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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 10

  1. Content type: Research article

    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

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  2. Content type: Research article

    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

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  3. Content type: Research article

    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

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  4. Content type: Research article

    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

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  5. Content type: Research article

    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

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  6. Content type: Research article

    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

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  7. Content type: Research article

    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

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  8. Content type: Research article

    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

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  9. Content type: Research article

    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

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  10. Content type: Research article

    Asthma, a common yet complex airway disorder affecting about 11% of Australians, is well-controlled in only 54% of people with asthma. Those with difficult-to-treat and severe asthma are more likely to experie...

    Authors: Isla Hains, Josh Meyers, Kirsten Sterling, Jeannie Yoo, Helen Reddel and Clare Weston

    Citation: BMC Family Practice 2019 20:99

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  11. Content type: Research article

    Next to the well-known micro- and macrovascular complications, type 2 diabetes mellitus (T2DM) is associated with musculoskeletal disorders of the upper extremities referred to as limited joint mobility (LJM),...

    Authors: Login Ahmed S. Alabdali, Jasmien Jaeken, Geert-Jan Dinant and Ramon P. G. Ottenheijm

    Citation: BMC Family Practice 2019 20:98

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  12. Content type: Research article

    Family doctors can fulfill the gatekeeper duty to protect the residents’ health, which depends on their work competency and stability. The study aimed to identify factors influencing work competency and stabil...

    Authors: Shanshan Liu, Luan Wang, Tao Zhang, Chengjun Liu, Hong Liang, Yimin Zhang and Dongfeng Guo

    Citation: BMC Family Practice 2019 20:95

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  13. Content type: Research article

    For many patients, the general practitioner (GP) is the most important point of contact for obtaining information about a wide range of health topics. However, patients with different characteristics may seek ...

    Authors: Monika Oedekoven, Wolfram J. Herrmann, Clemens Ernsting, Susanne Schnitzer, Melanie Kanzler, Adelheid Kuhlmey and Paul Gellert

    Citation: BMC Family Practice 2019 20:94

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  14. Content type: Research article

    Does an intervention designed to foster patient-centered communication and shared decision making among GPs and their patients with poorly controlled type 2 diabetes mellitus reduce the level of HbA1c.

    Authors: Anja Wollny, Attila Altiner, Anne Daubmann, Eva Drewelow, Christian Helbig, Susanne Löscher, Michael Pentzek, Sara Santos, Karl Wegscheider, Stefan Wilm and Christin Löffler

    Citation: BMC Family Practice 2019 20:87

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  15. Content type: Research article

    Primary care is a central element of healthcare and addresses the main health problems of the population. While primary care gains in importance due to an aging population, there is an ongoing debate on physic...

    Authors: Kim-Sarah Krinke, Ulla Tangermann, Volker Eric Amelung and Christian Krauth

    Citation: BMC Family Practice 2019 20:80

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  16. Content type: Research article

    The nurse-led chronic obstructive pulmonary disease-Guidance Research on Illness Perception (COPD-GRIP) intervention was developed to incorporate illness perceptions into COPD care with the intention to improv...

    Authors: Marieke Zwakman, Saskia W. M. Weldam, Sigrid C. J. M. Vervoort, Jan-Willem J. Lammers and Marieke J. Schuurmans

    Citation: BMC Family Practice 2019 20:78

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  17. Content type: Research article

    Multimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core asp...

    Authors: Neeltje Vermunt, Glyn Elwyn, Gert Westert, Mirjam Harmsen, Marcel Olde Rikkert and Marjan Meinders

    Citation: BMC Family Practice 2019 20:76

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  18. Content type: Research article

    UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary care HIV testing rates are low. Efforts to increase primary c...

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

    Citation: BMC Family Practice 2019 20:74

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  19. Content type: Research article

    In 2015, Portugal was the OECD country with the highest reported consumption of BZD. Physician’s perceptions and attitudes regarding BZD are main determinants of related prescription habits. This study aimed t...

    Authors: Inês Teixeira Neves, Joana Sara Silva Oliveira, Milene Catarina Coelho Fernandes, Osvaldo Rodrigues Santos and Vasco António Jesus Maria

    Citation: BMC Family Practice 2019 20:71

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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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