Literature DB >> 12392127

General practitioners with a special clinical interest: a model for improving respiratory disease management.

Siân Williams1, Dermot Ryan, David Price, Carol Langley, Monica Fletcher, Paul Everden.   

Abstract

Health care technology is continuously moving forward with great advances in all fields of medicine. The way in which health care is delivered has been stuck in a primary care/secondary care model, which is failing to meet patients' needs. Existing structures are inefficient because they do not maximise use of skills. A new way of delivering services is proposed using an intermediate level specialist--a general practitioner with a special clinical interest (GPSCI), to increase access at a location close to the patient while giving support to the wider primary health community. We explore how the role of GPSCI might work using the field of respiratory medicine as an exemplar. The concept is transferable to other therapeutic areas.

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Mesh：

Year:  2002        PMID： 12392127      PMCID： PMC1316090     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN： 0960-1643            Impact factor:   5.386


  29 in total

1.  Systematic reviews of evaluations of prognostic variables.

Authors:  D G Altman
Journal:  BMJ       Date:  2001-07-28

2.  The profile of respiratory conditions: why government action is necessary.

Authors:  M R Partridge
Journal:  Thorax       Date:  2001-10       Impact factor: 9.139

3.  Who should measure quality of life?

Authors:  J Addington-Hall; L Kalra
Journal:  BMJ       Date:  2001-06-09

4.  Measuring quality of life: Using quality of life measures in the clinical setting.

Authors:  I J Higginson; A J Carr
Journal:  BMJ       Date:  2001-05-26

5.  Asthma management: curtailing costs and improving patient outcomes.

Authors:  M J Massanari
Journal:  J Asthma       Date:  2000-12       Impact factor: 2.515

6.  Cost effectiveness of an outpatient multidisciplinary pulmonary rehabilitation programme.

Authors:  T L Griffiths; C J Phillips; S Davies; M L Burr; I A Campbell
Journal:  Thorax       Date:  2001-10       Impact factor: 9.139

Review 7.  Effects of physical activity in mild to moderate COPD: a systematic review.

Authors:  Niels Chavannes; J J H Vollenberg; C P van Schayck; E F M Wouters
Journal:  Br J Gen Pract       Date:  2002-07       Impact factor: 5.386

8.  Feasibility and effectiveness of a pulmonary rehabilitation programme in a community hospital setting.

Authors:  Janet A Ward; Gill Akers; David G Ward; Margaret Pinnuck; Sue Williams; Jayne Trott; David M G Halpin
Journal:  Br J Gen Pract       Date:  2002-07       Impact factor: 5.386

9.  A pilot study of pulmonary rehabilitation in primary care.

Authors:  Rupert C M Jones; Shirley Copper; Oksana Riley; Frank Dobbs
Journal:  Br J Gen Pract       Date:  2002-07       Impact factor: 5.386

10.  Correlates of asthma morbidity in primary care.

Authors:  K P Jones; D J Bain; M Middleton; M A Mullee
Journal:  BMJ       Date:  1992-02-08
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  9 in total

1.  Developing intermediate care provided by general practitioners with a special interest: the economic perspective.

Authors:  David P Kernick
Journal:  Br J Gen Pract       Date:  2003-07       Impact factor: 5.386

2.  The future of primary care paediatrics and child health.

Authors:  E Peile
Journal:  Arch Dis Child       Date:  2004-02       Impact factor: 3.791

3.  William Pickles Lecture. Young ambition's ladder.

Authors:  Jacky Hayden
Journal:  Br J Gen Pract       Date:  2003-02       Impact factor: 5.386

Review 4.  Gastroenterology services in the UK. The burden of disease, and the organisation and delivery of services for gastrointestinal and liver disorders: a review of the evidence.

Authors:  J G Williams; S E Roberts; M F Ali; W Y Cheung; D R Cohen; G Demery; A Edwards; M Greer; M D Hellier; H A Hutchings; B Ip; M F Longo; I T Russell; H A Snooks; J C Williams
Journal:  Gut       Date:  2007-02       Impact factor: 23.059

5.  General practitioners with special clinical interests.

Authors:  Rebecca Rosen; Richard Stevens; Roger Jones
Journal:  BMJ       Date:  2003-08-30

6.  Is multidisciplinary teamwork the key? A qualitative study of the development of respiratory services in the UK.

Authors:  Hilary Pinnock; Guro Huby; Alison Tierney; Sonya Hamilton; Alison Powell; Tara Kielmann; Aziz Sheikh
Journal:  J R Soc Med       Date:  2009-09       Impact factor: 5.344

7.  Child psychiatric disorders among primary mental health service attenders.

Authors:  Jon Arcelus; Panos Vostanis
Journal:  Br J Gen Pract       Date:  2003-03       Impact factor: 5.386

8.  General practitioners with a special interest in respiratory medicine: national survey of UK primary care organisations.

Authors:  Hilary Pinnock; Gopalakrishnan Netuveli; David Price; Aziz Sheikh
Journal:  BMC Health Serv Res       Date:  2005-05-27       Impact factor: 2.655

9.  Can a GP be a generalist and a specialist? Stakeholders views on a respiratory General Practitioner with a special interest service in the UK.

Authors:  Mandy A Moffat; Aziz Sheikh; David Price; Annie Peel; Siân Williams; Jen Cleland; Hilary Pinnock
Journal:  BMC Health Serv Res       Date:  2006-05-30       Impact factor: 2.655
  9 in total

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