ArticleJRSM short reports2013
Examining the practice of generalist expertise: a qualitative study identifying constraints and solutions.
Article in JRSM short reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Pooled it
- International variations in primary care physician consultation time: a systematic review of 67 countries.BMJ open · 2017Pooled it
- 10 years of mindlines: a systematic review and commentary.Implementation science : IS · 2015Pooled it
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- Bespoke to the patient: a qualitative study on learning to manage multimorbidity in family medicine.Canadian medical education journal · 2026Article
- Implementation of an e-Tool (the Provider Asthma Assessment Form) Integrated Into the Electronic Medical Record in Primary Care: Mixed Methods Survey of Perceived Utility, Practitioner Satisfaction, Barriers and Enablers.JMIR formative research · 2026Article
- Cognition in the Clinic: The Case for Cognitive Ethnography in Family Medicine.Family medicine · 2026Article
- Stories that matter: a qualitative study of general practitioners' reflections and experiences of exploring patients' impactful life stories.International journal of qualitative studies on health and well-being · 2025Article
- Impact of the new Japanese medical specialty system on residents' career choices in general medicine: a nationwide cross-sectional study.BMC medical education · 2025Observational
- Toward an identity and team-based practice rooted in transdisciplinarity: Addressing the family medicine crisis.Canadian family physician Medecin de famille canadien · 2025Article
- Exploring the GP-patient relationship: a historical narration.Medical humanities · 2025Article
- Are primary care consultations in Trinidad patient-centered? A cross-sectional study of patients with non-communicable diseases.BMC primary care · 2023Article
- Optimising a person-centred approach to stopping medicines in older people with multimorbidity and polypharmacy using the DExTruS framework: a realist review.BMC medicine · 2022Review
- Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.Health technology assessment (Winchester, England) · 2022Review
- Article
- Primary care physicians' narratives on COVID-19 responses in Japan: Professional roles evoked under a pandemic.Journal of general and family medicine · 2021Article
- Article
- The praxis of generalism in family medicine: Six concepts (6Canadian family physician Medecin de famille canadien · 2021Article
- GPs' use and understanding of the benefits and harms of treatments for long-term conditions: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Perspectives on expert generalist practice among Japanese family doctor educators: a qualitative study.BJGP open · 2021Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 2 countries.
Funding
Abstract
objectivesProvision of person-centred generalist care is a core component of quality primary care systems. The World Health Organisation believes that a lack of generalist primary care is contributing to inefficiency, ineffectiveness and inequity in healthcare. In UK primary care, General Practitioners (GPs) are the largest group of practising generalists. Yet GPs fulfil multiple roles and the pressures of delivering these roles along with wider contextual changes create real challenges to generalist practice. Our study aimed to explore GP perceptions of enablers and constraints for expert generalist care, in order to identify what is needed to ensure health systems are designed to support the generalist role.
designQualitative study in General Practice.
settingUK primary care.
main outcome measuresA qualitative study - interviews, surveys and focus groups with GPs and GP trainees. Data collection and analysis was informed by Normalisation Process Theory. DESIGN AND
settingQualitative study in General Practice. We conducted interviews, surveys and focus groups with GPs and GP trainees based mainly, but not exclusively, in the UK. Data collection and analysis were informed by Normalization Process Theory.
participantsUK based GPs (interview and surveys); European GP trainees (focus groups).
resultsOur findings highlight key gaps in current training and service design which may limit development and implementation of expert generalist practice (EGP). These include the lack of a consistent and universal understanding of the distinct expertise of EGP, competing priorities inhibiting the delivery of EGP, lack of the consistent development of skills in interpretive practice and a lack of resources for monitoring EGP.
conclusionsWE DESCRIBE FOUR AREAS FOR CHANGE: Translating EGP, Priority setting for EGP, Trusting EGP and Identifying the impact of EGP. We outline proposals for work needed in each area to help enhance the expert generalist role.
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What OpenQuestion holds
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.