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  • Royal College of General Practitioners  (17)
  • 1
    Online Resource
    Online Resource
    Predicting the duration of symptoms in lower respiratory tract infection
    Royal College of General Practitioners ; 2008
    In:  British Journal of General Practice Vol. 58, No. 547 ( 2008-02-01), p. 88-92
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 58, No. 547 ( 2008-02-01), p. 88-92
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp08X264045
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2008
    detail.hit.zdb_id: 2097982-4
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  • 2
    Online Resource
    Online Resource
    Identifying suspected breast cancer: development and validation of a clinical prediction rule
    Royal College of General Practitioners ; 2011
    In:  British Journal of General Practice Vol. 61, No. 586 ( 2011-05), p. e205-e214
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 61, No. 586 ( 2011-05), p. e205-e214
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp11X572391
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2011
    detail.hit.zdb_id: 2097982-4
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  • 3
    Online Resource
    Online Resource
    Why evidence still matters to general practice: James Mackenzie Lecture 2019
    Royal College of General Practitioners ; 2020
    In:  British Journal of General Practice Vol. 70, No. 693 ( 2020-04), p. 198-199
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 70, No. 693 ( 2020-04), p. 198-199
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp20X709241
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2020
    detail.hit.zdb_id: 2097982-4
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  • 4
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    Online Resource
    Adverse drug reactions and associated patient characteristics in older community-dwelling adults: a 6-year prospective cohort study
    Royal College of General Practitioners ; 2023
    In:  British Journal of General Practice Vol. 73, No. 728 ( 2023-03), p. e211-e219
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 73, No. 728 ( 2023-03), p. e211-e219
    Abstract: To date, research on adverse drug reactions (ADRs) has focused on secondary care, and there is a paucity of studies that have prospectively examined ADRs affecting older adults in general practice. Aim To examine the cumulative incidence and severity of ADRs and associated patient characteristics in a sample of community-dwelling older adults. Design and setting Prospective cohort study of older adults (aged ≥70 years, N = 592) recruited from 15 general practices in the Republic of Ireland. Method Manual review of the participant’s general practice electronic medical record, linked to the national dispensed prescription medicine database, and a detailed, self-reported patient postal questionnaire. The primary outcomes were ADR occurrence and severity over a 6-year period (2010–2016). Unadjusted and adjusted logistic regression models examined potential associations between patient characteristics and ADR occurrence. Results A total of 211 ADRs were recorded for 159 participants, resulting in a cumulative incidence of 26.9% over 6 years. The majority of ADRs detected were mild (89.1%), with the remainder classified as moderate (10.9%). Eight moderate ADRs, representing 34.8% of moderate ADRs and 3.8% of all ADRs, required an emergency hospital admission. ADRs were independently associated with female sex (adjusted odds ratio [OR] 1.83, 95% confidence interval [CI] = 1.17 to 2.85; P = 0.008), polypharmacy (5–9 drug classes) (adjusted OR 1.81, 95% CI = 1.17 to 2.82; P = 0.008), and major polypharmacy (≥10 drug classes) (adjusted OR = 3.33, 95% CI = 1.62 to 6.85; P = 0.001). Conclusion This prospective cohort study of ADRs in general practice shows that over one-quarter of older adults experienced an ADR over a 6-year period. Polypharmacy is independently associated with ADR risk in general practice and older adults on ≥10 drug classes should be prioritised for regular medication review.
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/BJGP.2022.0181
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2023
    detail.hit.zdb_id: 2097982-4
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  • 5
    Online Resource
    Online Resource
    Series introduction
    Royal College of General Practitioners ; 2013
    In:  British Journal of General Practice Vol. 63, No. 606 ( 2013-01), p. 40-40
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 63, No. 606 ( 2013-01), p. 40-40
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp13X660878
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2013
    detail.hit.zdb_id: 2097982-4
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  • 6
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    Online Resource
    Anticipatory care planning for older adults: a trans-jurisdictional feasibility study
    Royal College of General Practitioners ; 2020
    In:  British Journal of General Practice Vol. 70, No. suppl 1 ( 2020-06), p. bjgp20X711197-
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 70, No. suppl 1 ( 2020-06), p. bjgp20X711197-
    Abstract: As the population of older adults’ increases, the complexity of care required to support those who choose to remain in the community has also increased. Anticipatory Care Planning (ACP) through earlier identification of healthcare needs is evidenced to improve quality of life, decrease the number of aggressive futile interventions, and even to prolong life. Aim To determine the feasibility of a cluster randomised trial to evaluate the implementation and outcomes of Anticipatory Care Planning (ACP) in primary care to assist older adults identified as at risk for functional decline by developing a personalised support plan. Method GP practices were randomised into control/intervention groups stratified by jurisdiction [Northern Ireland (UK) and the Republic of Ireland (RoI)], and by setting (urban and rural). Participants were included if they were a) aged ≥70 years, b) 2 or more chronic medical conditions, c) 4 or more prescribed medications. The Antici patory Care Plan consisted of home visits where the study nurse discussed patients’ goals and plans. An action plan was put in place following consultation with patient’s GPs and study Pharmacist. Results Eight primary care practices participated; four in the UK and four in the RoI. Sample n = 64. Data was collected pertaining to patient quality of life, mental health, healthcare utilisation, costs, perception of person-centred care, and the use of potentially inappropriate medication. Conclusion Unique insights relating to the trans-jurisdictional delivery of healthcare services in the UK and RoI were observed which has implications on service delivery for older adults.
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp20X711197
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2020
    detail.hit.zdb_id: 2097982-4
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  • 7
    Online Resource
    Online Resource
    Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review
    Royal College of General Practitioners ; 2010
    In:  British Journal of General Practice Vol. 60, No. 581 ( 2010-12-01), p. e476-e488
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 60, No. 581 ( 2010-12-01), p. e476-e488
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp10X544113
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2010
    detail.hit.zdb_id: 2097982-4
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  • 8
    Online Resource
    Online Resource
    Beliefs about prescribed medication among older patients with polypharmacy: a mixed methods study in primary care
    Royal College of General Practitioners ; 2017
    In:  British Journal of General Practice Vol. 67, No. 660 ( 2017-07), p. e507-e518
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 67, No. 660 ( 2017-07), p. e507-e518
    Abstract: Polypharmacy (≥5 medications) is common in older patients and is associated with adverse outcomes. Patients’ beliefs about medication can influence their expectations for medication, adherence, and willingness to deprescribe. Few studies have examined beliefs about prescribed medication among older patients with polypharmacy in primary care. Aim To explore medication-related beliefs in older patients with polypharmacy and factors that might influence beliefs. Design and setting A mixed methods study utilising data from a randomised controlled trial aiming to decrease potentially inappropriate prescribing in older patients (≥70 years) in Ireland. Method Beliefs were assessed quantitatively and qualitatively. Participants completed the Beliefs about Medicines Questionnaire by indicating their degree of agreement with individual statements about medicines on a 5-point Likert scale. Semi-structured qualitative interviews were conducted with a purposive sample of participants. Interviews were transcribed verbatim and a thematic analysis conducted. Quantitative and qualitative data were analysed separately and triangulated during the interpretation stage. Results In total, 196 patients were included (mean age 76.7 years, SD 4.9, 54% male), with a mean of 9.5 (SD 4.1) medications per patient. The majority (96.3%) believed strongly in the necessity of their medication, while 33.9% reported strong concerns. Qualitative data confirmed these coexisting positive and negative attitudes to medications and suggested the importance of patients’ trust in GPs in establishing positive beliefs and potential willingness to deprescribe. Conclusion Participants reported strong beliefs in medications with coexisting positive and negative attitudes. The doctor–patient relationship may have influenced beliefs and attitudes towards medicines, highlighting the importance of strong doctor–patient relationships, which need to be considered in the context of deprescribing.
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp17X691073
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2017
    detail.hit.zdb_id: 2097982-4
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  • 9
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    Online Resource
    Over-the-counter cough medicines in children: neither safe or efficacious?
    Royal College of General Practitioners ; 2008
    In:  British Journal of General Practice Vol. 58, No. 556 ( 2008-11-01), p. 757-758
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 58, No. 556 ( 2008-11-01), p. 757-758
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp08X342642
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2008
    detail.hit.zdb_id: 2097982-4
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  • 10
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    Online Resource
    Characterising patient complaints in out-of-hours general practice: a retrospective cohort study in Ireland
    Royal College of General Practitioners ; 2018
    In:  British Journal of General Practice Vol. 68, No. 677 ( 2018-12), p. e860-e868
    Details
    In: British Journal of General Practice, Royal College of General Practitioners, Vol. 68, No. 677 ( 2018-12), p. e860-e868
    Abstract: Patient complaints can provide valuable insights into the quality and safety of clinical care. Studies examining the epidemiology of complaints in out-of-hours general practice internationally are limited. Aim To characterise patient complaints in an out-of-hours general practice setting. Design and setting Retrospective cohort study of patient complaints to an out-of-hours service provider in Dublin, Ireland, over a 5-year period (2011–2016). This comprises nurse-led telephone triage and GP consultations for patients with urgent problems. Method A modified version of the UK Healthcare Complaints Analysis Tool (HCAT) was utilised to code complaints, which were reviewed independently in duplicate by two academic GPs. Results Of 445 598 telephone contacts, 303 085 resulted in face-to-face GP consultations. Of 234 patients who made 298 complaints, 185 (79%) related to GP care. The remainder related to nurse triage, other staff, and management issues. A total of 109 (46%) related to children aged ≤18 years, and 134 (58%) of complainants were female. There were 0.61 complaints per 1000 GP consultations. Most complaints ( n = 126, 42%) were in relation to clinical care problems, largely diagnosis and prescribing. Common themes included unmet management expectations and clinical examination dissatisfaction. Inter-rater reliability was 90% (κ statistic 0.84, 95% confidence interval = 0.80 to 0.88). Following internal investigation, 158 (85%) of GP-related complaints were managed effectively by the out-of-hours service. Conclusion The majority of complaints related to clinical care problems and were successfully managed locally. Expectation management may be an important way to mitigate the risk of complaints.
    Type of Medium: Online Resource
    ISSN: 0960-1643 , 1478-5242
    URL: Article
    DOI: 10.3399/bjgp18X699965
    RVK:
    XA 34050
    Language: English
    Publisher: Royal College of General Practitioners
    Publication Date: 2018
    detail.hit.zdb_id: 2097982-4
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