{"id":16842,"date":"2012-05-04T16:04:08","date_gmt":"2012-05-04T15:04:08","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=16842"},"modified":"2012-05-04T16:04:08","modified_gmt":"2012-05-04T15:04:08","slug":"tiago-villanueva-cutting-edge-primary-care-in-denmark","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/","title":{"rendered":"Tiago Villanueva: Cutting edge primary care in Denmark"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg\" alt=\"Tiago_Villanueva\" width=\"160\" height=\"110\" align=\"left\" \/>As a locum GP, I tend to have limited contact with the permanent staff of the practices I work in, and I therefore rely almost entirely on myself to look after my professional development (there is currently no revalidation scheme for doctors in Portugal).<\/p>\n<p>Once a year I try to visit and shadow a prominent GP for a few days somewhere around the world in order to gain new ideas and inspiration that can help me improve my work. I decided to travel to <a href=\"http:\/\/en.wikipedia.org\/wiki\/Aarhus\">Aarhus<\/a>, Denmark, and visit <a href=\"http:\/\/www.linkedin.com\/pub\/per-kallestrup\/a\/175\/998\">Per Kallestrup<\/a>, who is the initiator of the <a href=\"http:\/\/www.vdgm.eu\/index.cfm\/spKey\/exchange.hippohrates.what_is_hippokrates_.html\">Hippokrates programme<\/a>, a popular European exchange programme for GP trainees and GP&#8217;s. Dr Kallestrup is, along with seven other colleagues, a GP partner at <a href=\"http:\/\/www.skoedstruplaegepraksis.dk\/\">Skodstrup Laegepraxis<\/a>, a surgery in the outskirts of Aarhus serving about 12 000 patients.<!--more--><\/p>\n<p>But why Denmark? Well, the Danish primary healthcare system is considered one of the best in Europe, and GP trainees in Denmark endure a five year training programme, which is one of the longest in Europe, on par with other countries such as Norway and Sweden.<\/p>\n<p>One of the signs of the strength of a country&#8217;s primary healthcare system is the referral rate of patients to secondary care. In Denmark, GP\u2019s are able to handle the problems of nine out of ten patients on their own. I attended a supervised consultation where the GP trainer sat quietly in the room observing the performance of the GP trainee who was attending to an elderly patient with newly diagnosed atrial fibrillation. Dr Kallestrup suggested to the trainee to start anticoagulation therapy with warfarin on the patient, a decision that many GP\u2019s would leave to the cardiologist. Dr Kallestrup told me that a high resolutive capacity is not only important to drive costs down (since primary care is much cheaper than secondary care), but that even lowering the resolutive capacity from 90-89% entails a 10% increase on the hospital specialist\u2019s workload. Moreover, he thinks that it is important to keep patients away from the potentially harmful interventions of hospital specialists, something<a href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/05\/17\/tiago-villanueva-quaternary-prevention-and-disease-mongering\/\"> I\u2019ve previously blogged about<\/a>.<\/p>\n<p>Danish GP\u2019s earn their income through a mixture of capitation (about 30% of the total income) and fee per service. Concerning the latter, I noticed that GP\u2019s would usually submit their billing electronically to the government after each consultation. A basic consultation (without additional services like minor surgery or drawing blood for laboratory tests) costs around 131 Danish krone.<\/p>\n<p>The practice has an array of point-of-care laboratory tests for C-reactive protein, strep, and infectious mononucleosis, which can significantly influence clinical decisions and help reduce unnecessary use of antibiotics.<\/p>\n<p>I was impressed to see that Dr Kallestrup usually carries out gynaecological examinations without a chaperone, and he told me that is due to enormous patient trust.<\/p>\n<p>One thing I found unusual is that GP\u2019s there seem to be knowledgeable about examining biological samples themselves. Dr Kallestrup, for instance, analyses semen samples himself so as to screen for infertility, thanks to his experience of working for some years in Zimbabwe.<\/p>\n<p>Aarhus is not a big city, but many internationally renowned academic GP\u2019s work in the city. For instance, <a href=\"http:\/\/www.linkedin.com\/pub\/roar-maagaard\/9\/216\/258\">Roar Maagaard<\/a>, who is involved in the European Academy of Teachers in General Practice and Family Medicine (<a href=\"http:\/\/www.euract.eu\/\">EURACT)<\/a>, also works at Skodstrup Laegepraksis. <a href=\"http:\/\/pure.au.dk\/portal\/en\/fo@alm.au.dk\">Professors Fred Olesen<\/a> and <a href=\"http:\/\/www.linkedin.com\/in\/vedsted\">Peter Vedsted <\/a>work at the Department of General Practice at the <a href=\"http:\/\/www.au.dk\/en\/\">University of Aarhus<\/a>. Dr Kallestrup himself is a professor of global health at the university\u2019s new Centre for Global Health.<\/p>\n<p>Doctors at Skodstrup Laegepraksis believe that having a \u201chealing architecture\u201d at the practice can foster patient wellbeing. The practice is thus filled with sculptures and paintings by different artists (many of them patients of the practice), which gives the feeling of being in a gallery or museum rather than a healthcare institution.<\/p>\n<p>People in Denmark are very lucky to benefit from such world class primary care services. And GP\u2019s from all around the world have a lot to learn from Denmark.<\/p>\n<p><em><strong>Tiago Villanueva<\/strong> is a locum GP based in Portugal and former BMJ Clegg Scholar and student editor, studentBMJ. He personally paid for the trips to and from Denmark.<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a locum GP, I tend to have limited contact with the permanent staff of the practices I work in, and I therefore rely almost entirely on myself to look [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2246],"tags":[274],"class_list":["post-16842","post","type-post","status-publish","format-standard","hentry","category-tiago-villanueva","tag-primary-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ\" \/>\n<meta property=\"og:description\" content=\"As a locum GP, I tend to have limited contact with the permanent staff of the practices I work in, and I therefore rely almost entirely on myself to look [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-05-04T15:04:08+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Tiago Villanueva: Cutting edge primary care in Denmark\",\"datePublished\":\"2012-05-04T15:04:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/\"},\"wordCount\":705,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/tiago_villanueva.jpg\",\"keywords\":[\"Primary Care\"],\"articleSection\":[\"Tiago Villanueva\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/\",\"name\":\"Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/tiago_villanueva.jpg\",\"datePublished\":\"2012-05-04T15:04:08+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#primaryimage\",\"url\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/tiago_villanueva.jpg\",\"contentUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/tiago_villanueva.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/05\\\/04\\\/tiago-villanueva-cutting-edge-primary-care-in-denmark\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tiago Villanueva: Cutting edge primary care in Denmark\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/","og_locale":"en_US","og_type":"article","og_title":"Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ","og_description":"As a locum GP, I tend to have limited contact with the permanent staff of the practices I work in, and I therefore rely almost entirely on myself to look [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2012-05-04T15:04:08+00:00","og_image":[{"url":"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Tiago Villanueva: Cutting edge primary care in Denmark","datePublished":"2012-05-04T15:04:08+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/"},"wordCount":705,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg","keywords":["Primary Care"],"articleSection":["Tiago Villanueva"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/","url":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/","name":"Tiago Villanueva: Cutting edge primary care in Denmark - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg","datePublished":"2012-05-04T15:04:08+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#primaryimage","url":"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg","contentUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/tiago_villanueva.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/05\/04\/tiago-villanueva-cutting-edge-primary-care-in-denmark\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Tiago Villanueva: Cutting edge primary care in Denmark"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/16842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=16842"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/16842\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=16842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=16842"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=16842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}