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Research

GPs’ understanding of the benefits and harms of treatments for long-term conditions: an online survey

Julian Stephen Treadwell, Geoff Wong, Coral Milburn-Curtis, Benjamin Feakins and Trisha Greenhalgh
BJGP Open 2020; 4 (1): bjgpopen20X101016. DOI: https://doi.org/10.3399/bjgpopen20X101016
Julian Stephen Treadwell
1 NIHR Doctoral Research Fellow, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
MSc, MRCGP
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  • ORCID record for Julian Stephen Treadwell
  • For correspondence: julian.treadwell{at}phc.ox.ac.uk
Geoff Wong
2 Clinical Research Fellow, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
MA, MD(Res), MRCGP, FHEA
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Coral Milburn-Curtis
3 Associate Fellow, Green Templeton College, University of Oxford, Oxford, UK
MSc (Oxon), DPhil (Oxon)
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Benjamin Feakins
4 Biostatistician, Nuffield Department of Population Health, University of Oxford, Oxford, UK
BSc, MSc, DPhil
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Trisha Greenhalgh
5 Professor of Primary Health Care, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
MD, FRCP, FRCGP, FMedSci
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  • Figure 1.
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    Figure 1. Example survey question.

    AF = atrial fibrillation. GI = gastrointestinal. TIA = transient ischaemic attack.

  • Figure 2.
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    Figure 2. Responses to four survey questions.

    AF = atrial fibrillation. ESRD = end-stage renal disease. T2DM = type 2 diabetes mellitus.

  • Figure 3.
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    Figure 3. All survey question responses collated graphically.

    Green line = correct answer.

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    Figure 4. Percentage of correct responses per survey question.

    ACEi = angiotensin-converting enzyme inhibitors. AF = atrial fibrillation. ARR = absolute risk reduction. BP = blood pressure. BPH = benign prostatic hyperplasia. CKD = chronic kidney disease. COPD = chronic obstructive pulmonary disease. CV = cardiovascular. ESRD = end-stage renal disease. Exbns = Exacerbations. HF = heart failure. HTN = hypertension. hypo = hypoglycaemia. LABA = long-acting Beta 2 agonists. MI = myocardial infarction. prim prev = primary prevention. Rx = Treatment. Sec prev = secondary prevention. T2DM = type 2 diabetes mellitus. TIA = transient ischaemic attack.

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    Figure 5. Survey responders’ confidence in their answers.

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    Table 1. Demographic characteristics of survey responders (N = 511)
    CharacteristicResponders, % (n )
    Clinical r ole : GP principal53.0 (271)
     Salaried GP26.8 (137)
     Locum GP16.6 (85)
     Retainer GP1.2 (6)
     Other2.3 (12)
    Sex : Female66.7 (341)
     Male32.9 (168)
     Other/prefer not to say0.4 (2)
    Age, years: <300.6 (3)
     30–3928.6 (146)
     40–4935.0 (179)
     50–5928.6 (146)
     ≥607.2 (37)
    Region: South West England21.7 (111)
     Greater London6.8 (35)
     South East England13.5 (69)
     East of England8.0 (41)
     East Midlands3.5 (18)
     West Midlands5.1 (26)
     North West England6.7 (34)
     North East England4.1 (21)
     Yorkshire and Humber4.1 (21)
     Northern Ireland0.8 (4)
     Wales9.4 (48)
     Scotland16.2 (83)

Supplementary Data

SUPPLEMENTARY MATERIAL

Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

  • bjgpopen20X101016_Supp.pdf
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GPs’ understanding of the benefits and harms of treatments for long-term conditions: an online survey
Julian Stephen Treadwell, Geoff Wong, Coral Milburn-Curtis, Benjamin Feakins, Trisha Greenhalgh
BJGP Open 2020; 4 (1): bjgpopen20X101016. DOI: 10.3399/bjgpopen20X101016

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GPs’ understanding of the benefits and harms of treatments for long-term conditions: an online survey
Julian Stephen Treadwell, Geoff Wong, Coral Milburn-Curtis, Benjamin Feakins, Trisha Greenhalgh
BJGP Open 2020; 4 (1): bjgpopen20X101016. DOI: 10.3399/bjgpopen20X101016
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Keywords

  • prescribing
  • family medicine
  • Comorbidity
  • long-term care
  • clinical decision-making

More in this TOC Section

  • Checklists for emergencies in general practice: Participatory design of a quick reference handbook
  • Factors affecting the likelihood of documented medication concerns in patients with multimorbidity: a cross-sectional study in primary care
  • GPs’ perspectives regarding suicide prevention: a systematic scoping review
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