Evidence map›Paper›PMID 1466919›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1992

General practice in Gloucestershire, Avon and Somerset: explaining variations in standards.

R Baker

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
  2. Practice size and service provision in primary care: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  3. Article
  4. Article
  5. Article
  6. Clinical governance for diabetes in primary care: use of practice guidelines and participation in multi-practice audit.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000
    Article
  7. Article
  8. Assessment of management in general practice: validation of a practice visit method.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998
    Article
  9. Should general practitioners have any role in maternity care in the future?The British journal of general practice : the journal of the Royal College of General Practitioners · 1996
    Article
  10. What type of general practice do patients prefer? Exploration of practice characteristics influencing patient satisfaction.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995
    Article
  11. Article
  12. Article
  13. Innovation in general practice: is the gap between training and non-training practices getting wider?The British journal of general practice : the journal of the Royal College of General Practitioners · 1995
    Article
  14. Practice characteristics associated with audit activity: a medical audit advisory group survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 1994
    Article
  15. Provision of obstetric care by general practitioners in the south western region of England.The British journal of general practice : the journal of the Royal College of General Practitioners · 1994
    Article
  16. Article
  17. Article
  18. Research in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1993
    Article
  19. The health divide.BMJ (Clinical research ed.) · 1993
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

R BakerDepartment of Epidemiology and Public Health Medicine, University of Bristol.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Variations in standards are found in all health services. The method and amount of funding are thought to be important reasons for these variations. A cross sectional survey of all general practices in three counties in south west England was undertaken in order to explain variations in the level of development. A development score for each practice was calculated. There was wide variation in standards as described by the level of development. Multiple regression analysis showed that being a training practice, having a practice manager, the partners having a younger mean age, a larger total number of patients registered with the practice and a lower Jarman underprivileged area score were all independently related to a higher level of practice development. In addition, the responsible family health services authority was also related to the level of development. A combination of professional factors such as the decision to become a training practice, environmental factors such as the family health services authority or the underprivileged area score and economic factors reflected in the total list size determine the level of practice development. The most easily corrected factor is the employment of a practice manager. It is suggested that differences in standards in general practice may be increased rather than decreased by the fundholding scheme.

Indexed as

Cross-Sectional StudiesEnglandFamily PracticeHumansPractice Management, MedicalQuality of Health Care

Identifiers

PMID1466919
PMCPMC1372231

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.