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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

    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

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  2. 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

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  3. 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

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  4. 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

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  5. 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

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  6. 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

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  7. 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

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  8. 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

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  9. 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

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  10. 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

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  11. 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

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  12. 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

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  13. 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

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  14. 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

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  15. 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

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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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