Service organization, utilization, and delivery of care

Section edited by Mark Harris and Cindy Lam

This section covers, though is not limited to, service policy and evaluation, health systems research, professional boundaries, access, referral and consultations, screening and early detection, within the context of primary care.

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  1. Research article

    The implementation of health promotion in primary and community care: a qualitative analysis of the ‘Prescribe Vida Saludable’ strategy

    The impact of lifestyle on health is undeniable and effective healthy lifestyle promotion interventions do exist. However, this is not a fundamental part of routine primary care clinical practice. We describe ...

    Catalina Martinez, Gonzalo Bacigalupe, Josep M. Cortada, Gonzalo Grandes, Alvaro Sanchez, Haizea Pombo and Paola Bully

    BMC Family Practice 2017 18:23

    Published on: 17 February 2017

  2. Research article

    Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation

    Process evaluation is recommended to improve the understanding of underlying mechanisms related to clinicians, patients, context and intervention delivery that may impact on trial or program results, feasibili...

    Alvaro Sanchez, Gonzalo Grandes, Josep M. Cortada, Haizea Pombo, Catalina Martinez, Mary Helen Corrales, Enrique de la Peña, Justo Mugica and Esther Gorostiza

    BMC Family Practice 2017 18:24

    Published on: 17 February 2017

  3. Research article

    Factors influencing decision of general practitioners and managers to train and employ a nurse practitioner or physician assistant in primary care: a qualitative study

    Due to the increasing demand on primary care, it is not only debated whether there are enough general practitioners (GPs) to comply with these demands but also whether specific tasks can be performed by other ...

    Mieke van der Biezen, Emmy Derckx, Michel Wensing and Miranda Laurant

    BMC Family Practice 2017 18:16

    Published on: 7 February 2017

  4. Research article

    From practice employee to (co-)owner: young GPs predict their future careers: a cross-sectional survey

    In Switzerland, the mean age of GPs in 1993 was 46. In 2015, it had increased to 55, and GPs over 65 made up 15% of the workforce of the about 6000 GPs. As older, self-employed GPs retire, young doctors will b...

    Luzia Birgit Gisler, Marius Bachofner, Cora Nina Moser-Bucher, Nathalie Scherz and Sven Streit

    BMC Family Practice 2017 18:12

    Published on: 2 February 2017

  5. Research article

    Effective team-based primary care: observations from innovative practices

    Team-based care is now recognized as an essential feature of high quality primary care, but there is limited empiric evidence to guide practice transformation. The purpose of this paper is to describe advances...

    Edward H. Wagner, Margaret Flinter, Clarissa Hsu, DeAnn Cromp, Brian T. Austin, Rebecca Etz, Benjamin F. Crabtree and MaryJoan D. Ladden

    BMC Family Practice 2017 18:13

    Published on: 2 February 2017

  6. Research article

    Practice variation in surgical procedures and IUD-insertions among general practitioners in Norway – a longitudinal study

    Studies of Primary Health Care (PHC) reveal considerable practice variations in terms of the range of services provided. In Norway, general practitioners (GPs) are traditionally expected to perform IUD-inserti...

    Andreas Saxlund Pahle, Daniel Sørli, Ivar Sønbø Kristiansen, Trygve S. Deraas and Peder A. Halvorsen

    BMC Family Practice 2017 18:7

    Published on: 21 January 2017

  7. Research article

    Are interventions to increase the uptake of screening for cardiovascular disease risk factors effective? A systematic review and meta-analysis

    Cardiovascular disease (CVD) is the leading cause of death globally. However, many individuals are unaware of their CVD risk factors. The objective of this systematic review is to determine the effectiveness o...

    AT Cheong, SM Liew, EM Khoo, NF Mohd Zaidi and K Chinna

    BMC Family Practice 2017 18:4

    Published on: 17 January 2017

  8. Research article

    Experiencing integration: a qualitative pilot study of consumer and provider experiences of integrated primary health care in Australia

    The terms integration and integrated care describe the complex, patient-centred strategies to improve coordination of healthcare services. Frameworks exist to conceptualise these terms, but these have been dev...

    Michelle Banfield, Tanisha Jowsey, Anne Parkinson, Kirsty A. Douglas and Paresh Dawda

    BMC Family Practice 2017 18:2

    Published on: 10 January 2017

  9. Research article

    Assessing the performance of centralized waiting lists for patients without a regular family physician using clinical-administrative data

    With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provin...

    Mylaine Breton, Mélanie Ann Smithman, Astrid Brousselle, Christine Loignon, Nassera Touati, Carl-Ardy Dubois, Kareen Nour, Antoine Boivin, Djamal Berbiche and Danièle Roberge

    BMC Family Practice 2017 18:1

    Published on: 5 January 2017

  10. Research article

    Having a usual source of care and its associated factors in Korean adults: a cross-sectional study of the 2012 Korea Health Panel Survey

    Usual source of care (USC) is one of the hallmarks of primary care. We aimed to examine the status of having a USC and its patient-related sociodemographic factors among Korean adults.

    Ah Reum An, Kyoungwoo Kim, Jae-Ho Lee, Nak-Jin Sung, Sang-il Lee and Min Kyung Hyun

    BMC Family Practice 2016 17:167

    Published on: 29 November 2016

  11. Research article

    Long term condition morbidity in English general practice: a cross-sectional study using three composite morbidity measures

    The burden of morbidity represented by patients with long term conditions (LTCs) varies substantially between general practices. This study aimed to determine the characteristics of general practices with high...

    Charlotte Weston, Alexander Gilkes, Stevo Durbaba, Peter Schofield, Patrick White and Mark Ashworth

    BMC Family Practice 2016 17:166

    Published on: 29 November 2016

  12. Research article

    Do primary care professionals agree about progress with implementation of primary care teams: results from a cross sectional study

    Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the...

    E. Tierney, M. O’Sullivan, L. Hickey, A. Hannigan, C. May, W. Cullen, N. Kennedy, L. Kineen and A. MacFarlane

    BMC Family Practice 2016 17:163

    Published on: 22 November 2016

  13. Research article

    Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study

    Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and so...

    Lorainne Tudor Car, Nikolaos Papachristou, Joseph Gallagher, Rajvinder Samra, Kerri Wazny, Mona El-Khatib, Adrian Bull, Azeem Majeed, Paul Aylin, Rifat Atun, Igor Rudan, Josip Car, Helen Bell, Charles Vincent and Bryony Dean Franklin

    BMC Family Practice 2016 17:160

    Published on: 16 November 2016

  14. Research article

    Effectiveness of the EMPOWER-PAR Intervention in Improving Clinical Outcomes of Type 2 Diabetes Mellitus in Primary Care: A Pragmatic Cluster Randomised Controlled Trial

    The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate t...

    Anis Safura Ramli, Sharmini Selvarajah, Maryam Hannah Daud, Jamaiyah Haniff, Suraya Abdul-Razak, Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik, Mohamad Adam Bujang, Boon How Chew, Thuhairah Rahman, Seng Fah Tong, Asrul Akmal Shafie, Verna K. M. Lee, Kien Keat Ng, Farnaza Ariffin, Hasidah Abdul-Hamid, Md Yasin Mazapuspavina…

    BMC Family Practice 2016 17:157

    Published on: 14 November 2016

  15. Research article

    A screening protocol for child abuse at out-of-hours primary care locations: a descriptive study

    Child abuse is often unrecognized at out-of-hours primary care (OOH-PC) services. The aim of our study was to evaluate the clinical outcome of the screening instrument SPUTOVAMO-R2 for child abuse (checklist),...

    Maartje C. M. Schouten, Henk F. van Stel, Theo J. M. Verheij, Edward E. S. Nieuwenhuis and Elise M. van de Putte

    BMC Family Practice 2016 17:155

    Published on: 8 November 2016

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