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Artykuły w czasopismach na temat „GP shortage”

Autor: Grafiati

Data publikacji: 2 czerwca 2025

Data aktualizacji: 31 lipca 2025

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Gibson, Jon, Sharon Spooner, Kamila Hawthorne, Lisa Johnsen, and Matt Sutton. "An investigation into the early career intentions and training experiences of newly qualified GPs." British Journal of General Practice 69, suppl 1 (2019): bjgp19X703469. http://dx.doi.org/10.3399/bjgp19x703469.

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BackgroundMany UK areas are experiencing a shortage of GPs. Shortages present issues both for patients, who may not be able to get timely access to care, and GPs who may struggle to deliver high quality care when time is limited. Although several studies have shown how many new doctors intend to train as GPs, little is known about their career intentions as they complete training.AimTo gather cross-sectional evidence on how well prepared and motivated new GPs feel on completion of GP specialty training. Collect data about specific aspects of training, perceptions of GP work and what determines

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Picquendar, Guillaume, Antoine Guedon, Fanny Moulinet, and Matthieu Schuers. "Influence of medical shortage on GP burnout: a cross-sectional study." Family Practice 36, no. 3 (2018): 291–96. http://dx.doi.org/10.1093/fampra/cmy080.

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Golghasemgharehbagh, A., R. Pirmohammadi, and O. Hamidi. "Increasing nutritive value of white grape pomace by ensiling and drying for ruminants nutrition." Proceedings of the British Society of Animal Science 2009 (April 2009): 195. http://dx.doi.org/10.1017/s1752756200030349.

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There is increasing demand for efficient use of animal food by products due to economic and environmental concerns. Agricultural by products such as tomato pomace, citrus pulp and grape pomace (GP) may be substituted advantageously to tackle animal feed shortage. Alipour and Rouzbehan (2006) demonstrated that GP tannins have adverse effects on nutrient utilization and other nutritional parameters in ruminants. Ensiling (Makkar, 2003) and drying (Martin-Garcia and Molina-Alcaide, 2007) can be used as a method of decreasing and inactivation of tannins. The aim of this study was to determine the

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Ross, L., C. Martin, D. Ashiru-Oredope, J. Davies, and P. Donyai. "Medicines shortages in the UK: review of the causes and analysis of serious shortage protocols – a mixed methods study." International Journal of Pharmacy Practice 32, Supplement_2 (2024): ii26—ii27. http://dx.doi.org/10.1093/ijpp/riae058.031.

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Abstract Introduction Causes of medicines shortages are multifactorial. In February 2019, the Human Medicines Regulations 2012 introduced Serious Shortage Protocols (SSPs) to address medicines shortages. SSPs are issued by the Department of Health and Social Care and enable pharmacists to supply alternative medicines without amended prescriptions1. Aim This review aimed to explore contemporary reasons attributed to medicines shortages in the United Kingdom (UK) and analyse expired SSP records. Methods A rapid scoping literature review was conducted using National Library of Medicine (PubMed®)

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Nurmalia Sentono, Diva, Adiva Aphrodita, and Laksmindra Fitria. "Comparison of microscopic meat quality parameters in guinea pig [Cavia porcellus (Linnaeus, 1758)], broiler chicken, and local catfish as protein source." BIO Web of Conferences 94 (2024): 06005. http://dx.doi.org/10.1051/bioconf/20249406005.

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The amount of animal protein consumed determines the health status of individuals. Unfortunately, the rising demand for meat has resulted in a land shortage and exorbitant pricing. In Andean countries, guinea pigs (GP) have been raised for centuries as an inexpensive animal protein source like broiler chicken (BC) and local catfish (LC) in Indonesia. This study aimed to compare the meat quality of GP, BC, and LC based on their color and histomorphometry analysis. Samples were taken from the hind leg (GP), thigh (BC), and tail of frozen meats. After being observed visually to compare their colo

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Ganta, Prasanth B., Oliver Kühn, and Ashour A. Ahmed. "Ab Initio Molecular Dynamics Simulations of the Interaction between Organic Phosphates and Goethite." Molecules 26, no. 1 (2020): 160. http://dx.doi.org/10.3390/molecules26010160.

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Today’s fertilizers rely heavily on mining phosphorus (P) rocks. These rocks are known to become exhausted in near future, and therefore effective P use is crucial to avoid food shortage. A substantial amount of P from fertilizers gets adsorbed onto soil minerals to become unavailable to plants. Understanding P interaction with these minerals would help efforts that improve P efficiency. To this end, we performed a molecular level analysis of the interaction of common organic P compounds (glycerolphosphate (GP) and inositol hexaphosphate (IHP)) with the abundant soil mineral (goethite) in pres

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Wangler, Julian, and Michael Jansky. "Shortage of General Practitioners as a Topic in the Media—A Systematic Content-Related Analytical Study on Depiction Patterns (Frames) in News Media Coverage in the Federal Republic of Germany." Journalism and Media 4, no. 3 (2023): 889–900. http://dx.doi.org/10.3390/journalmedia4030056.

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The shortage of general practitioners (GPs) and the fact that country doctors’ practices are vanishing—a situation that is currently taking a turn for the worse in some regions of Germany—are issues that have been dealt with in the media as a topic of specific discussion for some time now. In the process, news coverage is dominated by certain depiction patterns, referred to as frames, which are shaped in terms of textual and visual impact. The present explorative study addresses the questions of which media depiction and interpretation patterns (frames) are encountered on the shortage of gener

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Fu, Yingjie, Jian Wang, Jiyao Sun, Shuo Zhang, and Derong Huang. "Equity in the Allocation of General Practitioner Resources in Mainland China from 2012 to 2019." Healthcare 11, no. 3 (2023): 398. http://dx.doi.org/10.3390/healthcare11030398.

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Background: General practitioners (GPs) play a vital role in primary health care services and promoting the health equity of residents, but there is a paucity of evidence on equity in the allocation of GP resources in mainland China. This study explores equity in the allocation of GP resources from 2012 to 2019 in mainland China. Methods: We used GP data from 31 provinces, autonomous regions, and municipalities in mainland China. Lorenz curves, Gini coefficients, Theil indices, and agglomeration degree were used to analyze the data. Results: The total number of GPs in China was 365,082 in 2019

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Owen, Emily, Bryan Burford, Tanya Cohen, et al. "GP workforce sustainability to maximise effective and equitable patient care: a realist review of what works, for whom and in what circumstances?" British Journal of General Practice 74, suppl 1 (2024): bjgp24X738021. http://dx.doi.org/10.3399/bjgp24x738021.

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BackgroundUK general practice has been described as being in crisis. A shortage and exodus of GPs is an urgent and challenging problem, attracting significant media attention, widespread public debate, and policy action.AimOur review aims to examine which aspects of the healthcare system affect GP workforce sustainability, how, why, and for whom.MethodA realist review is an interpretive, theory-driven approach to evidence synthesis, that brings together data from quantitative, qualitative, mixed methods research, and the wider grey literature (e.g., policy documentation). Using this data allow

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Cheshire, Anna, Damien Ridge, John Hughes, et al. "Influences on GP coping and resilience: a qualitative study in primary care." British Journal of General Practice 67, no. 659 (2017): e428-e436. http://dx.doi.org/10.3399/bjgp17x690893.

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Background‘Neoliberal’ work policies, austerity, NHS restructuring, and increased GP consultation rates provide the backdrop against increasing reports of GP burnout and an impending shortage of GPs.AimTo explore GPs’ experiences of workplace challenges and stresses, and their coping strategies, particularly focusing on understanding the impact of recent NHS workplace change.Design and settingStudy design was qualitative, with data collected from two focus groups and seven one-to-one telephone interviews.MethodFocus groups and one-to-one telephone interviews explored the experiences of GPs cur

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Fletcher, Emily, Anna Sansom, Emma Pitchforth, et al. "Overseas GP recruitment: comparing international GP training with the UK and ensuring that registration standards and patient safety are maintained." BJGP Open 3, no. 2 (2019): bjgpopen18X101640. http://dx.doi.org/10.3399/bjgpopen18x101640.

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BackgroundAmbitious overseas recruitment targets have been set by the UK government to help alleviate the current GP shortage. European Economic Area (EEA) doctors can join the UK’s GP register under European law. Non-EEA doctors must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained doctors. CEGPR applications can be time-consuming and burdensome. To meet overseas recruitment targets, it is important to facilitate the most efficient route into UK general practice while maintaining registration standards and patient safety.Ai

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Karimian, Yasaman, Abolfazl Mirzazadeh, Seyed Hamidreza Pasandideh, and Mohammad Namakshenas. "A geometric programming approach for a vendor managed inventory of a multiretailer multi-item EPQ model." RAIRO - Operations Research 54, no. 5 (2020): 1401–18. http://dx.doi.org/10.1051/ro/2019058.

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Due to the uncertain situations of the world, considering inventory management in a stochastic environment gains a lot of interest. In this paper, we propose a multi-item economic production quantity (EPQ) model with a shortage for a single-vendor, multi-retailer supply chain under vendor managed inventory (VMI) policy in a stochastic environment. Three stochastic constraints are developed in the model. Geometric programming (GP) approach is employed to find the optimal solution of the nonlinear stochastic programming problem to minimize the mean-variance of the total inventory cost of the sys

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Roeger, Leigh S., Richard L. Reed, and Bradley P. Smith. "Equity of access in the spatial distribution of GPs within an Australian metropolitan city." Australian Journal of Primary Health 16, no. 4 (2010): 284. http://dx.doi.org/10.1071/py10021.

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Equitable access to primary health care is a key objective for health policy makers. In Australia, poor access to primary care providers has been well documented for many rural areas, yet the distribution of general practitioners (GPs) in metropolitan regions remains relatively unknown. Traditional methods of determining geographic access to GPs are limited as they rely on simple population to provider ratios within artificial administrative borders and, among other things, fail to take into account patients that utilise close-by facilities outside of these borders. This study utilised special

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Kingston, Mark, and Alison Porter. "PP46 Paramedics in primary care: implementation matters." Emergency Medicine Journal 39, no. 9 (2022): e5.41. http://dx.doi.org/10.1136/emermed-2022-999.46.

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BackgroundPressures of patient demand and GP shortages have prompted a major workforce shift in primary care. Increasingly, paramedics are joining the primary care team but with wide variation in how they are employed, managed and supported. With numbers of paramedics in primary care rapidly increasing, evidence is needed to understand how PPC can be successfully implemented.MethodsWe evaluated two collaborative health board/ambulance service initiatives. Each featured advanced paramedics (APs) – paramedics with additional education - rotating between their usual role and the new primary care

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Murphy, C., X. Bray, and R. Martin. "Recruitment and organising 3rd year pharmacy undergraduates into summer placements in primary care in Southwest England." International Journal of Pharmacy Practice 30, Supplement_2 (2022): ii34—ii35. http://dx.doi.org/10.1093/ijpp/riac089.040.

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Abstract Introduction Primary care is facing a workforce shortage, especially in Southwest England (SW).1 Funding for clinical pharmacist roles in GP has an impact on community pharmacy with pharmacists leaving to take up PCN positions.2 SW has higher rate of vacancies in than nationally.3 Oriel data showed that fill rate for split foundation training placements in GP is high, however, in SW is significantly low. Aim To increase recruitment of future pharmacists in SW by offering pharmacy undergraduates paid 5-week summer placements in GP or GP/community pharmacy partnership, gaining primary c

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Daba, Ashenafi Worku, Asad Sarwar Qureshi, and Bethel Nekir Nisaren. "Evaluation of Some Rhodes Grass (Chloris gayana) Genotypes for Their Salt Tolerance, Biomass Yield and Nutrient Composition." Applied Sciences 9, no. 1 (2019): 143. http://dx.doi.org/10.3390/app9010143.

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The livestock productivity in Ethiopia is seriously constrained by the shortage of fodder due to increasing soil salinization. Therefore, restoration of salt-affected lands into productive soils through salt-tolerant forages and improved irrigation and crop management practices is crucial for enhancing the productivity of the livestock sector in Ethiopia. In this three-year study, pot trials were conducted to evaluate the impact of five different soil salinity levels (i.e., 0, 5, 10, 15, and 20 dS m−1) on plant growth, biomass production, and nutrient quality attributes of three Rhodes grass (

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Papp, Magor, László Kőrösi, János Sándor, Csilla Nagy, Attila Juhász, and Róza Ádány. "Workforce crisis in primary healthcare worldwide: Hungarian example in a longitudinal follow-up study." BMJ Open 9, no. 7 (2019): e024957. http://dx.doi.org/10.1136/bmjopen-2018-024957.

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ObjectiveThe study was designed to explore the development of the general practitioner (GP) shortage in primary care and its characteristics in Hungary.DesignLongitudinal follow-up study over the decade 2007–2016.MethodsAnalyses were performed on changes in number, age and sex of GPs by practice type (adult, paediatric and mixed), as well as on their geographical distribution and migration between areas characterised by deprivation index (DI) at municipality level. The association between deprivation and vacancy for GPs was studied by risk analysis. The number of population underserved was def

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Ngamsert, Ratsuda, Rapeepat Techarungruengsakul, Siwa Kaewplang, et al. "Optimizing Solution in Decision Supporting System for River Basin Management Consisting of a Reservoir System." Water 15, no. 14 (2023): 2510. http://dx.doi.org/10.3390/w15142510.

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Decision support systems tackle problems and require systematic planning. They consider physical data, hydrological data, and sediment levels to achieve efficiency and adaptability in various situations. Therefore, this research aims to identify alternative engineering choices for the management of a river basin with a single reservoir system. Optimization techniques, including marine predator algorithm (MPA), genetic algorithm (GA), genetic programming (GP), tabu search (TS), and flower pollination algorithm (FPA), were applied to find the optimal reservoir rule curves using a reservoir simul

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Cheshire, Anna, John Hughes, George Lewith, et al. "GPs’ perceptions of resilience training: a qualitative study." British Journal of General Practice 67, no. 663 (2017): e709-e715. http://dx.doi.org/10.3399/bjgp17x692561.

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BackgroundGPs are reporting increasing levels of burnout, stress, and job dissatisfaction, and there is a looming GP shortage. Promoting resilience is a key strategy for enhancing the sustainability of the healthcare workforce and improving patient care.AimTo explore GPs’ perspectives on the content, context, and acceptability of resilience training programmes in general practice, in order to build more effective GP resilience programmes.Design and settingThis was a qualitative study of the perspectives of GPs currently practising in England.MethodGPs were recruited through convenience samplin

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Henshaw, MBBS, MMed, FANZCA, FFPMANZCA, John S. "Do transdermal opioids reduce healthcare use in an Australian rural pain population? A comparison with oral opioids." Journal of Opioid Management 7, no. 2 (2018): 135–44. http://dx.doi.org/10.5055/jom.2011.0056.

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Objective: To determine whether transdermal (TD) opioids reduce healthcare contacts when compared with oral opioids in a rural population with chronic noncancer pain (CNCP).Design: An observational longitudinal study to measure the changes in selfreported healthcare use by the route of opioid administration over time (monthly for 1 year). Subjects were opioid-treated CNCP patients from North West Tasmania. The subjects completed the monthly datasheets by recording all healthcare contacts and the routes of opioid administration. The outcome measures of mean monthly healthcare contacts (MHCs) by

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Spooner, Sharon, Jon Gibson, Kath Checkland, et al. "Regional variation in practitioner employment in general practices in England: a comparative analysis." British Journal of General Practice 70, no. 692 (2020): e164-e171. http://dx.doi.org/10.3399/bjgp20x708185.

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BackgroundIn recent years, UK health policy makers have responded to a GP shortage by introducing measures to support increased healthcare delivery by practitioners from a wider range of backgrounds.AimTo ascertain the composition of the primary care workforce in England at a time when policy changes affecting deployment of different practitioner types are being introduced.Design and settingThis study was a comparative analysis of workforce data reported to NHS Digital by GP practices in England.MethodStatistics are reported using practice-level data from the NHS Digital June 2019 data extract

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Carson, Dean, Katherine Punshon, Matthew McGrail, and Rebecca Kippen. "Comparing rural and regional migration patterns of Australian medical general practitioners with other professions: implications for rural workforce strategies." Australian Population Studies 1, no. 1 (2017): 55–68. http://dx.doi.org/10.37970/aps.v1i1.12.

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Background: The shortage of professional workers in rural and regional Australia continues as a major policy challenge. There has been substantially more strategy investment for the medical general practitioner (GP) profession than for other professions, particularly at the start of their careers. Aims: To examine differences between domestic migration patterns of GPs and other professionals to rural and regional zones in Australia for younger, mid-life and older workers. Data and methods: Data from the Australian Bureau of Statistics (ABS) 2011 Census were used to examine five-yea

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Rind, Esther, Sigrid Emerich, Christine Preiser, Elena Tsarouha, and Monika A. Rieger. "Exploring Drivers of Work-Related Stress in General Practice Teams as an Example for Small and Medium-Sized Enterprises: Protocol for an Integrated Ethnographic Approach of Social Research Methods." JMIR Research Protocols 9, no. 2 (2020): e15809. http://dx.doi.org/10.2196/15809.

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Background An increasing shortage of skilled personnel, including medical personnel, has been reported in many postindustrial economies. Persisting and growing trends in absenteeism and incapacity to work due to mental disorders are concerning and have increased political, economic, and scientific interest in better understanding and management of determinants related to the work environment and health. Objective This study protocol describes an integrated approach of social research methods to explore determinants of work-related stress in general practice teams as an example for micro, small

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Tania, Mattarungan Monica, and Kuswidyati Cisca. "Comparison of vision screening results between trained teachers and general practitioners among elementary school students in rural Bali: A cross-sectional study." Nigerian Journal of Ophthalmology 32, no. 1 (2024): 17–21. http://dx.doi.org/10.4103/njo.njo_19_23.

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Context: Visual impairment is a major healthcare burden worldwide. The vision screening program was supposed to be conducted routinely; however, the shortage of healthcare personnel posed a significant challenge. Aims: This study was conducted to compare the visual acuity examination results of elementary school students when examined by trained teachers as lay screeners and general practitioners (GPs). Settings and Design: This was a cross-sectional study involving 2056 students from 19 elementary schools under one primary healthcare center in Gianyar. Materials and Methods: All students incl

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Irish, Bill. "There seems to be a shortage of GP equity partnerships being advertised, especially in the south west. Why do you think this is?" BMJ 330, no. 7495 (2005): s142.1—s142. http://dx.doi.org/10.1136/bmj.330.7495.s142.

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Anriot, Julien, Nadia Ikhlef, Gérard Duru, et al. "Improving melanoma screening in primary care: the Experience of the Association of French General Practitioners Practicing Dermoscopy." Dermatology Practical & Conceptual 15 (July 9, 2025): 6122. https://doi.org/10.5826/dpc.1503a6122.

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Background: Melanoma constitutes an increasing global health burden. In the light of a growing shortage of dermatologists in several countries, primary care has emerged as an optimal setting for skin cancer screening. Historically, in France, skin cancer detection was typically managed by dermatologists, while general practitioners (GPs) were barely involved. In 2021, the Association of French GPs practicing Dermoscopy was created to address this gap by promoting and legitimizing dermoscopy practice among primary care physicians. Objectives: To assess the number of melanomas detected by dermos

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Anderson, Alexander D. G., Sarah Carswell, Harry Heath, James Koutsis, and Pascale Guitera. "P024 Skin cancer referrals by nonmedical practitioners: a prospective observational study." British Journal of Dermatology 191, Supplement_1 (2024): i25. http://dx.doi.org/10.1093/bjd/ljae090.051.

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Abstract A shortage of general practitioners (GPs) and increasing healthcare burden have led to nonmedical practitioners (NMPs) assuming new roles in many countries. It is now commonplace in the UK for nurses, paramedics and other NMPs to refer patients to secondary care. Despite this, there is little real-world information regarding clinical performance. The aim of this study was to investigate the appropriateness of skin cancer referrals made by NMPs and to compare this with referrals made by local GPs. Data were collected prospectively from patients referred to an NHS hospital dermatology d

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Bhattarai, Madhur Dev. "Facilitation of free residential training inside the country – The fundamental health service responsibility of the Government and its regulatory body." Journal of Nepal Medical Association 53, no. 197 (2015): 40–69. http://dx.doi.org/10.31729/jnma.2704.

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For optimum Peripheral Health Service and implementation of various Vertical Public Health Programme Services, network of public Rural and Urban Health Centers with trained Specialists in General Practice (GP) is essential. Later such Specialist GPs will thus fulfill both comprehensive training and experience required for Health Management and Planning Service in the centre. About 40%-50% of all Residential Trainings and Specialists are required in GP. There are further up to 100 to 150 possible specialties in which remaining doctors can be trained for Specialty Health Services. Though free Re

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Dhooper, Jesmine, and Lisa Boruch. "Are Patients Aged 18–25 Reviewed After One Week of Starting a Selective Serotonin Reuptake Inhibitor in a Primary Care Setting?" BJPsych Open 11, S1 (2025): S228. https://doi.org/10.1192/bjo.2025.10572.

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Aims: The National Institute for Health and Care Excellence (NICE) recommends that individuals aged 18–25 or those at increased risk of suicide should be reviewed within one week of initiating or increasing a selective serotonin reuptake inhibitor (SSRI) dose. This study aimed to assess compliance with these guidelines in primary care, identify barriers to timely reviews, and evaluate changes following a previous audit.Methods: A retrospective review was conducted using SystmOne to identify patients aged 18–25 who started an SSRI between 1 December 2023 and 15 July 2024 in a Nottingham GP surg

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Kosasaeng, Suwapat, Nirat Yamoat, Seyed Mohammad Ashrafi, and Anongrit Kangrang. "Extracting Optimal Operation Rule Curves of Multi-Reservoir System Using Atom Search Optimization, Genetic Programming and Wind Driven Optimization." Sustainability 14, no. 23 (2022): 16205. http://dx.doi.org/10.3390/su142316205.

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This research aims to apply optimization techniques using atom search optimization (ASO), genetic programming (GP), and wind-driven optimization (WDO) with a reservoir simulation model for searching optimal rule curves of a multi-reservoir system, using the objective function with the minimum average quantity of release excess water. The multi-reservoir system consisted of five reservoirs managed by a single reservoir that caused severe problems in Sakon Nakhon province, Thailand, which was hit by floods in 2017. These included Huai Nam Bo Reservoir, the Upper Huai Sai-1 Reservoir, the Upper H

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Pribadi, Marius, Novenda Kartika Putrianto, and Purnomo Purnomo. "Designing a Macro-VBA Excel-based Kit List Printing Application for the Supporting Department of PT XYZ." Jurnal Sains dan Aplikasi Keilmuan Teknik Industri (SAKTI) 3, no. 1 (2023): 59–66. http://dx.doi.org/10.33479/jtiumc.v3i1.46.

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The recording of raw material orders in PT.XYZ must be done through the embedded ERP system in the company, Microsoft Dynamics GP. However, the system is not perfect as it is not suitable for workers who follow traditional practices. To avoid losing goods, PT XYZ has started implementing kit recording, but a shortage of workers who enter KIT data can lead to human error. To overcome this, PT XYZ can automate the printing of KIT using VBA in Microsoft Excel. VBA allows applications to work more efficiently by easily manipulating object models. Excel macros support VBA programming and enhance th

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Shahabov, I., Yuriy Mel'nikov, and A. Smyshlyaev. "COMPARATIVE ANALYSIS OF THE PERSONNEL STRUCTURE MEDICAL SPECIALTIES." Clinical Medicine and Pharmacology 6, no. 3 (2020): 53–60. http://dx.doi.org/10.12737/2409-3750-2020-6-3-53-60.

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The aim of the research is to analyze the indicators of the provision of medical personnel of various specialties in the Russian Federation and consider the number of doctors in foreign countries. The study used statistics from Rosstat in the health sector. The calculation of the specific gravity for various medical specialties was made. The main research method was trend analysis and descriptive statistics. The indicator of provision with doctors of all specialties per 10,000 population in the study period had a downward trend (–4.3%). The largest decrease occurred among pediatricians (–36.0%

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Schofield, Behnaz, Sarah Voss, Alyesha Proctor, et al. "Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study." BJGP Open 4, no. 2 (2020): bjgpopen20X101037. http://dx.doi.org/10.3399/bjgpopen20x101037.

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BackgroundGeneral practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England GPForward View proposes development of the multidisciplinary, integrated primary care workforce to support frontline service delivery, including the employment of paramedics. However, very little is known about the safety, clinical effectiveness, or cost-effectiveness of paramedics working in general practice. Research is needed to understand the potential benefits and drawbacks of this model of workforce organisation.AimTo understand how paramedics are deploy

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Rastogi, Namrata. "Healthcare’s new frontier: the digital front door." BMJ Innovations 8, no. 2 (2022): 129–32. http://dx.doi.org/10.1136/bmjinnov-2021-000874.

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Primary care has faced long-standing access challenges in the UK National Health Service (NHS) due to an increased demand on services caused by an ageing population, inadequate funding, a shortage of General Practitioners (GPs) and GP trainees and inefficient administrative processes. The pandemic accelerated digital adoption in primary care as policy and reimbursement changes led to new ways of working including telephone triage, video consultations, remote monitoring, online consultations, and text and email communication between clinicians and patients. The agenda has moved to how innovatio

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Calcedo-Barba, A., S. Paz Ruiz, V. Estévez Closas, Á. López López, L. F. Barrios, and J. Antón Basanta. "A qualitative investigation of healthcare professionals’ viewpoints of the healthcare process of persons with a serious mental illness in prisons with a traditional model for mental health care provision in Spain." European Psychiatry 66, S1 (2023): S167. http://dx.doi.org/10.1192/j.eurpsy.2023.405.

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IntroductionHealthcare delivery in prisons depends on the national Ministry of Interior in 14 of 17 autonomous regions in Spain. A traditional model for health and mental health care provision prevails.ObjectivesTo increase understanding of the mental health care process of imprisoned persons with a serious mental illness (SMI) in Spanish prisons with a traditional model of health care provision.Methods10 healthcare professionals (6 physicians, 3 nurses, 1 pharmacist) working in small (<450 imprisoners), middle size (450-1,000) and big (>1,000) prisons took part in 3 online focus groups

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Hirsch, Oliver, and Charles Adarkwah. "The Issue of Burnout and Work Satisfaction in Younger GPs—A Cluster Analysis Utilizing the HaMEdSi Study." International Journal of Environmental Research and Public Health 15, no. 10 (2018): 2190. http://dx.doi.org/10.3390/ijerph15102190.

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The shortage of general practitioners (GPs) in Germany has become a relevant problem. Therefore, it is important to find the determinants that make primary care more attractive, and which support GPs remaining in practice. Our aim in this exploratory study was to search for relevant GP subgroups and their characteristics in order to find starting points for improvements or interventions. We attempted a comprehensive survey of all GPs in the German region of Siegen-Wittgenstein with about 280,000 inhabitants. There were 158 GPs in the total population; 85 of these (53.8%) took part in the study

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Umaru, Mohamed Gassama, Bin Puteh Adam, and S. Bangura Rose. "Impact of Different Concentrations of Municipal Wastewater on Rice Seed Germination and Seedling Performance." International Journal of Environmental & Agriculture Research 7, no. 11 (2021): 18–32. https://doi.org/10.5281/zenodo.5759603.

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<strong>Abstract</strong><strong>—</strong> The major challenge faced by developing countries is to produce adequate food for their growing human population under the shortage of fresh water for agricultural activities. Laboratory experiment was conducted in a completely randomized design using sand medium with municipal wastewater and MR253 rice seed with the aim to evaluate effects of municipal wastewater (treated and untreated) at different concentrations (0, 2.5, 5, 10, 25, 50 and 100%) on seed germination and seedling performance. Significant (p<0.05) difference was observed betw

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Raymond, M. "Press: Tabloids blame asylum seekers for GP shortages." BMJ 326, no. 7383 (2003): 290. http://dx.doi.org/10.1136/bmj.326.7383.290.

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Ainsworth, Steve. "Is the end of GP shortages in sight?" Practice Management 27, no. 5 (2017): 24–25. http://dx.doi.org/10.12968/prma.2017.27.5.24.

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Iacobucci, G. "Health secretary will commission review to pinpoint GP shortages." BMJ 349, oct03 4 (2014): g6033. http://dx.doi.org/10.1136/bmj.g6033.

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Adarkwah, Charles Christian, Annette Schwaffertz, Joachim Labenz, Annette Becker, and Oliver Hirsch. "GPs’ motivation for teaching medical students in a rural area—development of the Motivation for Medical Education Questionnaire (MoME-Q)." PeerJ 7 (January 24, 2019): e6235. http://dx.doi.org/10.7717/peerj.6235.

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BackgroundThe establishment of a medical education program in the rural area of Siegen is planned to be the first step against a shortage of physicians in this region. General practitioners (GPs) will be extensively involved in this program as Family Medicine (Allgemeinmedizin) will become a core subject in the curriculum nationwide. Based on this situation we aim to figure out GPs motivation to participate in medical education. For this purpose, we had to construct and test a new questionnaire.MethodsA survey was conducted among general practitioners (GPs) in the region of Siegen-Wittgenstein

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Hrafnkelsdóttir, Ásta Evlalía, Hjalti Már Björnsson, Jón Pálmi Óskarsson, and Steinþór Runólfsson. "Training of Icelandic rural doctors in managing trauma and acute illness." Læknablaðið 109, no. 06 (2023): 283–90. http://dx.doi.org/10.17992/lbl.2023.06.747.

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INTRODUCTION: Rural medicine is in many ways different from urban primary care. In addition to providing primary care for a population, the rural doctor is tasked with the initial evaluation and stabilization of all emergencies usually managed by an Emergency Department in urban areas. The goal of this study was to assess rural doctors‘ in Iceland attendance of courses in Emergency Medicine (EM), how rural doctors grade their own ability to respond to emergencies and evaluate their Continuous Medical Education (CME) within the field of EM. MATERIALS AND METHODS: In this descriptive cross-secti

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Kovačević, Dušica. "PAMETNI UGOVOR – REVOLUCIJA U UGOVORNOM PRAVU ILI ZAMENLjIV KONSTRUKT?" Glasnik prava XIV, no. 2 (2023): 37–50. http://dx.doi.org/10.46793/gp.1402.37k.

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The development of information technologies offers a handful of opportunities for innovative phenomena, including a smart contract - a decentralized system that works using blockchain technology. The concept of the smart contract as a modern solution incorporates more dimensions of technology that create (legal) relations between its authors and the contracting party where numerous dilemmas of the legal shaping of this digital document occur. In order to shed light on the real place of smart contracts in the legal system and their impact on traditional legal patterns, the paper presents the ce

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Naccarella, Lucio. "General practitioner networks matter in primary health care team service provision." Australian Journal of Primary Health 15, no. 4 (2009): 312. http://dx.doi.org/10.1071/py08071.

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Australia is undergoing significant primary health care policy reforms in response to concerns about quality of care, increasing burden of complex and chronic diseases, and workforce shortages. Governments are encouraging multidisciplinary teamwork between general practitioners (GP) and other primary health care service providers. Essential elements of teamwork have been addressed in policy initiatives, yet important dimensions of the way GP develop and use their work-related relationships in their practice remain unrecognised. This paper draws upon a doctoral thesis that explored the types an

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Fouad, A. M., S. F. Elotla, E. Nourhan Elameen, and A. E. Mohamed. "POS1190 IMPACT OF COVID-19 PANDEMIC ON PATIENTS WITH RHEUMATIC AND MUSCULOSKELETAL DISEASES: DISRUPTIONS IN CARE AND SELF-REPORTED OUTCOMES." Annals of the Rheumatic Diseases 81, Suppl 1 (2022): 923.2–923. http://dx.doi.org/10.1136/annrheumdis-2022-eular.3.

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BackgroundThe COVID-19 pandemic represents a challenge to the care of patients with rheumatic and musculoskeletal diseases (RMDs).ObjectivesThis study aimed to evaluate the impact of the pandemic on the care of RMD patients, their health and wellbeing.MethodsThis cross-sectional study involved 120 RMDs patients at the rheumatology department at Suez Canal University Hospital in Ismailia, Egypt. Patients were interviewed for sociodemographic and disease-related history. Further assessments were performed using Kessler 6-items (1), Fear of COVID-19 scale (2), and COVID-19–Impact on Quality-of-Li

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Beerstecher, Hendrik J. "GP shortage is a mismatch problem." BMJ, September 6, 2017, j4078. http://dx.doi.org/10.1136/bmj.j4078.

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Stigler, Florian L., Carolin R. Zipp, Klaus Jeitler, Thomas Semlitsch, and Andrea Siebenhofer. "Comprehensive catalogue of international measures aimed at preventing general practitioner shortages." Family Practice, June 23, 2021. http://dx.doi.org/10.1093/fampra/cmab045.

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Abstract Background Many countries are facing a shortage and misallocation of general practitioners (GPs). The development of a policy response may benefit from the knowledge of worldwide policies that have been adopted and recommended to counteract such a development. Aim To identify measures proposed or taken internationally to prevent GP shortages. Design and Setting A literature review followed by an expert assessment focussed on sources from OECD countries. Method The literature search identified international policy documents and literature reviews in bibliographical databases, and exami

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May, Jenny, Peter Jones, Rodney Cooper, Michael Morrissey, and Graeme Kershaw. "GP perceptions of workforce shortage in a rural setting." Rural and Remote Health, August 15, 2007. http://dx.doi.org/10.22605/rrh720.

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Weißenfeld, Maja Maria, Katja Goetz, and Jost Steinhäuser. "Facilitators and barriers for the implementation of telemedicine from a local government point of view - a cross-sectional survey in Germany." BMC Health Services Research 21, no. 1 (2021). http://dx.doi.org/10.1186/s12913-021-06929-9.

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Abstract Background Telemedicine offers additional ways of delivering medical care, e.g., in primary care in rural areas. During the last decades, projects including telemedicine are being implemented worldwide. However, implementation of telemedicine is in some countries, e.g., Germany somewhat slower compared to northern European countries. One important part of successful implementation is to include the citizen perspective. The aims of this study were to explore the perception of representatives of the local government regarding telemedicine in the context of a perceived GP shortage and to

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Bakare, Tony, Wendy Moyle;, Laetitia Hattingh, and Peter Grimbeek. "The Mismatch between Australian Population and General Practice Medical Workforce." April 14, 2012. https://doi.org/10.5281/zenodo.7846.

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Aims: To review and analyse Australian general practitioner’s workforce data for the 2000 to 2010 period by comparing this to Australian population trends and to make informed recommendations about GP workforce planning. Study Design: Descriptive analysis of the available Australian government data on GP workforce and the Australian population between 2000 and 2010. Place and Duration of Study: Griffith University, Australia, between April and November 2011. Methodology: Australian GP workforce data for the 2000 to 2010 period was obtained from the Australian Department of Health and Age

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