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British Journal of General Practice

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Read About BJGP and visit BJGP Open, our primary care open access journal.

Feature

Psychosis risk

GPs rarely encounter patients with psychosis, but more commonly see patients with psychotic symptoms that do not meet diagnostic criteria for psychotic disorder, such as hearing voices or having paranoid beliefs. One-third of these patients at risk will go on to develop psychosis within 3 years. Findings in this new study show that some GPs were not familiar with the concept of being at-risk of developing psychosis. Also, when patients met criteria for a more common mental health condition, such as depression or anxiety, GPs would not always screen for psychotic symptoms. In the podcast and video, Prof. Stanley Zammit and Daniela Strelchuk explain ways that GPs can screen for psychotic symptoms.

British Journal of General Practice: 71 (702)

CURRENT ISSUE

January 2021 (Vol. 71 Issue 702) Table of Contents
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Highlights

  • Focused action is required to protect ethnic minority populations from COVID-19 post-lockdown
    28 December 2020
  • Vitamin D and COVID-19 in older age: evidence versus expectations
    28 December 2020
  • Changing media depictions of remote consulting in COVID-19: analysis of UK newspapers
    28 December 2020
  • Tale of a good GP
    26 November 2020
  • Drugs for chronic pain
    26 November 2020
  • Association of non-malignant diseases with thrombocytosis: a prospective cohort study in general...
    26 November 2020
  • Excess mortality in the first COVID pandemic peak: cross-sectional analyses of the impact of age,...
    19 October 2020
  • Pregnancy protection and pregnancies in women prescribed ACE inhibitors or ARBs: a cross-sectional...
    29 October 2020

Online First

  • Attitudes of Trans Men and Non-binary People to UK Cervical Screening
    Alison May Berner, et al
    British Journal of General Practice 12 October 2021; BJGP.2020.0905. DOI: https://doi.org/10.3399/BJGP.2020.0905
  • GPs’ and patients’ views on the value of diagnosing anxiety disorders in primary care: a qualitative interview study
    Charlotte Archer, et al
    British Journal of General Practice 19 January 2021; BJGP.2020.0959. DOI: https://doi.org/10.3399/BJGP.2020.0959
  • A smoking cessation intervention in Australian General Practice: secondary analysis of a cluster randomised controlled trial
    Rukshar K. Gobarani, et al
    British Journal of General Practice 19 January 2021; BJGP.2020.0906. DOI: https://doi.org/10.3399/BJGP.2020.0906
  • The experience of implementing and delivering group consultations in UK general practice
    Laura Swaithes, et al
    British Journal of General Practice 19 January 2021; BJGP.2020.0856. DOI: https://doi.org/10.3399/BJGP.2020.0856
  • Domestic abuse amongst female doctors: thematic analysis of qualitative interviews
    Emily Donovan, et al
    British Journal of General Practice 14 December 2020; BJGP.2020.0795. DOI: https://doi.org/10.3399/BJGP.2020.0795
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Recent Features

Media depictions of remote consulting throughout COVID-19

This new study by Oxford academics, led by Professor Trisha Greenhalgh, looked at newspaper coverage of the shift to remote consultations. It found that media depictions of remote GP consultations in the early months of the pandemic linked GPs with progress, efficiency, and safety; whereas media reports in more recent months have emphasised missed diagnoses, challenges to the therapeutic relationship, and digital inequalities. Perhaps rightly, the press have questioned why a policy originally introduced for infection control was then made permanent. Listen to the podcast interview with Dr Gilly Mroz and Professor Trisha Greenhalgh.

 

Reducing missed appointments

Missed appointments, or DNAs ('did not attends'), come at a great cost to general practice. While most view DNAs as a patient problem, this study, supported by the Health Foundation, highlights the appointment system itself as an integral cause of DNAs. This study shows the impact of quality improvement coaching, including sharing appointment system data, among practices. The findings illustrate how structural change to the appointment system can produce sustained reductions in DNA rates. Listen to the full podcast interview with Dr Tom Margham.

 

Association of non-malignant diseases with thrombocytosis

Previous research shows 11% of people with high platelet count in primary care are diagnosed with cancer in the following year. But what about diagnosing the 89%? A new study from the same team at University of Exeter flags up likely conditions. They found that inflammatory bowel disease, iron-deficiency anaemia, rheumatoid arthritis, COPD, and giant cell arteritis were more likely in patients with thrombocytosis than in those with a normal platelet count.

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Altmetric Data

Altmetric tracks attention and engagement of scholarly articles. The following list shows the articles most frequently shared in social media over the past six months.

  • Article has an altmetric score of 967
    Understanding the role of GPs’ gut feelings in diagnosing cancer in primary care: a systematic review and meta-analysis of existing evidence
    Last mentioned on Sun Dec 27 2020
  • Article has an altmetric score of 957
    Prevalence of suspected COVID-19 infection in patients from ethnic minority populations: a cross-sectional study in primary care
    Last mentioned on Mon Jan 25 2021
  • Article has an altmetric score of 202
    Primary medical care continuity and patient mortality: a systematic review
    Last mentioned on Mon Dec 14 2020
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British Journal of General Practice is an editorially-independent publication of the Royal College of General Practitioners
© 2021 British Journal of General Practice

Print ISSN: 0960-1643
Online ISSN: 1478-5242