Articles que je relis

Desmond Okafor

@dez_ok79

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Stuff I end up printing twice. Mostly primary care, a bit of policy creep, all vaguely related to the job of trying to sort real people out in ten-minute slots. Some are classics, some are just the ones that made me put the kettle on and stare out of the window for a bit… anyway.

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Articles que je relis — 7 items
Name	Year	Topic	My take
1Barbara Starfield, "Is primary care essential?"	1994	Why strong primary care systems matter for health outcomes and equity.	The grandparent of all the "GPs actually do something" arguments. Good to wave at anyone who thinks we’re just gateway clerks.
2Morbidity Statistics from General Practice (Fourth National Study)	1995	Huge survey of what actually walks through UK GP doors day to day.	The one that reminds you guidelines are written for textbook patients, not the crowd in Monday morning surgery.
3Barbara Starfield et al., "Co-ordination of care and continuity"	2002	Links between continuity in primary care and better outcomes, especially in complex patients.	Every time someone says continuity is nostalgic fluff, I quietly think of this and book Mrs K in with the same GP again.
4T.O. Athey et al., "Telephone triage in out-of-hours primary care"	2002	Safety and efficiency of nurse and GP telephone triage in out-of-hours services.	Useful reality check when you’re 40 calls deep and wondering if any of this is actually safe.
5F. Mair et al., "Understanding multimorbidity in general practice"	2012	How multiple long-term conditions complicate management in routine GP work.	Confirms the feeling that the problem isn’t one big disease, it’s six small ones arguing with each other.
6Chris Salisbury et al., "Impact of pay for performance in primary care"	2010	What QOF-style financial incentives did (and didn’t do) to care quality.	Handy whenever I start wondering if I’m treating the blood pressure or the spreadsheet.
7Iona Heath, "The mystery of general practice"	1995	Reflective essays on uncertainty, narrative, and the role of GPs in modern medicine.	More philosophy than p-values, but good for those evenings when guidelines aren’t quite cutting it… anyway.

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