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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.

Page 1 of 9

  1. Content type: Research article

    Pelvic floor disorders including urinary incontinence (UI) and pelvic organ prolapse (POP) are common conditions; however, most women with these symptoms do not seek care. Failure to seek care may be related t...

    Authors: Chi Chiung Grace Chen, Jacob T. Cox, Chloe Yuan, Lauren Thomaier and Sonia Dutta

    Citation: BMC Family Practice 2019 20:70

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  2. Content type: Research article

    The number of dementia patients in Japan is projected to reach seven million by 2025. While modern ethicists have largely reached the conclusion that full disclosure of dementia serves the best interest of pat...

    Authors: Michiko Abe, Shinji Tsunawaki, Masakazu Matsuda, Christine T. Cigolle, Michael D. Fetters and Machiko Inoue

    Citation: BMC Family Practice 2019 20:69

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  3. Content type: Research article

    Dementia is often underdiagnosed in general practice, which may be based on general practitioners’ (GPs’) knowledge and emotional factors as well as external problems. This study aimed to describe GPs’ attitud...

    Authors: Stéphanie Giezendanner, Andreas U. Monsch, Reto W. Kressig, Yolanda Mueller, Sven Streit, Stefan Essig, Andreas Zeller and Klaus Bally

    Citation: BMC Family Practice 2019 20:65

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  4. Content type: Research article

    Polypharmacy is an increasing problem, leading to increased morbidity and mortality, especially in older, multimorbid patients. Consequently, there is a need for reduction of polypharmacy. The aim of this stud...

    Authors: Stefan Zechmann, Cosima Trueb, Fabio Valeri, Sven Streit, Oliver Senn and Stefan Neuner-Jehle

    Citation: BMC Family Practice 2019 20:64

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  6. Content type: Research article

    While multiple myeloma (MM) is a rare diagnosis within primary care, its precursor MGUS (monoclonal gammopathy of undetermined significance) is more common, particularly among older populations. Upon first det...

    Authors: Charlene M. McShane, Blain Murphy, Olinda Santin and Lesley A. Anderson

    Citation: BMC Family Practice 2019 20:61

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  7. Content type: Research article

    Longstanding variation in the views of family physicians (FPs) on the role of opioids seems to translate into widely varying prescribing rates. Improvement interventions are unlikely to achieve change if they ...

    Authors: L. Desveaux, M. Saragosa, N. Kithulegoda and N. M. Ivers

    Citation: BMC Family Practice 2019 20:59

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  8. Content type: Research article

    In routine practice, general practitioners (GPs) see many patients for whom treatment might not be necessary, or evidence-based treatments are not available, yet often a treatment is prescribed. We denote such...

    Authors: Agnes Ostermaier, Niklas Barth, Antonius Schneider and Klaus Linde

    Citation: BMC Family Practice 2019 20:55

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  9. Content type: Research article

    Routine blood tests for young, healthy, asymptomatic patients have no proven value in early detection of diseases. Indeed, such tests have occasionally been found to be harmful. Although general blood tests ar...

    Authors: Michal Shaked, Inbar Levkovich, Tamar Adar, Alma Peri and Nir Liviatan

    Citation: BMC Family Practice 2019 20:51

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  10. Content type: Research article

    Patient safety is a universal issue which affects countries at all stages of health system development. Patient safety research in primary care reveals that globally millions of people suffer disabilities, inj...

    Authors: Muna Habib AL Lawati, Stephanie D. Short, Nadia Noor Abdulhadi, Sathiya Murthi Panchatcharam and Sarah Dennis

    Citation: BMC Family Practice 2019 20:50

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  11. Content type: Research article

    Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure...

    Authors: Ruby Biezen, Danilla Grando, Danielle Mazza and Bianca Brijnath

    Citation: BMC Family Practice 2019 20:46

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  12. Content type: Research article

    One of several strategies developed to reduce inappropriate antibiotic use in situations where the indication is not clear is delayed antibiotic prescription (DAP), defined as an antibiotic prescription issued...

    Authors: Mariam de la Poza Abad, Gemma Mas Dalmau, Ignasi Gich Saladich, Laura Martínez García, Carl Llor and Pablo Alonso-Coello

    Citation: BMC Family Practice 2019 20:45

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  13. Content type: Research article

    Clinicians frequently have questions about patient care. However, for more than half of the generated questions, answers are never pursued, and if they are, often not answered satisfactorily. We aimed to chara...

    Authors: Loai Albarqouni, Tammy Hoffmann, Katrina McLean, Karen Price and Paul Glasziou

    Citation: BMC Family Practice 2019 20:43

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  14. Content type: Research article

    Assessing the cost effectiveness of training aimed at increasing general practitioners’ (GP) work awareness and patients’ work-related self-efficacy and quality of life.

    Authors: Cornelis de Kock, Cindy Noben, Antoine Lagro-Janssen, Peter Lucassen, André Knottnerus, Angelique de Rijk, Frans Nijhuis, Romy Steenbeek and Silvia Evers

    Citation: BMC Family Practice 2019 20:38

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  15. Content type: Research article

    The treatment of multimorbid patients is one crucial task in general practice as multimorbidity is highly prevalent in this setting. However, there is little evidence how to treat these patients and consequent...

    Authors: Alexander Waschkau, Denise Wilfling and Jost Steinhäuser

    Citation: BMC Family Practice 2019 20:37

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  16. Content type: Research article

    Patient- and family-centered care (PFCC) is increasingly linked to improved communication, care quality, and patient decision making. However, in order to consistently implement and study PFCC, health care sys...

    Authors: Clarissa Hsu, Marlaine Figueroa Gray, Lauren Murray, Marie Abraham, Wendy Nickel, Jennifer M. Sweeney, Dominick L. Frosch, Tracy M. Mroz, Kelly Ehrlich, Bev Johnson and Robert J. Reid

    Citation: BMC Family Practice 2019 20:35

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  17. Content type: Research article

    Diagnosing dementia, a syndrome affecting 35.6 million people worldwide, can be challenging, especially in patients with a migrant background. Language barriers and language-based diagnostic tools, cultural di...

    Authors: Judith Tillmann, Johannes Just, Rieke Schnakenberg, Klaus Weckbecker, Birgitta Weltermann and Eva Münster

    Citation: BMC Family Practice 2019 20:34

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  18. Content type: Study protocol

    Back pain is one of the most frequent causes of health-related work absence. In Germany, more than 70% of adults suffer from at least one back pain episode per annum. It has strong impact on health care costs ...

    Authors: Sebastian Voigt-Radloff, Andrea C. Schöpf, Martin Boeker, Luca Frank, Erik Farin, Klaus Kaier, Mirjam Körner, Katharina Wollmann, Britta Lang, Joerg J. Meerpohl, Ralph Möhler, Wilhelm Niebling, Julia Serong, Renate Lange, Piet van der Keylen and Andy Maun

    Citation: BMC Family Practice 2019 20:33

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  19. Content type: Study protocol

    Personal convictions in referral to pain cause misbeliefs in health professionals, which can influence patients who suffer from non-specific chronic low back pain. Likewise, health professionals’ beliefs affec...

    Authors: Ester García-Martínez, Jorge Soler-González, Francesc Rubí-Carnacea, Beatriz García-Martínez, Carolina Climent-Sanz, Joan Blanco-Blanco and Fran Valenzuela-Pascual

    Citation: BMC Family Practice 2019 20:31

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  20. Content type: Research article

    Anti-microbial resistance (AMR) is a global threat to public health and antibiotics are often unnecessarily prescribed for acute respiratory tract infections (ARTIs) in general practice. We aimed to investigat...

    Authors: Jane O’Doherty, Leonard F. W. Leader, Andrew O’Regan, Colum Dunne, Soorej Jose Puthoopparambil and Raymond O’Connor

    Citation: BMC Family Practice 2019 20:27

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  21. Content type: Study protocol

    Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. Th...

    Authors: Luis-Angel Pérula-de Torres, Juan Carlos Verdes-Montenegro Atalaya, Javier García-Campayo, Ana Roldán-Villalobos, Rosa Magallón-Botaya, Cruz Bartolomé-Moreno, Herminia Moreno-Martos, Elena Melús-Palazón, Norberto Liétor-Villajos, Francisco Javier Valverde-Bolívar, Nur Hachem-Salas, Luis-Alberto Rodríguez, Mayte Navarro-Gil, Ronald Epstein, Antonio Cabezón-Crespo and Carmen Morillo-Velarde Moreno

    Citation: BMC Family Practice 2019 20:24

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  22. Content type: Research article

    Research in primary care is essential for disease diagnosis, management and prevention in relation to the individuals, families and the community. This research aims to study the attitude of primary care physi...

    Authors: Abeer J. Khalaf, Aysha I. Aljowder, Meead J. Buhamaid, Mona F. Alansari and Ghufran A. Jassim

    Citation: BMC Family Practice 2019 20:20

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  23. Content type: Research article

    Representing 60% of medical consultations in Switzerland, primary care holds an important place in our medical system. Patients’ values in family medicine (FM) are nowadays recognized as important factors to t...

    Authors: Marie Droz, Nicolas Senn and Christine Cohidon

    Citation: BMC Family Practice 2019 20:19

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  24. Content type: Research article

    For unclarified reasons, parents tend to be cautious about administering analgesics to their children, potentially leading to suboptimal management of AOM symptoms. We aim to understand parents’ views and expe...

    Authors: Rick T. van Uum, Roderick P. Venekamp, Anne G. M. Schilder, Roger A. M. J. Damoiseaux and Sibyl Anthierens

    Citation: BMC Family Practice 2019 20:18

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  25. Content type: Research article

    Healthcare providers play a critical role in facilitating patient access to medical cannabis. However, previous surveys suggest only a minority of providers believe that medical cannabis confers benefits to pa...

    Authors: Lindsey M. Philpot, Jon O. Ebbert and Ryan T. Hurt

    Citation: BMC Family Practice 2019 20:17

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  26. Content type: Research article

    Communication between patients and providers about persistent “medically unexplained” physical symptoms (MUS) is characterized by discordance. While the difficulties are well documented, few studies have exami...

    Authors: Nicole Anastasides, Carmelen Chiusano, Christina Gonzalez, Fiona Graff, David R. Litke, Erica McDonald, Jennifer Presnall-Shvorin, Nicole Sullivan, Karen S. Quigley, Wilfred R. Pigeon, Drew A. Helmer, Susan L. Santos and Lisa M. McAndrew

    Citation: BMC Family Practice 2019 20:13

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  27. Content type: Research article

    Health workforce turnover remains a global concern, particularly in rural and remote areas. Western rural areas are the least developed in China, where it faces the serious challenge on the rural health worker...

    Authors: Jinlin Liu, Bin Zhu, Jingxian Wu and Ying Mao

    Citation: BMC Family Practice 2019 20:9

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  28. Content type: Research article

    The attitude of General Practitioner’s (GP’s) towards dementia and confidence in their clinical abilities impacts on diagnosis rates and management of the condition. The purpose of the present research is to r...

    Authors: Ron Mason, Kathleen Doherty, Claire Eccleston, Michael Annear, Amanda Lo, Laura Tierney, Fran McInerney and Andrew Robinson

    Citation: BMC Family Practice 2019 20:6

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  29. Content type: Research article

    The prescribing of psychotropic drugs, i.e. antidepressants, sedatives (anxiolytics, hypnotics), and antipsychotics is considerable and a large proportion is prescribed by general practitioners (GPs). There ar...

    Authors: Staffan A. Svensson, Tove M. Hedenrud and Susanna M. Wallerstedt

    Citation: BMC Family Practice 2019 20:4

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  30. Content type: Research article

    Diet is a key component of the management of diabetes. Several studies suggest that patients receive insufficient and inadequate information. As a first step for developing an intervention for improving dietar...

    Authors: Maria Alonso Arana, Jose Maria Valderas and Josie Solomon

    Citation: BMC Family Practice 2019 20:1

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  31. Content type: Research article

    Informal caregivers of people with dementia in Beijing are increasingly called upon to provide home-based care for their patients due to the increasing number of dementia patients and the shortage of standardi...

    Authors: Meirong Wang, Shuang Shao, Jing Li, Yingjie Liu, Xiaojingyuan Xu and Juan Du

    Citation: BMC Family Practice 2018 19:201

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  32. Content type: Research article

    In the general practice setting screening, brief intervention and counselling have been shown to be effective in the reduction of problem alcohol use. This study aimed to explore Irish general practitioners’ (...

    Authors: Claire Collins, Pearse Finegan and Margaret O’Riordan

    Citation: BMC Family Practice 2018 19:200

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  33. Content type: Research article

    Diabetes mellitus (DM) and periodontitis are very common and they interact with each other bidirectionally. This survey studied public primary care doctors on their awareness of this bidirectional relationship...

    Authors: Sut Yee Tse

    Citation: BMC Family Practice 2018 19:199

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  34. Content type: Research article

    Nocturnal enuresis (NE) is a common symptom in children worldwide. International Children’s Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE wi...

    Authors: Sameena Shah, Rabab Zehra Jafri, Khalil Mobin, Rabeea Mirza, Kashmira Nanji, Fatima Jahangir, Sufian Jawed Patel, Muzamil Shabana Ejaz, Iman Qaiser, Hira Iftikhar, Komal Aziz, Wajiha Khan, Humza S. Maqbool and Hassaan Ahmed

    Citation: BMC Family Practice 2018 19:198

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  35. Content type: Research article

    HIV-infected patients often present to primary care several times with HIV-indicator conditions before diagnosis but the opportunity to test by healthcare professionals (HCPs) is frequently missed. Current HIV...

    Authors: Charlotte F. Davies, Joanna M. Kesten, Mark Gompels, Jeremy Horwood, Megan Crofts, Annette Billing, Charlotte Chick and Margaret T. May

    Citation: BMC Family Practice 2018 19:195

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  36. Content type: Research article

    Self-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support pa...

    Authors: Heleen Westland, Yvonne Koop, Carin D. Schröder, Marieke J. Schuurmans, P. Slabbers, Jaap C. A. Trappenburg and Sigrid C. J. M. Vervoort

    Citation: BMC Family Practice 2018 19:194

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  37. Content type: Research article

    Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. However, little is known about potent...

    Authors: Szilvia Adam, Andras Mohos, Laszlo Kalabay and Peter Torzsa

    Citation: BMC Family Practice 2018 19:193

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  38. Content type: Research article

    Patients should receive follow-up serum creatinine tests after an initial abnormal result to diagnose chronic kidney disease. However, half of the time this fails to occur in primary care. We interviewed prima...

    Authors: Danielle M. Nash, Amit X. Garg, K. Scott Brimble and Maureen Markle-Reid

    Citation: BMC Family Practice 2018 19:192

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  39. Content type: Research article

    The Texas Childhood Obesity Research Demonstration study was an integrated, systems-oriented intervention that incorporated primary and secondary obesity prevention approaches targeting multiple sectors, inclu...

    Authors: Meliha Salahuddin, Sarah E. Barlow, Stephen J. Pont, Nancy F. Butte and Deanna M. Hoelscher

    Citation: BMC Family Practice 2018 19:191

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  40. Content type: Research article

    By screening and modifying risk factors, stroke incidence can be reduced. Clinical guidelines states that primary prevention of stroke is a responsibility and task of primary health care, but research shows th...

    Authors: Ann-Helen Patomella, Gustav Mickols, Eric Asaba, Gunnar Nilsson, Cecilia Fridén, Anders Kottorp, Bo Christer Bertilson and Kerstin Tham

    Citation: BMC Family Practice 2018 19:190

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  41. Content type: Research article

    The medical practice of general practitioners/family physicians in urban areas differs from that in rural areas, accounting for the difference in specific competencies. However, variations in competencies in c...

    Authors: Toshichika Mitsuyama, Daisuke Son and Masato Eto

    Citation: BMC Family Practice 2018 19:186

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  42. Content type: Research article

    Although it is often recommended that general practitioners (GPs) initiate advance care planning (ACP), little is known about their experiences with ACP. This study aimed to identify GP experiences when conduc...

    Authors: Anne B. Wichmann, Hanna van Dam, Bregje Thoonsen, Theo A. Boer, Yvonne Engels and A. Stef Groenewoud

    Citation: BMC Family Practice 2018 19:184

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  43. Content type: Research article

    Depression affects over 400 million people globally. The majority are seen in primary care. Barriers in providing adequate care are not solely related to physicians’ knowledge/skills deficits, but also time co...

    Authors: Bianca Lauria-Horner, Tara Beaulieu, Stephanie Knaak, Rivian Weinerman, Helen Campbell and Scott Patten

    Citation: BMC Family Practice 2018 19:183

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  44. Content type: Research article

    The Chinese government offered various types of training programs for strengthening the role of doctors working in community health service institutions (CHSIs). The study intended to investigate the current t...

    Authors: Shuang Shao, Tao Wu, Aimin Guo, Guanghui Jin, Rui Chen, Yali Zhao, Juan Du and Xiaoqin Lu

    Citation: BMC Family Practice 2018 19:182

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  45. Content type: Research article

    Physicians’ interpersonal performance is critical in medical practice, especially primary care practice. The General Practice Assessment Questionnaire (GPAQ) was developed in the United Kingdom to evaluate the...

    Authors: Tsunetaka Kijima, Kenju Akai, Akira Matsushita, Tsuyoshi Hamano, Keiichi Onoda, Shozo Yano, Toru Nabika, Yutaka Ishibashi and Shunichi Kumakura

    Citation: BMC Family Practice 2018 19:181

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  46. Content type: Research article

    Patient gender as well as doctor gender are known to affect doctor-patient interaction during a medical consultation. It is however not known whether an interaction of gender influences antibiotic prescribing....

    Authors: D. Eggermont, M. A. M. Smit, G. A. Kwestroo, R. A. Verheij, K. Hek and A. E. Kunst

    Citation: BMC Family Practice 2018 19:175

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  47. Content type: Research article

    Older people can struggle with revealing their depression to GPs and verbalising preferences regarding its management. This contributes to problems for GPs in both detecting and managing depression in primary ...

    Authors: Isabel Gordon, Jonathan Ling, Louise Robinson, Catherine Hayes and Ann Crosland

    Citation: BMC Family Practice 2018 19:173

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  48. Content type: Research article

    The implementation of multiple health behaviour change interventions for cardiovascular risk reduction in primary care is suboptimal. This study aimed to identify barriers and facilitators to implementing mult...

    Authors: Samah Alageel, Martin C. Gulliford, Lisa McDermott and Alison J. Wright

    Citation: BMC Family Practice 2018 19:171

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  49. Content type: Research article

    The characteristics of patients with on-going myocardial infarction (MI) contacting the primary healthcare (PHC) centre before hospitalisation are not well known. Prompt diagnosis is crucial in patients with M...

    Authors: Per O. Andersson, Sofia Sederholm Lawesson, Jan-Erik Karlsson, Staffan Nilsson and Ingela Thylén

    Citation: BMC Family Practice 2018 19:167

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  50. Content type: Research article

    Pain in people with dementia is underdiagnosed and undertreated. General practitioners (GPs) play a pivotal role in dementia care but their perspectives on pain in people with dementia remains under-researched...

    Authors: Aisling A Jennings, Maura Linehan and Tony Foley

    Citation: BMC Family Practice 2018 19:166

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