Evidence map›Paper›PMID 35879107›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022

Perspectives of GPs working in or alongside emergency departments in England: qualitative findings from the GPs and Emergency Departments Study.

Helen Anderson, Arabella Scantlebury, Heather Leggett, Chris Salisbury, Jonathan Benger, Joy Adamson

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Helen AndersonYork Trials Unit, Department of Health Sciences, University of York, York.ORCID http://orcid.org/0000-0002-6945-0590
Arabella ScantleburyYork Trials Unit, Department of Health Sciences, University of York, York.ORCID http://orcid.org/0000-0003-3518-2740
Heather LeggettYork Trials Unit, Department of Health Sciences, University of York, York.ORCID http://orcid.org/0000-0001-8708-9842
Chris SalisburyCentre for Academic Primary Care, Population Health Sciences, Bristol Medical School, Bristol.ORCID http://orcid.org/0000-0002-4378-3960
Jonathan BengerSchool of Health and Social Wellbeing, University of the West of England, Bristol.ORCID http://orcid.org/0000-0001-6131-0916
Joy AdamsonYork Trials Unit, Department of Health Sciences, University of York, York.ORCID http://orcid.org/0000-0002-9860-0850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAround 43% of emergency department (ED) attendances can be managed in general practice. Strategies to address this include directing appropriate patients to GPs working in or alongside EDs (GPED). Views of GPs choosing to work in GPED roles may inform planning and implementation of GPED services as well as wider general practice provision.

aimTo explore the experiences and motivations of GPs choosing to work in GPED services in England, and to identify factors that may support or hinder GPs working in GPED roles. DESIGN AND

settingThematic analysis of 42 semi-structured interviews of GPs working in 10 GPED case sites across England.

methodQualitative GP interviews from a mixed-methods study of GPs in GPED roles were thematically analysed in relation to research aims.

resultsFour themes were generated: the 'pull' of a portfolio career; the 'push' of disillusionment with general practice; professional reciprocity; sustainability of GPED services and core general practice. Flexible, favourable working conditions, collaboration, and professional development made GPED an attractive workplace, often as part of a portfolio career or after retiring from core general practice. Working in GPED services was largely driven by disillusionment with core general practice. Both GPED and core general practice were thought to benefit from GPED GPs' skills. There were concerns about GPED sustainability and destabilisation of core general practice.

conclusionGPED may extend the clinical careers of experienced GPs and support recruitment and retention of more recently qualified GPs. Despite some benefits, GPED may destabilise core general practice and increase pressure on both environments.

Indexed as

emergency departmentgeneral practicegeneral practitionersqualitative research

Identifiers

PMID35879107
PMCPMC9328803

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.