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Furthermore, the majority of respondents believed that a member of the generalist practice team (general practitioner or district nurse) or a specialist hospice nurse (n = 367, 61.2%) would be best placed to discuss palliative care needs.
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Developing the expertise of generalist practice is part of the core training of Family Physicians and General Practitioners.
When applied to the intervention that is delivery of the expertise of generalist practice, NPT tells us that continued integration needs sustained effort by all parties to ensure that EGP is understood by all (patients, practitioners and the wider health system) and is reinforced through ongoing feedback.
To tackle this practice-evidence gap, we consider how to develop evidence of the impact of generalist practice.
We start by considering how we would assess capacity for delivering care underpinned by the Expertise of Generalist Practice (EGP).
Table 3 illustrates that 57.9% of those trained in the 1990s selected a generalist practice specialty, compared to 28.3% of those trained in the 1970s.
The decision to study the roles and principles of generalist practice as one way to contribute to the development of Family Medicine in Africa is an overt departure from previous studies.
EGP: Expert Generalist Practice – the practice of generalist expertise; NPT: Normalisation Process Theory; GIA: Generalism in Action; NAPCRG: North American Primary Care Research Group.
Unfortunately, none were employed in the ANDGP area at the time of the PCSIP to enable comparison with generalist practice nurses.
And finish by considering how the work might be used more widely to strengthen generalist practice and so contribute to improving the effectiveness of health care.
Expert generalist practice takes place in the interaction between a patient and a practitioner.
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