Category: Research

SAPC Dangerous Idea: funding research through Kickstarter

Sarah Knowles (@dr_know) is a Research Fellow at the University of Manchester. Her interests are mental health, applied health services research and patient and public involvement and engagement. Since 2012, the Society for Academic Primary Care has run a competition at their Annual Conference called the Dangerous Idea Soapbox. The soapbox offers primary care clinicians and researchers a platform to share a dangerous idea that they think needs to be heard by the Academic Primary Care community. Submissions are judged prior to acceptance based on how challenging and cutting edge they are. Those chosen are presented through lightning pitches (2 minutes, 1 slide) in the Soapbox session, after which the audience can debate the ideas presented with the speakers before a final vote to decide that year’s most dangerous idea. In 2015, I presented my idea that “Health research should be crowd funded through Kickstarter”, inspired by conversations with patients and members of the public involved in research, to challenge the audience with the idea that publicly funded research should have public backing before we’re allowed to get our hands on the money. Kickstarter is a crowdfunding platform. You don’t have a product available which people choose and you then sell, like you would in a shop. Instead, you ask for investment up front from potential ‘backers’ and if you don’t get enough promised custom then your product does...

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Top 10 most read BJGP research articles published in 2015

These are the top 10 most read research articles based on full text downloads from bjgp.org. 1. Child obesity cut-offs as derived from parental perceptions: cross-sectional questionnaire. http://bjgp.org/content/65/633/e234 Parental perceptions and clinical definitions of child obesity are known to diverge; however, the extent of the discrepancy has not been documented. This study characterises parental classifications of obesity and identifies sociodemographic characteristics that predict misclassification. Also, BMI centile cut-offs for weight status are established as derived from parental perceptions. 2. Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. http://bjgp.org/content/65/635/e387.full This current review looks at management of non-malignant chronic pain as a whole, includes only randomised controlled trials, and uniquely focuses on humanistic outcomes such as pain acceptance and perceived pain control. These are of particular relevance with this self-help technique, as well as clinical and economic outcomes. 3. Help seeking for cancer ‘alarm’ symptoms: a qualitative interview study of primary care patients in the UK. http://bjgp.org/content/65/631/e96.full The Model of Pathways to Treatment highlights the importance of understanding patient appraisal and decision-to-consult processes for improving earlier diagnosis. Little is known about how people make decisions about visiting their GP for potential cancer symptoms in everyday life, without a researcher-imposed cancer perspective. This is the first qualitative, community-based study to assess how people respond to cancer ‘alarm’ symptoms outside of the cancer context. The results not only highlighted...

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Acute primary care in an integrated NHS

Professor Roger Jones is editor of the British Journal of General Practice. The tsunami of chronic disease management – the ageing population, rocketing rates of non-communicable diseases, and increasing complexity – have dominated much of the debate about the future of general practice and of the NHS. The crucial function of general practitioners in making accurate, timely diagnoses in patients presenting with acute symptoms is easily overlooked, yet is at the very core of primary care. The implications of this for mending the fractures in the system and for the design of integrated models of care came home to...

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Altmetrics: now available for BJGP articles

The world of scholarly publishing is changing rapidly, partly in response to digital publication, and also with more focus on the dissemination and implementation of published research. Traditional bibliometrics, such as the impact factor, have been used to measure aggregated citation rates as a proxy measure of journal quality. There is now more interest in looking at article-level and author-level metrics. Peer-review publication is one component of an ‘ecosystem’ of dissemination, which includes, for example, citations, news and media coverage, discussion on social media and websites, and inclusion in practice guidelines. These new metrics – ‘altmetrics’ – defined as anything that is not a citation, can be captured in a number of ways. The BJGP has launched the Altmetric donut, a colourful, arresting image which depicts the various media which have paid attention to a given article, with a numerical score reflecting the number of ‘mentions’. The Altmetric buttons, appearing within the ‘Info’ tab of each article, are not substitutes for traditional bibliometrics, but we think will become a useful addition to understanding how research results ‘get out’ and are incorporated into...

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Seismic changes in GP teaching – where will the new GPs come from?

Alex Harding is a GP and academic based in Exeter. UK General Practitioners are the largest part of the medical workforce, deliver the most care and deliver this care highly effectively. Most people who have ventured abroad and talked about health are surprised at the envious comments from patients and practitioners alike about the UK health system under the NHS. However the UK GP workforce has not kept pace with the increases in healthcare need, increases in similar workforces abroad or increases in other health professionals in the UK. In order to address this and an impending GP workforce crisis the English Department of Health has mandated HEE to ensure that by next year 50% of graduates will opt for GP training. At present however, 19% of final year students want to be GPs and many GP training schemes are struggling to recruit enough graduates. In some parts of the country there are now 40% vacancy rates. There is some good research that shows that exposure to general practice as a medical student has a strong positive effect on future career choice and so appropriate general practice experience as a medical student is an important part of workforce planning. With this in mind, we surveyed the UK medical schools regarding undergraduate and postgraduate teaching provision and how this was supported in financial and academic terms. We used standard methods to...

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