PDF(Pubmed)
Abstract：
BACKGROUND: There are not enough general practitioners (GPs) in the UK National Health Service. This problem is worse in areas of the country where poverty and underinvestment in health and social care mean patients experience poorer health compared with wealthier regions. Encouraging more doctors to choose and continue in a GP career is a government priority. This review will examine which aspects of the healthcare system affect GP workforce sustainability, how, why and for whom.
METHODS: A realist review is a theory-driven interpretive approach to evidence synthesis, that brings together qualitative, quantitative, mixed-methods research and grey literature. We will use a realist approach to synthesise data from the available published literature to refine an evidence-based programme theory that will identify the important contextual factors and underlying mechanisms that underpin observed outcomes relating to GP workforce sustainability. Our review will follow Pawson\'s five iterative stages: (1) finding existing theories, (2) searching for evidence, (3) article selection, (4) data extraction and (5) synthesising evidence and drawing conclusions. We will work closely with key stakeholders and embed patient and public involvement throughout the review process to refine the focus of the review and enhance the impact and relevance of our research.
BACKGROUND: This review does not require formal ethical approval as it draws on secondary data from published articles and grey literature. Findings will be disseminated through multiple channels, including publication in peer-reviewed journals, at national and international conferences, and other digital scholarly communication tools such as video summaries, X and blog posts.
UNASSIGNED: CRD42023395583.
METHODS: A realist review is a theory-driven interpretive approach to evidence synthesis, that brings together qualitative, quantitative, mixed-methods research and grey literature. We will use a realist approach to synthesise data from the available published literature to refine an evidence-based programme theory that will identify the important contextual factors and underlying mechanisms that underpin observed outcomes relating to GP workforce sustainability. Our review will follow Pawson\'s five iterative stages: (1) finding existing theories, (2) searching for evidence, (3) article selection, (4) data extraction and (5) synthesising evidence and drawing conclusions. We will work closely with key stakeholders and embed patient and public involvement throughout the review process to refine the focus of the review and enhance the impact and relevance of our research.
BACKGROUND: This review does not require formal ethical approval as it draws on secondary data from published articles and grey literature. Findings will be disseminated through multiple channels, including publication in peer-reviewed journals, at national and international conferences, and other digital scholarly communication tools such as video summaries, X and blog posts.
UNASSIGNED: CRD42023395583.
摘要：
背景：英国国家卫生服务机构中没有足够的全科医生（GP）。在该国的贫困和对健康和社会护理的投资不足意味着患者与较富裕地区相比健康状况较差的地区，这一问题更加严重。鼓励更多的医生选择并继续从事全科医生职业是政府的优先事项。这篇综述将研究医疗保健系统的哪些方面影响全科医生劳动力的可持续性，如何,为什么和为谁。
方法：现实主义综述是一种理论驱动的证据综合解释方法，汇集了定性的，定量,混合方法研究和灰色文献。我们将使用现实主义的方法来综合现有已发表文献中的数据，以完善基于证据的计划理论，该理论将确定重要的环境因素和潜在机制，以支持与GP劳动力可持续性相关的观察结果。我们的回顾将遵循Pawson的五个迭代阶段：(1)寻找现有理论，(2)寻找证据，(3)文章选择,(4)数据提取和(5)综合证据并得出结论。我们将与主要利益相关者密切合作，并在整个审查过程中嵌入患者和公众的参与，以完善审查的重点并增强我们研究的影响力和相关性。
背景：本评论不需要正式的道德批准，因为它借鉴了已发表的文章和灰色文献中的次要数据。调查结果将通过多种渠道传播,包括在同行评审期刊上发表，在国家和国际会议上，和其他数字学术交流工具，如视频摘要，X和博客文章
■CRD42023395583。
方法：现实主义综述是一种理论驱动的证据综合解释方法，汇集了定性的，定量,混合方法研究和灰色文献。我们将使用现实主义的方法来综合现有已发表文献中的数据，以完善基于证据的计划理论，该理论将确定重要的环境因素和潜在机制，以支持与GP劳动力可持续性相关的观察结果。我们的回顾将遵循Pawson的五个迭代阶段：(1)寻找现有理论，(2)寻找证据，(3)文章选择,(4)数据提取和(5)综合证据并得出结论。我们将与主要利益相关者密切合作，并在整个审查过程中嵌入患者和公众的参与，以完善审查的重点并增强我们研究的影响力和相关性。
背景：本评论不需要正式的道德批准，因为它借鉴了已发表的文章和灰色文献中的次要数据。调查结果将通过多种渠道传播,包括在同行评审期刊上发表，在国家和国际会议上，和其他数字学术交流工具，如视频摘要，X和博客文章
■CRD42023395583。
