cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.25965715.v1
title: Children and young people’s consultation rates for psychosocial problems between 2016 and 2021 in the Netherlands

description: Worldwide, there are concerns about declining mental health of children and young people (CYP). To examine trends in GP consultation rates for psychosocial problems and the impact of the COVID-19 pandemic. We performed a population-based cohort study using electronic GP records of CYP (0–24 years) living in the Rotterdam metropolitan area between 2016 and 2021. We calculated monthly consultation rates for psychosocial problems, stratified by age group and sex. We used negative binomial models to model the pre-COVID-19 trend, and estimate expected rates post-COVID-19 onset. We modelled the effect of COVID-19 infection rate and school closure on consultation rates per sex and age group. The cohort increased from 64801 to 92093 CYP between January 2016 and December 2021. Median age was 12.5 years and 49.3% was female. Monthly consultation rates increased from 2,443 to 4,542 consultations per 100,000 patient months over the six years. This trend (RR 1.009, 95%CI 1.008–1.011) started well before the COVID-19 pandemic. Consultation rates of adolescent girls and young women increased most strongly. Between March and May 2020, there was a temporary reduction in consultation rates, whereupon these returned to expected levels. COVID-19 infection rate and school closures showed small but significant associations with consultation rates for psychosocial problems but this did not affect the overall trend. Although consultation rates for psychosocial problems increased, this increment was stable over the entire study period. The COVID-19 pandemic did not significantly increase consultation rates for psychosocial problems in CYP. The consultation rates increased, especially in adolescent girls and young women. CYP’ consultation rates for psychosocial problems within general practice almost doubled between 2016 and 2021 in the Rotterdam metropolitan area, the Netherlands. This increase was steady over time and was not affected by the COVID-19 pandemic. Consultation rates in general practice for psychosocial problems increased most strongly in adolescent girls and young women
DOI: 10.6084/m9.figshare.27320366
title: Task shifting to improve practice efficiency: A survey among general practitioners in non-urban Baden-Wuerttemberg, Germany

description: Germany is challenged by an increasing shortage in general practice services, especially in non-urban areas. Task shifting from general practitioners (GPs) to other health professionals may improve practice efficiency to address this mismatch. Exploring GPs’ motives and beliefs towards task shifting in non-urban Germany and identifying potential factors influencing these. The cross-sectional survey was disseminated by mail in three waves between July 2021 and August 2022 among all GPs in non-urban Baden-Wuerttemberg, Germany. It included items on demographics and practice characteristics as well as 15 Likert-scale items addressing motives and beliefs towards task shifting, based on the Theoretical Domain Framework. Likert-scale items were analysed descriptively, influencing factors on motives and beliefs were identified using multiple linear regression. Response rate was 24.2% (281/1162), with respondents comparable in age and gender to all GPs in Baden-Wuerttemberg. GPs’ motives and beliefs towards task shifting are positive overall. The majority expects task shifting to reduce their workload (87.9%) and increase practice efficiency (74.7%). They are open to shift additional tasks to other professionals (69.1%), even in the currently prohibited form of substitution (51.2%). Motives and beliefs were significantly more positive among younger GPs and those participating in the GP-centred care programme. This study describes GPs’ motives and beliefs towards task shifting in non-urban Germany. Identifying younger GPs and those participating in the GP-centred care programme as particularly endorsing may help design future interventions aiming to improve efficiency in general practice in non-urban Germany. The majority of participants, especially young GPs, hold positive motives and beliefs about task shifting in general practice. The GP-centred care programme, as an alternative to the regular remuneration system, influences motives and beliefs towards task shifting. Legal adjustments seem warranted, as GPs support task shifting in the more extensive form of substitution, currently prohibited by law.
DOI: 10.6084/m9.figshare.27320366.v1
title: Task shifting to improve practice efficiency: A survey among general practitioners in non-urban Baden-Wuerttemberg, Germany

description: Germany is challenged by an increasing shortage in general practice services, especially in non-urban areas. Task shifting from general practitioners (GPs) to other health professionals may improve practice efficiency to address this mismatch. Exploring GPs’ motives and beliefs towards task shifting in non-urban Germany and identifying potential factors influencing these. The cross-sectional survey was disseminated by mail in three waves between July 2021 and August 2022 among all GPs in non-urban Baden-Wuerttemberg, Germany. It included items on demographics and practice characteristics as well as 15 Likert-scale items addressing motives and beliefs towards task shifting, based on the Theoretical Domain Framework. Likert-scale items were analysed descriptively, influencing factors on motives and beliefs were identified using multiple linear regression. Response rate was 24.2% (281/1162), with respondents comparable in age and gender to all GPs in Baden-Wuerttemberg. GPs’ motives and beliefs towards task shifting are positive overall. The majority expects task shifting to reduce their workload (87.9%) and increase practice efficiency (74.7%). They are open to shift additional tasks to other professionals (69.1%), even in the currently prohibited form of substitution (51.2%). Motives and beliefs were significantly more positive among younger GPs and those participating in the GP-centred care programme. This study describes GPs’ motives and beliefs towards task shifting in non-urban Germany. Identifying younger GPs and those participating in the GP-centred care programme as particularly endorsing may help design future interventions aiming to improve efficiency in general practice in non-urban Germany. The majority of participants, especially young GPs, hold positive motives and beliefs about task shifting in general practice. The GP-centred care programme, as an alternative to the regular remuneration system, influences motives and beliefs towards task shifting. Legal adjustments seem warranted, as GPs support task shifting in the more extensive form of substitution, currently prohibited by law.
DOI: 10.6084/m9.figshare.27901017
title: ‘I just felt either I’m going to kill someone or I’m going to end up killing myself’. How does it feel to be burnt out as a practicing UK GP?

description: To explore how it feels to be a burnt out GP in the NHS. In depth qualitative interviews with 16 UK GPs with self-declared ‘lived experience’ of burnout. United Kingdom Primary Care. Seven male and nine female GPs described their experiences of burnout to a peer researcher. Themes identified were exhaustion and depersonalisation, mental and physical illness, identity and existential crises, and finally tenacity and resilience. Participants were self-reflective and described distress, shame, stigma, and guilt, including times of suicidal behaviour and isolation due to their burnout. Burnout threatens a GP’s sense of identity, purpose, and functioning in their lives, and ultimately can be life-threatening. Active listening to GP distress and a system wide approach to managing distress and burnout is urgently required. GP burnout can have life threatening effects on physical, mental, and spiritual health, with long term health and social sequelae. Despite this, GPs describe resilience, tenacity, and a strong sense of ongoing vocation. Urgent systemic action is needed to listen to GPs with experience of burnout.
DOI: 10.6084/m9.figshare.27901017.v1
title: ‘I just felt either I’m going to kill someone or I’m going to end up killing myself’. How does it feel to be burnt out as a practicing UK GP?

description: To explore how it feels to be a burnt out GP in the NHS. In depth qualitative interviews with 16 UK GPs with self-declared ‘lived experience’ of burnout. United Kingdom Primary Care. Seven male and nine female GPs described their experiences of burnout to a peer researcher. Themes identified were exhaustion and depersonalisation, mental and physical illness, identity and existential crises, and finally tenacity and resilience. Participants were self-reflective and described distress, shame, stigma, and guilt, including times of suicidal behaviour and isolation due to their burnout. Burnout threatens a GP’s sense of identity, purpose, and functioning in their lives, and ultimately can be life-threatening. Active listening to GP distress and a system wide approach to managing distress and burnout is urgently required. GP burnout can have life threatening effects on physical, mental, and spiritual health, with long term health and social sequelae. Despite this, GPs describe resilience, tenacity, and a strong sense of ongoing vocation. Urgent systemic action is needed to listen to GPs with experience of burnout.
DOI: 10.6084/m9.figshare.26880599
title: How to overcome information and communication barriers in Human Papillomavirus vaccination? A SWOT analysis based on the opinions of European family doctors in contact with young people and their parents

description: Family doctors (FDs)/General practitioners (GPs) are the key contact points for young people and their parents regarding Human Papillomavirus (HPV) vaccination. However, their recommendations are influenced by communication skills. Under the EU4Health project, PROTECT-EUROPE, WONCA Europe led a task to identify and analyse strategies for clinicians’ interpersonal communication skills when discussing HPV and its vaccination with young people and their parents. Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis using qualitative data focused on HPV vaccine acceptance and communication with the target population. FDs/GPs, members of WONCA Europe, were recruited using convenience and snowball sampling through surveys at conferences and emails. 223 FDs/GPs from 36 countries participated. Strengths included face-to-face communication, extensively used to promote the HPV vaccine. Weaknesses involved financial constraints, limited knowledge about gender-neutral vaccination, safety concerns, and time pressure during the consultations. Opportunities included confidentiality, open dialogue, trusting relationship between FDs/GPs and the target population, continuing medical education, school training, and questions & answers sessions to increase vaccine communication. Threats included social norms and cultures, stigmas against HPV, and anti-vaccination movements hindering discussions on HPV vaccination. It is crucial to train FDs/GPs to address knowledge gaps, enhance communication skills, and maintain a trusting relationship with patients when discussing HPV vaccination. Overcoming financial barriers and ensuring gender-neutral vaccination programs are accessible across Europe are also essential. Providing accurate information through the web- and school-based channels and developing community-oriented approaches targeting sociocultural factors and different needs to eliminate HPV vaccine stigmas should be considered when recommending the vaccine. Face-to-face, trust-based communication is a strength and opportunity for FDs/GPs to promote the HPV vaccine in all countries. The lack of free-of-charge, nationally implemented gender-neutral vaccination represents a policy weakness needing improvement. Stigma and vaccine hesitancy pose major threats, which FDs/GPs must proactively address, supported by robust public health policies.
DOI: 10.6084/m9.figshare.26880599.v1
title: How to overcome information and communication barriers in Human Papillomavirus vaccination? A SWOT analysis based on the opinions of European family doctors in contact with young people and their parents

description: Family doctors (FDs)/General practitioners (GPs) are the key contact points for young people and their parents regarding Human Papillomavirus (HPV) vaccination. However, their recommendations are influenced by communication skills. Under the EU4Health project, PROTECT-EUROPE, WONCA Europe led a task to identify and analyse strategies for clinicians’ interpersonal communication skills when discussing HPV and its vaccination with young people and their parents. Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis using qualitative data focused on HPV vaccine acceptance and communication with the target population. FDs/GPs, members of WONCA Europe, were recruited using convenience and snowball sampling through surveys at conferences and emails. 223 FDs/GPs from 36 countries participated. Strengths included face-to-face communication, extensively used to promote the HPV vaccine. Weaknesses involved financial constraints, limited knowledge about gender-neutral vaccination, safety concerns, and time pressure during the consultations. Opportunities included confidentiality, open dialogue, trusting relationship between FDs/GPs and the target population, continuing medical education, school training, and questions & answers sessions to increase vaccine communication. Threats included social norms and cultures, stigmas against HPV, and anti-vaccination movements hindering discussions on HPV vaccination. It is crucial to train FDs/GPs to address knowledge gaps, enhance communication skills, and maintain a trusting relationship with patients when discussing HPV vaccination. Overcoming financial barriers and ensuring gender-neutral vaccination programs are accessible across Europe are also essential. Providing accurate information through the web- and school-based channels and developing community-oriented approaches targeting sociocultural factors and different needs to eliminate HPV vaccine stigmas should be considered when recommending the vaccine. Face-to-face, trust-based communication is a strength and opportunity for FDs/GPs to promote the HPV vaccine in all countries. The lack of free-of-charge, nationally implemented gender-neutral vaccination represents a policy weakness needing improvement. Stigma and vaccine hesitancy pose major threats, which FDs/GPs must proactively address, supported by robust public health policies.
DOI: 10.6084/m9.figshare.28000311
title: The impact of COVID-19 pandemic on Primary Health Care through ‘health providers’ eyes’: Α qualitative study of focus groups and individual interviews in Greece

description: Primary Health Care (PHC) was the cornerstone of the pandemic response. We aimed to explore the positive and negative impact of the pandemic, during its final wave, through ‘PHC providers’ eyes’, as well as their recommendations towards restructuring and enhancing PHC services. A two-phase qualitative study was conducted, pursuing data triangulation from Focus Groups (FGs) and individual, semi-structured interviews for the purposes of data completeness and confirmation (summer 2022 and spring 2023, respectively). A purposive sample of settings was employed, including in total five PHC units according to location with different population distribution; one in Athens (FGs) and four in Northern Greece (interviews). Inductive content analysis was used. In total, 24 PHC professionals participated in FGs, whereas 17 were individually interviewed. Our findings reflect a general understanding of the pandemic’s positive imprint, namely acceleration of digitalisation, establishment of health protection measures, recognition of PHC’s role, raise in public awareness of primary prevention, team-cooperation, increase in providers’ self-efficacy, appointment of health professionals and re-organisation of accessibility. The negative impact is summarised in fatigue/burnout in PHC providers, patient safety concerns and changes in patients’ behaviour. To increase resilience, participants suggest restructuring PHC, recruiting PHC personnel and enhancing digital infrastructure, maintenance of sanitary protection measures, investment in quality, and empowering patients through health literacy. Based on the lessons learnt, building further on the pandemic-accelerated digitalisation, emphasising on quality improvement and patient safety, ensuring providers’ well-being, and empowering citizens through health literacy could be key in promoting PHC resilience. PHC could build upon digitalisation, its role’s recognition, establishment of protective measures, raise in public awareness of primary prevention, team-cooperation and providers’ self-efficacy that the pandemic brought. Emphasising on quality improvement and patient safety, promoting professionals’ well-being and empowering citizens through health literacy could be key in strengthening PHC resilience.
DOI: 10.6084/m9.figshare.28000311.v1
title: The impact of COVID-19 pandemic on Primary Health Care through ‘health providers’ eyes’: Α qualitative study of focus groups and individual interviews in Greece

description: Primary Health Care (PHC) was the cornerstone of the pandemic response. We aimed to explore the positive and negative impact of the pandemic, during its final wave, through ‘PHC providers’ eyes’, as well as their recommendations towards restructuring and enhancing PHC services. A two-phase qualitative study was conducted, pursuing data triangulation from Focus Groups (FGs) and individual, semi-structured interviews for the purposes of data completeness and confirmation (summer 2022 and spring 2023, respectively). A purposive sample of settings was employed, including in total five PHC units according to location with different population distribution; one in Athens (FGs) and four in Northern Greece (interviews). Inductive content analysis was used. In total, 24 PHC professionals participated in FGs, whereas 17 were individually interviewed. Our findings reflect a general understanding of the pandemic’s positive imprint, namely acceleration of digitalisation, establishment of health protection measures, recognition of PHC’s role, raise in public awareness of primary prevention, team-cooperation, increase in providers’ self-efficacy, appointment of health professionals and re-organisation of accessibility. The negative impact is summarised in fatigue/burnout in PHC providers, patient safety concerns and changes in patients’ behaviour. To increase resilience, participants suggest restructuring PHC, recruiting PHC personnel and enhancing digital infrastructure, maintenance of sanitary protection measures, investment in quality, and empowering patients through health literacy. Based on the lessons learnt, building further on the pandemic-accelerated digitalisation, emphasising on quality improvement and patient safety, ensuring providers’ well-being, and empowering citizens through health literacy could be key in promoting PHC resilience. PHC could build upon digitalisation, its role’s recognition, establishment of protective measures, raise in public awareness of primary prevention, team-cooperation and providers’ self-efficacy that the pandemic brought. Emphasising on quality improvement and patient safety, promoting professionals’ well-being and empowering citizens through health literacy could be key in strengthening PHC resilience.
DOI: 10.6084/m9.figshare.27866741
title: Contemporary perspectives regarding domestic violence and abuse in primary care: Cross-sectional NHS patients survey

description: Primary care plays a key role in addressing domestic violence and abuse (DVA) globally. However, DVA remains underdiagnosed and inadequately addressed in primary care, necessitating a deeper understanding of patients’ perspectives in the UK. To explore patients’ perceptions of their awareness of DVA signs and their attitudes towards using the Woman Abuse Screening Tool (WAST)-short during routine primary care encounters. An anonymous 29-item e-Survey, available in 18 languages and including information about DVA support services, was administered via the Qualtrics XM Platform<sup>™</sup> from March to October 2022. Eligible UK National Health Service patients aged 18+ were identified by GP practices in Northwest London and invited via SMS to participate. Data were collected from 6,967 NHS patients. The majority (78.0%) claimed awareness of the signs of DVA in adults and children, while about 22% were unaware or unsure of the signs of DVA. Nearly 85% reported insufficient public awareness about DVA. Around 70% recommended implementing the WAST-short screening tool during primary care encounters to raise awareness and support survivors. Over 50% viewed general practice as the optimal setting for identifying and referring survivors. Improved public education on DVA is needed, as a significant proportion of patients remain unaware or unsure of its signs, with the majority deeming public knowledge insufficient. Patients’ strong support for using standardised screening tools like the WAST-short reflects their trust in healthcare providers to conduct sensitive assessments. Integrating these tools into routine practice could enhance DVA interventions. Most patients are aware of domestic violence and abuse (DVA), but many are unclear about its signs, highlighting the need for public education. NHS patients trust healthcare providers to conduct sensitive screenings with standardised tools like WAST-short. Incorporating these tools into routine practice could strengthen DVA interventions and support efforts.
DOI: 10.6084/m9.figshare.27866741.v1
title: Contemporary perspectives regarding domestic violence and abuse in primary care: Cross-sectional NHS patients survey

description: Primary care plays a key role in addressing domestic violence and abuse (DVA) globally. However, DVA remains underdiagnosed and inadequately addressed in primary care, necessitating a deeper understanding of patients’ perspectives in the UK. To explore patients’ perceptions of their awareness of DVA signs and their attitudes towards using the Woman Abuse Screening Tool (WAST)-short during routine primary care encounters. An anonymous 29-item e-Survey, available in 18 languages and including information about DVA support services, was administered via the Qualtrics XM Platform<sup>™</sup> from March to October 2022. Eligible UK National Health Service patients aged 18+ were identified by GP practices in Northwest London and invited via SMS to participate. Data were collected from 6,967 NHS patients. The majority (78.0%) claimed awareness of the signs of DVA in adults and children, while about 22% were unaware or unsure of the signs of DVA. Nearly 85% reported insufficient public awareness about DVA. Around 70% recommended implementing the WAST-short screening tool during primary care encounters to raise awareness and support survivors. Over 50% viewed general practice as the optimal setting for identifying and referring survivors. Improved public education on DVA is needed, as a significant proportion of patients remain unaware or unsure of its signs, with the majority deeming public knowledge insufficient. Patients’ strong support for using standardised screening tools like the WAST-short reflects their trust in healthcare providers to conduct sensitive assessments. Integrating these tools into routine practice could enhance DVA interventions. Most patients are aware of domestic violence and abuse (DVA), but many are unclear about its signs, highlighting the need for public education. NHS patients trust healthcare providers to conduct sensitive screenings with standardised tools like WAST-short. Incorporating these tools into routine practice could strengthen DVA interventions and support efforts.