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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.

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  1. Content type: Research article

    Despite the recommended guidelines on addressing diet for the management and prevention of obesity in primary care, the literature highlights that their implementation has been suboptimal. In this paper, we pr...

    Authors: Stephanie Aboueid, Ivy Bourgeault and Isabelle Giroux

    Citation: BMC Family Practice 2018 19:69

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  2. Content type: Research article

    Primary care is changing rapidly to meet the needs of an ageing and chronically ill population. New ways of working are called for yet the introduction of innovative service interventions is complicated by org...

    Authors: Ian Litchfield, Paramjit Gill, Tony Avery, Stephen Campbell, Katherine Perryman, Kate Marsden and Sheila Greenfield

    Citation: BMC Family Practice 2018 19:72

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  3. Content type: Research article

    The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care...

    Authors: David Lacasta Tintorer, Josep Maria Manresa Domínguez, Enriqueta Pujol-Rivera, Souhel Flayeh Beneyto, Xavier Mundet Tuduri and Francesc Saigí-Rubió

    Citation: BMC Family Practice 2018 19:56

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  4. Content type: Research article

    Evidence-based preventive care recommendations have been well established, but studies have persistently reported gaps between these recommendations and general practitioners’ practices in providing preventive...

    Authors: Denise Y. S. Tam, Yvonne Y. C. Lo and Wendy Tsui

    Citation: BMC Family Practice 2018 19:58

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  5. Content type: Research article

    Patients with type 2 diabetes mellitus (T2DM) with poor glycaemic control can represent a challenge from the perspective of the general practitioner (GP). Apart from patient-sided factors, the understanding of...

    Authors: Anja Wollny, Michael Pentzek, Oliver Rudolf Herber, Heinz-Harald Abholz, Jürgen in der Schmitten, Andrea Icks, Stefan Wilm and Elisabeth Gummersbach

    Citation: BMC Family Practice 2018 19:49

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  6. Content type: Research article

    Encouraging early child development and the early identification of developmental difficulties is a priority. The Ministry of Health in the Australian State of New South Wales (NSW), has recommended a program ...

    Authors: Pankaj Garg, My Trinh Ha, John Eastwood, Susan Harvey, Sue Woolfenden, Elisabeth Murphy, Cheryl Dissanayake, Katrina Williams, Bin Jalaludin, Anne McKenzie, Stewart Einfeld, Natalie Silove, Kate Short and Valsamma Eapen

    Citation: BMC Family Practice 2018 19:42

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  7. Content type: Research article

    Self-efficacy has been shown to be positively correlated with self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus. However, such evidence is lacking in the Malaysian primary ...

    Authors: Zahirah Tharek, Anis Safura Ramli, David Leonard Whitford, Zaliha Ismail, Maryam Mohd Zulkifli, Siti Khuzaimah Ahmad Sharoni, Asrul Akmal Shafie and Thevaraajan Jayaraman

    Citation: BMC Family Practice 2018 19:39

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  8. Content type: Research article

    Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should o...

    Authors: Éva Marjorie Couture, Maud-Christine Chouinard, Martin Fortin and Catherine Hudon

    Citation: BMC Family Practice 2018 19:38

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  9. Content type: Research article

    In the Netherlands, a substantial proportion of newly diagnosed HIV patients present late for care, therefore, we investigated the effectiveness of a blended educational programme for trainers of GPs designed ...

    Authors: Ivo Kim Joore, Jan E. A. M. van Bergen, Gerben ter Riet, A. van der Maat and N. van Dijk

    Citation: BMC Family Practice 2018 19:36

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  10. Content type: Research article

    Chronically ill patients such as people with type 2 diabetes develop perceptions of their illness, which will influence their coping behaviour. Perceptions are formed once a health threat has been recognised. ...

    Authors: Rimke Cathelijne Vos, Marise Jeannine Kasteleyn, Monique Johanna Heijmans, Elke de Leeuw, François Georges Schellevis, Mieke Rijken and Guy Emile Rutten

    Citation: BMC Family Practice 2018 19:35

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  11. Content type: Research article

    Public performance reporting (PPR) of hospital data aims to improve quality of care in hospitals and to inform consumer choice. In Australia, general practitioners (GPs) are gatekeepers to secondary care with ...

    Authors: Khic-Houy Prang, Rachel Canaway, Marie Bismark, David Dunt and Margaret Kelaher

    Citation: BMC Family Practice 2018 19:29

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  12. Content type: Research article

    Professionally-focussed behaviour change intervention (BCI) workshops were utilised in the Management of OsteoArthritis in Consultations (MOSAICS) trial investigating the feasibility of implementing the Nation...

    Authors: Mark Porcheret, Chris Main, Peter Croft and Krysia Dziedzic

    Citation: BMC Family Practice 2018 19:26

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  13. Content type: Research article

    Illness perception questionnaires for various medical conditions have become more useful in recent years. However, very few have addressed this issue for Type 2 diabetes in Saudi Arabia.

    Authors: Sameer Al-Ghamdi, Gulfam Ahmad, Ali Hassan Ali, Nasraddin Bahakim, Salman Alomran, Waleed Alhowikan, Salman Almutairi, Tariq Basalem and Faisal Aljuaid

    Citation: BMC Family Practice 2018 19:21

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  14. Content type: Research article

    Psychiatric complaints are common among primary care patients, with depression and anxiety being the most frequent. Diagnosis of anxiety and depression can be difficult, potentially leading to over- as well as...

    Authors: Agneta Pettersson, Sonja Modin, Rolf Wahlström, Sandra af Winklerfelt Hammarberg and Ingvar Krakau

    Citation: BMC Family Practice 2018 19:19

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  15. Content type: Research article

    Providing sickness certification is a decision that primary care physicians make on a daily basis. The majority of sickness certification studies in the literature involve a general assessment of physician or ...

    Authors: Yogarabindranath Swarna Nantha, Lei Hum Wee and Caryn Mei-Hsien Chan

    Citation: BMC Family Practice 2018 19:18

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  16. Content type: Research article

    Although many studies have documented patient-, clinician-, and organizational barriers/facilitators of primary care among people with mental illnesses, few have examined whether these factors predict actual r...

    Authors: Bobbi Jo H. Yarborough, Scott P. Stumbo, Nancy A. Perrin, Ginger C. Hanson, John Muench and Carla A. Green

    Citation: BMC Family Practice 2018 19:16

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  17. Content type: Research article

    Given both the increase of nursing home residents forecast and challenges of current interprofessional interactions, we developed and tested measures to improve collaboration and communication between nurses a...

    Authors: Christiane A. Müller, Nina Fleischmann, Christoph Cavazzini, Susanne Heim, Svenja Seide, Christina Geister, Britta Tetzlaff, Andreas Hoell, Jochen Werle, Siegfried Weyerer, Martin Scherer and Eva Hummers

    Citation: BMC Family Practice 2018 19:14

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  18. Content type: Research article

    The accuracy of blood pressure measurement is variable in office-based settings. Even when staff training programs are effective, knowledge and skills decay over time, supporting the need for ongoing staff tra...

    Authors: Lauren Block, Sarah J. Flynn, Lisa A. Cooper, Caroline Lentz, Tammie Hull, Katherine B. Dietz and Romsai T. Boonyasai

    Citation: BMC Family Practice 2018 19:13

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  19. Content type: Research article

    Acute fever is the most common pediatric condition encountered in general practice and a source of parental concern that can result in inappropriate behavior. The main objective of this study was to describe a...

    Authors: Anthony Chapron, Marc Brochard, Chloé Rousseau, Anne-Charlotte Rousseau, Martine Brujean, Laure Fiquet and Virginie Gandemer

    Citation: BMC Family Practice 2018 19:7

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  20. Content type: Research article

    Shifting care from the secondary to the primary system may present an opportunity to ensure that the increasing number of patients with chronic heart failure (CHF) receive high-quality care while containing co...

    Authors: J. A. Wildeboer, A. R. T. van de Ven and D. de Boer

    Citation: BMC Family Practice 2018 19:8

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  21. Content type: Research article

    Depression is one of the most common mental disorders in old age and is associated with various negative health consequences for the affected individual. Studies suggest that patients’ views on depression have...

    Authors: Anne Stark, Hanna Kaduszkiewicz, Janine Stein, Wolfgang Maier, Kathrin Heser, Siegfried Weyerer, Jochen Werle, Birgitt Wiese, Silke Mamone, Hans-Helmut König, Jens-Oliver Bock, Steffi G. Riedel-Heller and Martin Scherer

    Citation: BMC Family Practice 2018 19:2

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  22. Content type: Research article

    Millions of people with substance use disorders (SUDs) need, but do not receive, treatment. Delivering SUD treatment in primary care settings could increase access to treatment because most people visit their ...

    Authors: Allison J. Ober, Katherine E. Watkins, Sarah B. Hunter, Brett Ewing, Karen Lamp, Mimi Lind, Kirsten Becker, Keith Heinzerling, Karen C. Osilla, Allison L. Diamant and Claude M. Setodji

    Citation: BMC Family Practice 2017 18:107

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  23. Content type: Research article

    Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting ...

    Authors: Kathrin Alber, Thomas Kuehlein, Angela Schedlbauer and Susann Schaffer

    Citation: BMC Family Practice 2017 18:99

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  24. Content type: Research article

    Despite recent guidelines suggesting that patients with chronic non-malignant pain might not benefit, there has been a significant rise in opioid prescription for chronic non-malignant pain. This topic is impo...

    Authors: Fran Toye, Kate Seers, Stephanie Tierney and Karen Louise Barker

    Citation: BMC Family Practice 2017 18:94

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  25. Content type: Research article

    Migrants are more likely to use out-of-hours primary care, especially for nonurgent problems. Their motives and expectations for help-seeking are as yet unknown. The objective of this study is to examine the m...

    Authors: Ellen Keizer, Peter Bakker, Paul Giesen, Michel Wensing, Femke Atsma, Marleen Smits and Maria van den Muijsenbergh

    Citation: BMC Family Practice 2017 18:92

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  26. Content type: Research article

    Gout is the most common form of inflammatory arthritis and is associated with considerable co-morbidity. It is usually managed in the primary care setting with a combination of lifestyle modification and pharm...

    Authors: Anthony Dowell, Caroline Morris, Lindsay Macdonald and Maria Stubbe

    Citation: BMC Family Practice 2017 18:91

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  27. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:85

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  28. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:79

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  29. Content type: Research article

    Blood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a ...

    Authors: Sylvain Le Calvé, Dominique Somme, Joaquim Prud’homm and Aline Corvol

    Citation: BMC Family Practice 2017 18:76

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  30. Content type: Research article

    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...

    Authors: 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

    Citation: BMC Family Practice 2017 18:71

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  31. Content type: Research article

    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 ...

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

    Citation: BMC Family Practice 2017 18:69

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  32. Content type: Research article

    Rising dementia prevalence rates rise combined with the policy objective of enabling people with dementia to remain living at home, means that there will be a growing demand for dementia care in the community ...

    Authors: Tony Foley, Siobhán Boyle, Aisling Jennings and W. Henry Smithson

    Citation: BMC Family Practice 2017 18:66

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  33. Content type: Research article

    Good physician-patient communication can favor the adoption of healthy lifestyle habits, which is essential in high blood pressure (BP) management. More empathic physicians tend to have lower burnout and bette...

    Authors: Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda and Jorge Soler-González

    Citation: BMC Family Practice 2017 18:63

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  34. Content type: Research article

    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.

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

    Citation: BMC Family Practice 2017 18:60

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  35. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:57

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  36. Content type: Research article

    Medical certificates influence the distribution of economic benefits in welfare states; however, the qualitative aspects of these texts remain largely unexplored. The present study is the first systematic inve...

    Authors: Guri Aarseth, Bård Natvig, Eivind Engebretsen and Anne Kveim Lie

    Citation: BMC Family Practice 2017 18:55

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  37. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:54

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  38. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:53

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  39. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:52

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  40. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:50

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  41. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 17:164

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  42. Content type: Research article

    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...

    Authors: Sengül Sari, Ashley Elizabeth Muller and Kirsten K. Roessler

    Citation: BMC Family Practice 2017 18:45

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  43. Content type: Research article

    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...

    Authors: 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

    Citation: BMC Family Practice 2017 18:43

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  44. Content type: Research article

    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. ...

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

    Citation: BMC Family Practice 2017 18:44

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  45. Content type: Research article

    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...

    Authors: 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

    Citation: BMC Family Practice 2017 18:40

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  46. Content type: Research article

    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...

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

    Citation: BMC Family Practice 2017 18:39

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  47. Content type: Research article

    Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influ...

    Authors: L. Gayani Tillekeratne, Champica K. Bodinayake, Thushani Dabrera, Ajith Nagahawatte, Wasantha Kodikara Arachchi, Anoji Sooriyaarachchi, Kearsley Stewart, Melissa Watt, Truls Østbye and Christopher W. Woods

    Citation: BMC Family Practice 2017 18:37

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  48. Content type: Research article

    Although largely preventable, Australia has one of the highest rates of bowel cancer in the world. General Practitioners (GPs) have an important role to play in prevention and early detection of bowel cancer, ...

    Authors: Greer Dawson, Melanie Crane, Claudine Lyons, Anna Burnham, Tara Bowman, Donna Perez and Joanne Travaglia

    Citation: BMC Family Practice 2017 18:36

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