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Knowledge, attitudes, behaviors, education, and communication

This section covers, though is not limited to, health literacy, professional boundaries, eHealth and medical record systems, patient-reported outcome measures and quality indicators, and patient-physician relations, within the context of primary care.

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  1. Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and w...

    Authors: Jerrald Lau, David Hsien-Yung Tan, Gretel Jianlin Wong, Yii-Jen Lew, Ying-Xian Chua, Lian-Leng Low, Han-Kwee Ho, Thiam-Soo Kwek, Sue-Anne Ee-Shiow Toh and Ker-Kan Tan

    Citation: BMC Family Practice 2021 22:22

    Content type: Research article

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  2. The coronavirus disease 2019 (COVID-19) has been a worldwide public health emergency that has put great pressure on medical workers and the medical system. General Practitioners (GPs) played an important role ...

    Authors: Yue Yin, Xiaotian Chu, Xinxin Han, Yu Cao, Hong Di, Yun Zhang and Xuejun Zeng

    Citation: BMC Family Practice 2021 22:18

    Content type: Research article

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  3. Human Papillomavirus (HPV) is the most common sexually transmitted infection in Canada and around the world. Vaccination is an effective prevention strategy, but uptake is low, especially among newcomers to Ca...

    Authors: Lindsay A. Wilson, Amanda M. L. Quan, A. Brianne Bota, Salima S. Mithani, Michelle Paradis, Cindy Jardine, Charles Hui, Kevin Pottie, Natasha Crowcroft and Kumanan Wilson

    Citation: BMC Family Practice 2021 22:17

    Content type: Research article

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  4. Diabetic foot infection (DFI) is a limb- and life-threatening complication for diabetic patients needing immediate and comprehensive treatment. Early referral of DFI patients to a diabetic foot center is recom...

    Authors: Cheng-Wei Lin, Hui-Mei Yang, Shih-Yuan Hung, I-Wen Chen and Yu-Yao Huang

    Citation: BMC Family Practice 2021 22:16

    Content type: Research article

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  5. Primary care providers (PCPs) are typically the primary contact for patients with obesity seeking medical and surgical weight loss interventions; however, previous studies suggest that fewer than 7% of eligibl...

    Authors: Boris Zevin, Mary Martin, Nancy Dalgarno, Linda Chan, Nardhana Sivapalan, Robyn Houlden, Richard Birtwhistle, Karen Smith and David Barber

    Citation: BMC Family Practice 2021 22:14

    Content type: Research article

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  6. To optimise medication use in older people, it is recommended that clinicians evaluate evidence on potential benefits and harms of medicines in light of the patients’ overall health, values and goals. This sug...

    Authors: Kristie Rebecca Weir, Vasi Naganathan, Stacy M. Carter, Chun Wah Michael Tam, Kirsten McCaffery, Carissa Bonner, Debbie Rigby, Andrew J. McLachlan and Jesse Jansen

    Citation: BMC Family Practice 2021 22:13

    Content type: Research article

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  7. Individuals living with low income are less likely to participate in lung cancer screening (LCS) with low-dose computed tomography. Family physicians (FPs) are typically responsible for referring eligible pati...

    Authors: Ambreen Sayani, Mandana Vahabi, Mary Ann O’Brien, Geoffrey Liu, Stephen W. Hwang, Peter Selby, Erika Nicholson and Aisha Lofters

    Citation: BMC Family Practice 2021 22:10

    Content type: Research article

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  8. Nearly 40% of parents with children aged 6 to 17 months consult a healthcare professional when their child has a high temperature. Clinical guidelines recommend temperature measurement in these children, but l...

    Authors: Elizabeth Morris, Margaret Glogowska, Fatene Abakar Ismail, George Edwards, Susannah Fleming, Kay Wang, Jan Y. Verbakel, Ann Van den Bruel and Gail Hayward

    Citation: BMC Family Practice 2021 22:9

    Content type: Research article

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  9. Home blood-pressure measurement (HBPM) is recommended for the diagnosis of hypertension and monitoring of patients with hypertension. Since 2013, the French National Health Insurance Body (FNHIB) has promoted ...

    Authors: Mangiavillano Xavier, Tréfond Jéromine, Plaquevent-Hostache Guillaume, Tanguy Gilles, Bœuf-Gibot Sylvaine, Mulliez Aurélien and Vorilhon Philippe

    Citation: BMC Family Practice 2021 22:7

    Content type: Research article

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  10. Agenda setting is associated with more efficient care and better patient experience. This study develops a taxonomy of visit opening styles to assess use of agenda and non-agenda setting visit openings and the...

    Authors: Eve Angeline Hood-Medland, Anne E. C. White, Richard L. Kravitz and Stephen G. Henry

    Citation: BMC Family Practice 2021 22:4

    Content type: Research article

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  11. A health system response to domestic violence against women is a global priority. However, little is known about how these health system interventions work in low-and-middle-income countries where there are gr...

    Authors: Loraine J. Bacchus, Abdulsalam Alkaiyat, Amira Shaheen, Ahmed S. Alkhayyat, Heba Owda, Rana Halaseh, Ibrahim Jeries, Gene Feder, Rihab Sandouka and Manuela Colombini

    Citation: BMC Family Practice 2021 22:3

    Content type: Research article

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  12. Low back pain is a common reason for patients to seek medical care. Physician non-adherence to clinical guidelines has been observed. We investigated the extent to which patient expectations correspond to reco...

    Authors: Simone Kiel, Christina Raus, Elizabeth Sierocinski, Peggy Knauthe and Jean-François Chenot

    Citation: BMC Family Practice 2020 21:275

    Content type: Research article

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  13. Antimicrobial resistance remains a global challenge. In Germany, the national health agenda supports measures that enhance the appropriate, guideline-oriented use of antibiotics. The study “Converting Habits o...

    Authors: R. Poß-Doering, L. Kuehn, M. Kamradt, K. Glassen, Th. Fleischhauer, P. Kaufmann-Kolle, M. Koeppen, A. Wollny, A. Altiner and M. Wensing

    Citation: BMC Family Practice 2020 21:274

    Content type: Research article

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  14. There is wide variation in clinical practice for the early detection of prostate cancer, not least because of the ongoing debate about the benefits of prostate-specific antigen (PSA) testing. In this study, we...

    Authors: Sanny Kappen, Lisa Koops, Verena Jürgens, Michael H. Freitag, Marco H. Blanker, Antje Timmer and Geertruida H. de Bock

    Citation: BMC Family Practice 2020 21:270

    Content type: Research article

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  15. Digital media are increasingly abundant providing a wide scope of health information. To date, very little is known about parental health information seeking behaviour for child health outside of English-speak...

    Authors: Isabel Baumann, Rebecca Jaks, Dominik Robin, Sibylle Juvalta and Julia Dratva

    Citation: BMC Family Practice 2020 21:266

    Content type: Research article

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  16. Dementia is an age-related syndrome that is estimated to affect 46.8 million people worldwide (2015). In ageing populations, the prevalence of dementia is expected to increase. General practitioners (GPs) are ...

    Authors: Anna-Liesa Filbert, Sabine Christine Jäger and Birgitta Weltermann

    Citation: BMC Family Practice 2020 21:264

    Content type: Research article

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  17. Physician burnout refers to depersonalization, emotional exhaustion, and a sense of lower personal accomplishment. Affecting approximately 50% of physicians in the United States, physician burnout negatively i...

    Authors: Lisa B. E. Shields, James T. Jennings and Joshua T. Honaker

    Citation: BMC Family Practice 2020 21:262

    Content type: Research article

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  18. We have shown previously that current recommendations in UK guidelines for monitoring long-term conditions are largely based on expert opinion. Due to a lack of robust evidence on optimal monitoring strategies...

    Authors: Martha M. C. Elwenspoek, Ed Mann, Katharine Alsop, Hannah Clark, Rita Patel, Jessica C. Watson and Penny Whiting

    Citation: BMC Family Practice 2020 21:257

    Content type: Research article

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  19. The aim of the study was to explore practitioner-patient interactions and patient responses when using QRISK®2 or JBS3 cardiovascular disease (CVD) risk calculators. Data were from video-recorded NHS Health Ch...

    Authors: Victoria Riley, Naomi J. Ellis, Lisa Cowap, Sarah Grogan, Elizabeth Cottrell, Diane Crone, Ruth Chambers, David Clark-Carter, Sophia Fedorowicz and Christopher Gidlow

    Citation: BMC Family Practice 2020 21:250

    Content type: Research article

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  20. Liver cancer rates are rising and hepatitis C virus (HCV) is the primary cause. The CDC recommends a one-time HCV screening for all persons born 1945–1965 (baby boomers). However, 14% of baby boomers have been...

    Authors: Monica L. Kasting, Julie Rathwell, Kaitlyn M. Gabhart, Jennifer Garcia, Richard G. Roetzheim, Olveen Carrasquillo, Anna R. Giuliano and Susan T. Vadaparampil

    Citation: BMC Family Practice 2020 21:248

    Content type: Research article

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  21. General practitioners (GPs) are the foundation of any primary healthcare system. Their quality and quantity are directly associated with the effectiveness and quality of the health services of a nation. GPs’ s...

    Authors: Xing Shen, Heng Jiang, Hongbin Xu, Jun Ye, Chuanzhu Lv, Zuxun Lu and Yong Gan

    Citation: BMC Family Practice 2020 21:246

    Content type: Research article

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  22. Generalized anxiety disorder (GAD) is one of the most common mental disorders in primary care (PC). GAD has low remission and high relapse rates over long follow-up periods. Qualitative evidence was synthesize...

    Authors: Ana Toledo-Chávarri, Vanesa Ramos-García, Alezandra Torres-Castaño, María M Trujillo-Martín, Wenceslao Peñate Castro, Isabel Del Cura-Castro, Pedro Serrano-Aguilar and Lilisbeth Perestelo-Pérez

    Citation: BMC Family Practice 2020 21:237

    Content type: Research article

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  23. Previous studies have reported that organizational structures and cultures in primary health care are obstacles to district nurses doing successful work in health promotion practice (HPP). Because organization...

    Authors: Kristina Lundberg, Mats Jong, Miek C. Jong and Lisbeth Porskrog Kristiansen

    Citation: BMC Family Practice 2020 21:232

    Content type: Research article

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  24. Most French people (71%) would like to die at home, but only one out of four actually do. While the difficulties inherent in the practice of home-based palliative care are well described, few studies highlight...

    Authors: Carol-Anne Boudy, Tiphanie Bouchez, Didier Caprini, Isabelle Pourrat, Stéphane Munck and Adriaan Barbaroux

    Citation: BMC Family Practice 2020 21:222

    Content type: Research article

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  25. Capacity-building of health professionals regarding to nutrition is a strategy for qualifying public health work to promote healthy diets in primary health care (PHC) services.

    Authors: C. R. Tramontt and P. C. Jaime

    Citation: BMC Family Practice 2020 21:214

    Content type: Research article

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  26. Providing older persons with information about their health status may increase their involvement in their own health and enhance self-management. However, we need a better understanding of how older persons v...

    Authors: Sophie C. E. van Blijswijk, Lisa S. van Tol, Jeanet W. Blom, Wendy P. J. den Elzen and Jacobijn Gussekloo

    Citation: BMC Family Practice 2020 21:213

    Content type: Research article

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  27. New Zealand (NZ) has high rates of colorectal cancer but low rates of early diagnosis. Due to a lack of understanding of the pre-diagnostic experience from the patient’s perspective, it is necessary to investi...

    Authors: Tania Blackmore, Kimberley Norman, Jacquie Kidd, Shemana Cassim, Lynne Chepulis, Rawiri Keenan, Melissa Firth, Christopher Jackson, Tim Stokes, David Weller, Jon Emery and Ross Lawrenson

    Citation: BMC Family Practice 2020 21:206

    Content type: Research article

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  28. The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although...

    Authors: Kate L. Lapane, Sara Khan, Divya Shridharmurthy, Ariel Beccia, Catherine Dubé, Esther Yi, Jonathan Kay and Shao-Hsien Liu

    Citation: BMC Family Practice 2020 21:204

    Content type: Research article

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  29. Continuing medical education (CME) is essential to developing and maintaining high quality primary care. Traditionally, CME is delivered face-to-face, but due to geographical distances, and pressure of work in...

    Authors: Md. Nazim Uzzaman, Tracy Jackson, Aftab Uddin, Neneh Rowa-Dewar, Mohammod Jobayer Chisti, G M Monsur Habib and Hilary Pinnock

    Citation: BMC Family Practice 2020 21:203

    Content type: Research article

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  30. Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigat...

    Authors: Rabia Khalid Alduraibi, Turky H. Almigbal, Abdullah A. Alrasheed and Mohammed Ali Batais

    Citation: BMC Family Practice 2020 21:200

    Content type: Research article

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  31. General practitioners (GPs) are advised to offer advance care planning (ACP) to people with dementia (PWD). In a randomized controlled trial, an educational intervention for GPs aimed at initiating and optimiz...

    Authors: Bram Tilburgs, Raymond Koopmans, Henk Schers, Carolien Smits, Myrra Vernooij-Dassen, Marieke Perry and Yvonne Engels

    Citation: BMC Family Practice 2020 21:199

    Content type: Research article

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  32. In rural areas of China, hypertension is on the rise and it is drawing the Chinese government’s attention. The health outcomes of hypertension management can be positively impacted by patient satisfaction with...

    Authors: Wenqin Chen, Yingchao Feng, Jiyuan Fang, Jin Wu, Xianhong Huang, Xiaohe Wang, Jian Wu and Meng Zhang

    Citation: BMC Family Practice 2020 21:196

    Content type: Research article

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  33. General practitioners (GPs) regularly handle cases related to stress and work capacity, but often find this work difficult. However, using an assessment tool in a structured way can increase GPs’ awareness of ...

    Authors: Anna-Maria Hultén, Synneve Dahlin-Ivanoff and Kristina Holmgren

    Citation: BMC Family Practice 2020 21:187

    Content type: Research article

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    The Study protocol to this article has been published in BMC Public Health 2016 16:1193

  34. Non-communicable diseases are the leading causes of death, largely due to the last century’s often-unhealthy lifestyles. Family medicine (FM) and other physicians can improve patients’ lifestyle behaviors, yet...

    Authors: Lilach Malatskey, Yael Bar Zeev, Rani Polak, Adva Tzuk-Onn and Erica Frank

    Citation: BMC Family Practice 2020 21:186

    Content type: Research article

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  35. The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention ‘TOF’ (a Danish acronym for ‘Early Detection an...

    Authors: Marie Broholm-Jørgensen, Siff Monrad Langkilde, Tine Tjørnhøj-Thomsen and Pia Vivian Pedersen

    Citation: BMC Family Practice 2020 21:185

    Content type: Research article

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  36. In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-...

    Authors: Marijn Janssen, Margaretha H. Sagasser, Cornelia R. M. G. Fluit, Willem J. J. Assendelft, Jacqueline de Graaf and Nynke D. Scherpbier

    Citation: BMC Family Practice 2020 21:179

    Content type: Research article

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  37. Evidence-based psychological interventions for posttraumatic stress disorder (PTSD) are available in specialized settings, but adequate care in primary care is often lacking.

    Authors: Rebekka Gehringer, Antje Freytag, Markus Krause, Peter Schlattmann, Konrad Schmidt, Sven Schulz, Sophie Jana Zezulka, Florian Wolf, Jonas Grininger, Mathias Berger, Horst Christian Vollmar and Jochen Gensichen

    Citation: BMC Family Practice 2020 21:176

    Content type: Research article

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  38. Within the sphere of diabetes self-management, much emphasis has been placed on medication adherence. There has been a shift in thinking about medication adherence, moving from “compliance” and historically pa...

    Authors: Wichuda Jiraporncharoen, Kanokporn Pinyopornpanish, Korsin Junjom, Nisachol Dejkriengkraikul, Anawat Wisetborisut, Iliatha Papachristou, Ahmar Hashmi and Chaisiri Angkurawaranon

    Citation: BMC Family Practice 2020 21:173

    Content type: Research article

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  39. General Practitioners’ (GPs) readiness to implement screening and brief intervention (SBI) to treat patients with excessive alcohol consumption is low. Several studies identified crucial barriers such as insuf...

    Authors: Thomas Fankhaenel, Katrin Schulz, Lars-Eric Petersen, Andreas Klement and Thomas Frese

    Citation: BMC Family Practice 2020 21:170

    Content type: Research article

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  40. Obesity is one of the most common and relevant health problems in need of urgent action in Germany. General practitioners (GPs) are the initial contact and thus one of the most important starting points for th...

    Authors: Maria Schwenke, Melanie Luppa, Alexander Pabst, Franziska D. Welzel, Margrit Löbner, Claudia Luck-Sikorski, Anette Kersting, Matthias Blüher and Steffi G. Riedel-Heller

    Citation: BMC Family Practice 2020 21:169

    Content type: Research article

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  41. As a large number of Community Health Service (CHS) centers in China face the majority of patients with non-valvular atrial fibrillation (NVAF), primary care physicians (PCPs) play a primary role in the preven...

    Authors: Shasha Ye, Tianhao Wang, Arthur Liu, Ying Yu, Zhigang Pan and Jie Gu

    Citation: BMC Family Practice 2020 21:165

    Content type: Research article

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  42. Medical overuse is an issue that has recently gained attention. The “Choosing Wisely” campaign invited each specialty in each country to create its own top five lists of care procedures with a negative benefit...

    Authors: Agnès Hazard, Lucie Fournier, Louise Rossignol, Nathalie Pelletier Fleury, Corentin Hervé, Thibaud Pitel, Cécile Pino, Olivier Saint-Lary, Thomas Hanslik, Thierry Blanchon and Mathilde François

    Citation: BMC Family Practice 2020 21:161

    Content type: Research article

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  43. Deprescribing of proton pump inhibitors (PPIs) can be considered in situations where the drug may no longer be necessary; however, this requires a careful discussion between patients and healthcare providers, ...

    Authors: Wade Thompson, Malene Nissen, Peter Haastrup, Jette Videbæk Le, Carina Lundby, Jesper Bo Nielsen and Dorte Ejg Jarbøl

    Citation: BMC Family Practice 2020 21:160

    Content type: Research article

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  44. Studies report that increased levels of patient activation is associated with increased engagement with the health care system, better adherence to treatment protocols, and improved health outcomes. This study...

    Authors: James Rufus John, W Kathy Tannous and Amanda Jones

    Citation: BMC Family Practice 2020 21:158

    Content type: Research article

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