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General practice 

General practice
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date: 24 July 2021

Chapter 13: General practice

1 Adapted from The King's Fund. General practice in England: an overview. The King's Fund, 2009.

2 GP capitation fee = £136/6 = £23. A&E figure from Department of Health. Reference costs 2011–12.

3 Marinker M, Peckham PJ (eds). Clinical Futures. London: BMJ Books; 1998.Find this resource:

4 Schneider EC et al. Mirror, mirror 2017: international comparison reflects flaws and opportunities for better US health care. The Commonwealth Fund; 2017.

5 Starfield (1994) quoted in Taylor RJ et al. General Practice Medicine: An Illustrated Colour Text. Edinburgh: Churchill Livingstone; 2003.Find this resource:

6 Zimmerman GL et al. A ‘stages of change’ approach to helping patients change behavior. Am Fam Physician 2000; 61(5):1409–16. this resource:

7 Storr E. Motivational interviewing: a positive approach. InnovAiT 2011; 4(9):533–8. doi:10.1093/innovait/inr045. this resource:

8 WHO/UNICEF. Alma-Ata 1978: Primary Health Care. Geneva: WHO/UNICEF; 1978.

9 OpenLearnWorks. Health management, ethics and research module: principles of primary health care.

10 Stewart MA et al. Patient-centred medicine: transforming the clinical method (2nd ed). Oxford: Radcliffe Medical Press; 2003.Find this resource:

11 Wilson A, Childs S. The effect of interventions to alter the consultation length of family physicians: a systematic review. Br J Gen Pract 2006; 56(532):876–82. PubMed ID: 17132356. this resource:

12 Balint M. The Doctor, His Patient and the Illness. Edinburgh: Churchill Livingstone; 1957.Find this resource:

13 Byrne PS et al. Doctors talking to patients. London: RCGP; 1976.

14 Stott NCH et al. The exceptional potential in each primary care consultation. JRCGP 1979; 29:201–5.

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17 Kurtz S et al. Teaching and Learning Communication Skills in Medicine (2nd ed). Oxford: Radcliffe Medical Press; 2004.Find this resource:

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19 Freeman G et al. Continuity of care and the patient experience. The King's Fund; 2010.

20 NHS Digital. Prescriptions Dispensed in the Community, Statistics for England - 2006-2016. [Note: cost per GP is total item cost in England £9,204,900,000/total GPs in England (2016) = 40,490 = £230k.]

21 Cushing A, Metcalfe R. Optimizing medicines management: from compliance to concordance Ther Clin Risk Manag 2007; 3(6):1047–58. PubMed ID: 18516274. this resource:

22 American College of Preventive Medicine. Medication adherence: improving health outcomes time tool: a resource from the American College of Preventive Medicine. 2011.

23 Bergman-Evans B. AIDES to improving medication adherence in older adults. Geriatr Nurs 2006;27:174–82. PubMed ID: 17378797.

24 Campbell NC et al. Treating hypertension with guidelines in general practise. BMJ 2004; 329(7465):523–4. PubMed ID: 15345603. this resource:

25 Heneghan C et al. Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence. Br J Gen Pract 2007; 57(545):948–52. Comment in: Br J Gen Pract 2007; 57(545):939–40, & Br J Gen Pract 2008; 58(549):277. PubMed ID: 18252069. this resource:

26 Eccles MP et al. Is untargeted educational outreach visiting delivered by pharmaceutical advisers effective in primary care? A pragmatic randomized controlled trial. Implement Sci 2007; 2(1):23. PubMed ID: 17655748. this resource:

27 Baird et al. Understanding pressures in general practice. The King’s Fund; May 2016.

28 Patient. Clinical negligence and the electronic patient record. Patient; 2015.

29 North Staffordshire Local Medical Committee. General practitioner visiting guidelines. North Staffordshire Local Medical Committee; June 2008.

30 NICE. Depression in adults with a chronic physical health problem: recognition and management (CG91). NICE; 2009.

31 British Geriatrics Society. Fit for Frailty. British Geriatrics Society; 2018.

32 NICE. Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset (NG16). NICE: 2015.

33 Office for National Statistics. Sickness absence in the labour market: 2016. Analysis describing sickness absence rates of workers in the UK labour market.

34 DVLA. Assessing fitness to drive - a guide for medical professionals. DVLA; 2018.

35 Department for Transport. Drug driving and medicine: advice for healthcare professionals. Department for Transport; 2014.

36 Civil Aviation Authority. Assessing fitness to fly. Guidelines for health professionals.

37 General Medical Council (GMC). End of life care: when to consider making a do not attempt CPR (DNACPR) decision. GMC; 2013.

38 NHS Scotland. Do not attempt cardiopulmonary resuscitation: integrated adult policy. NHS Scotland; 2010.

39 Huber M. How should we define health? BMJ 2011; 343:d4163. PubMed ID: 21791490.

40 Editorial. What is health? The ability to adapt. Lancet 2009; 373(9666):781. this resource:

41 Tudor Hart J. Three decades of the inverse care law. Commentary. BMJ 2000; 320:18–19. PubMed ID: 10671038.

42 The Black Report. Inequalities in Health: Report of a Research Working Party. London: DHSS, 1980.Find this resource:

43 RCGP. General Practice 2022. RCGP; 2012.

44 The King’s Fund. What is Social Prescribing? The King’s Fund; 2017.

45 Fletcher AE et al. Population-based multidimensional assessment of older people in UK general practice: a cluster-randomised factorial trial. Lancet 2004; 364(9446):1667–77. PubMed ID: 15530627. this resource:

46 British Heart Foundation. Do more exercise? I’d rather die! BHF, September, 2007. ('Only 38% of Brits would be motivated to do more exercise if their life depended on it, a survey for the British Heart Foundation reveals today'.)

47 UNICEF. Child poverty in perspective: an overview of child well-being in rich countries. UNICEF; 2007.

48 Luo W et al. [Comparison between the effectiveness of two oral health education program for middle-school students.] Hua Xi Kou Qiang Yi Xue Za Zhi 2007; 25(3):266–8. PubMed ID: 17629203. this resource:

49 Zarocostas J. How posters promote publish health behaviour. BMJ 2010;340:c964. PubMed ID: 20159891.

50 Jorgensen T et al. Effect of screening and lifestyle counselling on incidence of ischaemic heart disease in general population: Inter99 randomised trial. BMJ 2014; 348:3617. PubMed ID: 24912589.

51 NICE. Smoking prevention and cessation overview. NICE.

52 Raw M et al. Smoking cessation: evidence based recommendations for the healthcare system. BMJ 1999; 318(7177):182–5. PubMed ID: 9888919. this resource:

53 Whittaker R, et al. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev 2012; 11:CD006611. PubMed ID: 23152238.

54 Office for National Statistics. Statistical bulletin: Alcohol-specific deaths in the UK: registered in 2016. Deaths in the UK which are known to be direct consequences of alcohol misuse.

55 Anderson P. Effectiveness of general practice interventions for patients with harmful alcohol consumption. Br J Gen Pract 1993; 43(374):386–9. PubMed ID: 8251237. this resource:

56 Herbal Medicines.

57 Ernst E. Is reflexology and effective intervention? A systematic review of randomised controlled trials. Med J Aust 2009; 191(5):263–6. PubMed ID: 19740047. this resource:

58 Sundberg T et al. Towards a model for integrative medicine in Swedish primary care. BMC Health Serv Res 2007; 7:107 PubMed ID: 17623105.

59 Hardip S et al. The sensitivity and specificity of four questions (HARK) to identify intimate partner violence: a diagnostic accuracy study in general practice. BMC Fam Pract 2007; 8:49. PubMed ID: 17727730.

60 Arie S. Derbyshire village wins court battle. BMJ 2006; 333(7566):461. PubMed ID: 16946323. this resource:

61 Reductio Ad Absurdum. In: Internet Encyclopedia of Philosophy.

62 Griffiths C et al. How effective are expert patient (lay led) education programmes for chronic disease? BMJ 2007; 334(7606):1254–6. PubMed ID: 17569933. this resource: