Evidence map›Paper›PMID 29686131›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

GPs' views of health policy changes: a qualitative 'netnography' study of UK general practice online magazine commentary.

Rebecca Elvey, Jennifer Voorhees, Simon Bailey, Taylor Burns, Damian Hodgson

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Guidance impact on primary care prescribing rates of simple analgesia: an interrupted time series analysis in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  5. What Are PWDs (People With Diabetes) Doing Online? A Netnographic Analysis.Journal of diabetes science and technology · 2019
    Observational
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

5 authors.

Rebecca ElveyCentre for Primary Care.
Jennifer VoorheesCentre for Primary Care.
Simon BaileyHealth Services Research Centre at Alliance Manchester Business School, University of Manchester, Manchester.
Taylor BurnsHealth Services Research Centre at Alliance Manchester Business School, University of Manchester, Manchester.
Damian HodgsonHealth Services Research Centre at Alliance Manchester Business School, University of Manchester, Manchester.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShifts in health policy since 2010 have brought major structural changes to the English NHS, with government stating intentions to increase GPs' autonomy and improve access to care. Meanwhile, GPs' levels of job satisfaction are low, while stress levels are high.

aimTo analyse readers' reactions to news stories about health policy changes published in an online general practice magazine. DESIGN AND

settingA qualitative 'netnography' was undertaken of readers' comments to

resultsAround 300 comments on articles published between January 2012 and March 2016 were included in the analysis, using 'access to care' as a tracer theme. Concern about the demand and strain on general practice was perhaps to be expected. However, analysis revealed various dimensions to this concern: GPs' underlying feelings about their work and place in the NHS; constraints to GPs' control of their own working practices; a perceived loss of respect for the role of GP; and disappointment with representative bodies and GP leadership.

conclusionThis study shows a complex mix of resistance and resignation in general practice about the changing character of GPs' roles. This ambivalence deserves further attention because it could potentially shape responses to further change in primary care in ways that are as yet unknown.

Indexed as

Attitude of Health PersonnelHealth PolicyInternetPeriodicals as TopicGeneral PracticeGeneral PractitionersHumansJob SatisfactionPolicy MakingQualitative ResearchState MedicineUnited Kingdomaccess to health caregeneral practicehealthcare reformhealth services researchqualitative researchwork–life balance

Identifiers

PMID29686131
PMCPMC6001998

What OpenQuestion holds

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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.