ArticleBMC health services research2006
Can a GP be a generalist and a specialist? Stakeholders views on a respiratory General Practitioner with a special interest service in the UK.
Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- The work of local healthcare innovation: a qualitative study of GP-led integrated diabetes care in primary health care.BMC health services research · 2016Trial
- Trial
- A Realist Evaluation of Theory about Triggers for Doctors Choosing a Generalist or Specialist Medical Career.International journal of environmental research and public health · 2020Article
- Knowledge structure and theme trends analysis on general practitioner research: A Co-word perspective.BMC family practice · 2016Article
- A study of role expansion: a new GP role in cardiology care.BMC health services research · 2014Article
- A qualitative study of stakeholder views of a community-based anticipatory care service for patients with COPD.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
- A toolkit for incorporating genetics into mainstream medical services: Learning from service development pilots in England.BMC health services research · 2010Article
- Is multidisciplinary teamwork the key? A qualitative study of the development of respiratory services in the UK.Journal of the Royal Society of Medicine · 2009Article
- Mind the gap between policy imperatives and service provision: a qualitative study of the process of respiratory service development in England and Wales.BMC health services research · 2008Article
- GPs with special interests: unanswered questions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care practitioners have a potentially important role in the delivery of specialist care for people with long-term respiratory diseases. Within the UK the development of a General Practitioner with Special Interests (GPwSI) service delivered within Primary Care Trusts (PCTs) involves a process of 'transitional change' which impacts on the professional roles of clinicians who may embrace or resist change. In addition, the perspective of patients on the new roles is important. The objective of the current study is to explore the attitudes and views of stakeholders to the provision of a respiratory GPwSI service within the six PCTs in Leicester, UK.
methodsUsing a qualitative design, GPs, nurses, secondary care doctors, nurse specialists, physiotherapists, a healthcare manager and patients with respiratory disease took part in focus groups and in-depth interviews.
resultsThe 25 participants expressed diverse opinions about the challenge of integrating specialist services with generalist care and the specific contribution that GPs might make to the care of people with chronic respiratory disease. A range of potential roles for a respiratory GPwSI, working as part of a multi-disciplinary team, were suggested, and a number of practical issues were highlighted. Success of the GPwSI role is deemed to be dependent on having the trust of their primary and secondary care colleagues as well as patients, credibility as a practitioner, and being politically astute thereby enabling them to act as a champion supporting the transition process within the local health service.
conclusionThe introduction of a respiratory GPwSI service represents a challenge to traditional roles which, whilst broadly acceptable, raised a number of important issues for the stakeholders in our study. These perspectives need to be taken into account if workforce change is to be successfully negotiated and implemented.
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Registered trials
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.