Evidence map›Paper›PMID 28093421›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017

GP views on strategies to cope with increasing workload: a qualitative interview study.

Rebecca Fr Fisher, Caroline Hd Croxson, Helen F Ashdown, Fd Richard Hobbs

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
–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

57 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. What Are the Common Themes of Physician Resilience? A Meta-Synthesis of Qualitative Studies.International journal of environmental research and public health · 2022
    Pooled it
  4. Which patients miss appointments with general practice and the reasons why: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Pooled it
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  8. Preferences of healthcare providers regarding future follow-up care for breast, prostate, and colorectal cancer: A discrete choice experiment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  18. GP workload and patient safety.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  19. Observational
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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.

Rebecca Fr FisherNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Caroline Hd CroxsonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Helen F AshdownNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Fd Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

Funding

Department of Health DRF-2014-07-052Department of Health IS-SPC-0514-10043
6 · The paper itself

Abstract

backgroundThe existence of a crisis in primary care in the UK is in little doubt. GP morale and job satisfaction are low, and workload is increasing. In this challenging context, finding ways for GPs to manage that workload is imperative.

aimTo explore what existing or potential strategies are described by GPs for dealing with their workload, and their views on the relative merits of each. DESIGN AND

settingSemi-structured, qualitative interviews with GPs working within NHS England.

methodAll GPs working within NHS England were eligible. Of those who responded to advertisements, a maximum-variation sample was selected and interviewed until data saturation was reached. Data were analysed thematically.

resultsResponses were received from 171 GPs, and, from these, 34 were included in the study. Four main themes emerged for workload management: patient-level, GP-level, practice-level, and systems-level strategies. A need for patients to take greater responsibility for self-management was clear, but many felt that GPs should not be responsible for this education. Increased delegation of tasks was felt to be key to managing workload, with innovative use of allied healthcare professionals and extended roles for non-clinical staff suggested. Telephone triage was a commonly used tool for managing workload, although not all participants found this helpful.

conclusionThis in-depth qualitative study demonstrates an encouraging resilience among GPs. They are proactively trying to manage workload, often using innovative local strategies. GPs do not feel that they can do this alone, however, and called repeatedly for increased recruitment and more investment in primary care.

Indexed as

Attitude of Health PersonnelGeneral PractitionersPrimary Health CareAdaptation, PsychologicalHumansJob SatisfactionPersonnel LoyaltyQualitative ResearchState MedicineUnited KingdomWorkloadgeneral practicegeneral practitionersprimary health carequalitative researchworkload

Identifiers

PMID28093421
PMCPMC5308121

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.