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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. COVID-19 will cause normal feelings of worry and stress and many of those who experience higher levels of distress will experience resolution of their symptoms as society returns to pre-COVID-19 functioning. O...

    Authors: Laurence Astill Wright, Sam Gnanapragasam, Anthony J. Downes and Jonathan I. Bisson

    Citation: BMC Family Practice 2021 22:73

    Content type: Review

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  2. High continuity of care has a positive impact on health outcomes, but insight into the mechanisms underlying this impact is limited. Information continuity, on which our study focuses, is especially important ...

    Authors: Johanna Forstner, Jasmin Bossert, Aline Weis, Nicola Litke, Cornelia Strassner, Joachim Szecsenyi and Michel Wensing

    Citation: BMC Family Practice 2021 22:72

    Content type: Research article

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  3. The inappropriate and/or high prescribing of benzodiazepine and ‘Z’ drugs (BDZ +) is a major health concern. The purpose of this study was to determine whether physician or pharmacist led interventions or a si...

    Authors: Nigel Ashworth, Nicole Kain, Delaney Wiebe, Nancy Hernandez-Ceron, Ed Jess and Karen Mazurek

    Citation: BMC Family Practice 2021 22:68

    Content type: Research article

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  4. Many people with obesity receive weight loss consultations by general practice nurses (GPNs) in routine primary care. This exploratory study aimed to characterise the components of these consultations, includi...

    Authors: Heather Tong, Elizabeth Morris, Susan A. Jebb and Dimitrios A. Koutoukidis

    Citation: BMC Family Practice 2021 22:65

    Content type: Research article

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  5. The primary health care setting is considered a major starting point in successful obesity management. However, research indicates insufficient quality of weight counseling in primary care. Aim of the present ...

    Authors: Franziska D. Welzel, Jonathan Bär, Janine Stein, Margrit Löbner, Alexander Pabst, Melanie Luppa, Thomas Grochtdreis, Anette Kersting, Matthias Blüher, Claudia Luck-Sikorski, Hans-Helmut König and Steffi G. Riedel-Heller

    Citation: BMC Family Practice 2021 22:61

    Content type: Research article

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  6. There is limited quantitative research on the effect of physician attire on patient–physician relationships. This study aimed to measure the influence of Japanese family physicians’ attire on the “human” aspec...

    Authors: Takaharu Matsuhisa, Noriyuki Takahashi, Kunihiko Takahashi, Yuki Yoshikawa, Muneyoshi Aomatsu, Juichi Sato, Stewart W. Mercer and Nobutaro Ban

    Citation: BMC Family Practice 2021 22:59

    Content type: Research article

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  7. Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed t...

    Authors: Yuta Hirose, Kiyoshi Shikino, Yoshiyuki Ohira, Sumihide Matsuoka, Chihiro Mikami, Hayami Tsuchiya, Daiki Yokokawa, Akiko Ikegami, Tomoko Tsukamoto, Kazutaka Noda, Takanori Uehara and Masatomi Ikusaka

    Citation: BMC Family Practice 2021 22:42

    Content type: Research article

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  8. Primary care providers are pillars of China’s medical and health sectors. However, due to the gap between career expectations and reality, they enter a career plateau phase through excessive pressure. This stu...

    Authors: Di Liu, Xu Yang, Qinglin Li, Lei Shi and Qiaoran Tang

    Citation: BMC Family Practice 2021 22:38

    Content type: Research article

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  9. The attitudes towards obesity may have an important role on healthier behavior. The goal of the present study was to explore the attitudes towards obesity and to investigate how these attitudes were associated...

    Authors: Virginija Zelenytė, Leonas Valius, Auksė Domeikienė, Rita Gudaitytė, Žilvinas Endzinas, Linas Šumskas and Almantas Maleckas

    Citation: BMC Family Practice 2021 22:37

    Content type: Research article

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  10. Work stress is a common problem among the health personnel of the Spanish National Health System. The objective of this paper is to assess the state of mindfulness among Spanish primary care providers and to e...

    Authors: Rosa Magallón-Botaya, Luis Angel Pérula-de Torres, Juan Carlos Verdes-Montenegro Atalaya, Celia Pérula-Jiménez, Norberto Lietor-Villajos, Cruz Bartolomé-Moreno, Javier Garcia-Campayo and Herminia Moreno-Martos

    Citation: BMC Family Practice 2021 22:29

    Content type: Research article

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  11. Humanwide was precision health embedded in primary care aiming to leverage high-tech and high-touch medicine to promote wellness, predict and prevent illness, and tailor treatment to individual medical and psy...

    Authors: Cati G. Brown-Johnson, Nadia Safaeinili, Juliana Baratta, Latha Palaniappan, Megan Mahoney, Lisa G. Rosas and Marcy Winget

    Citation: BMC Family Practice 2021 22:28

    Content type: Research article

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  12. In high-income countries with a low HIV prevalence, primary care doctors are likely the first point of medical contact for people at high risk of HIV. One of the key factors for successful implementation of pr...

    Authors: Greta Tam, Ngai Sze Wong and Shui Shan Lee

    Citation: BMC Family Practice 2021 22:27

    Content type: Research article

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  13. Uncomplicated urinary tract infection (uUTI) is very common among women in primary care. The risk of developing pyelonephritis remains low after uUTI, nonetheless, empiric antibiotic therapy is frequently pres...

    Authors: Yves-Marie Vincent, Adèle Frachon, Clotilde Buffeteau and Guillaume Conort

    Citation: BMC Family Practice 2021 22:26

    Content type: Research article

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  14. Trials have shown that delayed antibiotic prescriptions (DPs) and point-of-care C-Reactive Protein testing (POC-CRPT) are effective in reducing antibiotic use in general practice, but these were not typically ...

    Authors: Aleksandra J. Borek, Anne Campbell, Elle Dent, Christopher C. Butler, Alison Holmes, Michael Moore, A. Sarah Walker, Monsey McLeod and Sarah Tonkin-Crine

    Citation: BMC Family Practice 2021 22:25

    Content type: Research article

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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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

    Published on:

  32. 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

    Published on:

  33. 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

    Published on:

  34. 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

    Published on:

  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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

    Published on:

  45. 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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  46. 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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