Research in Social and Administrative Pharmacy

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“…Absence of support from partners and practice nurses, or less flexibility in working patterns, may make doctors from singlehanded and two partner practices more cautious in managing exacerbations of asthma with lower thresholds for referral. Indeed, singlehanded doctors themselves cite professional isolation and difficulties in providing 24 hour cover as the major disincentives to singlehanded practice 29. Qualitative work such as a critical incident study of patients admitted to hospital with asthma and their general practitioners might clarify the association of higher admission rates with singlehanded practice.…”

Section: Discussionmentioning

confidence: 99%

“…A reluctance to provide structured clinics within singlehanded practice may result “as much from a different approach to primary care as from the practical constraints of factors such as inadequate premises and lack of supporting staff.”29 Some smaller partnerships may choose not to run appointment systems32 or disease management clinics,31 making proactive care more difficult and reactive care more likely. Singlehanded doctors provide a unique service 29. This style of practice will continue in east London despite changes to the general practitioner contract which disadvantage this method of delivering care.…”

Section: Discussionmentioning

confidence: 99%

Hospital admissions for asthma in east london: associations with characteristics of local general practices, prescribing, and population

Griffiths¹,

Sturdy²,

Naish³

et al. 1997

BMJ

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Objective: To determine the relative importance of appropriate prescribing for asthma in explaining high rates of hospital admission for asthma among east London general practices. Design: Poisson regression analysis describing relation of each general practice's admission rates for asthma with prescribing for asthma and characteristics of general practitioners, practices, and practice populations. Setting: East London, a deprived inner city area with high admission rates for asthma. Subjects: All 163 general practices in East London and the City Health Authority (complete data available for 124 practices). Main outcome measures: Admission rates for asthma, excluding readmissions, for ages 5-64 years; ratio of asthma prophylaxis to bronchodilator prescribing; selected characteristics of general practitioners, practices, and practice populations. Results: Median admission rate for asthma was 0.9 (range 0-3.6) per 1000 patients per year. Higher admission rates were most strongly associated with small size of practice partnership: admission rates of singlehanded and two partner practices were higher than those of practices with three or more principals by 1.7 times (95% confidence interval 1.4 to 2.0, P < 0.001) and 1.3 times (1.1 to 1.6, P = 0.001) respectively. Practices with higher rates of night visits also had significantly higher admission rates: an increase in night visiting rate by 10 visits per 1000 patients over two years was associated with an increase in admission rates for asthma by 4% (1% to 7%). These associations were independent of asthma prescribing ratios, measures of practice resources, and characteristics of practice populations. Conclusions: Higher asthma admission rates in east London practices were most strongly associated with smaller partnership size and higher rates of night visiting. Evaluating ways of helping smaller partnerships develop structured proactive care for asthma patients at high risk of admission is a priority.

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“…A quantitative study of singlehanded general practitioners might compare their prescribing and referral rates, out of hours payments, list sizes, and immunisation and cervical cytology rates with those of general practitioners in partnerships. A recent qualitative study examined the concerns of singlehanded general practitioners during semistructured interviews and identified the problems perceived by this group of doctors 2. Qualitative research can also open up different areas of research such as hospital consultants' views of their patients3 or general practitioners' accounts of uncomfortable prescribing decisions 4…”

Section: Types Of Qualitative Interviewmentioning

confidence: 99%

Qualitative Research: Qualitative interviews in medical research

Britten

1995

BMJ

1,231

911

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Much qualitative research is interview based, and this paper provides an outline of qualitative interview techniques and their application in medical settings. It explains the rationale for these techniques and shows how they can be used to research kinds of questions that are different from those dealt with by quantitative methods. Different types of qualitative interviews are described, and the way in which they differ from clinical consultations is emphasised. Practical guidance for conducting such interviews is given.

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The views of singlehanded general practitioners: a qualitative study.

Cited by 20 publications

References 9 publications

Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Hospital admissions for asthma in east london: associations with characteristics of local general practices, prescribing, and population

Qualitative Research: Qualitative interviews in medical research

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