Evidence map›Paper›PMID 17976293›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007

GPs with special interests: unanswered questions.

Juan Gérvas, Barbara Starfield, Concepción Violán, Sergio Minué

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Perceptions, experiences, and understandings of cluster headache among GPs and neurologists: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  5. Article
  6. Where is family medicine heading?Canadian family physician Medecin de famille canadien · 2016
    Article
  7. GPwSIs and ITPs in general practice: a case study in gynaecology.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Dismantling general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  13. GPs with special interests: unanswered questions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    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

4 authors.

Juan GérvasCanencia de la Sierra, Madrid, Spain. jgervasc@meditex.es
Barbara Starfield
Concepción Violán
Sergio Minué

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The NHS Plan signalled the creation of GPs with special interests (GPwSIs) in the UK. The role of a GPwSI involves the acquisition of knowledge and skills that enable GPs to dedicate a portion of their time to performing the role of consultants to their colleagues within the ambit of general practice, and with respect to specific health problems encountered. The objectives behind the introduction of GPwSIs are to improve the patient's access to specialist care, to cut waiting-list times, and to save on referral costs, (and as a consequence to increase the prestige of the GPs involved). However, the reality may not meet these expectations. Before accepting the proposition for universal implementation of GPwSIs empirical evidence is required to demonstrate that overall health is improved (of patients as well as the population); patients, especially patients of doctors working alone or in small groups (specifically in rural areas) are not disadvantaged; referral is improved and made more appropriate to the requirements of patients and their health problems; real prestige is generated, not only among GPs and students, but also among patients; biological views typical of the specialist are not promoted; and a brake is not applied to other alternatives in, or the reorganisation of, primary care.

Indexed as

Diffusion of InnovationDelivery of Health CareFamily PracticeHumans

Identifiers

PMID17976293
PMCPMC2169316

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.