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Professor Harm van Marwijk

Professor Harm van Marwijk (Ph.D)

Professor in Primary Care
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
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 the NHS is more use of evidence-based tools, and particularly, implementing those instruments that can speak across settings such as health and social care. These can assist primary and community health services teams to face such a mix of diverse, increasingly well-informed people many of whom have ever more complex needs. Another possibility to reduce tensions between settings is when GPs also have the opportunity to get a clinical NHS contract.

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.

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 277 papers in PubMed, with H-Indexes for Web of Science 50, Scopus 53, and Google Scholar 70. He has helped secure many millions of pounds in research funding.

Harm supervises PhD/MD/MSc students and module 404 (Individual Research Project) undergraduate students. Prospective students can contact him for supervisory consideration.

BACKGROUND IMAGE FOR PANEL

Teaching

Harm oversees undergraduate primary care teaching, and supports postgraduate GP teaching (Academic Clinical Fellows, etc.), and supervises two PhD students, after 30 successful PhD submissions. He is involved in many other teaching activities. 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, for instance.

Selected publications

Aslan A, Mold F, van Marwijk H, Armes J. What are the determinants of older people adopting communicative e-health services: a meta-ethnography. BMC Health Serv Res. 2024 Jan 11;24(1):60.

Goulding R, Birtwell K, Hann M, Peters S, van Marwijk H, Bower P. Safer Patients Empowered to Engage and Communicate about Health (SPEECH) in primary care: a feasibility study and process evaluation of an intervention for older people with multiple long-term conditions (multimorbidity). BMC Prim Care. 2024 Jan 5;25(1):12.

Hassen HY, Abrams S, Musinguzi G, Rogers I, Dusabimana A, Mphekgwana PM, Bastiaens H; Scaling-up Packages of Interventions for Cardiovascular diseases in Europe and Sub-Saharan Africa (SPICES) study investigators. Disparities in the non-laboratory INTERHEART risk score and its components in selected countries of Europe and sub-Saharan Africa: analysis from the SPICES multi-country project. Eur Heart J Open. 2023 Dec 5;3(6):oead131.

Rogers I, Grice-Jackson T, Ford E, Howat J, Salimkumar R, Frere-Smith K, O'Connor N, Bastiaens H, van Marwijk H. The Healthy Hearts Project: Development and evaluation of a website for cardiovascular risk assessment and visualisation and self-management through healthy lifestyle goal-setting. PLOS Digit Health. 2023 Nov 29;2(11):e0000395.

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

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