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The General Practitioner Database (GPGP) contains the full text of
three key publications aimed at the medical practitioner. Use GPGP
for expert news and analysis on all aspects of general practice.
The database includes three publications: GP - General Practitioner,
Medeconomics and Fundholding.
They are produced by Medical Publications Ltd which is part of the
Haymarket Group and the United Kingdom's leading publishers of
medical titles for general practitioners (GPs).
Use GPGP to answer questions like:
- what do GP ancillary staff earn?
- are there new drugs for the treatment of AIDS?
- what treatments are being used for asthma in children?
- in what kinds of counselling are GPs involved?
Sources:
GP - General Practitioner is a prime source of news information on
all aspects of GPs' work. Among the news stories it covers
medico-political matters, such as plans for change in general
practice, the use of deputising services; constraints on
prescribing, and countless other matters. It also covers scientific
news and developments. Input into GPGP from GP - General
Practitioner is on a weekly basis.
Medeconomics covers the business, finance and organisational aspects
of general practice within the British National Health Service
(NHS). Among the subjects typically covered are taxation, pensions,
control of practice expenses, accounting in the practice, and other
similar topics helping the GP to keep his/her business management in
order. Input into GPGP from Medeconomics is on a monthly basis.
Fundholding is a magazine covering budgetary aspects of medicine
with particular reference to general practice.
The database also includes articles from Mims Magazine which is no
longer published. The last articles from this source are dated 18
October 1994. Mims Magazine contains articles about medicines, their
use and how they act in the body. Included are articles covering
developments in pharmaceuticals, as well as items on prescribing and
therapeutics. Currently the journal also publishes a series
entitled 'The GP's Top 50' which reviews the properties and uses of
the 50 most commonly prescribed drugs in general practice. Input
into GPGP from Mims Magazine is on a fortnightly basis.
GP - General Practitioner
1 GPGP
Accession number & update
480780 8703.
Title
Dressing Protector Won't Stick To Hair.
Author(s)
Bromley-L.
Source
GP-General-Practitioner, 870220, Page 61. Section: New Products.
Publication year
87.
Length of document
77 WORDS.
Text
Sanifix, a non-adhesive, self-sealing dressing protector, is now
available. The manufacturer says it may be applied at any
pressure to a dressing or fracture without sticking to the
patient's skin or hair - so there is less risk of allergic
reaction and removal causes less discomfort. It can be removed
with an ordinary pair of scissors, leaving no adhesive on the
skin and is water, heat, oil and alkaline resistant, says Darm UK
Ltd.
Mims Magazine
2 GPGP
Accession nubmer & update
484386 8703.
Title
Childhood Asthma: Dealing With Emotional Disturbances.
Author(s)
Gregg-I.
Source
MIMS-MAGAZINE, 870215, Page 29. Section: Special Feature.
Publication year
87.
Length
984 WORDS.
Text
Figure 1 The diagnostic pattern of exercise-induced asthma from
peak flow readings. About 80 per cent of asthmatics show at least
a 15 per cent fall in peak expiratory flow (PEFR) after exercise.
If the administration of a bronchodilator results in an
improvement in PEFR, then this helps confirm the diagnosis of
exercise-induced asthma. Figure 2 Examples of inhalers and
various attachments to aid the use of aerosols in asthmatic
children.
Figure 3 Two year old using a pressurised inhaler and spacer
device. Children under seven years of age usually experience
some difficulty co-ordinating the inspiration and inhaler
activation that is needed with pressurised aerosols. A spacer
helps overcome such problems. Figure 4 A child of one year nine
months using a peak flow meter. Measurements made with a peak
flow meter before and after the use of bronchodilators and during
the course of management are invaluable in indicating objectively
the severity of asthma and the response that the child is making
to treatment. Peak flow meters should be introduced as an
integral part of the management of childhood asthma in general
practice.
Figure 5 Suggested aids for the asthma clinic. Figure 6 A three
year old using a nebuliser for inhalation. Nebulisers are
expensive and usually restricted to home use by very young
children, but are a useful addition to the GP's emergency bag.
Figure 7 Practice nurses can be invaluable for education. Failure
to give patients or parents an adequate explanation of the
disease and its treatment is one of the most serious deficiencies
in GP (...)
Medeconomics
3 GPGP
Accession number & update
475731 8703.
Title
Junior Partners Must Pay Their Way Into Practice.
Author(s)
Cormack-G.
Source
MEDECONOMICS, February 1987 (8702), Vol 8 No 2 Page 13. Section:
Soapbox.
Publication year
87.
Length
711 WORDS.
Text
Attention is currently being focused, and quite rightly so, on
the number of junior partners who are literally being taken for a
ride by their senior partners and being forced to accept grossly
inadequate partnership terms. Indeed this issue of Medeconomics
devotes substantial space to the topic and spells out the need
for all partnerships to have written agreements which are fair to
all sides. But it should not be forgotten that some of the
problems are sometimes caused by junior partners wanting to get a
cut of substantial business assets (which have been built up over
the years by the existing senior partners) without fulfilling
their side of the bargain. Some of these junior partners are a
bit greedy but they are a tiny minority. Too many are just
ignorant of the amount of money tied up in a general practice.
Vocational training is rightly devoting more time to the business
side of general practice but too often this concentrates on the
Red Book and fails to explain that a general practice business is
like any commercial business with substantial amounts of money
tied up in it. If this were made clear to more junior partners
many of the problems would be alleviated.
Before any partnership takes on a junior partner they should sit
down with their accountant, draw up the schedule of the practice
capital assets and both sides should agree how best the new
partner will pay for his share of the assets - whether to do so
immediately, at a later agreed date, or by renting.
This may seem unnecessary, because after all it's only a general
practice we are talking about whose main purpose is caring for
patients not making profits. Surely the sums involved bear no
comparison with commercial businesses.
If you stop and think about it it is easy to see how wrong such
assumptions are. A substantial partnership of four doctors with
average list sizes may well turn over more than 250,000 Pounds
(pds) (including reimbursement) a year. A comparable dispensing
practice may more than double this. There could also be premises
with expensive furnishings and equipment which are valued at
100,000 pds or more. With such sums of money the important lesson
to be learnt from the business world is that envy will be
generated. Some people will feel free to cut in and carve off
some of the goodies for themselves. Doctors too do this and if
one or more happen to be junior members of a partnership who have
not achieved parity the scene is set for an attempted take-over.
Junior partners must be made aware that they have to pay for the
use of a capital asset. If the premises are valued at 100,000 pds
then the partners have had to finance this capital sum. Obviously
the junior partner should check the valuer's certificate but once
he has done this he has to think about how he is going to
contribute. (...)
Fundholding
4 GPGP
Accession number & update
807270 9306.
Title
We are succeeding with new leg ulcer treatment.
Author(s)
Gwynn-B.
Source
Fundholding, 93 0621 Page 45 Section: Letters to the edit. dit.
Section: Letters to the.
Publication year
93.
Length
133 WORDS.
Text
Dear Madam
My attention was caught by Transforming Leg Ulcer Care (May 7). I
am sure you would be interested to know that we have been running
a system in Mid-Staffordshire which involves treating leg ulcers
in the community using the bandaging technique described.
We have treated over 400 patients with a healing rate of 72 per
cent and a recurrent ulcer rate of 7.3 per cent.
Our district nurses are all trained in the relevant techniques
and treatment is supervised by a clinical nurse specialist.
Community care clinics have been set up throughout the region.
Furthermore a hospital venous ulcer clinic runs alongside a
consultant vascular surgical clinic, and more difficult ulcer
problems can be brought to this clinic.
Mr Brian Gwynn
Consultant surgeon
Stafford District General
Hospital, Stafford.
Label/description Example
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