The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial
Non-speculum sampling approaches for cervical screening in older women: randomised controlled trial.
Cervical cancer disproportionately affects women ≥65 years, especially those not screened regularly. Speculum use is a key barrier. ⋯ Offering non-speculum clinician-taken sampling and self-sampling substantially increases uptake in older lapsed attendee women. Non-speculum clinician sampling appeals to women who dislike the speculum but still prefer a clinician to take their sample. Providing a choice of screening modality may be important for optimising cervical screening uptake.
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Gut feelings may be useful when dealing with uncertainty, which is ubiquitous in primary care. Both patients and GPs experience this uncertainty but patients' views on gut feelings in the consultation have not been explored. ⋯ Patients accepted that GPs use gut feelings to guide decision making. Future research on this topic should include more diverse samples and address the areas of concern shared by patients and GPs.
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On 8 December 2020 NHS England administered the first COVID-19 vaccination. ⋯ The NHS rapidly delivered mass vaccination. In this study a data-monitoring framework was deployed using publicly auditable methods and a secure in situ processing model, using linked but pseudonymised patient-level NHS data for 57.9 million patients. Targeted activity may be needed to address lower vaccination coverage observed among certain key groups.