Redesigning primary care for the people who use it

Unveiling the results of the 3D trial for patients with multimorbidity in general practice

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by Chris Salibsury, Peter Bower, Stewart Mercer and Bruce Guthrie

There is good agreement about the sort of care that people with multimorbidity need. But can it be delivered in the busy setting of general practice, and does it improve outcomes? In this blog we discuss the results of the 3D trial, the largest study of an intervention for multimorbidity published to date.

Managing multimorbidity is a litmus test for modern health care systems. Patients with many long-term conditions face major challenges in managing their conditions and need significant support, which means that these patients are often associated with high costs.

Despite the complexity of caring for these patients, there is also significant agreement about what sort of care they need. Many authors have highlighted that patient-centred care is crucial, … Read more

How gut feeling guides clinician treatment decisions and why it’s not always enough

 

by Sophie Turnbull
PhD Student
Centre for Academic Primary Care

 

Clinician intuition and gut feelings are often talked about in health care but are largely mysterious. Clinicians describe just knowing that there was something wrong with a patient but not exactly how they came to that conclusion.

In a recent study we aimed to unpick how clinicians form their gut feelings, how they use them to influence treatment decisions, and whether their gut feeling was good at predicting whether a child with infectious cough would get sicker in the 30 days after seeing them.

Using gut feeling to predict outcome in children with infectious cough

Infectious cough in children is the most common problem managed by health services internationally.  Although the majority of children get better on their own, a small proportion end up hospital with a serious illness. Clinicians do not always find it easy to … Read more

How important are informal supporters of women experiencing domestic violence?

 

by Dr Alison Gregory
Research Fellow (Traumatised and Vulnerable Populations)
Centre for Academic Primary Care

 

“How important are informal supporters of women experiencing domestic violence?”: Very” – a simple answer to a complicated question. The bottom line, in terms of statistics, is that if survivors disclose their situation to anyone, it will most likely be to informal supporters (friends, relatives, neighbours and colleagues) rather than professionals.1 And this is true across the world, with research indicating that sometimes a disclosure to an informal supporter happens alongside a disclosure to a professional, but frequently this is not the case.2-5 In addition, it is not unusual for informal supporters to witness abusive behaviours, but commonly they are uncertain about what exactly it is that they are seeing, in particular, what it means, and what their role in the situation should be.6 ,7

Why are informal

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