Evidence map›Paper›PMID 40533258›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025

Violence and abuse towards general practice staff by patients and the public: a scoping review.

Shihning Chou, Luke Sawyers, Giulia Cianci, Edward Tyrrell, Denise Kendrick

Abstract readScoping Review
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Violence and abuse towards general practice staff by patients and the public: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    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

5 authors.

Shihning ChouSchool of Medicine, University of Nottingham, Nottingham, UK shihning.chou@nottingham.ac.uk.ORCID 0000-0001-5512-9977
Luke SawyersSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0002-8700-5335
Giulia CianciSchool of Medicine, University of Nottingham, Nottingham, UK.
Edward TyrrellSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0003-2171-6334
Denise KendrickSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0003-3603-6542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practice is the gatekeeper to secondary care in many countries. This unique role may expose general practice staff to violence and abuse by patients and the public, yet violence and abuse in secondary care receives more attention than that in general practice. Existing reviews on primary care do not distinguish the perpetrators of violence.

aimTo analyse the evidence on: (a) the extent, characteristics, and impact of violence and abuse by patients or the public towards general practice staff and (b) the practices relating to violence and abuse prevention and support in general practice at individual and organisational levels. DESIGN AND

settingThis scoping review followed the updated Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews guidelines.

methodSix bibliographic databases, Google, and Google Scholar were systematically searched. Deduplicated citations (

resultsFifty studies from 24 countries were included. Past-year rates for violence and abuse by patients and the public towards general practice staff ranged from 13.8% to 90.3% and career-long estimates were from 18.3% to 91.0%. Long waiting times and unmet patient demands were the most common reasons. It had an impact on staff mental health, turnover intention, and service capacity. No evaluated prevention or support interventions were reported.

conclusionViolence and abuse towards general practice staff is widespread, having an impact on both individuals and service delivery. However, interventions are underresearched.

Indexed as

General PracticeViolenceWorkplace ViolenceHumansabusefamily medicinegeneral practiceprimary health caresafetyworkplace violence

Identifiers

PMID40533258
PMCPMC12745644

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.