Methods Inf Med 2000; 39(03): 241-245
DOI: 10.1055/s-0038-1634335
Original Article
Schattauer GmbH

Primary Care-based Evaluation of Patient Education for Osteoarthritis of the Knee

E. Triggs
1   St. George’s Hospital Medical School, London, U. K.
,
C. Victor
1   St. George’s Hospital Medical School, London, U. K.
,
F. Ross
1   St. George’s Hospital Medical School, London, U. K.
,
J. Axford
1   St. George’s Hospital Medical School, London, U. K.
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract

Primary healthcare research in the UK has expanded in conjunction with the wider agenda of a primary care led National Health Service (NHS). This reflects international reconsideration of the place of primary healthcare within national healthcare systems. However the role and standing of research in primary care tends to be marginal and less influential than that originating in research establishments or medical schools pursuing biomedical investigations. There are many reasons for this, some of which this paper attempts to elucidate. We address the perspectives and relationships between ‘stakeholder’ groups in the field of primary care and highlight the ways in which such relationships affect research in this area. The development of a primary care research project concerned with osteo-arthritis of the knee (the OAK project) is used as an exemplar of these stresses and we suggest ways in which the difficulties encountered may be overcome.

 
  • REFERENCES

  • 1 Griffiths R. The management inquiry. HMSO; 1983
  • 2 Raper J, Davies BA. Patient satisfaction with emergency triage nursing care: a multi-centre study. J Nurs Care 1999; 13: 11-24.
  • 3 National survey of patient satisfaction, DoH website http://www.doh.gov.uk
  • 4 Iliffe S. The modernization of general practice in the UK: 1980 to 1995 & beyond. Part 1. Postgrad Med J 1996; 72: 201-6.
  • 5 Agass M, Coulter A, Many D, Fuller A. Patient participation in general practice: who participates?. Br J Gen Pract 1990; 41: 198-201.
  • 6 Wood J. Patient participation in general practice. In Maxwell R, Weaver N. 1984 Public Participation in Health.
  • 7 Dept of Health.. Consumers and research in the NHS: consumer issues within the NHS. DH 1995
  • 8 NHS Executive. 1998 Research: what‘s in it for consumers? 1st. Report of the Standing Advisory Group on Consumer Involvement in the NHS R&D Programme to the Central Research & Development Committee 1996/97 Dept. of Health.
  • 9 Buckley EG. Research for all in general practice (editorial). Br J Gen Pract 1990; 40: 357-60.
  • 10 Allen J, Wilson A, Fraser R, Gray DP. The academic base for general practice: the case for change. BMJ 1993; 307: 719-22.
  • 11 Gray DP. Research in general practice: law of inverse opportunity. BMJ 1991; 302: 1380-2.
  • 12 O’Dowd T. Research in general practice: who is calling the tune? (Editorial). Br J Gen Pract 1995; 45 399 515.
  • 13 Cochrane AL. Effectiveness and efficiency: random reflections on health services. Nuffield Provincial Hospitals Trust 1972
  • 14 Culyer A. Supporting research and development in the national health service. HMSO; 1994
  • 15 Smith FP. Higher professional training in general practice: provision of master‘s degree courses in the UK in 1993. BMJ 1994; 308: 1679-82.
  • 16 Fairhurst K, Dowrick C. Problems with recruitment in a randomized controlled trial of counseling in general practice: causes and implications. J Health Serv Res Policy 1996; 1 (Suppl. 02) 77-80.
  • 17 Tognoni G, Alli C, Avanzini F. et al. Research General Practices: what who and why. Br J Gen Pract 1997; 47 415 83-6.
  • 18 McAvoy BR, Kauer EFS. General practice postal surveys: a questionnaire too far?. BMJ 1996; 313: 732-3.
  • 19 Dept. Of Health. Health and personal social services.. Statistics for England & Wales. HMSO; 1995
  • 20 Aitkin K, Hirst M, Lunt N, Parker G. The role and self-perceived training needs of nurses in England & Wales. J Adv Nurs 1994; 20: 46-52.
  • 21 Aitkin K, Lunt M. Negotiating the role of the practice nurse in general practice. J Adv Nurs 1996; 24: 498-505.
  • 22 Newton J, Hunt J, Stirling J. Human resource management in general practice: survey of current practice. Br J Gen Pract 1996; 46 (Suppl. 403) 81-5.
  • 23 Field R, West MA. Teamwork in primary health care: 2: Perspectives from practices. J Interprofessional Care 1995; 9 (Suppl. 02) 123-30.
  • 24 Murphy E, Spiegal N, Kinmonth AL. ‘Will you help me with my research?’ Gaining access to primary care settings and subjects. Br J Gen Pract 1992; 42: 162-5.
  • 25 Donnan P, Hutchinson A, Paxton R, Grant B, Firth M. Self-help materials for anxiety: a randomized controlled trial in general practice. Br J Gen Pract 1990; 40: 498-501.
  • 26 Stewart J. The Health Authority perspective. Starnet News 1997; 4: 1-2.