European Journal of General Practice

German general practitioners' experiences of managing post-COVID-19 syndrome: A qualitative interview study
Schulze J, Lind L, Rojas Albert A, Lüdtke L, Hensen J, Bergelt C, Härter M and Pohontsch NJ
The management of the long-term sequelae of coronavirus disease 2019 (COVID-19) infection, known as post-COVID-19 syndrome (PCS), continues to challenge the medical community, largely owing to a significant gap in the understanding of its aetiology, diagnosis and effective treatment.
The development of a tool for GPs to manage overweight and obesity in children: A Delphi study
van der Velden MAM, van Tilborg-den Boeft M, Buis S, Jansen W, Bindels PJE and van Middelkoop M
General practitioners (GPs) could play an important role in the management of overweight and obesity in children. However, GPs experience different barriers and are in need of supportive tools. In order to support GPs to identify, address and refer these children, new tools should be developed.
Looking beyond effectiveness: Integration of social science research within international infectious disease research in primary care
Anthierens S
As researchers in primary care, we want to drive change in practice and conduct research that sparks meaningful transformation. These changes can only happen if our research work resonates in a meaningful way with the people who they are designed for, i.e. the healthcare professionals and the patients.
Diverse roles of Primary Health Care in COVID-19 vaccination across 28 European countries - Insights from the Eurodata study
Guisado-Clavero M, Gómez-Bravo R, Gefaell Larrondo I, Ramos Del Rio L, Fitzgerald L, Vinker S, Vaes B, Tsigarovski G, Torzsa P, Ticmane G, Sentker T, Serafini A, Sattler M, Streit S, Petricek G, Petrazzuoli F, Petek D, Perjés Á, Penakacherla N, Senn O, Neves AL, Nessler K, Murauskienė L, Mossong J, Kozlovska L, Segernäs A, Krztoń-Królewiecka A, Kostić M, Kırkoç Üçüncü E, Çimen Korkmaz B, Knežević S, Jandrić-Kočić M, Kastbom L, Shushman I, Ilkov O, Hoffmann K, Heleno B, Hanževački M, Gjorgjievski D, Feldman S, Domeyer PR, Delphin Peña M, Ćosić Divjak A, Busneag IC, Brutskaya-Stempkovskaya E, Bensemmane S, Bayen S, Bakola M, Adler L, Assenova R, Ares-Blanco S, Astier-Peña MP and Lingner H
The COVID-19 vaccination campaign in several European countries involved collaboration between public health and Primary Health Care (PHC).
General Practitioners practice nurses and parents' perspectives on childhood overweight management - a qualitative study
van der Velden MAM, Hassan H, Schiphof D, van Tilborg-den Boeft M, Buis S, Jansen W, Bindels PJE and Middelkoop MV
Overweight and obesity in children is a major health problem. General practice might be a promising setting for identifying and for the first steps in the management of overweight and obesity in children.
Setting targets for antibiotic use in general practice in Europe: A scoping review
Garzón-Orjuela N, Roche K, Vornhagen H, Moran A, Walkin S, Cullen W, Blake C and Vellinga A
National Action Plans (NAPs) aim to address antimicrobial resistance (AMR) understanding and awareness but struggle to translate targets into clinically relevant guidance for general practice.
Task shifting to improve practice efficiency: A survey among general practitioners in non-urban Baden-Wuerttemberg, Germany
Averbeck H, Raedler J, Dhami R, Schwill S and Fischer JE
Germany is challenged by an increasing shortage in general practice services, especially in non-urban areas. Task shifting from general practitioners (GPs) to other health professionals may improve practice efficiency to address this mismatch.
Medication management during risk of dehydration: A qualitative study among elderly patients with impaired renal function and informal caregivers
Coppes T, Philbert D, Van Riet M, van Gelder T, Bouvy M and Koster E
Patients with impaired renal function are at an increased risk of dehydration due to vomiting, diarrhoea or fever (so-called sick days). Temporary medication adjustment during sick days is necessary and current initiatives and information materials for patients are available. However, the knowledge, experiences and information needs of patients and informal caregivers about sick day guidance are unknown.
Contemporary perspectives regarding domestic violence and abuse in primary care: Cross-sectional NHS patients survey
Sivarajasingam V, Karki M, Bagkeris E and El-Osta A
Primary care plays a key role in addressing domestic violence and abuse (DVA) globally. However, DVA remains underdiagnosed and inadequately addressed in primary care, necessitating a deeper understanding of patients' perspectives in the UK.
Registration and management of children with overweight by general practitioners in The Netherlands
Hassan H, van den Driest J, Bosman A, Koes BW, Bindels PJE and van Middelkoop M
General practitioners (GPs) form the gateway to healthcare in numerous European countries. Their role in addressing and managing overweight/obesity in children is crucial. In Dutch guidelines, GPs are encouraged to proactively address weight-related issues during patient consultations, regardless of the initial reason of the visit.
'I just felt either I'm going to kill someone or I'm going to end up killing myself'. How does it feel to be burnt out as a practicing UK GP?
Whitehead IO, Moffatt S and Hanratty B
To explore how it feels to be a burnt out GP in the NHS.
Impact of COVID-19 pandemic on the accuracy of telephone triage of callers with shortness of breath and/or chest discomfort in Dutch out-of-hours primary care: A retrospective observational study
Spek M, Dobbe ASM, Zwart DL, Erkelens DCA, Geersing GJ, de Groot E, Delissen M, Rutten FH and Venekamp RP
Anecdotal reports suggest that missed diagnosis in general practice during the first wave of the COVID-19 pandemic contributed to a drop in life-threatening events (LTEs) detected in hospitals.
Exploring the experiences of GPs in establishing and operating the chronic disease management programme in clinical practice in Ireland. A qualitative study
Buckley S, O' Flynn J and Foley T
The management of chronic diseases, in the context of an ageing population and increasing life expectancy, is one of the major challenges facing the Irish health system. In 2020, a chronic disease management programme [CDM] was introduced in Irish general practice as part of a transformation in health policy to meet the changing needs of the population.
Preventing cardiovascular disease in at-risk patients: Results of a pilot behavioural health programme in general practice
Broughan J, Sietiņš E, Treanor JT, Siu KYE, Morrissey J, Doyle O, Casey M, Fitzpatrick P, McCombe G and Cullen W
The 'High-Risk Prevention Programme' (HRPP) involved a six-week health behaviour change programme based in general practices and aimed to address cardiovascular disease (CVD) risk in disadvantaged Irish communities.
Primary healthcare professionals' perceptions, attitudes and ideas regarding asthma management in Greece: A mixed-method study
Bouloukaki I, Spanias C, Ierodiakonou D, Tzanakis N, Williams S and Tsiligianni I
Implementing asthma guideline recommendations is challenging and there is variation between countries, and different healthcare professionals (HCPs). The International Primary Care Respiratory Group (IPCRG) has introduced the Asthma Right Care (ARC) programme implemented in 24 low, middle, and high countries, including Greece. It offers a promising approach drawn from social movements for health to improve asthma care by engaging HCPs in implementing guideline-based asthma care.
Generic dispensing rates for substitutable drugs prescribed by general practitioners compared with other private ambulatory specialists: A study based on a French national reimbursement database
Figoni H, Robert S, Bonello K, Ibanez G, Chastang J and Estellat C
The use of generic drugs is a way for healthcare systems to reduce costs, particularly in ambulatory care. Several studies suggest that the prescriber's speciality is associated with the use of generic drugs, and that substitutable drugs prescribed by General Practitioners (GPs) are more often generic, but this association has never been studied in France. In the French legislative context, except in rare situations, all substitutable drugs prescribed should be dispensed in generic form.
Navigating sarcoidosis: Recognizing, managing, and supporting patients in primary care
Drent M and Jans N
Sarcoidosis is a chronic multisystem inflammatory disease of unknown aetiology, characterised by noncaseating granulomas and a variable clinical presentation. Despite its global distribution, sarcoidosis is relatively rare, with the highest prevalence in northern Europe. This poses challenges for primary care physicians due to its broad spectrum of symptoms, from organ-specific manifestations to general complaints like fatigue and concentration difficulties.
Development of the face-to-face component and recruitment strategy of a primary care digital social intervention for patients with asthma: Qualitative focus groups and interviews with stakeholders
Karampatakis GD, Kimber S, Wood HE, Griffiths CJ, Taylor SJC, Li X, Day B, Mant J, Relton C, Watson JS, Marsh V, Coulson NS and De Simoni A
5.4 million people in the UK have asthma, with one third experiencing suboptimal control, leading to co-morbidities and increased healthcare use. A quarter of people with long-term conditions informally access peer support through online health communities (OHCs). However, integrating online peer support into primary care services to facilitate self-management is a new concept.
Screening tools assessing mental illness in primary care: A systematic review
Neulinger B, Ebert C, Lochbühler K, Bergmann A, Gensichen J and Lukaschek K
To better manage patients with a wide range of mental health problems, general practitioners would benefit from diagnostically accurate and time-efficient screening tools that comprehensively assess mental illness. Therefore, the aim of this systematic review was to identify screening tools that either take a multiple-mental disorder or a transdiagnostic approach. As primary and secondary outcomes, diagnostic accuracy and time efficiency were investigated.
The 'Consensus Reporting Items for Studies in Primary Care' (CRISP) statement in the European Journal of General Practice
Stoffers J and Burgers J
General practitioners' experiences with chronic abdominal symptoms and a faecal calprotectin guided referral strategy in children: A Dutch qualitative study
Ansems SM, Berger MY, van Tol DG, Olthof M and Holtman GA
General practitioners (GPs) often struggle to distinguish functional gastrointestinal disorders (FGID) from organic disorders in children with chronic abdominal symptoms. A referral strategy guided by faecal calprotectin (FCal) testing may help.