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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. The National Health Insurance Administration of Taiwan has introduced several pay-for-performance programs to improve the quality of healthcare. This study aimed to provide government with evidence-based resea...

    Authors: Chyi-Feng Jan, Meng-Chih Lee, Ching-Ming Chiu, Cheng-Kuo Huang, Shinn-Jang Hwang, Che-Jui Chang and Tai-Yuan Chiu

    Citation: BMC Family Practice 2020 21:60

    Content type: Research article

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  2. More and more family physicians (FPs) are using point-of-care ultrasonography (POCUS) in Europe. Still, there is no general consensus about the specific knowledge and skills that a FP should acquire in order t...

    Authors: Vesna Homar, Zala Kumse Gale, Mitja Lainscak and Igor Svab

    Citation: BMC Family Practice 2020 21:56

    Content type: Research article

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  3. Primary care networks in Germany are formalized regional collaborations of physicians and other healthcare providers. Common goals are optimized healthcare processes and services for patients, enhanced communi...

    Authors: Regina Poss-Doering, Martina Kamradt, Katharina Glassen, Edith Andres, Petra Kaufmann-Kolle and Michel Wensing

    Citation: BMC Family Practice 2020 21:51

    Content type: Research article

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  4. Offspring of type 2 diabetes patients have an absolute risk of 20–40% of developing the condition. Type 2 diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and preventi...

    Authors: Siti Fatimah Badlishah-Sham, Anis Safura Ramli, Mohamad Rodi Isa, Nurzakiah Mohd-Zaki and David Leonard Whitford

    Citation: BMC Family Practice 2020 21:50

    Content type: Research article

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  5. The informal curriculum is a seemingly well-explored concept in the realm of medical education. However, it is a concept with multiple definitions and the term “the hidden curriculum” is often used interchange...

    Authors: Erica Rothlind, Uno Fors, Helena Salminen, Per Wändell and Solvig Ekblad

    Citation: BMC Family Practice 2020 21:49

    Content type: Research article

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  6. Attention Deficit Hyperactivity Disorder (ADHD) is underdiagnosed in many European countries and the process of accessing care and diagnosis is complex and variable. In many countries, general practitioners (G...

    Authors: B. French, E. Perez Vallejos, K. Sayal and D. Daley

    Citation: BMC Family Practice 2020 21:45

    Content type: Research article

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  7. Pain-related fear-avoidance (FA) is a common problem affecting many patients with painful medical conditions. As there is great interest in the clinical importance of the relationship between FA and disability...

    Authors: Antonio I. Cuesta-Vargas, Randy Neblett, Robert J. Gatchel and Cristina Roldán-Jiménez

    Citation: BMC Family Practice 2020 21:44

    Content type: Research article

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  8. Despite proven effectiveness of colorectal cancer (CRC) screening, at least 35% of screen-eligible adults are not current with screening. Decision aids and risk prediction tools may help increase uptake, adher...

    Authors: Marianne S. Matthias and Thomas F. Imperiale

    Citation: BMC Family Practice 2020 21:43

    Content type: Research article

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  9. In order to combat rising rates of antimicrobial resistant infections, it is vital that antimicrobial stewardship become embedded in primary health care (PHC). Despite the high use of antimicrobials in PHC set...

    Authors: Christine Lee, Maryam Jafari, Regan Brownbridge, Casey Phillips and Jason R. Vanstone

    Citation: BMC Family Practice 2020 21:42

    Content type: Research article

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  10. NICE guidelines for the management of emotional concerns in primary care emphasise the importance of communication and a trusting relationship, which is difficult to operationalise in practice. Current pressur...

    Authors: Daisy Parker, Richard Byng, Chris Dickens and Rose McCabe

    Citation: BMC Family Practice 2020 21:35

    Content type: Research article

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  11. ‘Ad hoc’ help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in see...

    Authors: Nancy Sturman, Christine Jorm and Malcolm Parker

    Citation: BMC Family Practice 2020 21:28

    Content type: Research article

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  12. A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in rese...

    Authors: Andrew O’Regan, Peter Hayes, Ray O’Connor, Monica Casey, Pat O’Dwyer, Aidan Culhane, Patrick O’Donnell, Gary Stack, John Cuddihy, Billy O’Connell, Jerry O’Flynn, Walter Cullen, Jane O’Doherty, Maurice O’Connell and Liam Glynn

    Citation: BMC Family Practice 2020 21:25

    Content type: Research article

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  13. Patient information materials and decision aids are essential tools for helping patients make informed decisions and share in decision-making. The aim of this study was to investigate the quality of the writte...

    Authors: Nicole Posch, Karl Horvath, Kerstin Wratschko, Jasper Plath, Richard Brodnig and Andrea Siebenhofer

    Citation: BMC Family Practice 2020 21:23

    Content type: Research article

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  14. While cigarette smoking has been considered the most relevant tobacco product worldwide, waterpipe tobacco smoking (WTS) has increased in prevalence globally and calls for more considerable attention now. Howe...

    Authors: Maya Romani, Sarah Jawhar, Manar Shalak and Jumana Antoun

    Citation: BMC Family Practice 2020 21:21

    Content type: Research article

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  15. Patient safety issues in primary health care and in emergency departments have not been as thoroughly explored as patient safety issues in the hospital setting. Knowledge is particularly sparse regarding which...

    Authors: Rita Fernholm, Martin J. Holzmann, Caroline Wachtler, Robert Szulkin, Axel C. Carlsson and Karin Pukk Härenstam

    Citation: BMC Family Practice 2020 21:20

    Content type: Research article

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  16. Overweight in children is a rising problem leading to serious consequences later in life. The Dutch guideline ‘Obesity’ for general practitioners recommends discussing obesity in children regardless of the rea...

    Authors: Joline C. van der Maas, Ronald J. Corbee, Floor M. Kroese, Denise T. D. de Ridder, Rimke C. Vos, Mirjam Nielen and Evelyn Monninkhof

    Citation: BMC Family Practice 2020 21:18

    Content type: Research article

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  17. Numerous instruments have been developed to assess patient reported outcomes; most approaches however focus on a single condition. With the increasing prevalence of multimorbidity, this might no longer be appr...

    Authors: Esther A. Boudewijns, Danny Claessens, Onno C. P. van Schayck, Lotte C. E. M. Keijsers, Philippe L. Salomé, Johannes C. C. M. in ‘t Veen, Henk J. G. Bilo and Annerika H. M. Gidding-Slok

    Citation: BMC Family Practice 2020 21:11

    Content type: Research article

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  18. Over the last two decades, ultrasonography (US) has been shown to be an accurate tool for the diagnosis of suspected bone fractures; however, the integration of this application of US into routine care and out...

    Authors: Gordian Lukas Schmid, Beatrice Kühnast, Marcus Heise, Tobias Deutsch and Thomas Frese

    Citation: BMC Family Practice 2020 21:9

    Content type: Research article

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  19. Evidence-based medicine (EBM) in general practice involves applying a complex combination of best-available evidence, the patient’s preferences and the general practitioner’s (GP) clinical expertise in decisio...

    Authors: Lisanne S. Welink, Kaatje Van Roy, Roger A. M. J. Damoiseaux, Hilde A. Suijker, Peter Pype, Esther de Groot and Marie-Louise E. L. Bartelink

    Citation: BMC Family Practice 2020 21:5

    Content type: Research article

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  20. This study has two aims: first, to identify variables associated with interprofessional collaboration (IPC) among a total of 315 Quebec mental health (MH) professionals working in MH primary care teams (PCTs, N =...

    Authors: Nicolas Ndibu Muntu Keba Kebe, François Chiocchio, Jean-Marie Bamvita and Marie-Josée Fleury

    Citation: BMC Family Practice 2020 21:4

    Content type: Research article

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  21. Insomnia is a common sleep complaint, with 10% of adults in the general population experiencing insomnia disorder, defined as lasting longer than three months in DSM-5. Up to 50% of patients attending family p...

    Authors: Rowan P. Ogeil, Samantha P. Chakraborty, Alan C. Young and Dan I. Lubman

    Citation: BMC Family Practice 2020 21:1

    Content type: Research article

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  22. Many general practitioners (GPs) struggle with the communication with patients with medically unexplained symptoms (MUS). This study aims to identify GPs’ difficulties in communication during MUS consultations.

    Authors: Juul Houwen, Peter L. B. J. Lucassen, Anna Verwiel, Hugo W. Stappers, Willem J. J. Assendelft, Tim C. olde Hartman and Sandra van Dulmen

    Citation: BMC Family Practice 2019 20:180

    Content type: Research article

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  23. Physicians who receive a request for euthanasia or assisted suicide may experience a conflict of duties: the duty to preserve life on the one hand and the duty to relieve suffering on the other hand. Little is...

    Authors: Kirsten Evenblij, H. Roeline W. Pasman, Johannes J. M. van Delden, Agnes van der Heide, Suzanne van de Vathorst, Dick L. Willems and Bregje D. Onwuteaka-Philipsen

    Citation: BMC Family Practice 2019 20:177

    Content type: Research article

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  24. Transient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on...

    Authors: Grace M. Turner, Christel McMullan, Lou Atkins, Robbie Foy, Jonathan Mant and Melanie Calvert

    Citation: BMC Family Practice 2019 20:176

    Content type: Research article

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  25. Little is known about whether a more comprehensive health assessment, performed by a general practitioner (GP) during a clinical encounter, could influence patients’ lifestyle. We aimed to investigate whether ...

    Authors: David Alejandro Gonzalez-Chica, Jacqueline Bowden, Caroline Miller, Marie Longo, Mark Nelson, Christopher Reid and Nigel Stocks

    Citation: BMC Family Practice 2019 20:173

    Content type: Research article

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  26. Antimicrobial resistance (AMR) is high on the UK public health policy agenda, and poses challenges to patient safety and the provision of health services. Widespread prescribing of antibiotics is thought to in...

    Authors: Marieke M. van der Zande, Melanie Dembinsky, Giovanni Aresi and Tjeerd P. van Staa

    Citation: BMC Family Practice 2019 20:172

    Content type: Research article

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  27. Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care ...

    Authors: Yali Zhao, Xuexue Zhao, Yanli Liu, Yun Wei, Guanghui Jin, Shuang Shao and Xiaoqin Lu

    Citation: BMC Family Practice 2019 20:171

    Content type: Research article

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  28. Screening for atrial fibrillation (AF) in people aged ≥65 years is recommended by international guidelines. The Atrial Fibrillation Screen, Management And guideline-Recommended Therapy (AF-SMART) studies of op...

    Authors: Jessica Orchard, Jialin Li, Robyn Gallagher, Ben Freedman, Nicole Lowres and Lis Neubeck

    Citation: BMC Family Practice 2019 20:170

    Content type: Research article

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  29. The Patient Enablement Instrument (PEI) was designed to encapsulate consultation outcome from the perspective that increasing their understanding and coping ability would underpin a positive consultation outco...

    Authors: Aelita Skarbalienė, Arnoldas Jurgutis, Eva Lena Strandberg and Teresa Pawlikowska

    Citation: BMC Family Practice 2019 20:167

    Content type: Research article

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  30. Many countries in Europe have implemented managed competition and patient choice during the last decade. With the introduction of managed competition, health insurers also became an important stakeholder. They...

    Authors: Amy J. C. Potappel, Maartje C. Meijers, Corelien Kloek, Aafke Victoor, Janneke Noordman, Tim olde Hartman, Sandra van Dulmen and Judith D. de Jong

    Citation: BMC Family Practice 2019 20:166

    Content type: Research article

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  32. Approximately 50% of women gain weight in excess of gestational weight gain (GWG) recommendations during pregnancy leading to adverse maternal and foetal outcomes and the perpetuation of the cycle of obesity. ...

    Authors: Ruth Walker, Tammie S. T. Choi, Karyn Alexander, Danielle Mazza and Helen Truby

    Citation: BMC Family Practice 2019 20:148

    Content type: Research article

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  33. Accreditation is a widespread tool for quality management in health care. However, there is lack of research on the impact of accreditation, particularly in general practice. This study explores how general pr...

    Authors: Marius Brostrøm Kousgaard, Thorkil Thorsen and Tina Drud Due

    Citation: BMC Family Practice 2019 20:146

    Content type: Research article

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  34. Training of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medi...

    Authors: Khalid Gaffer Mohamed, Steinar Hunskaar, Samira Hamid Abdelrahman and Elfatih Mohamed Malik

    Citation: BMC Family Practice 2019 20:145

    Content type: Research article

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  35. Time constraints during patient visits play a major role for the work stress of primary care physicians. Several studies suggest that there is a critical situation in terms of time constraints in primary care ...

    Authors: Olaf von dem Knesebeck, Sarah Koens, Gabriella Marx and Martin Scherer

    Citation: BMC Family Practice 2019 20:142

    Content type: Research article

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  36. Postgraduate vocational training in family medicine (FM) is essential for physicians to build capacity and develop quality primary care. Inadequate standards in training and curriculum development can contribu...

    Authors: K. P. Lee, C. Wong, D. Chan, K. Kung, L. Luk, M. C. S. Wong, D. Chao, V. Leung, C. W. Chan, W. Ko, T. F. Leung, Y. H. Chan, H. T. Fung, M. K. Lee and S. Y. S. Wong

    Citation: BMC Family Practice 2019 20:139

    Content type: Research article

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  37. This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to crea...

    Authors: C. C. M. Molema, G. C. W. Wendel-Vos, S. ter Schegget, A. J. Schuit and L. A. M. van de Goor

    Citation: BMC Family Practice 2019 20:137

    Content type: Research article

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  38. Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been report...

    Authors: Mark J. Yaffe, Richard B. Hovey and Charo Rodriguez

    Citation: BMC Family Practice 2019 20:136

    Content type: Research article

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  39. This study was embedded in the Check-In randomised controlled trial that investigated the effectiveness of general practice-based preventive health checks on adverse health behaviour and early detection of non...

    Authors: Nina Kamstrup-Larsen, Marie Broholm-Jørgensen, Susanne O. Dalton, Lars B. Larsen, Janus L. Thomsen and Janne S. Tolstrup

    Citation: BMC Family Practice 2019 20:135

    Content type: Research article

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  40. Research shows that few general practitioners perform intra- and periarticular infiltrations. Lack of good training strategies to teach these skills would be an important reason for this observation. In this s...

    Authors: Nele R. Michels and Els Vanhomwegen

    Citation: BMC Family Practice 2019 20:133

    Content type: Research article

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  41. Family Medicine is a novel discipline in many countries, where the motivation for training and value added to communities is not well-described. Our purpose was to understand the reason behind the choice of Fa...

    Authors: Vincent K. Cubaka, Clayton Dyck, Russell Dawe, Baraa Alghalyini, Molly Whalen-Browne, Gabriel Cejas and Christine Gibson

    Citation: BMC Family Practice 2019 20:129

    Content type: Research article

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  43. BATHE is a brief psychosocial intervention designed for physician use in patient consultations. The technique has gained some international recognition, but there is currently limited research evidence to demo...

    Authors: Clare Thomas, Helen Cramer, Sue Jackson, David Kessler, Chris Metcalfe, Charlie Record and Rebecca K. Barnes

    Citation: BMC Family Practice 2019 20:121

    Content type: Research article

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  44. To enable delivery of high quality patient-centered care, as well as to allow primary care health systems to allocate appropriate resources that align with patients’ identified self-management problems (SM-Pro...

    Authors: Danielle M. Hessler, Lawrence Fisher, Vicky Bowyer, L. Miriam Dickinson, Bonnie T. Jortberg, Bethany Kwan, Douglas H. Fernald, Matt Simpson and W. Perry Dickinson

    Citation: BMC Family Practice 2019 20:120

    Content type: Research article

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  45. General practitioners (GPs) are responsible for managing chronic care in the growing population of patients with comorbid chronic conditions and cancer. Studies have shown, however, that cancer patients are le...

    Authors: Anne Beiter Arreskov, Anette Hauskov Graungaard, Mads Toft Kristensen, Jens Søndergaard and Annette Sofie Davidsen

    Citation: BMC Family Practice 2019 20:119

    Content type: Research article

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  46. Depression and anxiety disorders are common in primary care. Comorbidities are frequent, and the diagnoses can be difficult. The Mini-International Neuropsychiatric Interview (MINI) can be a support in the cli...

    Authors: Agneta Pettersson, Sonja Modin, Henna Hasson and Ingvar Krakau

    Citation: BMC Family Practice 2019 20:117

    Content type: Research article

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  47. General Practice (GP) seems to be perceived as less attractive throughout Europe. Most of the policies on the subject focused on negative factors. An EGPRN research team from eight participating countries was ...

    Authors: B. Le Floch, H. Bastiaens, J. Y. Le Reste, H. Lingner, R. Hoffman, S. Czachowski, R. Assenova, T. H. Koskela, Z. Klemenc-Ketis, P. Nabbe, A. Sowinska, T. Montier and L. Peremans

    Citation: BMC Family Practice 2019 20:96

    Content type: Research article

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  48. Clinical guidelines exhort clinicians to encourage patients to improve their health behaviours. However, most offer little support on how to have these conversations in practice. Clinicians fear that health be...

    Authors: C. Albury, A. Hall, A. Syed, S. Ziebland, E. Stokoe, N. Roberts, H. Webb and P. Aveyard

    Citation: BMC Family Practice 2019 20:111

    Content type: Research article

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  50. Acute respiratory tract infections (RTI) in children are a common reason for antibiotic prescribing. Clinicians’ prescribing decisions are influenced by perceived parental expectations for antibiotics, however...

    Authors: Christie Cabral, Jeremy Horwood, Jon Symonds, Jenny Ingram, Patricia J. Lucas, Niamh M. Redmond, Joe Kai, Alastair D. Hay and Rebecca K. Barnes

    Citation: BMC Family Practice 2019 20:102

    Content type: Research article

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