The British journal of general practice : the journal of the Royal College of General Practitioners
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Meta Analysis
Prevalence of Burnout among General Practitioners: A Systematic Review and Meta-Analysis.
Burnout is a work-related syndrome documented to have negative consequences for GPs and their patients. ⋯ Moderate to high GP burnout exists worldwide. However, substantial variations in how burnout is characterised and operationalised has resulted in considerable heterogeneity in GP burnout prevalence estimates. This highlights the challenge of developing a uniform approach, and the importance of considering GPs' work context to better characterise burnout.
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Good access to primary care is an important determinant of population health. While the academic literature on access to care emphasises its complexity, policies aimed at improving access to general practice in the UK have tended to focus on measurable aspects, such as timeliness or number of appointments. ⋯ An understanding of access as 'human fit' has the potential to address longstanding problems of access within general practice, focusing attention on the need for staff training and support, and emphasising the importance of continuity of care.
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Focused practice within family medicine may be increasing globally, but there is limited research on the factors contributing to decisions to focus practice. ⋯ Both groups of participants unanimously viewed focused practice as a way to circumvent the burnout or exhaustion they associated with comprehensive practice in the current structure of the healthcare system. This finding, in addition to other influential factors, was consistent across the three provinces. More research is needed to understand the implications of resident and early-career family physician choices of focused practice within the physician workforce.