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.

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  1. Research article

    The diagnostic pathway of Parkinson’s disease: a cross-sectional survey study of factors influencing patient dissatisfaction

    The diagnostic pathway of Parkinson’s disease (PD) is often complicated. Experiences during this pathway can affect patients’ satisfaction and their confidence and trust in healthcare providers. Although healt...

    Annette O. A. Plouvier, Tim C. Olde Hartman, Olga A. de Bont, Sjoerd Maandag, Bastiaan R. Bloem, Chris van Weel and Antoine L. M. Lagro-Janssen

    BMC Family Practice 2017 18:83

    Published on: 25 August 2017

  2. Research article

    Reasons for missed appointments linked to a public-sector intervention targeting patients with stable chronic conditions in South Africa: results from in-depth interviews and a retrospective review of medical records

    Missed appointments serve as a key indicator for adherence to therapy and as such, identifying patient reasons for this inconsistency could assist in developing programmes to improve health outcomes. In this a...

    Bvudzai P. Magadzire, Thubelihle Mathole and Kim Ward

    BMC Family Practice 2017 18:82

    Published on: 24 August 2017

  3. Research article

    Strengthening general practice/family medicine in Europe—advice from professionals from 30 European countries

    Substantial variations are still to be found in the strength of general practice/family medicine (GP/FM) across Europe regarding governance, workforce competence and performance, as well as academic developmen...

    Natalia Zarbailov, Stefan Wilm, Howard Tandeter, Francesco Carelli and Mette Brekke

    BMC Family Practice 2017 18:80

    Published on: 22 August 2017

  4. Research article

    Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study

    One-in-five people in the UK experience anxiety and/or depression in later life. However, anxiety and depression remain poorly detected in older people, particularly in those with chronic physical ill health. ...

    Tom Kingstone, Heather Burroughs, Bernadette Bartlam, Mo Ray, Janine Proctor, Thomas Shepherd, Peter Bullock and Carolyn Anne Chew-Graham

    BMC Family Practice 2017 18:77

    Published on: 12 July 2017

  5. Research article

    Effectiveness of a motivational intervention on overweight/obese patients in the primary healthcare: a cluster randomized trial

    Overweight and obesity are common health problems which increase the risk of developing several serious health conditions. The main difficulty in the management of weight-loss lies in its maintenance, once it ...

    Juan Jose Rodriguez-Cristobal, Carlos Alonso-Villaverde, Jose Ma Panisello, Pere Travé-Mercade, Francisca Rodriguez-Cortés, Josep Ramon Marsal and Esther Peña

    BMC Family Practice 2017 18:74

    Published on: 20 June 2017

  6. Debate

    Current and future perspectives on the management of polypharmacy

    Because of ageing populations, the growth in the number of people with multi-morbidity and greater compliance with disease-specific guidelines, polypharmacy is becoming increasingly common. Although the correc...

    Mariam Molokhia and Azeem Majeed

    BMC Family Practice 2017 18:70

    Published on: 6 June 2017

  7. Research article

    Regional variations of perceived problems in ambulatory care from the perspective of general practitioners and their patients - an exploratory focus group study in urban and rural regions of northern Germany

    Patients from rural and urban regions should have equitable access to health care. In Germany, the physician-patient-ratio and the supply of medical services vary greatly between urban and rural areas. The aim...

    H. Hansen, N. J. Pohontsch, L. Bole, I. Schäfer and M. Scherer

    BMC Family Practice 2017 18:68

    Published on: 25 May 2017

  8. Research article

    Patient and care characteristics of self-referrals treated by the general practitioner cooperative at emergency-care-access-points in the Netherlands

    In the Netherlands, out-of-hours primary care is provided in general practitioner-cooperatives (GPCs). These are increasingly located on site and in collaboration with emergency departments of hospitals (ED). ...

    Martijn Rutten, Fieke Vrielink, Marleen Smits and Paul Giesen

    BMC Family Practice 2017 18:62

    Published on: 12 May 2017

  9. Research article

    Out of hours care in Germany - High utilization by adult patients with minor ailments?

    Family practitioners (FPs) who work in Out-Of-Hours Care (OOHC) - especially in rural areas – complain about high workload related to low urgency and potentially unnecessary patient presentations with minor ai...

    R. Leutgeb, P. Engeser, S. Berger, J. Szecsenyi and G. Laux

    BMC Family Practice 2017 18:42

    Published on: 21 March 2017

    The Erratum to this article has been published in BMC Family Practice 2017 18:64

  10. Research article

    Barriers and facilitators to use of non-pharmacological treatments in chronic pain

    Consensus guidelines recommend multi-modal chronic pain treatment with increased uptake of non-pharmacological pain treatment modalities (NPMs). We aimed to identify the barriers and facilitators to uptake of ...

    William C. Becker, Lindsey Dorflinger, Sara N. Edmond, Leila Islam, Alicia A. Heapy and Liana Fraenkel

    BMC Family Practice 2017 18:41

    Published on: 20 March 2017

  11. Research article

    What do young Australian women want (when talking to doctors about contraception)?

    Access to most contraceptives in Australia requires a prescription from a doctor, and it has been shown that doctors can influence women’s decision-making with respect to contraception. However, little researc...

    Denisa L. Goldhammer, Catriona Fraser, Britta Wigginton, Melissa L. Harris, Deborah Bateson, Deborah Loxton, Mary Stewart, Jacqueline Coombe and Jayne C. Lucke

    BMC Family Practice 2017 18:35

    Published on: 15 March 2017

  12. Research article

    Implementation of cardiovascular disease prevention in primary health care: enhancing understanding using normalisation process theory

    The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary healt...

    Nerida Volker, Lauren T. Williams, Rachel C. Davey, Thomas Cochrane and Tanya Clancy

    BMC Family Practice 2017 18:28

    Published on: 24 February 2017

  13. Research article

    Process evaluation of a stepped-care program to prevent depression in primary care: patients’ and practice nurses’ experiences

    Depression is common in patients with diabetes type 2 (DM2) and/or coronary heart disease (CHD), with high personal and societal burden and may even be preventable. Recently, a cluster randomized trial of step...

    Alide D. Pols, Karen Schipper, Debbie Overkamp, Susan E. van Dijk, Judith E. Bosmans, Harm W. J. van Marwijk, Marcel C. Adriaanse and Maurits W. van Tulder

    BMC Family Practice 2017 18:26

    Published on: 23 February 2017

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