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Protocol

Understanding and improving compound pressures in general practice: a realist review protocol

Emily Owen-Boukra, Ruth Abrams, Tanya Cohen, Claire Goodman, Cecily Henry, Laura Ingle, Kamal Mahtani, Margaret Ogden, Nia Wyn Roberts, Rupesh Shah, James Thomas, Geoff Wong and Sophie Park
BJGP Open 2026; 10 (1): BJGPO.2025.0073. DOI: https://doi.org/10.3399/BJGPO.2025.0073
Emily Owen-Boukra
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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  • ORCID record for Emily Owen-Boukra
  • For correspondence: emily.owen-boukra{at}phc.ox.ac.uk
Ruth Abrams
2 School of Health Sciences, University of Surrey, Surrey, UK
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Tanya Cohen
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Claire Goodman
3 Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK
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Cecily Henry
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Laura Ingle
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Kamal Mahtani
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Margaret Ogden
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Nia Wyn Roberts
4 Bodleian Health Care Libraries, University of Oxford, Oxford, UK
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Rupesh Shah
5 School of Engineering and Innovation, The Open University, Milton Keynes, UK
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James Thomas
6 UCL Social Research Institute, University College London, London, UK, UK
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Geoff Wong
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Sophie Park
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Article Information

vol. 10 no. 1 BJGPO.2025.0073
DOI 
https://doi.org/10.3399/BJGPO.2025.0073
PubMed 
41034144

Published By 
Royal College of General Practitioners
History 
  • Received May 23, 2025
  • Accepted July 12, 2025
  • Published online April 27, 2026.

Article Versions

  • Previous version (October 1, 2025 - 06:50).
  • Previous version (February 24, 2026 - 16:30).
  • You are viewing the most recent version of this article.
Copyright & Usage 
Copyright © 2026, The Authors This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

Author Information

  1. Emily Owen-Boukra1,*,
  2. Ruth Abrams2,
  3. Tanya Cohen1,
  4. Claire Goodman3,
  5. Cecily Henry1,
  6. Laura Ingle1,
  7. Kamal Mahtani1,
  8. Margaret Ogden1,
  9. Nia Wyn Roberts4,
  10. Rupesh Shah5,
  11. James Thomas6,
  12. Geoff Wong1 and
  13. Sophie Park1
  1. 1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
  2. 2 School of Health Sciences, University of Surrey, Surrey, UK
  3. 3 Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK
  4. 4 Bodleian Health Care Libraries, University of Oxford, Oxford, UK
  5. 5 School of Engineering and Innovation, The Open University, Milton Keynes, UK
  6. 6 UCL Social Research Institute, University College London, London, UK, UK
  1. ↵ *For correspondence:
    Emily Owen-Boukra, emily.owen-boukra{at}phc.ox.ac.uk
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Jan 2026191061
Feb 202613812071
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Understanding and improving compound pressures in general practice: a realist review protocol
Emily Owen-Boukra, Ruth Abrams, Tanya Cohen, Claire Goodman, Cecily Henry, Laura Ingle, Kamal Mahtani, Margaret Ogden, Nia Wyn Roberts, Rupesh Shah, James Thomas, Geoff Wong, Sophie Park
BJGP Open 2026; 10 (1): BJGPO.2025.0073. DOI: 10.3399/BJGPO.2025.0073

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Understanding and improving compound pressures in general practice: a realist review protocol
Emily Owen-Boukra, Ruth Abrams, Tanya Cohen, Claire Goodman, Cecily Henry, Laura Ingle, Kamal Mahtani, Margaret Ogden, Nia Wyn Roberts, Rupesh Shah, James Thomas, Geoff Wong, Sophie Park
BJGP Open 2026; 10 (1): BJGPO.2025.0073. DOI: 10.3399/BJGPO.2025.0073
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Keywords

  • compound pressures
  • general practice
  • realist review
  • patient care
  • primary health care

More in this TOC Section

  • A primary care intervention to expedite cancer diagnosis: protocol for the ThinkCancer! phase III trial
  • The Hidden Workload Study protocol: a national mixed-methods analysis of general practice workload and local demographics
  • Point-of-care ultrasound for undifferentiated and musculoskeletal presentations in UK primary care: a scoping review protocol
Show more Protocol

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