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  1. Article ; Online: The BJGP Open Top 10 Most Read Research Articles of 2022

    Alexander Burrell / Hajira Dambha-Miller

    BJGP Open, Vol 7, Iss

    an editorial

    2023  Volume 2

    Keywords general practice ; general practitioners ; primary healthcare ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Like, comment, subscribe

    Patrick Burch / Daniel Butler / Hajira Dambha-Miller

    BJGP Open, Vol 7, Iss

    How journal editors can navigate social media competing interests

    2023  Volume 2

    Keywords editors ; social media ; ethics ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Telehealth and primary care

    Sarah J White / Hajira Dambha-Miller

    BJGP Open, Vol 6, Iss

    a special collection from BJGP Open

    2022  Volume 4

    Keywords telehealth ; primary care ; general practice ; telemedicine ; remote consultation ; Medicine (General) ; R5-920
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Association between influenza vaccination and hospitalisation or all-cause mortality in people with COVID-19

    Hajira Dambha-Miller / Christopher R Wilcox

    BMJ Open Respiratory Research, Vol 8, Iss

    a retrospective cohort study

    2021  Volume 1

    Abstract: Introduction Recent evidence suggests that influenza vaccination may offer protection against COVID-19 severity. Our aim was to quantify the association between influenza vaccination status and risk of hospitalisation or all-cause mortality in people ... ...

    Abstract Introduction Recent evidence suggests that influenza vaccination may offer protection against COVID-19 severity. Our aim was to quantify the association between influenza vaccination status and risk of hospitalisation or all-cause mortality in people diagnosed with COVID-19.Methods A retrospective cohort study using routinely collected health records from patients registered to a General Practitioner (GP) practice in South West England within the Electronic Care and Health Information Analytics database. The cohort included 6921 people with COVID-19 during the first wave of the pandemic (1 January–31 July 2020). Data on influenza vaccination, hospitalisation and all-cause mortality were ascertained through linked clinical and demographic records. We applied propensity score methods (stabilised inverse probability of treatment weight) to quantify the association between influenza vaccination status and COVID-19 outcomes (hospitalisation or all-cause mortality).Results 2613 (38%) participants received an influenza vaccination between 1 January 2019 and COVID-19 diagnosis. Receipt of influenza vaccination was associated with a significantly lower odds of hospitalisation or all-cause mortality (adjusted OR: 0.85, 95% CI 0.75 to 0.97, p=0.02), and 24% reduced odds of all-cause mortality (adjusted OR: 0.76, 95% CI 0.64 to 0.90).Discussion Influenza vaccination was associated with a 15%–24% lower odds of severe COVID-19 outcomes. The current UK influenza vaccination programme needs urgent expansion as an integral component of the ongoing response plans to the COVID-19 pandemic.
    Keywords Medicine ; R ; Diseases of the respiratory system ; RC705-779
    Subject code 310
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: COVID-19 and international primary care systems

    Luke N Allen / Hajira Dambha-Miller

    BJGP Open, Vol 4, Iss

    Rebuilding a stronger primary care

    2020  Volume 4

    Keywords international ; service organisation ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Experiences of out-of-hours task-shifting from GPs

    Emily Lyness / Jennifer Parker / Merlin L Willcox / Hajira Dambha-Miller

    BJGP Open, Vol 5, Iss

    a systematic review of qualitative studies

    2021  Volume 4

    Abstract: Background: The current GP workforce is insufficient to manage rising demand in patient care within out-of-hours (OOH) primary care services. To meet this challenge, non-medical practitioners (NMPs) are employed to fulfil tasks traditionally carried out ... ...

    Abstract Background: The current GP workforce is insufficient to manage rising demand in patient care within out-of-hours (OOH) primary care services. To meet this challenge, non-medical practitioners (NMPs) are employed to fulfil tasks traditionally carried out by GPs. It is important to learn from experiences of task-shifting in this setting to inform optimal delivery of care. Aim: To synthesise qualitative evidence of experiences of task-shifting in the OOH primary care setting. Design & setting: Systematic review of qualitative studies and thematic synthesis. Method: Electronic searches were conducted across CINAHL (Cumulative Index of Nursing and Allied Health Literature), PsychINFO, Cochrane, MEDLINE, Embase, and OpenGrey for qualitative studies of urgent or OOH primary care services, utilising task-shifting or role delegation. Included articles were quality appraised and key findings collated through thematic synthesis. Results: A total of 2497 studies were screened, of which six met the inclusion criteria. These included interviews with 15 advanced nurse practitioners (ANPs), three physician assistants (PAs), two paramedics, and a focus group of 22 GPs, and focus groups with 33 nurses. Key findings highlight the importance of clearly defining and communicating the scope of practice of NMPs, and of building their confidence by appropriate training, support, and mentoring. Conclusion: While NMPs may have the potential to make a substantial contribution to OOH primary care services, there has been very little research on experiences of task-shifting. Evidence to date highlights the need for further training specific to OOH services. Mentorship and support to manage the sometimes challenging cases presenting to OOH could enable more effective OOH services and better patient care.
    Keywords primary health care ; after-hours care ; task-shifting ; workforce ; out of hours ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Postal methods for monitoring HbA1c in diabetes mellitus

    Jack Colley / Hajira Dambha-Miller / Beth Stuart / Jazz Bartholomew / Hermione Price

    BJGP Open, Vol 6, Iss

    a protocol for systematic review

    2022  Volume 4

    Abstract: Background: Worldwide there are an estimated 463 million people with diabetes. In the UK people with diabetes are offered annual review, which includes monitoring of haemoglobin A1c (HbA1c). This can identify people with diabetes who are not meeting ... ...

    Abstract Background: Worldwide there are an estimated 463 million people with diabetes. In the UK people with diabetes are offered annual review, which includes monitoring of haemoglobin A1c (HbA1c). This can identify people with diabetes who are not meeting their glycaemic targets, enabling early intervention. Those who do not attend these reviews often have poorer health outcomes. During the COVID-19 pandemic, there was a 77% reduction in monitoring of HbA1c in the UK. Aim: It is hypothesised that people with diabetes could take finger-prick samples at home for measurement of HbA1c. This study will examine the agreement and correlation of capillary HbA1c values compared with a venous reference standard. It will explore reliability and repeatability of capillary HbA1c testing methods, as well as the direction of effect of storage variables. The study will also explore patient acceptability and safety. It will look at capillary blood methods that would be suitable for posting. Design & setting: A systematic review will be undertaken. Method: The core terms of ‘Diabetes’, ‘HbA1c’ and ‘Capillary sampling’ will be used to search MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science Core Collection, Google Scholar, OpenGrey, and other grey literature, from database inception until 2021. Risk of bias will be assessed using the ‘COSMIN Risk of Bias tool to assess the quality of studies on reliability and measurement error’. Conclusion: A narrative synthesis will be produced to explore whether there are viable postal alternatives to venous sampling, as well as exploring acceptability and safety of patient self-collection.
    Keywords diabetes mellitus ; glycated hemoglobin a ; dried blood spot testing ; primary health care ; Medicine (General) ; R5-920
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Primary care service utilisation and outcomes in type 2 diabetes

    Beth Stuart / Hilda Hounkpatin / Hajira Dambha-Miller / Sam Hodgson / Jeffrey Morgan-Harrisskitt

    BMJ Open, Vol 12, Iss

    a longitudinal cohort analysis

    2022  Volume 1

    Keywords Medicine ; R
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Race and Racism in Primary Care

    Hajira Dambha-Miller / Umar Ahmed Riaz Chaudhry / Oswald Peter Adams

    BJGP Open, Vol 4, Iss

    A special collection from BJGP Open

    2020  Volume 5

    Keywords primary care ; racism ; race ; primary healthcare ; general practice ; general practitioners ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher Royal College of General Practitioners
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: The association between self-efficacy and self-care in essential hypertension

    Felicia Clara Jun Hui Tan / Prawira Oka / Hajira Dambha-Miller / Ngiap Chuan Tan

    BMC Family Practice, Vol 22, Iss 1, Pp 1-

    a systematic review

    2021  Volume 12

    Abstract: Abstract Background The successful management of hypertension requires sustained engagement in self-care behaviour such as adhering to medication regimens and diet. Bandura’s Social Cognitive Theory suggests that self-efficacy is a major determinant of ... ...

    Abstract Abstract Background The successful management of hypertension requires sustained engagement in self-care behaviour such as adhering to medication regimens and diet. Bandura’s Social Cognitive Theory suggests that self-efficacy is a major determinant of engagement in self-care behaviour. Self-efficacy refers to an individual’s belief in their capacity to execute behaviours necessary to produce specific performance attainments. This systematic review of observational studies aims to summarise and evaluate the quality of evidence available to support the association between self-efficacy and engagement in self-care behaviour in hypertension. Methods Searches were performed of the Pubmed, MEDLINE, CINAHL and OpenSIGLE databases from database inception to January 2020. Reference lists and individual journals were also hand searched. Observational studies in English quantifying self-efficacy and self-care behaviour in hypertensive adults were included. The quality of included articles was assessed with the National Institute of Health Quality Assessment Tool for observational studies. Results The literature search identified 102 studies, of which 22 met the inclusion criteria for full-text review. There were 21 studies which reported that higher self-efficacy was associated with engagement in self-care behaviours including medication adherence (n = 9), physical activity (n = 2) and dietary changes (n = 1). Of these, 12 studies were rated as ‘good’ on the quality assessment tool and 10 were ‘fair’. A common limitation in these studies was a lack of objectivity due to their reliance on self-reporting of engagement in self-care behaviour. Conclusion Our review suggests an association between self-efficacy and self-care. However, the evidence supporting this association is of low to medium quality and is limited by heterogeneity. Our findings suggest the need for further well-designed interventional studies to investigate this association.
    Keywords Self-efficacy ; Self-care ; Essential hypertension ; Systematic review ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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