In West Africa, low adoption of agricultural innovations by farmers has been partly due to the complexity of the innovation structure or new knowledge beyond the farmers’ socio-economic adaptive capacities. Different attempts have been made to improve cocoa beans quality in Nigeria among which was the recommendation of ‘improved cultural practices’ or ‘best known practices’ (ICMP). This had rec...

BACKGROUND Financial incentives have been used for many years internationally to improve quality of care in general practice. The aim of this pilot study was to determine if offering general practitioners (GP) a small incentive payment per test would increase chlamydia testing in women aged 16 to 24 years, attending general practice. METHODS General practice clinics (n = 12) across Victoria, ...

Stress in general practice in the UK is a regular feature of everyday life according to a whole series of research studies over recent years. Increasing stress is a feature of society as a whole and general practitioners’ ability to deal with stress in themselves may also influence their ability to help others to do the same. Stress is an ambiguous word that is used on different occasions to de...

Heart failure (HF) is a syndrome characterized by high mortality, frequent hospitalization, reduced quality of life, and a complex therapeutic regimen. Knowledge about HF is accumulating so rapidly that individual clinicians may be unable to readily and adequately synthesize new information into effective strategies of care for patients with this syndrome. Trial data, though valuable, often do ...

This article explores various models and ideas for future sustainable general practice vocational training supervision in Australia. The general practitioner supervisor in the clinical practice setting is currently central to training the future general practice workforce. Finding ways to recruit, retain and motivate both new and experienced GP teachers is discussed, as is the creation of caree...

Heart failure (HF) is a syndrome characterized by high mortality, frequent hospitalization, reduced quality of life, and a complex therapeutic regimen. Knowledge about HF is accumulating so rapidly that individual clinicians may be unable to readily and adequately synthesize new information into effective strategies of care for patients with this syndrome. Trial data, though valuable, often do ...

BACKGROUND Increasing demands on general practice to manage chronic disease may warrant organisational change at the practice level. Staff's readiness for organisational change can act as a facilitator or barrier to implementing interventions aimed at organisational change. OBJECTIVES To explore general practice staff readiness for organisational change and its association with staff and prac...

II. The Royal College of General Practitioners (RCGP) is the largest membership organisation in the United Kingdom solely for GPs. Founded in 1952, it has over 46,000 members who are committed to improving patient care, developing their own skills and promoting general practice as a discipline. We are an independent professional body with enormous expertise in patient-centred generalist clinica...

Objective To design and validate a new competency based selection system to recruit general practice registrars, comprising a competency based application form, referees’ reports, and an assessment centre. Design Longitudinal predictive validity study and a matched case comparison. Setting South Yorkshire and East Midlands region, United Kingdom, comprising three deaneries. Participants 46 of 1...

WHAT WE NEED TO KNOW: How effective would an algorithm be in helping general practitioners diagnose asthma? What proportion of older people with undiagnosed asthma fail to recognise symptoms? What proportion of the population believe asthma does not occur in the older population? What systems or supports do GPs need to diagnose asthma more effectively? WHAT WE NEED TO DO: Work on developing a g...