Knowledge, attitudes, behaviors, education, and communication

Section edited by Carolyn Chew-Graham and Chris Burton

This section covers, though is not limited to, education in general practice, health literacy and communication skills, eHealth and medical record systems, patient reported outcomes and quality indicators, and patient-physician relations, within the context of primary care.

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  1. Research article

    General practitioners’ perspectives on a proposed new model of service delivery for primary care management of knee osteoarthritis: a qualitative study

    Effective management of people with knee osteoarthritis (OA) requires development of new models of care, and successful implementation relies on engagement of general practitioners (GPs). This study used a qua...

    Thorlene Egerton, Rachel Nelligan, Jenny Setchell, Lou Atkins and Kim L. Bennell

    BMC Family Practice 2017 18:85

    Published on: 7 September 2017

  2. Research article

    Managing diagnostic uncertainty in primary care: a systematic critical review

    Diagnostic uncertainty is one of the largest contributory factors to the occurrence of diagnostic errors across most specialties in medicine and arguably uncertainty is greatest in primary care due to the undi...

    Rahul Alam, Sudeh Cheraghi-Sohi, Maria Panagioti, Aneez Esmail, Stephen Campbell and Efharis Panagopoulou

    BMC Family Practice 2017 18:79

    Published on: 7 August 2017

  3. Research article

    Factors associated with general practitioners’ awareness of depression in primary care patients with heart failure: baseline-results from the observational RECODE-HF study

    Depression is more prevalent in patients with heart failure (HF) than in those without, but its detection is complicated by the symptom overlap between the two diseases. General practitioners (GPs) are the fir...

    Marion Eisele, Anja Rakebrandt, Sigrid Boczor, Agata Kazek, Nadine Pohontsch, Magdalena Okolo-Kulak, Eva Blozik, Jens-Martin Träder, Stefan Störk, Christoph Herrmann-Lingen and Martin Scherer

    BMC Family Practice 2017 18:71

    Published on: 9 June 2017

  4. Research article

    Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents

    The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the “patient-centered” use of ...

    Cédric Lanier, Melissa Dominicé Dao, Patricia Hudelson, Bernard Cerutti and Noëlle Junod Perron

    BMC Family Practice 2017 18:69

    Published on: 26 May 2017

  5. Research article

    Health care resource use by patients before and after a diagnosis of chronic fatigue syndrome (CFS/ME): a clinical practice research datalink study

    Our aim was to investigate patterns of health care resource use by patients before and after a diagnosis of CFS/ME, as recorded by Clinical Practice Research Datalink (CPRD) GP practices in the UK.

    Simon M. Collin, Inger J. Bakken, Irwin Nazareth, Esther Crawley and Peter D. White

    BMC Family Practice 2017 18:60

    Published on: 5 May 2017

  6. Research article

    Effectiveness of an individual, online e-learning program about sexually transmitted infections: a prospective cohort study

    Primary health-care professionals play an important role in the treatment and prevention of Sexually Transmitted Infections (STI). Continuing Medical Education (CME)-courses can influence the knowledge and beh...

    Linda H. A. Bos-Bonnie, Jan E. A. M. van Bergen, Ellen te Pas, Michael A. Kijser and Nynke van Dijk

    BMC Family Practice 2017 18:57

    Published on: 24 April 2017

  7. Research article

    The linguistic validation of the gut feelings questionnaire in three European languages

    Physicians’ clinical decision-making may be influenced by non‐analytical thinking, especially when perceiving uncertainty. Incidental gut feelings in general practice have been described, namely, as “a sense o...

    Marie Barais, Johannes Hauswaldt, Daniel Hausmann, Slawomir Czachowski, Agnieszka Sowinska, Paul Van Royen and Erik Stolper

    BMC Family Practice 2017 18:54

    Published on: 20 April 2017

  8. Research article

    Effect of audit and feedback with peer review on general practitioners’ prescribing and test ordering performance: a cluster-randomized controlled trial

    Much research worldwide is focussed on cost containment and better adherence to guidelines in healthcare. The research focussing on professional behaviour is often performed in a well-controlled research setti...

    J. Trietsch, B. van Steenkiste, R. Grol, B. Winkens, H. Ulenkate, J. Metsemakers and T. van der Weijden

    BMC Family Practice 2017 18:53

    Published on: 13 April 2017

  9. Research article

    Internists‘ career choice towards primary care: a cross-sectional survey

    Swiss primary care (PC) is facing workforce shortage. Up to 2011 this workforce was supplied by two board certifications: general medicine and internal medicine. To strengthen them against subspecialties, they...

    Nathalie Scherz, Stefan Markun, Vera Aemissegger, Thomas Rosemann and Ryan Tandjung

    BMC Family Practice 2017 18:52

    Published on: 5 April 2017

  10. Research article

    Understanding type 2 diabetes mellitus screening practices among primary care physicians: a qualitative chart-stimulated recall study

    Early diagnosis and treatment of prediabetes and type 2 diabetes mellitus (T2DM) can prevent future health problems, yet many individuals with these conditions are undiagnosed. This could be due, in part, to p...

    Dina Hafez, Daniel B. Nelson, Evan G. Martin, Alicia J. Cohen, Rebecca Northway and Jeffrey T. Kullgren

    BMC Family Practice 2017 18:50

    Published on: 4 April 2017

  11. Research article

    Provider and patient perspectives on opioids and alternative treatments for managing chronic pain: a qualitative study

    Current literature describes the limits and pitfalls of using opioid pharmacotherapy for chronic pain and the importance of identifying alternatives. The objective of this study was to identify the practical i...

    Lauren S. Penney, Cheryl Ritenbaugh, Lynn L. DeBar, Charles Elder and Richard A. Deyo

    BMC Family Practice 2017 17:164

    Published on: 24 March 2017

  12. Research article

    Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study

    Exercise is an important component of a healthy lifestyle, the development of which is a relapse prevention strategy for those with alcohol use disorder. However, it is a challenge to create exercise intervent...

    Sengül Sari, Ashley Elizabeth Muller and Kirsten K. Roessler

    BMC Family Practice 2017 18:45

    Published on: 23 March 2017

  13. Research article

    Exploring why a complex intervention piloted in general practices did not result in an increase in chlamydia screening and diagnosis: a qualitative evaluation using the fidelity of implementation model

    Chlamydia trachomatis (chlamydia) is the most commonly diagnosed sexually transmitted infection (STI) in England; approximately 70% of diagnoses are in sexually active young adults age...

    R. Allison, D. M. Lecky, K. Town, C. Rugman, E. J. Ricketts, N. Ockendon-Powell, K. A. Folkard, J. K. Dunbar and C. A. M. McNulty

    BMC Family Practice 2017 18:43

    Published on: 21 March 2017

  14. Research article

    Impact of a continuing medical education meeting on the use and timing of urgent cancer referrals among general practitioners - a before-after study

    Detection of cancer in general practice is challenging because symptoms are diverse. Even so-called alarm symptoms have low positive predictive values of cancer. Nevertheless, appropriate referral is crucial. ...

    Berit Skjødeberg Toftegaard, Flemming Bro, Alina Zalounina Falborg and Peter Vedsted

    BMC Family Practice 2017 18:44

    Published on: 21 March 2017

  15. Research article

    Self-monitoring of health data by patients with a chronic disease: does disease controllability matter?

    There is a growing emphasis on self-monitoring applications that allow patients to measure their own physical health parameters. A prerequisite for achieving positive effects is patients’ willingness to self-m...

    Martine W. J. Huygens, Ilse C. S. Swinkels, Judith D. de Jong, Monique J. W. M. Heijmans, Roland D. Friele, Onno C. P. van Schayck and Luc P. de Witte

    BMC Family Practice 2017 18:40

    Published on: 20 March 2017

  16. Research article

    “Was that a success or not a success?”: a qualitative study of health professionals’ perspectives on support for people with long-term conditions

    Support for self-management (SSM) is a prominent strand of health policy internationally, particularly for primary care. It is often discussed and evaluated in terms of patients’ knowledge, skills and confiden...

    John Owens, Vikki A. Entwistle, Alan Cribb, Zoë C. Skea, Simon Christmas, Heather Morgan and Ian S. Watt

    BMC Family Practice 2017 18:39

    Published on: 20 March 2017

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