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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 4 of 10

  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. Content type: Research article

    Children’s exposure to domestic violence is a type of child maltreatment, yet many general practice clinicians remain uncertain of their child safeguarding responsibilities in the context of domestic violence....

    Authors: Natalia V. Lewis, Cath Larkins, Nicky Stanley, Eszter Szilassy, William Turner, Jessica Drinkwater and Gene S. Feder

    Citation: BMC Family Practice 2017 18:33

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  10. Content type: Research article

    Traditionally, drug prescription and follow up have been the sole responsibility of physicians. However, interprofessional medication reviews (IMRs) have been developed to prevent drug discrepancies and patien...

    Authors: H. T. Bell, A. G. Granas, I. Enmarker, R. Omli and A. Steinsbekk

    Citation: BMC Family Practice 2017 18:30

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  11. Content type: Research article

    The development of end-of-life primary care is a socio-medical and ethical challenge. However, general practitioners (GPs) face many difficulties when initiating appropriate discussion on proactive shared pall...

    Authors: Agnès Oude Engberink, Mélanie Badin, Philippe Serayet, Sylvain Pavageau, François Lucas, Gérard Bourrel, Joanna Norton, Grégory Ninot and Pierre Senesse

    Citation: BMC Family Practice 2017 18:27

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  12. Content type: Research article

    Several disease specific instruments have been developed to identify and assess diabetes distress. In Malaysia, the Problem Areas in Diabetes Scale has been validated in Malay, but it does not have specific do...

    Authors: Ying Woei Chin, Pauline Siew Mei Lai and Yook Chin Chia

    Citation: BMC Family Practice 2017 18:25

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  13. Content type: Research article

    Potentially inappropriate medication (PIM) is defined as medication with uncertain therapeutic effects and/or potential adverse drug reactions outweighing the clinical benefits. The prescription rate of PIM fo...

    Authors: Nadine Janis Pohontsch, Kathrin Heser, Antje Löffler, Britta Haenisch, Debora Parker, Tobias Luck, Steffi G. Riedel-Heller, Wolfgang Maier, Frank Jessen and Martin Scherer

    Citation: BMC Family Practice 2017 18:22

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  14. Content type: Research article

    The management of sore throat varies widely in Europe. The objective of this study was to gain insight into clinicians’ perceptions on the current management of sore throat in Spain.

    Authors: Carl Llor, Isabel Vilaseca, Eduardo Lehrer-Coriat, Xavier Boleda, José L. Cañada, Ana Moragas and Josep M. Cots

    Citation: BMC Family Practice 2017 18:21

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  15. Content type: Research article

    Delayed antibiotic prescribing reduces antibiotic use for acute respiratory infections in trials in general practice, but the uptake in clinical practice is low. The aim of the study was to identify facilitato...

    Authors: Lucy Sargent, Amanda McCullough, Chris Del Mar and John Lowe

    Citation: BMC Family Practice 2017 18:20

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  16. Content type: Research article

    Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients’ perspectives on the role of primary care in obesity management an...

    Authors: Jacqueline Torti, Thea Luig, Michelle Borowitz, Jeffrey A. Johnson, Arya M. Sharma and Denise L. Campbell-Scherer

    Citation: BMC Family Practice 2017 18:19

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    The Erratum to this article has been published in BMC Family Practice 2017 18:58

  17. Content type: Research article

    Oral anticoagulation therapy (OAT) is a challenge in general practice, especially for high-risk groups such as the elderly. Insufficient patient knowledge about safety-relevant aspects of OAT is considered to ...

    Authors: Verena Maikranz, Andrea Siebenhofer, Lisa-R. Ulrich, Karola Mergenthal, Sylvia Schulz-Rothe, Birgit Kemperdick, Sandra Rauck, Gudrun Pregartner, Andrea Berghold, Ferdinand M. Gerlach and Juliana J. Petersen

    Citation: BMC Family Practice 2017 18:15

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  18. Content type: Research article

    Transient Ischaemic Attack (TIA) requires urgent investigation and management. Urgent management reduces the risk of subsequent stroke markedly, but non-presentation or delays in patient presentation to health...

    Authors: Parker Magin, Terry Joyce, Christopher Levi and Daniel Lasserson

    Citation: BMC Family Practice 2017 18:14

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  19. Content type: Research article

    Self-treatment of acute exacerbations of COPD with antibiotics and/or oral corticosteroids has emerged as a promising strategy to reduce hospitalization rates, mortality and health costs. However, for reasons ...

    Authors: Johanna Laue, Hasse Melbye and Mette Bech Risør

    Citation: BMC Family Practice 2017 18:8

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  20. Content type: Research article

    Oral anticoagulant therapy reduces the risk of stroke in patients with atrial fibrillation, but many patients are still not prescribed this therapy. The causes of underuse of vitamin K antagonists oral anticoa...

    Authors: Gemma Mas Dalmau, Elisenda Sant Arderiu, María Belén Enfedaque Montes, Ivan Solà, Sandra Pequeño Saco and Pablo Alonso Coello

    Citation: BMC Family Practice 2017 18:3

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  21. Content type: Research article

    Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an ...

    Authors: Emma L. Healey, Chris J. Main, Sarah Ryan, Gretl A. McHugh, Mark Porcheret, Andrew G. Finney, Andrew Morden and Krysia S. Dziedzic

    Citation: BMC Family Practice 2016 17:173

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  22. Content type: Research article

    Exercise is a recommended ‘core’ treatment for chronic knee pain (CKP), however it appears to be underused by general practitioners (GPs). While behavioural theories suggest that attitudes and beliefs influenc...

    Authors: Elizabeth Cottrell, Edward Roddy, Trishna Rathod, Mark Porcheret and Nadine E. Foster

    Citation: BMC Family Practice 2016 17:172

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  23. Content type: Research article

    It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally in...

    Authors: Helle Riisgaard, Jørgen Nexøe, Jette V. Le, Jens Søndergaard and Loni Ledderer

    Citation: BMC Family Practice 2016 17:168

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  24. Content type: Research article

    We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret.

    Authors: Maria-Margarita Becerra-Perez, Matthew Menear, Stephane Turcotte, Michel Labrecque and France Légaré

    Citation: BMC Family Practice 2016 17:156

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  25. Content type: Research article

    Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this ...

    Authors: Anne Marie Henihan, Geoff McCombe, Jan Klimas, Davina Swan, Dorothy Leahy, Rolande Anderson, Gerard Bury, Colum P. Dunne, Eamon Keenan, John S. Lambert, David Meagher, Clodagh O’Gorman, Tom P. O’Toole, Jean Saunders, Gillian W. Shorter, Bobby P. Smyth…

    Citation: BMC Family Practice 2016 17:153

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  26. Content type: Research article

    General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living in Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when...

    Authors: Beata Borgström Bolmsjö, Anna Palagyi, Lisa Keay, Jan Potter and Richard I. Lindley

    Citation: BMC Family Practice 2016 17:152

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  27. Content type: Research article

    Point-of-care tests (POCTs) are increasingly used in family medicine clinics in the United States. While the diagnostics industry predicts significant growth in the number and scope of POCTs deployed, little i...

    Authors: Victoria Hardy, Matthew Thompson, William Alto, Gina A. Keppel, Jaime Hornecker, Adriana Linares, Beth Robitaille and Laura-Mae Baldwin

    Citation: BMC Family Practice 2016 17:149

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  28. Content type: Research article

    Patients’ expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs...

    Authors: Darius Shaw Teng Pan, Joyce Huixin Huang, Magdalene Hui Min Lee, Yue Yu, Mark I-Cheng Chen, Ee Hui Goh, Lili Jiang, Joash Wen Chen Chong, Yee Sin Leo, Tau Hong Lee, Chia Siong Wong, Victor Weng Keong Loh, Adrian Zhongxian Poh, Tat Yean Tham, Wei Mon Wong and Fong Seng Lim

    Citation: BMC Family Practice 2016 17:148

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  29. Content type: Research article

    Tiredness is one of the most frequent complaints in primary care. Although often self-limiting and frequently associated with psychosocial stress, patients but also their physicians are often uncertain regardi...

    Authors: Rebekka Stadje, Katharina Dornieden, Erika Baum, Annette Becker, Tobias Biroga, Stefan Bösner, Jörg Haasenritter, Christian Keunecke, Annika Viniol and Norbert Donner-Banzhoff

    Citation: BMC Family Practice 2016 17:147

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  30. Content type: Research article

    Primary care physicians (PCPs) play a key role regarding vaccination in France. The aims of the present study were to define the scoring rules and to assess the measurement properties of the ‘Determinants of I...

    Authors: Luc Martinez, Fatoumata Fofana, François Raineri, Pascale Arnould, Khadra Benmedjahed, Guillaume Coindard, François Denis, Didier Duhot, Jean-Luc Gallais, Didier Seyler, Béatrice Tugaut and Benoit Arnould

    Citation: BMC Family Practice 2016 17:143

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    The Erratum to this article has been published in BMC Family Practice 2016 17:171

  31. Content type: Research article

    Many adults are insufficiently physically active for health. Counselling is the main method to promote physical activity (PA) in primary care but often implemented inadequately. The aim of this study was to in...

    Authors: Minna Aittasalo, Katriina Kukkonen-Harjula, Erja Toropainen, Marjo Rinne, Kari Tokola and Tommi Vasankari

    Citation: BMC Family Practice 2016 17:141

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  32. Content type: Research article

    There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative accep...

    Authors: Shona Nicole Dutton, Sarah May Dennis, Nicholas Zwar and Mark Fort Harris

    Citation: BMC Family Practice 2016 17:138

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  33. Content type: Research article

    Research has shown that the provision of pertinent health information to patients with cardiovascular disease is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perc...

    Authors: Andrea Greco, Erika Rosa Cappelletti, Dario Monzani, Luca Pancani, Marco D’Addario, Maria Elena Magrin, Massimo Miglioretti, Marcello Sarini, Marta Scrignaro, Luca Vecchio, Francesco Fattirolli and Patrizia Steca

    Citation: BMC Family Practice 2016 17:136

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  34. Content type: Research article

    Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary...

    Authors: Christopher Chung, Hubert Maisonneuve, Eva Pfarrwaller, Marie-Claude Audétat, Alain Birchmeier, Lilli Herzig, Thomas Bischoff, Johanna Sommer and Dagmar M. Haller

    Citation: BMC Family Practice 2016 17:135

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  35. Content type: Research article

    Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with international prevalence estimates of 5 % in childhood, yet significant evidence exists that far fewer children receive ADHD ...

    Authors: Mimi Tatlow-Golden, Lucia Prihodova, Blanaid Gavin, Walter Cullen and Fiona McNicholas

    Citation: BMC Family Practice 2016 17:129

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  36. Content type: Research article

    Life and healthcare demand work from patients, more so from patients living with multimorbidity. Patients must respond by mobilizing available abilities and resources, their so-called capacity. We sought to su...

    Authors: Kasey R. Boehmer, Michael R. Gionfriddo, Rene Rodriguez-Gutierrez, Abd Moain Abu Dabrh, Aaron L. Leppin, Ian Hargraves, Carl R. May, Nathan D. Shippee, Ana Castaneda-Guarderas, Claudia Zeballos Palacios, Pavithra Bora, Patricia Erwin and Victor M. Montori

    Citation: BMC Family Practice 2016 17:127

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  37. Content type: Research article

    Stratified primary care involves changing General Practitioners’ (GPs) clinical behaviour in treating patients, away from the current stepped care approach to instead identifying early treatment options that a...

    Authors: Benjamin Saunders, Bernadette Bartlam, Nadine E. Foster, Jonathan C. Hill, Vince Cooper and Joanne Protheroe

    Citation: BMC Family Practice 2016 17:125

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  38. Content type: Research article

    Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in ...

    Authors: Nina Fleischmann, Britta Tetzlaff, Jochen Werle, Christina Geister, Martin Scherer, Siegfried Weyerer, Eva Hummers-Pradier and Christiane A. Mueller

    Citation: BMC Family Practice 2016 17:123

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  39. Content type: Research article

    Failing to assess elderly patients for functional decline at the time around a minor injury may result in adverse health outcomes. This study was conducted to define what constitutes clinically significant fun...

    Authors: Kasim E. Abdulaziz, Jamie Brehaut, Monica Taljaard, Marcel Émond, Marie-Josée Sirois, Jacques S. Lee, Laura Wilding and Jeffrey J. Perry

    Citation: BMC Family Practice 2016 17:117

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  40. Content type: Research article

    Despite primary health care being recognised as an ideal setting to effectively respond to those experiencing family violence, responses are not widely integrated as part of routine health care. A lack of evid...

    Authors: Claire Gear, Jane Koziol-McLain, Denise Wilson and Faye Clark

    Citation: BMC Family Practice 2016 17:115

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  41. Content type: Research article

    Gout is the most common form of inflammatory arthritis. It is associated with substantial co-morbidity and often managed in primary care. A greater understanding of the communication process between patients a...

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

    Citation: BMC Family Practice 2016 17:114

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  42. Content type: Research article

    Potentially inappropriate prescribing (PIP) is common in older people in primary care, as evidenced by a significant body of quantitative research. However, relatively few qualitative studies have investigated...

    Authors: Barbara Clyne, Janine A. Cooper, Carmel M. Hughes, Tom Fahey and Susan M. Smith

    Citation: BMC Family Practice 2016 17:109

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  43. Content type: Research article

    Guidelines on cardiovascular disease (CVD) risk reassessment intervals are unclear, potentially leading to detrimental practice variation: too frequent can result in overtreatment and greater strain on the hea...

    Authors: Shannon McKinn, Carissa Bonner, Jesse Jansen, Armando Teixeira-Pinto, Matthew So, Les Irwig, Jenny Doust, Paul Glasziou and Kirsten McCaffery

    Citation: BMC Family Practice 2016 17:107

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  44. Content type: Research article

    International evidence suggests that dementia is under–diagnosed in the community and that General Practitioners (GPs) are often reluctant to engage to their fullest capability with patients who exhibit cognit...

    Authors: Ron L. Mason, Michael J. Annear, Amanda Lo, Fran McInerney, Laura T. Tierney and Andrew L. Robinson

    Citation: BMC Family Practice 2016 17:105

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  45. Content type: Research article

    In Germany, the coverage of officially recommended vaccinations for the elderly is below a desirable level. It is known that advice provided by General Practitioners and Physician Assistants influences the upt...

    Authors: Carolina Judith Klett-Tammen, Gérard Krause, Thomas von Lengerke and Stefanie Castell

    Citation: BMC Family Practice 2016 17:98

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  46. Content type: Research article

    Continuing medical education (CME) in earlier cancer diagnosis was launched in Denmark in 2012 as part of the Danish National Cancer Plan. The CME programme was introduced to improve the recognition among gene...

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

    Citation: BMC Family Practice 2016 17:95

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  47. Content type: Research article

    At least 10 % of patients seen in primary care are said to have a condition in which genetics has an influence. However, patients at risk of genetic disease may not be recognised, while those who seek advice m...

    Authors: Milena Paneque, Daniela Turchetti, Leigh Jackson, Peter Lunt, Elisa Houwink and Heather Skirton

    Citation: BMC Family Practice 2016 17:89

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