Skip to content

Advertisement

Service organization, utilization, and delivery of care

Section edited by Mark Harris and Cindy Lam

This section covers, though is not limited to, service policy and evaluation, health systems research, professional boundaries, access, referral and consultations, screening and early detection, within the context of primary care.

Page 1 of 8

  1. Content type: Research article

    Hospital admissions for Ambulatory Care Sensitive Conditions (ACSC) are those that could potentially be prevented by timely and effective disease management within primary care. ACSC admissions are increasingl...

    Authors: Marjon van der Pol, Damilola Olajide, Mark Dusheiko, Robert Elliott, Bruce Guthrie, Louisa Jorm and Alastair H. Leyland

    Citation: BMC Family Practice 2019 20:32

    Published on:

  2. Content type: Debate

    Low back pain affects about 80% of all adults, many of whom consult general practice. Providing management can be challenging, in part due to the scarcity of effective treatment methods. There is broad consens...

    Authors: Allan Riis, Emma L. Karran, Jonathan C. Hill, Martin B. Jensen and Janus L. Thomsen

    Citation: BMC Family Practice 2019 20:30

    Published on:

  3. Content type: Research article

    The ageing population and increasing prevalence of multimorbidity place greater resource demands on the health systems internationally. Accurate prediction of general practice (GP) services is important for he...

    Authors: Christopher Harrison, Joan Henderson, Graeme Miller and Helena Britt

    Citation: BMC Family Practice 2019 20:28

    Published on:

  4. Content type: Research article

    This study aimed to use marketing theory to examine the views of patients, pharmacists and general practitioners (GPs) on how community pharmacies are currently used and to identify how community pharmacy serv...

    Authors: Ali M. K. Hindi, Ellen I. Schafheutle and Sally Jacobs

    Citation: BMC Family Practice 2019 20:26

    Published on:

  5. Content type: Research article

    Patient safety research is conducted predominantly in hospital settings, with a dearth of insight from primary care, despite suggestions that 2.2% of primary care consultations result in a patient safety incid...

    Authors: Caoimhe Madden, Sinéad Lydon, Margaret E. Cupples, Nigel D. Hart, Ciara Curran, Andrew W. Murphy and Paul O’Connor

    Citation: BMC Family Practice 2019 20:22

    Published on:

  6. Content type: Research article

    Anxiety and depression often co-exist. These disorders are under-diagnosed and under-treated, specifically among older people, and lead to increased use of health and social care services and raised mortality....

    Authors: Tom Kingstone, Bernadette Bartlam, Heather Burroughs, Peter Bullock, Karina Lovell, Mo Ray, Peter Bower, Waquas Waheed, Simon Gilbody, Elaine Nicholls and Carolyn A. Chew-Graham

    Citation: BMC Family Practice 2019 20:16

    Published on:

  7. Content type: Research article

    Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in...

    Authors: Clara González-Formoso, Ana Clavería, M.J. Fernández-Domínguez, F.L. Lago-Deibe, Luis Hermida-Rial, Antonio Rial, Francisco Gude-Sampedro, Salvador Pita-Fernández and Victoria Martín-Miguel

    Citation: BMC Family Practice 2019 20:15

    Published on:

  8. Content type: Research article

    Sexually transmitted infections (STI) caused by multidrug resistant Neisseria gonorrhoea are an emerging threat to global health. In the Netherlands, the general practitioner (GP) provides the major part of STI c...

    Authors: Roos van Amerongen, Roel P. Gazendam and Jan E. A. M. van Bergen

    Citation: BMC Family Practice 2019 20:12

    Published on:

  9. Content type: Study protocol

    NHS Health Check is a national cardiovascular disease (CVD) risk assessment programme for 40–74 year olds in England, in which practitioners should assess and communicate CVD risk, supported by appropriate ris...

    Authors: Christopher J. Gidlow, Naomi J. Ellis, Lisa Cowap, Victoria Riley, Diane Crone, Elizabeth Cottrell, Sarah Grogan, Ruth Chambers and David Clark-Carter

    Citation: BMC Family Practice 2019 20:11

    Published on:

  10. Content type: Research article

    The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests m...

    Authors: Michelle M. A. Kip, J. Marjan Hummel, Elra B. Eppink, Hendrik Koffijberg, Rogier M. Hopstaken, Maarten J. IJzerman and Ron Kusters

    Citation: BMC Family Practice 2019 20:8

    Published on:

  11. Content type: Research article

    In Germany, home visits account for a considerable workload for many family practitioners, substantial rural-urban disparities are assumable with regards to home visit frequency and duration. Considering the o...

    Authors: Maik Pochert, Karen Voigt, Martin Bortz, Alessa Sattler, Jeannine Schübel and Antje Bergmann

    Citation: BMC Family Practice 2019 20:3

    Published on:

  12. Content type: Research article

    Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need i...

    Authors: Grace M. Turner, Ricky Mullis, Lisa Lim, Lizzie Kreit and Jonathan Mant

    Citation: BMC Family Practice 2019 20:2

    Published on:

  13. Content type: Research article

    In response to a rising shortage of general practitioners (GPs), physicians in general internal medicine (GIM) have become part of the German primary care physician workforce. Previous studies have shown subst...

    Authors: C. Strumann, K. Flägel, T. Emcke and J. Steinhäuser

    Citation: BMC Family Practice 2018 19:189

    Published on:

  14. Content type: Research article

    First-contact accessibility remains an important problem in Canada, with this indicator staying the worst of all Organization for Economic Co-operation and Development countries. In the province of Quebec, a n...

    Authors: Andrée-Anne Paré-Plante, Antoine Boivin, Djamal Berbiche, Mylaine Breton and Maryse Guay

    Citation: BMC Family Practice 2018 19:188

    Published on:

  15. Content type: Research article

    While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limi...

    Authors: Agnus M. Kim, Jaekyoung Bae, Sungchan Kang, Yeon-Yong Kim and Jin-Seok Lee

    Citation: BMC Family Practice 2018 19:187

    Published on:

  16. Content type: Research article

    Patients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.

    Authors: M. C. Castillejos, C. Martín-Pérez, F. Mayoral-Cleries, A. Bordallo-Aragón, J. Sepúlveda-Muñoz and B. Moreno-Küstner

    Citation: BMC Family Practice 2018 19:180

    Published on:

  17. Content type: Research article

    Primary health care teams are key to the delivery of care for patients with advanced cancer during the last year of life. The Gold Standards Framework is proposed as a mechanism for coordinating and guiding id...

    Authors: Julia Hackett, Lucy Ziegler, Mary Godfrey, Robbie Foy and Michael I. Bennett

    Citation: BMC Family Practice 2018 19:177

    Published on:

  18. Content type: Research article

    Routine weight recording in electronic health records (EHRs) could assist general practitioners (GPs) in the identification, prevention, and management of overweight patients. However, the extent to which weig...

    Authors: Lisa D. M. Verberne, Markus M. J. Nielen, Chantal J. Leemrijse, Robert A. Verheij and Roland D. Friele

    Citation: BMC Family Practice 2018 19:174

    Published on:

  19. Content type: Research article

    Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is kn...

    Authors: Anja G Strehlau, Michael Due Larsen, Jens Søndergaard, Anna B Almarsdóttir and Jens-Ulrik Rosholm

    Citation: BMC Family Practice 2018 19:168

    Published on:

  20. Content type: Study protocol

    People who are diagnosed with both mental and chronic medical illness present unique challenges for the health care system. In resource-limited settings, such as rural India, people with depression and anxiety...

    Authors: Krishnamachari Srinivasan, Amanda Mazur, Prem K. Mony, Mary Whooley and Maria L. Ekstrand

    Citation: BMC Family Practice 2018 19:158

    Published on:

  21. Content type: Research article

    Chronic widespread pain (CWP) is a major public health problem. Many people experiencing CWP experience mental health problems such as anxiety or depression. Complete relief of skeletal and body pain symptoms ...

    Authors: Judith Gellatly, Gosia Pelikan, Paul Wilson, Kate Woodward-Nutt, Michael Spence, Anthony Jones and Karina Lovell

    Citation: BMC Family Practice 2018 19:151

    Published on:

  22. Content type: Research article

    Poor morale among primary care providers (PCPs) and staff can undermine the success of patient-centered care models such as the patient-centered medical home that rely on highly coordinated inter-professional ...

    Authors: Lisa S. Meredith, Benjamin Batorsky, Matthew Cefalu, Jill E. Darling, Susan E. Stockdale, Elizabeth M. Yano and Lisa V. Rubenstein

    Citation: BMC Family Practice 2018 19:149

    Published on:

  23. Content type: Research article

    Patient perspectives on new programs to manage metabolic syndrome (MetS) are critical to evaluate for possible implementation in the primary healthcare system. Participants’ perspectives were sought for the Ca...

    Authors: Jennifer Klein, Paula Brauer, Dawna Royall, Maya Israeloff-Smith, Doug Klein, Angelo Tremblay, Rupinder Dhaliwal, Caroline Rheaume, David M. Mutch and Khursheed Jeejeebhoy

    Citation: BMC Family Practice 2018 19:148

    Published on:

  24. Content type: Research article

    Primary care has been reformed in recent years in Ontario, Canada, with a move away from traditional fee-for-service to enhanced fee-for-service and capitation-based models. It is unclear how new models have a...

    Authors: Aisha K. Lofters, Amy Mark, Monica Taljaard, Michael E. Green, Richard H. Glazier and Simone Dahrouge

    Citation: BMC Family Practice 2018 19:147

    Published on:

  25. Content type: Research article

    Despite significant investments to improve primary health care (PHC) delivery in Canada, provincial health care systems remain fragmented and uncoordinated. Canada’s commitment to strengthening PHC should be d...

    Authors: Stephanie Montesanti, Ardene Robinson-Vollman and Lee A. Green

    Citation: BMC Family Practice 2018 19:144

    Published on:

  26. Content type: Research article

    Validated instruments are needed to assess the delivery of patient-centred care (PCC) to patients with multimorbidity in the primary care setting. Eight dimensions of PCC have been identified: respect for pati...

    Authors: Jane Murray Cramm and Anna Petra Nieboer

    Citation: BMC Family Practice 2018 19:143

    Published on:

  27. Content type: Research article

    Frequent attenders (FAs) use a disproportionately large share of the resources of general practitioners (GPs) working in primary healthcare centres. The aim of this study was to estimate the proportion of FAs ...

    Authors: Anne K. Santalahti, Tero J. Vahlberg, Sinikka H. Luutonen and Päivi T. Rautava

    Citation: BMC Family Practice 2018 19:142

    Published on:

  28. Content type: Research article

    It is well known that older adults are high users of the health care system. Older adults with chronic conditions receive care from multiple providers, across multiple settings, and this care is often unorgani...

    Authors: Jacobi Elliott, Paul Stolee, Veronique Boscart, Lora Giangregorio and George Heckman

    Citation: BMC Family Practice 2018 19:137

    Published on:

  29. Content type: Research article

    There has been a significant growth of the international primary health care (PHC) nursing workforce in recent decades in response to health system reform. However, there has been limited attention paid to str...

    Authors: Elizabeth Halcomb, Elizabeth Smyth and Susan McInnes

    Citation: BMC Family Practice 2018 19:136

    Published on:

  30. Content type: Research article

    Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated ...

    Authors: Christine M. Everett, Perri Morgan, Valerie A. Smith, Sandra Woolson, David Edelman, Cristina C. Hendrix, Theodore Berkowitz, Brandolyn White and George L. Jackson

    Citation: BMC Family Practice 2018 19:132

    Published on:

  31. Content type: Research article

    Poor mental well-being and low job satisfaction among physicians can have significant negative implications for the physicians and their patients and may also reduce the cost efficiency in health care. Mental ...

    Authors: Karen Busk Nørøxe, Anette Fischer Pedersen, Flemming Bro and Peter Vedsted

    Citation: BMC Family Practice 2018 19:130

    Published on:

  32. Content type: Study protocol

    Advanced primary care models emphasize patient-centered care, including self-management support (SMS), but the effective use of SMS for patients with type 2 diabetes (T2DM) remains a challenge. Interactive beh...

    Authors: W. Perry Dickinson, L. Miriam Dickinson, Bonnie T. Jortberg, Danielle M. Hessler, Douglas H. Fernald and Lawrence Fisher

    Citation: BMC Family Practice 2018 19:126

    Published on:

  33. Content type: Study protocol

    The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a...

    Authors: Lars Bruun Larsen, Anders Larrabee Sonderlund, Jens Sondergaard, Janus Laust Thomsen, Anders Halling, Niels Christian Hvidt, Elisabeth Assing Hvidt, Troels Mønsted, Line Bjornskov Pedersen, Ewa M. Roos, Pia Vivian Pedersen and Trine Thilsing

    Citation: BMC Family Practice 2018 19:124

    Published on:

  34. Content type: Research article

    The number of patients with chronic illness is increasing worldwide. These patients usually receive care from a primary care facility. The Patient Assessment of Chronic Illness Care (PACIC) is a tool that is i...

    Authors: Daniel Zeugfang, Anawat Wisetborisut, Chaisiri Angkurawaranon, Apinun Aramrattana, Michel Wensing, Joachim Szecsenyi and Katja Krug

    Citation: BMC Family Practice 2018 19:123

    Published on:

  35. Content type: Research article

    Patient safety incidents (PSIs) frequently occur in primary care and are often considered to be preventable. Better knowledge of factors contributing to PSIs is required to build safer care. The aim of this wo...

    Authors: M. Chaneliere, D. Koehler, T. Morlan, J. Berra, C. Colin, I. Dupie and P. Michel

    Citation: BMC Family Practice 2018 19:121

    Published on:

  36. Content type: Research article

    To evaluate the effectiveness of a structured prescription review and prescriber feedback program in reducing prescribing errors in government primary care clinics within an administrative region in Malaysia.

    Authors: Wei Yin Lim, Amar Singh HSS, Li Meng Ng, Selva Rani John Jasudass, Sondi Sararaks, Paranthaman Vengadasalam, Lina Hashim and Ranjit Kaur Praim Singh

    Citation: BMC Family Practice 2018 19:120

    Published on:

  37. Content type: Research article

    Majority of patients with chronic illnesses such as diabetes, receive care at primary care setting. Efforts have been made to restructure diabetes care in the Malaysian primary care setting in accordance with ...

    Authors: Suraya Abdul-Razak, Anis Safura Ramli, Siti Fatimah Badlishah-Sham and Jamaiyah Haniff

    Citation: BMC Family Practice 2018 19:119

    Published on:

  38. Content type: Research article

    Telemonitoring for long term conditions such as hypertension and diabetes has not been widely adopted despite evidence of efficacy in trials and policy support. The Telescot programme comprised a series of sev...

    Authors: Janet Hanley, Hilary Pinnock, Mary Paterson and Brian McKinstry

    Citation: BMC Family Practice 2018 19:118

    Published on:

  39. Content type: Research article

    Depression in older people may have a prevalence as high as 20%, and is associated with physical co-morbidities, loss, and loneliness. It is associated with poorer health outcomes and reduced quality of life, ...

    Authors: Anna Kathryn Taylor, Simon Gilbody, Katharine Bosanquet, Karen Overend, Della Bailey, Deborah Foster, Helen Lewis and Carolyn Anne Chew-Graham

    Citation: BMC Family Practice 2018 19:116

    Published on:

  40. Content type: Research article

    Maintaining a maternity care system is one of the biggest issues in Japan due to the decreasing number of obstetricians, especially in remote areas and islands. The aim of this qualitative study was to explore...

    Authors: Ayako Shibata, Makoto Kaneko and Machiko Inoue

    Citation: BMC Family Practice 2018 19:114

    Published on:

  41. Content type: Research article

    Family caregivers (FCGs) of patients at the end of life (EoL) cared for at home receive support from professional and non-professional care providers. Healthcare providers in general practice play an important...

    Authors: Katja Krug, René Alexander Ballhausen, Regine Bölter, Peter Engeser, Michel Wensing, Joachim Szecsenyi and Frank Peters-Klimm

    Citation: BMC Family Practice 2018 19:112

    Published on:

  42. Content type: Research article

    Within the EU-funded project PRIMA-eDS (Polypharmacy in chronic diseases: Reduction of Inappropriate Medication and Adverse drug events in older populations by electronic Decision Support) an electronic decision ...

    Authors: Anja Rieckert, Christina Sommerauer, Anja Krumeich and Andreas Sönnichsen

    Citation: BMC Family Practice 2018 19:110

    Published on:

  43. Content type: Research article

    Understanding the many factors that influence implementation of new programs, in addition to their success or failure, is extraordinarily complex. This qualitative study examines the implementation and adaptat...

    Authors: Christine P. Kowalski, Miranda Veeser and Michele Heisler

    Citation: BMC Family Practice 2018 19:109

    Published on:

  44. Content type: Research article

    Facilitating appropriate and safe prescribing of opioid medications for chronic pain management in primary care is a pressing public health concern. Interdisciplinary team-based models of primary care are expl...

    Authors: Karleen F. Giannitrapani, Peter A. Glassman, Derek Vang, Jeremiah C. McKelvey, R. Thomas Day, Steven K. Dobscha and Karl A. Lorenz

    Citation: BMC Family Practice 2018 19:107

    Published on:

  45. Content type: Research article

    Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sult...

    Authors: Muna Habib AL. Lawati, Sarah Dennis, Stephanie D. Short and Nadia Noor Abdulhadi

    Citation: BMC Family Practice 2018 19:104

    Published on:

  46. Content type: Research article

    Treatment for opioid dependence in Ireland is provided predominantly by general practitioners (GP) who have undergone additional training in opioid agonist treatment (OAT) and substance misuse. The National Me...

    Authors: Marie Claire Van Hout, Des Crowley, Aoife McBride and Ide Delargy

    Citation: BMC Family Practice 2018 19:103

    Published on:

  47. Content type: Research article

    Even in practices with a comprehensive appointment system a minority of patients walks in without prior notice, sometimes causing problems for practice service quality. We aimed to explore differences between ...

    Authors: Bernhard Riedl, Simon Kehrer, Christoph U. Werner, Antonius Schneider and Klaus Linde

    Citation: BMC Family Practice 2018 19:101

    Published on: