Covid 19: a fork in the road for general practice
Open accessAbstract
We must choose a personal not an impersonal future
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Remote consulting threatens continuity of care.
“Our findings affirmed published claims that remote consulting is cognitively burdensome (54), excludes the physical touch on which the therapeutic relationship has traditionally depended (55), threatens continuity of care (7), brings greater clinical uncertainty, and makes the personal care afforded by the extended, face-to-face “long consultation” more difficult (8, 56, 57).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [7]
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Cites
The Royal College of General Practitioners
Fry, J. (1983) · Springer eBooks · doi:10.1007/978-94-011-7304-9_14 · Cited by 1,317 · see citing works
Irving, G., Neves, A. L., Dambha-Miller, H., Oishi, A., Tagashira, H., Verho, A., & Holden, J. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017902 · Cited by 1,083 · see citing works
Effectiveness of empathy in general practice: a systematic review
Derksen, F., Bensing, J., & Lagro-Janssen, A. (2013) · British Journal of General Practice · doi:10.3399/bjgp13x660814 · Cited by 1,034 · see citing works
Gray, D. P., Sidaway‐Lee, K., White, E., Thorne, A., & Evans, P. H. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-021161 · Cited by 766 · see citing works
Self-citationThe association between continuity of care and outcomes: a systematic and critical review
Van Walraven, C., Oake, N., Jennings, A., & Forster, A. J. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2009.01235.x · Cited by 644 · see citing works
Quality at general practice consultations: cross sectional survey
Howie, J. G., Heaney, D., Maxwell, M., Walker, J. J., Freeman, G. K., & Rai, H. (1999) · BMJ · doi:10.1136/bmj.319.7212.738 · Cited by 362 · see citing works
Self-citationPrimary medical care continuity and patient mortality: a systematic review
Baker, R., Freeman, G. K., Haggerty, J. L., Bankart, M. J., & Nockels, K. H. (2020) · British Journal of General Practice · doi:10.3399/bjgp20x712289 · Cited by 331 · see citing works
Self-citationBaker, R., & Streatfield, J. (1995) · PubMed · Cited by 189 · see citing works
Provider Continuity in Family Medicine: Does It Make a Difference for Total Health Care Costs?
Maeseneer, J. M. D. (2003) · The Annals of Family Medicine · doi:10.1370/afm.75 · Cited by 170 · see citing works
Mercer, S. W., Jani, B. D., Maxwell, M., Wong, S. Y., & Watt, G. C. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-6 · Cited by 154 · see citing works
The Impact of Digital-First Consultations on Workload in General Practice: Modeling Study
Salisbury, C., Murphy, M., & Duncan, P. (2020) · Journal of Medical Internet Research · doi:10.2196/18203 · Cited by 125 · see citing works
Dambha‐Miller, H., Feldman, A. L., Kinmonth, A. L., & Griffin, S. J. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2421 · Cited by 101 · see citing works
Sidaway‐Lee, K., Gray, D. P., & Evans, P. H. (2019) · British Journal of General Practice · doi:10.3399/bjgp19x701813 · Cited by 47 · see citing works
Self-citationImproving continuity: THE clinical challenge
Gray, D. P., Sidaway‐Lee, K., White, E., et al. (2016) · InnovAiT Education and inspiration for general practice · doi:10.1177/1755738016654504 · Cited by 40 · see citing works
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Greenhalgh, T., Rosen, R., Shaw, S. E., Byng, R., Faulkner, S., Finlay, T., Grundy, E., Husain, L., Hughes, G., Leone, C., et al. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.726095 · Cited by 173 · see citing works
“…burdensome (54), excludes the physical touch on which the therapeutic relationship has traditionally depended (55), threatens continuity of care (7), brings greater clinical uncertainty, and makes the personal care afforded by the extended, face-to-face “long consultation” more difficult (8, 56,…”
Background
- Authors
- Gray, D. P., Freeman, G., Johns, C., & Roland, M.
- Affiliations
- Imperial College London (GB)
- University of Cambridge (GB)
- Corresponding author
- Roland, Martin
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2020-09-28
- Volume
- 370
- Pages
- m3709
- ISSN
- 1756-1833 (ISSN-L)
- OpenAlex
- W3087848041
- Cited by
- 42
- References
- 14
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 14 · 2021: 14 · 2020: 6
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- COVID-19 pandemic, general practice, primary care, future of general practice, individualized care
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, United Kingdom, Humans, Pneumonia, Viral, Telemedicine, Coronavirus Infections, General Practice, Pandemics
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