{"id":"https://openalex.org/W4401428401","doi":"https://doi.org/10.3399/bjgp.2024.0184","title":"Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study","display_name":"Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study","publication_year":2024,"publication_date":"2024-08-08","ids":{"openalex":"https://openalex.org/W4401428401","doi":"https://doi.org/10.3399/bjgp.2024.0184","pmid":"https://pubmed.ncbi.nlm.nih.gov/39117426","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11583039"},"language":"en","primary_location":{"id":"doi:10.3399/bjgp.2024.0184","doi":"https://doi.org/10.3399/bjgp.2024.0184","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgp.2024.0184","pdf_url":null,"source":{"id":"https://openalex.org/S92370695","display_name":"British Journal of General Practice","issn_l":"0960-1643","issn":["0960-1643","1478-5242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of General Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3399/bjgp.2024.0184","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074567076","display_name":"Rebecca Payne","orcid":"https://orcid.org/0000-0002-9037-7367","observed_orcids":["https://orcid.org/0000-0002-9037-7367"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rebecca Payne","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0002-9037-7367","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091063869","display_name":"Francesca Dakin","orcid":"https://orcid.org/0000-0002-4105-4617","observed_orcids":["https://orcid.org/0000-0002-4105-4617"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Francesca Dakin","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0002-4105-4617","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085839854","display_name":"Ellen MacIver","orcid":"https://orcid.org/0000-0003-2483-9858","observed_orcids":["https://orcid.org/0000-0003-2483-9858"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ellen MacIver","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0003-2483-9858","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092651409","display_name":"Nadia Swann","orcid":"https://orcid.org/0009-0008-0471-6360","observed_orcids":["https://orcid.org/0009-0008-0471-6360"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nadia Swann","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0009-0008-0471-6360","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093419256","display_name":"Tabitha Pring","orcid":"https://orcid.org/0000-0003-4572-3918","observed_orcids":["https://orcid.org/0000-0003-4572-3918"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tabitha Pring","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0003-4572-3918","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086633752","display_name":"Aileen Clarke","orcid":"https://orcid.org/0000-0001-8299-3146","observed_orcids":["https://orcid.org/0000-0001-8299-3146"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Aileen Clarke","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0001-8299-3146","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051099282","display_name":"Asli Kalin","orcid":"https://orcid.org/0000-0002-4338-3561","observed_orcids":["https://orcid.org/0000-0002-4338-3561"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Asli Kalin","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0002-4338-3561","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088219249","display_name":"Lucy Moore","orcid":"https://orcid.org/0000-0001-5089-993X","observed_orcids":["https://orcid.org/0000-0001-5089-993X"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lucy Moore","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0001-5089-993X","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069215260","display_name":"Emma C Ladds","orcid":"https://orcid.org/0000-0001-9864-7408","observed_orcids":["https://orcid.org/0000-0001-9864-7408"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Emma Ladds","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0001-9864-7408","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077083399","display_name":"Joseph P. Wherton","orcid":"https://orcid.org/0000-0001-7701-4783","observed_orcids":["https://orcid.org/0000-0001-7701-4783"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Joseph Wherton","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0001-7701-4783","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046403330","display_name":"Sarah Rybczynska\u2010Bunt","orcid":"https://orcid.org/0000-0002-4284-1081","observed_orcids":["https://orcid.org/0000-0002-4284-1081"]},"institutions":[{"id":"https://openalex.org/I897542642","display_name":"University of Plymouth","ror":"https://ror.org/008n7pv89","country_code":"GB","type":"education","lineage":["https://openalex.org/I897542642"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sarah Rybczynska-Bunt","raw_affiliation_strings":["Peninsula Schools of Medicine and Dentistry, University of Plymouth, Plymouth","Plymouth University"],"raw_orcid":"https://orcid.org/0000-0002-4284-1081","affiliations":[{"raw_affiliation_string":"Peninsula Schools of Medicine and Dentistry, University of Plymouth, Plymouth","institution_ids":["https://openalex.org/I897542642"]},{"raw_affiliation_string":"Plymouth University","institution_ids":["https://openalex.org/I897542642"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038379855","display_name":"Laiba Husain","orcid":"https://orcid.org/0000-0001-9889-0889","observed_orcids":["https://orcid.org/0000-0001-9889-0889"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Laiba Husain","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0001-9889-0889","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018068420","display_name":"Nina Hemmings","orcid":"https://orcid.org/0009-0002-1911-3630","observed_orcids":["https://orcid.org/0009-0002-1911-3630"]},"institutions":[{"id":"https://openalex.org/I186567439","display_name":"Nuffield Trust","ror":"https://ror.org/05htb0v42","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I186567439"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nina Hemmings","raw_affiliation_strings":["Nuffield Trust, London","Nuffield Trust"],"raw_orcid":"https://orcid.org/0009-0002-1911-3630","affiliations":[{"raw_affiliation_string":"Nuffield Trust, London","institution_ids":["https://openalex.org/I186567439"]},{"raw_affiliation_string":"Nuffield Trust","institution_ids":["https://openalex.org/I186567439"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062483331","display_name":"Sietse Wieringa","orcid":"https://orcid.org/0000-0002-7758-8493","observed_orcids":["https://orcid.org/0000-0002-7758-8493"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sietse Wieringa","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0002-7758-8493","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059176055","display_name":"Trisha Greenhalgh","orcid":"https://orcid.org/0000-0003-2369-8088","observed_orcids":["https://orcid.org/0000-0003-2369-8088"]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Trisha Greenhalgh","raw_affiliation_strings":["Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","University of Oxford, Nuffield Department of Primary Care Health Sciences"],"raw_orcid":"https://orcid.org/0000-0003-2369-8088","affiliations":[{"raw_affiliation_string":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"University of Oxford, Nuffield Department of Primary Care Health Sciences","institution_ids":["https://openalex.org/I40120149"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":16.5918,"has_fulltext":true,"cited_by_count":43,"citation_normalized_percentile":{"value":0.9982766,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"75","issue":"750","first_page":"e1","last_page":"e11"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12847","display_name":"Healthcare Systems and Challenges","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8050000071525574},{"id":"https://openalex.org/keywords/remote-healthcare","display_name":"remote care","score":0.6150000095367432},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.6880000233650208},{"id":"https://openalex.org/keywords/digital-exclusion","display_name":"digital exclusion","score":0.6370000243186951},{"id":"https://openalex.org/keywords/long-term-condition-management","display_name":"long-term condition management","score":0.9229999780654907},{"id":"https://openalex.org/keywords/structural-disadvantage","display_name":"structural disadvantage","score":0.6439999938011169},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.4259999990463257},{"id":"https://openalex.org/keywords/social-distancing","display_name":"social distancing","score":0.6570000052452087},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.3330000042915344},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.3930000066757202}],"concepts":[{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.6209112405776978},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.5401856303215027},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5073561072349548},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.4753798544406891},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4601195156574249},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.45932623744010925},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.43765708804130554},{"id":"https://openalex.org/C69828861","wikidata":"https://www.wikidata.org/wiki/Q2814650","display_name":"Austerity","level":3,"score":0.4331802427768707},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.4269362986087799},{"id":"https://openalex.org/C2778869765","wikidata":"https://www.wikidata.org/wiki/Q6028363","display_name":"Inefficiency","level":2,"score":0.41343992948532104},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3716467022895813},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.16018608212471008},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.12644654512405396},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086402","descriptor_name":"SARS-CoV-2","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058006","descriptor_name":"General Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3399/bjgp.2024.0184","doi":"https://doi.org/10.3399/bjgp.2024.0184","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgp.2024.0184","pdf_url":null,"source":{"id":"https://openalex.org/S92370695","display_name":"British Journal of General Practice","issn_l":"0960-1643","issn":["0960-1643","1478-5242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of General Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11583039","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11583039","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11583039/pdf/bjgpjan-2025-75-750-e1.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Br J Gen Pract","raw_type":"Text"},{"id":"pmid:39117426","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39117426","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of general practice : the journal of the Royal College of General Practitioners","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.3399/bjgp.2024.0184","doi":"https://doi.org/10.3399/bjgp.2024.0184","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgp.2024.0184","pdf_url":null,"source":{"id":"https://openalex.org/S92370695","display_name":"British Journal of General Practice","issn_l":"0960-1643","issn":["0960-1643","1478-5242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of General Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.5683000087738037}],"study_designs":[],"awards":[{"id":"https://openalex.org/G766615761","display_name":null,"funder_award_id":"132807","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"},{"id":"https://openalex.org/G8257205031","display_name":null,"funder_award_id":"132807","funder_id":"https://openalex.org/F4320337148","funder_display_name":"Health and Social Care Delivery Research"},{"id":"https://openalex.org/G85141857","display_name":"NIHR In-Practice Fellowship 2022","funder_award_id":"NIHR302740","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320311904","display_name":"Wellcome Trust","ror":"https://ror.org/029chgv08"},{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320337148","display_name":"Health and Social Care Delivery Research","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401428401.pdf","grobid_xml":"https://content.openalex.org/works/W4401428401.grobid-xml"},"referenced_works_count":62,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W1992829832","https://openalex.org/W1996293917","https://openalex.org/W2042386526","https://openalex.org/W2123575765","https://openalex.org/W2134114270","https://openalex.org/W2169000287","https://openalex.org/W2313712272","https://openalex.org/W2763537410","https://openalex.org/W2808353110","https://openalex.org/W3022571389","https://openalex.org/W3046197936","https://openalex.org/W3087011807","https://openalex.org/W3089329597","https://openalex.org/W3090113966","https://openalex.org/W3096402020","https://openalex.org/W3110821623","https://openalex.org/W3111031996","https://openalex.org/W3121835404","https://openalex.org/W3134081764","https://openalex.org/W3135487626","https://openalex.org/W3162247464","https://openalex.org/W3206882319","https://openalex.org/W4200117952","https://openalex.org/W4212910853","https://openalex.org/W4221085677","https://openalex.org/W4225258106","https://openalex.org/W4226366900","https://openalex.org/W4239138883","https://openalex.org/W4250352062","https://openalex.org/W4281898180","https://openalex.org/W4285264775","https://openalex.org/W4286008592","https://openalex.org/W4288456105","https://openalex.org/W4292321386","https://openalex.org/W4309146036","https://openalex.org/W4310988546","https://openalex.org/W4321489282","https://openalex.org/W4367668856","https://openalex.org/W4378189749","https://openalex.org/W4379600238","https://openalex.org/W4382240599","https://openalex.org/W4382795582","https://openalex.org/W4383070381","https://openalex.org/W4385357656","https://openalex.org/W4385956022","https://openalex.org/W4385984874","https://openalex.org/W4386156119","https://openalex.org/W4387255998","https://openalex.org/W4387298010","https://openalex.org/W4387616673","https://openalex.org/W4387812339","https://openalex.org/W4388140721","https://openalex.org/W4389109036","https://openalex.org/W4390367795","https://openalex.org/W4390918516","https://openalex.org/W4391697459","https://openalex.org/W4392050438","https://openalex.org/W4392360660","https://openalex.org/W4394761670","https://openalex.org/W4394853465","https://openalex.org/W4399923512"],"related_works":["https://openalex.org/W4414042127","https://openalex.org/W4292321386","https://openalex.org/W7124170200","https://openalex.org/W4385357656","https://openalex.org/W4410319592","https://openalex.org/W4289826913","https://openalex.org/W6980908384","https://openalex.org/W4414722832","https://openalex.org/W2291342746","https://openalex.org/W2122248222"],"abstract_inverted_index":{"BACKGROUND:":[0],"Since":[1],"2022,":[2],"general":[3,39,67,100,150,223,263],"practice":[4,101,151,224,264],"has":[5],"shifted":[6],"from":[7,60],"responding":[8],"to":[9,15,167,195,255],"the":[10,104,145,238,253,258],"acute":[11],"challenges":[12],"of":[13,22,65,93,106,109,113,118,142,148,174,211,231,241,262],"COVID-19":[14],"restoring":[16],"full":[17],"services":[18],"using":[19,90],"a":[20,122],"hybrid":[21,222],"remote,":[23],"digital,":[24],"and":[25,78,88,120,124,128,136,139,157,161,176,186,218,233,244,248,257],"in-person":[26],"care.":[27,246],"AIM:":[28],"To":[29],"examine":[30],"how":[31],"quality":[32,180],"domains":[33,181],"are":[34,203,216],"addressed":[35],"in":[36,51,98,103,192],"contemporary":[37],"UK":[38,52,99],"practice.":[40],"DESIGN":[41],"AND":[42],"SETTING:":[43],"Multi-site,":[44],"mostly":[45],"qualitative":[46],"longitudinal":[47,61],"case":[48,63],"study,":[49],"placed":[50],"national":[53],"policy":[54],"context.":[55],"METHOD:":[56],"Data":[57,84],"were":[58,85],"collected":[59],"ethnographic":[62],"studies":[64],"12":[66],"practices":[68,249],"(2021-2023),":[69],"multi-stakeholder":[70],"workshops,":[71],"stakeholder":[72],"interviews,":[73],"patient":[74,81],"surveys,":[75],"official":[76],"reports,":[77],"publicly":[79],"accessible":[80],"experience":[82],"data.":[83],"coded":[86],"thematically":[87],"analysed":[89],"multiple":[91],"theories":[92],"quality.":[94,193],"RESULTS:":[95],"Quality":[96],"efforts":[97],"occur":[102],"context":[105],"cumulative":[107],"impacts":[108],"financial":[110],"austerity,":[111],"loss":[112],"resilience,":[114],"increasingly":[115],"complex":[116],"patterns":[117],"illness":[119],"need,":[121],"diverse":[123],"fragmented":[125],"workforce,":[126],"material":[127],"digital":[129,197,201],"infrastructure":[130],"that":[131,235],"is":[132,159],"unfit":[133],"for":[134,209],"purpose,":[135],"physically":[137],"distant":[138],"asynchronous":[140],"ways":[141],"working.":[143],"Providing":[144],"human":[146],"elements":[147],"traditional":[149,259],"(such":[152,199],"as":[153,183,200],"relationship-based":[154],"care,":[155],"compassion,":[156],"support)":[158],"difficult":[160],"sometimes":[162],"even":[163],"impossible.":[164],"Systems":[165],"designed":[166],"increase":[168],"efficiency":[169],"have":[170,177,236],"introduced":[171],"new":[172],"forms":[173],"inefficiency":[175],"compromised":[178],"other":[179],"such":[182],"accessibility,":[184],"patient-centredness,":[185],"equity.":[187],"Long-term":[188],"condition":[189],"management":[190],"varies":[191],"Measures":[194],"mitigate":[196],"exclusion":[198],"navigators)":[202],"welcome":[204],"but":[205],"do":[206],"not":[207],"compensate":[208],"extremes":[210],"structural":[212],"disadvantage.":[213],"Many":[214],"staff":[215],"stressed":[217],"demoralised.":[219],"CONCLUSION:":[220],"Contemporary":[221],"features":[225],"changes":[226],"(digitalisation,":[227],"physical":[228],"distancing,":[229],"extension":[230],"roles,":[232],"protocolisation)":[234],"had":[237],"unintended":[239],"effect":[240],"dehumanising,":[242],"compromising,":[243],"fragmenting":[245],"Policymakers":[247],"should":[250,265],"urgently":[251,267],"address":[252],"risks":[254],"patients":[256],"core":[260],"values":[261],"be":[266],"addressed.":[268]},"counts_by_year":[{"year":2026,"cited_by_count":22},{"year":2025,"cited_by_count":20},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2024-08-09T00:00:00"}
