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Professor Harm van Marwijk

Prof Harm Van Marwijk

Professor Harm van Marwijk (Ph.D)

Professor in General Practice and Head of Primary Care and Public Health
E: H.vanMarwijk@bsms.ac.uk
T: +44 (0) 1273 644774
Location: 318a Watson Building, University of Brighton, Falmer, Brighton, BN1 9PH

PA/DA: Sonia Khan / Rosie Neville
Email: primarycareDA@bsms.ac.uk
Tel: 01273 641924

Areas of expertise: general practice, consultation skills, long-term conditions, medically unexplained symptoms.

Research areas: co-design, community engagement, medical education, mental health, long-term conditions, digital solutions, consultation skills.

Other relevant positions: Head of Primary Care and Public Health  

BACKGROUND IMAGE FOR PANEL

Biography

Harm van Marwijk is Professor of Primary Care and Implementation Science at the Brighton and Sussex Medical School and Primary and Community Health Services lead for the Applied Research Collaboration for Kent, Surrey and Sussex. 

Primary care in England is currently at its knees but still manages to provide 90% of the NHS consultations for 10% of its budget. Something structural needs to be done to assist it. One thing that could help is more use of evidence-based tools, and implementing instruments that can speak across settings. They can assist primary care teams to face such a mix of diverse, increasingly well-informed people with ever more complex needs. Disconnectedness now rules. Due to the lack of GPs and nurses, and the increasing complexities of people living longer with all kinds of conditions encounter, multiprofessionalism is the future for primary care, but unless communication issues are first addressed, chaos will continue to rule and the problems of our multimorbid patients will become even more complex. 

Harm is a fellow of the international Resident Assessment Instrument (RAI) collaboration (interRAI.org). Finland, for instance, has made the use of these tools obligatory in routine care. For conditions for which there is no simple solution but to collaborate and discuss, we urgently need to learn how to implement the measurement-based tools the RAI offers and their clinical assessment protocols. 

He focuses on improving and facilitatiing collaborations and connections in care, through stakeholder involvement and engagement, in teaching and research, and place-based work. He prioritises working on structural and complex issues such as what to do about the huge waiting lists for young people' who do poorly, using mixed methods, routine data and better communication. He teaches applied research methods, and postgraduate and undergraduate generalist medicine. He has co-authored 276 papers in PubMed, with H-Indexes for Web of Science 50, Scopus 53, and Google Scholar 70. Harm supervises PhD/MD/MSc students and module 404 (Individual Research Project) undergraduate students. Prospective students can contact him for supervisory consideration.

Research

Harm believes in dialogue, community engagement, task-sharing and simple digital tools. As a clinical generalist, teacher, researcher, and innovator, he is particularly interested in connectedness. This concept is a core value in Harm's practice, in his teaching, and his research. Harm believes that connections are necessary for all aspects of medicine, including discussing a patient's symptoms and questions in the encounter, making a diagnosis, and managing consultations and practice. He is interested in improving connections, with an emphasis on vulnerable groups such as those with mental issues, frailty, a poor lifestyle or unexplained physical symptoms, and on evaluating digital 'innovations'. His core task is to help medical students to prepare themselves for the challenging but exciting world of general practice. He co-authored 249 papers in PubMed, with H-Indexes for Web of Science 40, Scopus 42, and Google Scholar 56. 

BACKGROUND IMAGE FOR PANEL

Teaching 

Harm oversees the undergraduate primary care teaching team, and supports postgraduate GP teaching (Academic Clinical Fellows, etc.), and supervises two PhD students, after 30 succesful PhD submissions. 

The department of PCPH runs an annual introductory course for Thai healthcare professionals on the structure of the NHS and the nature of general practice.

Selected publications

Hodkinson, Alexander, Kontopantelis, Evangelos, Zghebi, Salwa S, Grigoroglou, Christos,McMillan, Brian, Marwijk, Harm van, Bower, Peter, Tsimpida, Dialechti, Emery, Charles F, Burge,Mark R, Esmiol, Hunter, Cupples, Margaret E, Tully, Mark A, Dasgupta, Kaberi, Daskalopoulou,Stella S et al. (2022) Association between patient factors and the effectiveness of wearabletrackers at increasing the number of steps per day among adults with Cardiometabolic conditions:meta-analysis of individual patient data from randomized controlled trials. Journal of MedicalInternet Research (JMIR), 24 (8). e36337 1-16. ISSN 1438-8871

Alharbi, Khulud, Blakeman, Thomas, van Marwijk, Harm, Reeves, David and Tsang, Jung Yin (2022) Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review. BMJ Open, 12. e054780. ISSN 2044-6055

Lingervelder, Deon, Koffijberg, Hendrik, Emery, Jon D, Fennessy, Paul, Price, Christopher P, van Marwijk, Harm, Eide, Torunn B, Sandberg, Sverre, Cals, Jochen WL, Derksen, Joke TM, Kusters, Ron and IJzerman, Maarten J (2021) How to realize the benefits of point-of-care testing at the general practice: a comparison of four high-income countries. Int J Health Policy Manag. ISSN 2322-5939

Hafdi, Melanie, Eggink, Esmé, Hoevenaar-Blom, Marieke P, Witvliet, M Patrick, Andrieu, Sandrine, Barnes, Linda, Brayne, Carol, Brooks, Rachael, Coley, Nicola, Georges, Jean, van der Groep, Abraham, van Marwijk, Harm, van der Meijden, Mark, Song, Libin, Song, Manshu, Wang, Youxin, Wang, Wenzhi, Wang, Wei, Wimo, Anders, Ye, Xiaoyan, van Charante, Eric P Moll and Richard, Edo (2021) Design and development of a mobile health (mHealth) platform for dementia prevention in the Prevention of Dementia by Mobile Phone Applications (PRODEMOS) Project. Frontiers in Neurology, 12. a733878 1-8. ISSN 1664-2295

Ford, Elizabeth, Edelman, Natalie, Somers, Laura, Shrewsbury, Duncan, Lopez Levy, Marcela, van Marwijk, Harm, Curcin, Vasa and Porat, Talya (2021) Barriers and facilitators to the adoption of electronic clinical decision support systems: a qualitative interview study with UK general practitioners. BMC Medical Informatics and Decision Making, 21. a193 1-13. ISSN 1472-6947

Terluin, Berend and van Marwijk, Harm (2021) Validiteit van de 4DKL bij mensen met een migratieachtergrond. Huisarts en Wetenschap, 64 (9). pp. 33-36. ISSN 0018-7070

Alharbi, Khulud, Blakeman, Thomas, Van Marwijk, Harm and Reeves, David (2021) Identification and management of frail patients in English primary care: an analysis of the General Medical Services 2018/2019 contract dataset. BMJ Open, 11 (8). a041091 1-12. ISSN 2044-6055

van Dijk, S E M, Pols, A D, Adriaanse, M C, van Marwijk, H W J, van Tulder, M W and Bosmans, J E (2021) Cost-effectiveness of a stepped care program to prevent depression among primary care patients with diabetes mellitus type 2 and/or coronary heart disease and subthreshold depression in comparison with usual care. BMC Psychiatry, 21 (1). a402 1-14. ISSN 1471-244X

Zghebi SS, Mamas MA, Ashcroft DM, et al. Development and validation of the DIabetes Severity SCOre (DISSCO) in 139 626 individuals with type 2 diabetes: a retrospective cohort studyBMJ Open Diabetes Research and Care 2020;8:e000962. doi: 10.1136/bmjdrc-2019-000962

Kontopantelis, Evangelos, Mamas, Mamas A, van Marwijk, Harm, Buchan, Iain, Ryan, Andrew M and Doran, Tim (2018) The increasing socio-economic gap between the young and old: temporal trends in health and overall deprivation in England by age, sex, urbanity and ethnicity, 2004 to 2015. Journal of Epidemiology and Community Health. ISSN 0143-005X (Accepted)

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