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首页> 外文期刊>The British journal of general practice: the journal of the Royal College of General Practitioners >GPs’ views of health policy changes: a qualitative ‘netnography’ study of UK general practice online magazine commentary
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GPs’ views of health policy changes: a qualitative ‘netnography’ study of UK general practice online magazine commentary

机译：全科医生对卫生政策变化的看法：对英国全科医学在线杂志评论的定性“民族志”研究

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Background Shifts in health policy since 2010 have brought major structural changes to the English NHS, with government stating intentions to increase GPs’ autonomy and improve access to care. Meanwhile, GPs’ levels of job satisfaction are low, while stress levels are high. PulseToday is a popular UK general practice online magazine that provides a key discussion forum on news relevant to general practice.Aim To analyse readers’ reactions to news stories about health policy changes published in an online general practice magazine.Design and setting A qualitative ’netnography’ was undertaken of readers’ comments to PulseToday. Method A sample of readers’ comments on articles published in PulseToday was collated and subjected to thematic analysis.Results Around 300 comments on articles published between January 2012 and March 2016 were included in the analysis, using ‘access to care’ as a tracer theme. Concern about the demand and strain on general practice was perhaps to be expected. However, analysis revealed various dimensions to this concern: GPs’ underlying feelings about their work and place in the NHS; constraints to GPs’ control of their own working practices; a perceived loss of respect for the role of GP; and disappointment with representative bodies and GP leadership.Conclusion This study shows a complex mix of resistance and resignation in general practice about the changing character of GPs’ roles. This ambivalence deserves further attention because it could potentially shape responses to further change in primary care in ways that are as yet unknown.
机译：背景自2010年以来卫生政策的变化为英国NHS带来了重大的结构变化，政府表示有意增加全科医生的自主权并改善就医机会。同时，全科医生的工作满意度低，压力大。 《 PulseToday》是英国一本流行的在线普通杂志，提供了一个与普通实践有关的新闻的重要讨论论坛。目的是分析读者对在线普通杂志上发表的有关卫生政策变化的新闻报道的反应。接受了读者对PulseToday的评论。方法对读者对PulseToday上发表的文章的评论样本进行整理并进行主题分析。结果以“获得护理”为追踪主题，分析了2012年1月至2016年3月之间发表的约300篇文章评论。人们可能会对人们的需求和普遍实践的压力感到担忧。但是，分析揭示了这种担忧的各个方面：全科医生对他们在NHS中的工作和地位的基本感受;限制全科医生控制自己的工作习惯;认为失去了对GP的尊重;结论该研究表明，在一般实践中，关于全科医生角色变化的抵抗和辞职的复杂组合。这种矛盾情绪值得进一步关注，因为它有可能以未知的方式影响对初级保健进一步变化的反应。

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