ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1995
Innovation in general practice: is the gap between training and non-training practices getting wider?
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The trial behind it
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Who cites it
16 citing papers in PubMed, 34 citations in OpenAlex.
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- Implementing social prescribing in primary care in areas of high socioeconomic deprivation: process evaluation of the 'Deep End' community Links Worker Programme.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- In celebration of GP education.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Comparison of French training and non-training general practices: a cross-sectional study.BMC medical education · 2016Article
- Are family practice trainers and their host practices any better? Comparing practice trainers and non-trainers and their practices.BMC family practice · 2013Article
- Health promotion innovation in primary health care.The Australasian medical journal · 2013Article
- A healthy disposition? The use and limitations of the characteristics approach to general practice research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Supporting practice-based audit: a price to be paid for collecting data.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- Introducing a quality improvement programme to primary healthcare teams.Quality in health care : QHC · 1998Article
- Forty-seven minutes a year for the patient.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Article
- A survey of audit activity in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Article
- Training for audit.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Will the future GP remain a personal doctor?The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Training for audit: lessons still to be learned.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- The science of perpetual change.The British journal of general practice : the journal of the Royal College of General Practitioners · 1996Article
- Buccaling under the pressure: influence of secondary care establishments on the prescribing of glyceryl trinitrate buccal tablets in primary care.BMJ (Clinical research ed.)Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraining practices are more developed than non-training practices in terms of a wide range of educational and clinical activities, facilities and staff. If training practices are also adopting new innovations at a faster rate than non-training practices the gap between them will increase.
aimThe aim of this study was to determine whether, between 1982 and 1990, training practices did develop at a faster rate than non-training practices.
methodIn 1982 a questionnaire was sent to 153 practices in Gloucestershire, Avon and Somerset which all had one or more partners who were members of the Royal College of General Practitioners. A second questionnaire was sent to the same practices in 1990. Information was sought about practice features including organization, size, facilities, staff and clinical and educational activities. A total of 124 practices (62 training and non-training) completed questionnaires on both occasions.
resultsThere were substantial changes in the cohort between the surveys in 1982 and 1990, with many practices gaining, for example, a practice manager, practice nurse and purpose built premises, and introducing audits, screening activities and specific clinics. For each feature of practice a logistic regression was undertaken with training used as an explanatory variable. Training practices were more likely to develop than non-training practices for a number of features including personnel, aspects of practice organization, educational activities, clinical activities and equipment.
conclusionTraining practices are not only more developed than non-training practices but are also more innovative. The gap between training and non-training practices did grow wider between 1982 and 1990. This may be because the members of training practices are inherently more innovative, face fewer obstacles to innovation or that the scheme for approval of practices for training has encouraged specific innovations. Any future accreditation scheme for general practices must be organized to encourage accelerated development in less developed practices rather than only stimulate innovation in already advanced practices.
Indexed as
Identifiers
7619584PMC1239263W1491482347What 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.