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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

    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

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  2. 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

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  3. 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

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  4. 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

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  5. 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

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  6. 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

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  7. 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

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  8. 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

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  9. 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

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  10. 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

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  11. 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

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  12. 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

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  13. 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

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  14. 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

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  15. 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

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  16. 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

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  17. 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

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  18. 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

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  19. 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

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  20. 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

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  21. Content type: Research article

    Challenging work environment, high workload, and increasing physician shortages characterize current rural general practice in Germany and in most European Countries. These factors extend into Out-Of-Hours Car...

    Authors: R. Leutgeb, J. Frankenhauser-Mannuß, M. Scheuer, J. Szecsenyi and Katja Goetz

    Citation: BMC Family Practice 2018 19:95

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  22. Content type: Research article

    To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients’ web portal use.

    Authors: Maaike C. M. Ronda, Lioe-Ting Dijkhorst-Oei, Rimke C. Vos and Guy E. H. M. Rutten

    Citation: BMC Family Practice 2018 19:94

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  23. Content type: Research article

    Current health policy focuses on improving accessibility, increasing integration and shifting resources from hospitals to community and primary care. Initiatives aimed at achieving these policy aims have suppo...

    Authors: Rebecca Elvey, Simon Bailey, Kath Checkland, Anne McBride, Stephen Parkin, Katy Rothwell and Damian Hodgson

    Citation: BMC Family Practice 2018 19:89

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  24. Content type: Research article

    Collaborative care treatment is widely recognized as an effective approach to improve the quality of mental healthcare through enhanced and structured collaboration between general practice and specialized psy...

    Authors: Marlene Christina Rosengaard Møller, Anna Mygind and Flemming Bro

    Citation: BMC Family Practice 2018 19:78

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  25. Content type: Research article

    Practice facilitation is increasingly used to support guideline implementation and practice development in primary care and there is a need to explore how this implementation approach works in real-life settings.

    Authors: Tina Drud Due, Marius Brostrøm Kousgaard, Frans Boch Waldorff and Thorkil Thorsen

    Citation: BMC Family Practice 2018 19:75

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  26. Content type: Research article

    There is a growing need for community-based services for persons with Alzheimer’s disease and related dementias (ADRD). Memory clinic (MC) teams in primary care settings have been established to provide care t...

    Authors: Linda Sheiban, Paul Stolee, Carrie McAiney and Veronique Boscart

    Citation: BMC Family Practice 2018 19:68

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  27. Content type: Research article

    Cervical cancer is a preventable disease. Unfortunately, its mortality is high in Hungary: 9.2 deaths /100000 women/year in 2015. The Hungarian organized, nationwide cervical screening program was launched in ...

    Authors: Anikó Gyulai, Attila Nagy, Vera Pataki, Dóra Tonté, Róza Ádány and Zoltán Vokó

    Citation: BMC Family Practice 2018 19:67

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  28. Content type: Research article

    Malawi does not have validated tools for assessing primary care performance from patients’ experience. The aim of this study was to develop a Malawian version of Primary Care Assessment Tool (PCAT-Mw) and to e...

    Authors: Luckson Dullie, Eivind Meland, Øystein Hetlevik, Thomas Mildestvedt and Sturla Gjesdal

    Citation: BMC Family Practice 2018 19:63

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  29. Content type: Research article

    Over the last 20 years, integrated care programs for frail elderly people aimed to prevent functional dependence and reduce hospitalization and institutionalization. However, results have been inconsistent and...

    Authors: Franca G. H. Ruikes, Eddy M. Adang, Willem J. J. Assendelft, Henk J. Schers, Raymond T. C. M. Koopmans and Sytse U. Zuidema

    Citation: BMC Family Practice 2018 19:62

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  30. Content type: Research article

    Competencies in psychological techniques delivered by primary care nurses to support diabetes self-management were compared between the intervention and control arms of a cluster randomised controlled trial as...

    Authors: Nicholas Magill, Helen Graves, Nicole de Zoysa, Kirsty Winkley, Stephanie Amiel, Emma Shuttlewood, Sabine Landau and Khalida Ismail

    Citation: BMC Family Practice 2018 19:60

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  31. Content type: Research article

    In primary care 15% of patient encounters are perceived as challenging by general practitioners (GP). However it is unknown what impact these encounters have regarding job satisfaction. The aim of this study w...

    Authors: Katja Goetz, Janis Mahnkopf, Anna Kornitzky and Jost Steinhäuser

    Citation: BMC Family Practice 2018 19:57

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  32. Content type: Research article

    In an attempt to deal with the pressures on the healthcare system and to guarantee sustainability, changes are needed. This study is focused on a cardiology Primary Care Plus intervention in which cardiologist...

    Authors: Tessa C. C. Quanjel, Jeroen N. Struijs, Marieke D. Spreeuwenberg, Caroline A. Baan and Dirk Ruwaard

    Citation: BMC Family Practice 2018 19:55

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  33. Content type: Research article

    Few data exist to support the observation that general practitioners (GPs) occupy many important positions in our communities or to characterize which GPs devote more of their time to such activities. We sough...

    Authors: Julian Jakob, Christine Cohidon, Jacques Cornuz and Kevin Selby

    Citation: BMC Family Practice 2018 19:52

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  34. Content type: Research article

    Problematic translational gaps continue to exist between demonstrating the positive impact of healthcare interventions in research settings and their implementation into routine daily practice. The aim of this...

    Authors: Liam G. Glynn, Fergus Glynn, Monica Casey, Louise Gaffney Wilkinson, Patrick S. Hayes, David Heaney and Andrew W. M. Murphy

    Citation: BMC Family Practice 2018 19:48

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  35. Content type: Research article

    More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increase...

    Authors: Marleen H. Lovink, Anneke J. A. H. van Vught, Anke Persoon, Lisette Schoonhoven, Raymond T. C. M. Koopmans and Miranda G. H. Laurant

    Citation: BMC Family Practice 2018 19:51

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  36. Content type: Research article

    Western countries are facing the challenges of an imminent shortage of physicians, especially general practitioners. As a consequence longer travel times to doctors’ practices may arise. This study aimed to in...

    Authors: Lisa Schröder, Kristina Flägel, Katja Goetz and Jost Steinhäuser

    Citation: BMC Family Practice 2018 19:47

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  37. Content type: Research article

    General practice care plays a key role in keeping healthcare effective and cost-efficient. However, variation in the utilization rates of practices may reveal variation in practice performance. Our research go...

    Authors: W. A. de Graaf-Ruizendaal, L. van der Hoek and D. H. de Bakker

    Citation: BMC Family Practice 2018 19:46

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  38. Content type: Research article

    There is only limited evidence to support care redefinition and role optimization processes needed for scaling up of a stronger primary care capacity.

    Authors: Damien Contandriopoulos, Mélanie Perroux, Aurore Cockenpot, Arnaud Duhoux and Emmanuelle Jean

    Citation: BMC Family Practice 2018 19:44

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  39. Content type: Research article

    In the western world, a growing number of the older people live at home. In the Netherlands, GPs are expected to play a pivotal role in the organization of integrated care for this patient group. However, litt...

    Authors: Sietske M. Grol, Gerard R. M. Molleman, Anne Kuijpers, Rob van der Sande, Gerdine A. J. Fransen, Willem J. J. Assendelft and Henk J. Schers

    Citation: BMC Family Practice 2018 19:40

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  40. Content type: Research article

    Ghana introduced capitation payment method in 2012 but was faced with resistance for its perceived poor quality of care. This paper assesses National Health Insurance Scheme subscribers and care providers’ per...

    Authors: Francis-Xavier Andoh-Adjei, Eric Nsiah-Boateng, Felix Ankomah Asante, Ernst Spaan and Koos van der Velden

    Citation: BMC Family Practice 2018 19:37

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  41. Content type: Research article

    Social relationships are important to people and affect their quality of life, morbidity and mortality. The aim of this study was to examine the correlation between elderly patients’ descriptions of their soci...

    Authors: Tina Drud Due, Håkon Sandholdt, Volkert Dirk Siersma and Frans Boch Waldorff

    Citation: BMC Family Practice 2018 19:34

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  42. Content type: Research article

    In an ageing population, it is inevitable to improve the management of care for community-dwelling elderly with incontinence. A previous study showed that implementation of the Optimum Continence Service Speci...

    Authors: Margreet G Franken, Isaac Corro Ramos, Jeanine Los and Maiwenn J Al

    Citation: BMC Family Practice 2018 19:31

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  43. Content type: Research article

    Evidence from first world contexts support the notion that strong primary health care teams contain family physicians (FPs). African leaders are looking for evidence from their own context. The roles and scope...

    Authors: Klaus B. von Pressentin, Robert J. Mash, Laurel Baldwin-Ragaven, Roelf Petrus Gerhardus Botha, Indiran Govender, Wilhelm Johannes Steinberg and Tonya M. Esterhuizen

    Citation: BMC Family Practice 2018 19:24

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  44. Content type: Research article

    Offenders frequently have substantial healthcare needs and, like many other socially marginalised groups, often receive healthcare in inverse proportion to their needs. Improved continuity of healthcare over t...

    Authors: Cath Quinn, Katie Denman, Philippa Smithson, Christabel Owens, Rod Sheaff, John Campbell, Ian Porter, Jill Annison and Richard Byng

    Citation: BMC Family Practice 2018 19:22

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  45. Content type: Research article

    Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of ind...

    Authors: Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton and Janet Krska

    Citation: BMC Family Practice 2018 19:17

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  46. Content type: Research article

    Low patient satisfaction with the quality of out-of-hours primary care (OOH-PC) has been linked with several individual and organizational factors. However, findings have been ambiguous and may not apply to th...

    Authors: Mette Tranberg, Peter Vedsted, Bodil Hammer Bech, Morten Bondo Christensen, Søren Birkeland and Grete Moth

    Citation: BMC Family Practice 2018 19:15

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  47. Content type: Research article

    Persons with severe mental illness (e.g. schizophrenia, bipolar disorder) have a high prevalence of somatic conditions compared to the general population. Mortality data in the Nordic countries reveal that the...

    Authors: Elisabeth Björk Brämberg, Jarl Torgerson, Anna Norman Kjellström, Peder Welin and Marie Rusner

    Citation: BMC Family Practice 2018 19:12

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  48. Content type: Research article

    Treatment burden is the workload of healthcare experienced by those with long-term conditions and the impact that this has on well-being. Treatment burden can negatively impact on quality of life and adherence...

    Authors: Katie I. Gallacher, Carl R. May, Peter Langhorne and Frances S. Mair

    Citation: BMC Family Practice 2018 19:9

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  49. Content type: Research article

    Primary and community care are key settings for the effective management of long term conditions. We aimed to evaluate the pattern of health outcomes in chronic disease management interventions for adults with...

    Authors: Rebecca Reynolds, Sarah Dennis, Iqbal Hasan, Jan Slewa, Winnie Chen, David Tian, Sangeetha Bobba and Nicholas Zwar

    Citation: BMC Family Practice 2018 19:11

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