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Service organization, utilization, and delivery of care

This section aims to publish studies looking at how health care is planned, organized, structured, and delivered in the context of primary care. This section covers, but is not limited to, service policy, access to services, referral processes, consultation practices, and early intervention strategies and services.

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  1. Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general pra...

    Authors: Dima Touhami, Christoph Merlo, Joachim Hohmann and Stefan Essig

    Citation: BMC Family Practice 2020 21:127

    Content type: Research article

    Published on:

  2. Between 10 and 50% of primary care patients present with persistent physical symptoms (PPS). Patients with PPS tend to utilize excessive or inappropriate health care services, while being stuck in a deleteriou...

    Authors: Dennis Fried, Lisa M. McAndrew, Drew A. Helmer, Sarah Markowitz and Karen S. Quigley

    Citation: BMC Family Practice 2020 21:124

    Content type: Research article

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  3. Improvement of preventive services for adults can be achieved by opportunistic or organised methods in primary care. The unexploited opportunities of these approaches were estimated by our investigation.

    Authors: János Sándor, Ildikó Tokaji, Nouh Harsha, Magor Papp, Róza Ádány and Árpád Czifra

    Citation: BMC Family Practice 2020 21:120

    Content type: Research article

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  4. Meeting the expectations of patients is one of the most crucial criteria when assessing the quality of a healthcare system. This study aimed to compare the expectations and experiences of patients of primary c...

    Authors: Anna Krztoń-Królewiecka, Marek Oleszczyk and Adam Windak

    Citation: BMC Family Practice 2020 21:118

    Content type: Research article

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  5. Medication error at transitions of care is common. The implementation of medicines reconciliation processes to improve this issue has been recommended by many regulatory and safety organisations. The aim of th...

    Authors: Patrick Redmond, Khalid Munir, Oludare Alabi, Tamasine Grimes, Barbara Clyne, Carmel Hughes and Tom Fahey

    Citation: BMC Family Practice 2020 21:116

    Content type: Research article

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  6. Personalised care and support planning (CSP) has been shown to improve diabetes outcomes, patient experience and provider morale in the care of persons living with diabetes. However, this has not been confirme...

    Authors: Wee Hian Tan, Victor Weng Keong Loh, Kavita Venkataraman, Shoon Thai Choong, Yii Jen Lew, Meena Sundram, Keith Tsou, Soon Guan Tan, Brent Gibbons, Vikki Entwistle, Doris Young, E Shyong Tai and Tong Wei Yew

    Citation: BMC Family Practice 2020 21:114

    Content type: Study protocol

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  7. Care pathways (CPWs) are complex interventions that have the potential to reduce treatment errors and optimize patient outcomes by translating evidence into local practice. To design an optimal implementation ...

    Authors: Eva Seckler, Verena Regauer, Thomas Rotter, Petra Bauer and Martin Müller

    Citation: BMC Family Practice 2020 21:113

    Content type: Research article

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  8. In most countries, the general practitioner (GP) is the first point of contact in the healthcare system and coordinator of healthcare. However, in Germany it is possible to consult an outpatient specialist eve...

    Authors: Heike Hansen, Ingmar Schäfer, Sarah Porzelt, Agata Kazek, Dagmar Lühmann and Martin Scherer

    Citation: BMC Family Practice 2020 21:110

    Content type: Research article

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  9. Treating hypertensive patients by integrating the patient-centered approach would influence the practice and outcome of treatment. Our purpose was to determine whether the implementation of a patient-centered ...

    Authors: Nida Buawangpong, Kanokporn Pinyopornpanish, Wichuda Jiraporncharoen, Nisachol Dejkriengkraikul, Pakorn Sagulkoo, Chanapat Pateekhum and Chaisiri Angkurawaranon

    Citation: BMC Family Practice 2020 21:108

    Content type: Research article

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  10. The role of family physicians (FPs) in the metropolitan area is critical in identifying risk factors for disease prevention/control and health promotion in various age groups. Understanding patients’ preferenc...

    Authors: Farnaz Khatami, Mohammad Shariati, Leila Khedmat and Maryam Bahmani

    Citation: BMC Family Practice 2020 21:107

    Content type: Research article

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  11. High-need, high-cost (HNHC) patients, who typically have complex and long-term care demands, contribute considerably to the high work pressure of primary care professionals (PCPs). To improve patient as well a...

    Authors: Rowan G. M. Smeets, Mariëlle E. A. L. Kroese, Dirk Ruwaard, Niels Hameleers and Arianne M. J. Elissen

    Citation: BMC Family Practice 2020 21:106

    Content type: Research article

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  12. Myalgic Encephalomyelitis (ME) is a chronic condition whose status within medicine is the subject of on-going debate. Some medical professionals regard it as a contentious illness. Others report a lack of conf...

    Authors: R. Stephen Walsh, Andrew Denovan, Kenneth Drinkwater, Sean Reddington and Neil Dagnall

    Citation: BMC Family Practice 2020 21:105

    Content type: Research article

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  13. Anticoagulation for preventing stroke in atrial fibrillation is under-utilised despite evidence supporting its use, resulting in avoidable death and disability. We aimed to evaluate an intervention to improve ...

    Authors: Melina Gattellari, Andrew Hayen, Dominic Y. C. Leung, Nicholas A. Zwar and John M. Worthington

    Citation: BMC Family Practice 2020 21:102

    Content type: Research article

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  14. With the increasing double burden of communicable and non-communicable diseases (NCDs) in sub-Saharan Africa, health systems require new approaches to organise and deliver services for patients requiring long-...

    Authors: Vibian Angwenyi, Carolien Aantjes, Joske Bunders-Aelen, Bart Criel and Jeffrey V. Lazarus

    Citation: BMC Family Practice 2020 21:101

    Content type: Research article

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  15. As in other countries, there is concern and some fragmentary evidence that GPs’ central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gi...

    Authors: Marc Höglinger, Fabio Knöfler, Rita Schaumann-von Stosch, Stefan M. Scholz-Odermatt and Klaus Eichler

    Citation: BMC Family Practice 2020 21:99

    Content type: Research article

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  16. Primary care serves all age groups and individuals with health states ranging from those with no chronic conditions to those who are medically complex, or frail and approaching the end of life. For information...

    Authors: Julia M. Langton, Sabrina T. Wong, Fred Burge, Alexandra Choi, Niloufar Ghaseminejad-Tafreshi, Sharon Johnston, Alan Katz, Ruth Lavergne, Dawn Mooney, Sandra Peterson and Kimberlyn McGrail

    Citation: BMC Family Practice 2020 21:98

    Content type: Research article

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  17. Research indicate that when general practitioners (GPs) refer their patients for specialist care, the patient often has long distance. This study had a twofold aim: in accordance to the GP’s suspicion of cance...

    Authors: Line Flytkjær Virgilsen, Line Hvidberg and Peter Vedsted

    Citation: BMC Family Practice 2020 21:97

    Content type: Research article

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  18. The integration of community health and social care services has been widely promoted nationally as a vital step to improve patient centred care, reduce costs, reduce admissions to hospital and facilitate time...

    Authors: Claire Mitchell, Abigail Tazzyman, Susan J. Howard and Damian Hodgson

    Citation: BMC Family Practice 2020 21:96

    Content type: Research article

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  19. Specialist LINK is a real-time, non-urgent telephone collaboration line designed to link family doctors and specialists. The purpose was to reduce wait times, improve efficiency and enhance the coordination of pa...

    Authors: Mubashir Arain, Mahnoush Rostami, Mariama Zaami, Valerie Kiss and Richard Ward

    Citation: BMC Family Practice 2020 21:86

    Content type: Research article

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  20. To explore and compare safety, efficiency, and health-related quality of telephone triage in out-of-hours primary care (OOH-PC) services performed by general practitioners (GPs), nurses using a computerised de...

    Authors: D. S. Graversen, M. B. Christensen, A. F. Pedersen, A. H. Carlsen, F. Bro, H. C. Christensen, C. H. Vestergaard and L. Huibers

    Citation: BMC Family Practice 2020 21:84

    Content type: Research article

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  21. An increasing prevalence of having survived a myocardial infarction increases the importance of medical secondary prevention. Although preventive medication reduces mortality, prescribing and adherence are kno...

    Authors: Christian Freier, Christoph Heintze and Wolfram J. Herrmann

    Citation: BMC Family Practice 2020 21:81

    Content type: Research article

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  22. End of life (EoL) care becomes more complex and increasingly takes place in the community, but there is little data on the use of general practice (GP) services to guide care improvement. This study aims to de...

    Authors: Wei Gao, Martin Gulliford, Myfanwy Morgan and Irene J. Higginson

    Citation: BMC Family Practice 2020 21:76

    Content type: Research article

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  23. Since 2000, China has been developing primary care institutions to serve as the gateway to the healthcare system. However, the investment of resources in primary care institutions is not based on the actual me...

    Authors: Jianwei Shi, Chunhua Chi, Xin Gong, Chen Chen, Wenya Yu, Jiaoling Huang, Liang Zhou, Ning Chen, Yan Yang, Qian Liu and Zhaoxin Wang

    Citation: BMC Family Practice 2020 21:74

    Content type: Research article

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  24. Due to differences of residency training programs’ emphases – inpatient vs office-based – internal medicine and family medicine residents consistently reported differences in preparedness to care for common ad...

    Authors: Kristina Flaegel, Bettina Brandt, Katja Goetz and Jost Steinhaeuser

    Citation: BMC Family Practice 2020 21:73

    Content type: Research article

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  25. Patient-centered care (PCC) has been proposed as the way forward in improving primary care for patients with multi-morbidity. However, it is not clear what PCC exactly looks like in practice for patients with ...

    Authors: Sanne Jannick Kuipers, Anna Petra Nieboer and Jane Murray Cramm

    Citation: BMC Family Practice 2020 21:71

    Content type: Research article

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  26. There are gaps in knowledge and understanding about the relationships between primary care and community-based health and social services in the context of healthy aging at home and system navigation. This stu...

    Authors: Ruta Valaitis, Laura Cleghorn, Jenny Ploeg, Cathy Risdon, Derelie Mangin, Lisa Dolovich, Gina Agarwal, Doug Oliver, Jessica Gaber and Harjit Chung

    Citation: BMC Family Practice 2020 21:69

    Content type: Research article

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  27. There is guidance in the United Kingdom about what long-term care stroke survivors should receive, but a lack of guidance about who should deliver it and where this care should take place. This is a key issue ...

    Authors: Lisa Lim, Jonathan Mant, Ricky Mullis and Martin Roland

    Citation: BMC Family Practice 2020 21:66

    Content type: Research article

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  28. Many countries are engaged in primary care reforms to support older adults who are living longer in the community. Health Teams Advancing Patient Experience: Strengthening Quality [Health TAPESTRY] is a primar...

    Authors: Ruta Valaitis, Laura Cleghorn, Lisa Dolovich, Gina Agarwal, Jessica Gaber, Derelie Mangin, Doug Oliver, Fiona Parascandalo, Jenny Ploeg and Cathy Risdon

    Citation: BMC Family Practice 2020 21:63

    Content type: Research article

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  29. Guidelines recommend a biopsychosocial framework for low back pain (LBP) management and the avoidance of inappropriate imaging. In clinical practice, care strategies are often inconsistent with evidence and gu...

    Authors: A. S. Simula, A. Malmivaara, N. Booth and J. Karppinen

    Citation: BMC Family Practice 2020 21:61

    Content type: Study protocol

    Published on:

  30. To evaluate the efficacy of a multidisciplinary vocational programme in sick-listed, primary health care patients as compared to matched non-programme patients.

    Authors: Anna-Sophia von Celsing, Per Kristiansson, Kurt Svärdsudd and Thorne Wallman

    Citation: BMC Family Practice 2020 21:59

    Content type: Research article

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  31. The communication of relevant patient information between general practitioners (GPs) and medical specialists is important in order to avoid fragmentation of care thus achieving a higher quality of care and en...

    Authors: Giacomo Scaioli, Willemijn L. A. Schäfer, Wienke G. W. Boerma, Peter M. M. Spreeuwenberg, François G. Schellevis and Peter P. Groenewegen

    Citation: BMC Family Practice 2020 21:54

    Content type: Research article

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  32. To evaluate the impact of integrating diabetes education teams in primary care on glycemic control, lipid, and blood-pressure management in type 2 diabetes patients.

    Authors: Enza Gucciardi, Changchang Xu, Michele Vitale, Wendy Lou, Stacey Horodezny, Linda Dorado, Souraya Sidani and Baiju R. Shah

    Citation: BMC Family Practice 2020 21:48

    Content type: Research article

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  33. Adult immunization rates are below Healthy People 2020 targets. Our objective was to evaluate the effectiveness of a multicomponent intervention to improve adult immunization rates.

    Authors: Natalia Y. Loskutova, Craig Smail, Elisabeth Callen, Elizabeth W. Staton, Niaman Nazir, Brian Webster and Wilson D. Pace

    Citation: BMC Family Practice 2020 21:46

    Content type: Research article

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  34. Timely access in primary health care is one of the key issues facing health systems. Among many interventions developed around the world, advanced access is the most highly recommended intervention designed sp...

    Authors: Mylaine Breton, Lara Maillet, Arnaud Duhoux, Sabina Abou Malham, Isabelle Gaboury, Luiza Maria Manceau, Catherine Hudon, Isabel Rodrigues, Jeannie Haggerty, Nassera Touati, Marie-Claude Beaulieu, Christine Loignon, Marie-Thérèse Lussier, Isabelle Vedel, Jalila Jbilou and France Légaré

    Citation: BMC Family Practice 2020 21:41

    Content type: Study protocol

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  35. Optimal parental preconception health benefits reproductive outcomes. However, preconception health promotion is not routinely offered in primary health care settings to people of reproductive age. The aim was...

    Authors: Karin Hammarberg, Julie Hassard, Renee de Silva and Louise Johnson

    Citation: BMC Family Practice 2020 21:40

    Content type: Research article

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  36. Multimorbidity is highly relevant for both service commissioning and clinical decision-making. Optimization of variables assessing multimorbidity in order to enhance chronic care management is an unmet need. T...

    Authors: D. Monterde, E. Vela, M. Clèries, L. Garcia-Eroles, J. Roca and P. Pérez-Sust

    Citation: BMC Family Practice 2020 21:39

    Content type: Research article

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  37. General practitioner (GP) shortages and increasing demand for care led to the introduction of nurse practitioners (NPs) to primary care. Many concepts for task sharing among health professionals feature comple...

    Authors: Robyn Cody, Stefan Gysin, Christoph Merlo, Armin Gemperli and Stefan Essig

    Citation: BMC Family Practice 2020 21:38

    Content type: Research article

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  38. The implementation of the Electronic Medical Record (EMR) system initiated a significant transition in the healthcare system from traditional paper-based medical records to a digital version. Though EMR offers...

    Authors: R. M. Wali, R. M. Alqahtani, S. K. Alharazi, S. A. Bukhari and S. M. Quqandi

    Citation: BMC Family Practice 2020 21:37

    Content type: Research article

    Published on:

  39. Cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, is the leading cause of death and disability globally. A large proportion of mortality occurs in people with prior CHD and effec...

    Authors: Julie Redfern, Nashid Hafiz, Karice Hyun, Andrew Knight, Charlotte Hespe, Clara K. Chow, Tom Briffa, Robyn Gallagher, Christopher Reid, David L. Hare, Nicholas Zwar, Mark Woodward, Stephen Jan, Emily R. Atkins, Tracey-Lea Laba, Elizabeth Halcomb…

    Citation: BMC Family Practice 2020 21:36

    Content type: Study protocol

    Published on:

  40. Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes gu...

    Authors: Prakash Poudel, Rhonda Griffiths, Vincent W. Wong, Amit Arora, Jeff R. Flack, Chee L. Khoo and Ajesh George

    Citation: BMC Family Practice 2020 21:34

    Content type: Research article

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  41. Unhealthy alcohol use involves a spectrum from hazardous use (exceeding guidelines but no harms) through to alcohol dependence. Evidence-based management of unhealthy alcohol use in primary health care has bee...

    Authors: Monika Dzidowska, K. S. Kylie Lee, Claire Wylie, Jodie Bailie, Nikki Percival, James H. Conigrave, Noel Hayman and Katherine M. Conigrave

    Citation: BMC Family Practice 2020 21:33

    Content type: Research article

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  42. Among Australians aged 50 and over, an estimated 1 in 4 men and 2 in 5 women will experience a minimal trauma fracture during their remaining lifetime. Effective fracture prevention is hindered by substantial ...

    Authors: Pradnya Naik-Panvelkar, Sarah Norman, Zain Elgebaly, Jeff Elliott, Allan Pollack, Jill Thistlethwaite, Clare Weston and Markus J. Seibel

    Citation: BMC Family Practice 2020 21:32

    Content type: Research article

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  43. Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate...

    Authors: Alexander Maximilian Fassmer, Alexandra Pulst, Ove Spreckelsen and Falk Hoffmann

    Citation: BMC Family Practice 2020 21:29

    Content type: Research article

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  44. Poor transitions of care leads to increased health costs, over-utilization of emergency room departments, increased re-hospitalizations and causes poor patient experiences and outcomes. This study evaluated Te...

    Authors: Kimberly Noel, Catherine Messina, Wei Hou, Elinor Schoenfeld and Gerald Kelly

    Citation: BMC Family Practice 2020 21:27

    Content type: Research article

    Published on:

  45. Among other factors, the patients’ consultation reasons and GPs’ spectrum of services determine the process and outcome of the medical treatment. So far, however, there has been little information on differenc...

    Authors: Ingmar Schäfer, Heike Hansen, Thomas Ruppel, Dagmar Lühmann, Hans-Otto Wagner, Agata Kazek and Martin Scherer

    Citation: BMC Family Practice 2020 21:22

    Content type: Research article

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  46. A Model Programme of primary care group practices was implemented in Hungary between 2013 and 2017 – where virtually all GPs had worked in single practices – aiming to increase preventive service uptake and re...

    Authors: Karolina Kósa, Cintia Katona, Magor Papp, Gergely Fürjes, János Sándor, Klára Bíró and Róza Ádány

    Citation: BMC Family Practice 2020 21:19

    Content type: Research article

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  47. A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other...

    Authors: David Lacasta Tintorer, Josep Maria Manresa Domínguez, Ana Jiménez-Zarco, Teresa Rodríguez-Blanco, Souhel Flayeh Beneyto, Pere Torán-Monserrat, Xavier Mundet Tuduri and Francesc Saigí-Rubió

    Citation: BMC Family Practice 2020 21:15

    Content type: Research article

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    The Correction to this article has been published in BMC Family Practice 2020 21:65

  48. Low job satisfaction, severe burnout and high turnover intention are found to be prevalent among the primary care providers (PCPs) in township health centers (THCs), but their associations have received scant ...

    Authors: Haipeng Wang, Yinzi Jin, Dan Wang, Shichao Zhao, Xingang Sang and Beibei Yuan

    Citation: BMC Family Practice 2020 21:12

    Content type: Research article

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  49. It remains to be determined whether collaborative strategies to improve and sustain overall health in patients with heart failure (HF) are currently being adopted by health care professionals. We surveyed prim...

    Authors: Narlon C. Boa Sorte Silva, Roseanne W. Pulford, Douglas S. Lee and Robert J. Petrella

    Citation: BMC Family Practice 2020 21:8

    Content type: Research article

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  50. The wars that ravaged the former Socialist Federal Republic of Yugoslavia in the 1990’s resulted in the near destruction of the healthcare system, including education of medical students and the training of sp...

    Authors: Geoffrey Hodgetts, Glenn Brown, Olivera Batić-Mujanović, Larisa Gavran, Zaim Jatić, Maja Račić, Gordana Tešanović, Amra Zahilić, Mary Martin and Richard Birtwhistle

    Citation: BMC Family Practice 2020 21:7

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Family Practice 2020 21:16