Publications by authors named "Aneez Esmail"
Background: Burnout is associated with career disengagement among general practitioners (GPs), but the underlying mechanisms of this association remain poorly understood.
Objective: This study examined the pathways linking burnout to career disengagement factors among GPs.
Methods: An 11-item online questionnaire, including validated abbreviated measures of burnout outcomes (single items on emotional exhaustion (EE) and depersonalisation), career disengagement factors (intention to quit patient care, work-life balance, presenteeism and job satisfaction), and demographic information, was distributed to a random sample of GPs in England between December 2019 and April 2020.
GP working time and supply, and patient demand in England in 2015-2022: a retrospective study.
Br J Gen Pract
October 2024
Background: English primary care faces a reduction in GP supply and increased demand.
Aim: To explore trends in GP working time and supply, accounting for factors influencing demand for services.
Design And Setting: Retrospective observational study in English primary care between 2015 and 2022.
Background: Prescribing of strong opioids and antibiotics impacts patient safety, yet little is known about the effects GP wellness has on overprescribing of both medications in primary care.
Aim: To examine associations between strong opioid and antibiotic prescribing and practice- weighted GP burnout and wellness.
Design And Setting: A retrospective cross-sectional study was undertaken using prescription data on strong opioids and antibiotics from the Oxford- Royal College of General Practitioners Research and Surveillance Centre linking to a GP wellbeing survey overlaying the same 4-month period from December 2019 to April 2020.
Objective: English primary care faces significant challenges, including 'persistent high turnover' of general practitioners (GPs) in some partnerships. It is unknown whether there are specific predictors of persistent high turnover and whether it is associated with poorer population health outcomes.
Design: A retrospective observational study.
Objective: To examine the association of physician burnout with the career engagement and the quality of patient care globally.
Design: Systematic review and meta-analysis.
Data Sources: Medline, PsycINFO, Embase, and CINAHL were searched from database inception until May 2021.
Background: General Practitioners (GPs) report high levels of burnout, job dissatisfaction, and turnover intention. The complexity of presenting problems to general practice makes diagnostic uncertainty a common occurrence that has been linked to burnout. The interrelationship between diagnostic uncertainty with other factors such as burnout, job satisfaction and turnover intention have not been previously examined.
View Article and Find Full Text PDFObjective: The authors examined associations between stressors and burnout in trainee doctors during the COVID-19 pandemic.
Methods: An anonymous online questionnaire including 42 questions on general and pandemic-specific stressors, and the Maslach Burnout Inventory-Health Services Survey (MBI-HSS), was sent to 1000 randomly selected trainee doctors in North-West England. Main outcomes were burnout scores that were stratified into Emotional Exhaustion (EE), Depersonalisation (DP), and reduced Personal Accomplishment (PA) and associations between stressors and burnout using stepwise regression analysis.
Objectives: This study aims to develop a comprehensive list of stressors relevant to junior doctors and will also report findings exploring the associations between burnout and stressors, which include work and non-work-related stressors as well as pandemic-related stressors.
Methods: An anonymous online questionnaire was sent to 1000 randomly selected junior doctors in the North-West of England. The questionnaire included 37 questions on general and pandemic-specific stressors, and the Maslach Burnout Inventory Health Services Survey.
Objective: To describe the distribution of consultations at the practice level and examine whether increases are uniform or driven by people who consult more frequently.
Design: Retrospective cohort study.
Setting: UK general practice data from the Clinical Practice Research Datalink (CPRD) GOLD database.
Objective: To quantify general practitioners' (GPs') turnover in England between 2007 and 2019, describe trends over time, regional differences and associations with social deprivation or other practice characteristics.
Design: A retrospective study of annual cross-sectional data.
Setting: All general practices in England (8085 in 2007, 6598 in 2019).
Background: Diagnostic error is a global patient safety priority.
Objectives: To estimate the incidence, origins and avoidable harm of diagnostic errors in English general practice. Diagnostic errors were defined as missed opportunities to make a correct or timely diagnosis based on the evidence available (missed diagnostic opportunities, MDOs).
The importance of teamwork climate for preventing burnout in UK general practices.
Eur J Public Health
September 2020
This short report aims to investigate the association between teamwork and burnout among general practitioners (GPs). A two-stage survey was conducted. In stage one, validated self-report measures of burnout and teamwork were completed by 50 GPs across 12 general practices in Greater Manchester, UK.
View Article and Find Full Text PDFImportance: Evidence suggests that physicians experience high levels of burnout and stress and that trainee physicians are a particularly high-risk group. Multiple workplace- and non-workplace-related factors have been identified in trainee physicians, but it is unclear which factors are most important in association with burnout and stress. Better understanding of the most critical factors could help inform the development of targeted interventions to reduce burnout and stress.
View Article and Find Full Text PDFObjective: To evaluate the effects of a computerised decision support tool for comprehensive drug review in elderly people with polypharmacy.
Design: Pragmatic, multicentre, cluster randomised controlled trial.
Setting: 359 general practices in Austria, Germany, Italy, and the United Kingdom.
Objectives: To assess whether resistance estimates obtained from sentinel surveillance for antimicrobial resistance (AMR) in community-acquired urinary tract infections (UTIs) differ from routinely collected laboratory community UTI data.
Methods: All patients aged ≥18years presenting to four sentinel general practices with a suspected UTI, from 13 November 2017 to 12 February 2018, were asked to provide urine specimens for culture and susceptibility. Specimens were processed at the local diagnostic laboratory.
Assessing the utility of a differential diagnostic generator in UK general practice: a feasibility study.
Diagnosis (Berl)
February 2021
Background: Despite growing positive evidence supporting the potential utility of differential diagnostic generator (DDX) tools, uptake has been limited in terms of geography and settings and calls have been made to test such tools in wider routine clinical settings. This study aims to evaluate the feasibility and utility of clinical use of Isabel, an electronic DDX tool, in a United Kingdom (UK) general practice setting.
Methods: Mixed methods.