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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. 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:

  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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

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  11. 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

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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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

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  17. 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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  18. 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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  19. 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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  20. 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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  21. In Germany, patients are consulting general practitioners increasingly frequently, resulting in a high burden on the healthcare system. This study aimed to identify factors associated with frequent primary car...

    Authors: Melanie Luppa, Jan Giersdorf, Steffi Riedel-Heller, Franziska Prütz and Alexander Rommel

    Citation: BMC Family Practice 2020 21:10

    Content type: Research article

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  22. 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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  23. 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

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

  24. In the Netherlands, euthanasia or physician-assisted suicide (EAS) is allowed if due care criteria are met. One criterion is consultation of a second independent physician, often SCEN physicians. The public de...

    Authors: Tessa D. Bergman, H. Roeline W. Pasman and Bregje D. Onwuteaka-Philipsen

    Citation: BMC Family Practice 2020 21:6

    Content type: Research article

    Published on:

  25. Chronic conditions such as diabetes and chronic obstructive pulmonary disease (COPD) are common and burdensome diseases primarily managed in primary care. Yet, evidence points to suboptimal quality of care for...

    Authors: Brigitte Vachon, Isabelle Gaboury, Matthew Menear, Marie-Pascale Pomey, Denis Roy, Lise Houle, Mylaine Breton, Arnaud Duhoux, Valérie Émond, Guylaine Giasson, Janusz Kaczorowski, France Légaré, Marie-Thérèse Lussier, Pierre Pluye and Alain Vanasse

    Citation: BMC Family Practice 2020 21:3

    Content type: Study protocol

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  26. General Practitioners (GPs) are ideally placed to identify and manage emerging mental illness in young people, however, many report low levels of confidence in doing so. A web-based universal screening service...

    Authors: Belinda Louise Parker, Melinda Rose Achilles, Mirjana Subotic-Kerry and Bridianne O’Dea

    Citation: BMC Family Practice 2020 21:2

    Content type: Research article

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  27. The medical use of cannabis has been legislatively restricted for decades in the US and abroad. In recent years, changing local and national policies have given rise to a community of healthcare providers who ...

    Authors: Jamie Corroon, Michelle Sexton and Ryan Bradley

    Citation: BMC Family Practice 2019 20:174

    Content type: Research article

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  28. Violence against women (VAW) has many impacts on health, but the role of the primary healthcare physicians in the intervention program is lacking. This research aimed to explore the primary healthcare physicia...

    Authors: Nuretha Hevy Purwaningtyas, Guswan Wiwaha, Elsa Pudji Setiawati and Insi Farisa Desy Arya

    Citation: BMC Family Practice 2019 20:168

    Content type: Research article

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  29. There is a large and unexplained variation in referral rates to specialists by general practitioners, which calls for investigations regarding general practitioners’ perceptions and expectations during the ref...

    Authors: Konstantinos Tzartzas, Pierre-Nicolas Oberhauser, Régis Marion-Veyron, Céline Bourquin, Nicolas Senn and Friedrich Stiefel

    Citation: BMC Family Practice 2019 20:165

    Content type: Research article

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  30. Management of care transitions from primary care into and out of oncology is critical for optimal care of cancer patients and cancer survivors. There is limited understanding of existing primary care-oncology ...

    Authors: Jennifer Tsui, Jenna Howard, Denalee O’Malley, William L. Miller, Shawna V. Hudson, Ellen B. Rubinstein, Jeanne M. Ferrante, Alicja Bator and Benjamin F. Crabtree

    Citation: BMC Family Practice 2019 20:164

    Content type: Research article

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  31. Primary care is facing a multimorbid, ageing population and a lack of general practitioners (GPs), especially in rural areas. In many countries, advanced practice nurses (APNs) may be a potential solution for ...

    Authors: Stefan Gysin, Beat Sottas, Muriel Odermatt and Stefan Essig

    Citation: BMC Family Practice 2019 20:163

    Content type: Research article

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  32. In Germany, a decreasing number of general practitioners (GPs) face a growing number of patients with multimorbidity. Whilst care for patients with multimorbidity involves various healthcare providers, the coo...

    Authors: Judith Stumm, Cornelia Thierbach, Lisa Peter, Susanne Schnitzer, Lorena Dini, Christoph Heintze and Susanne Döpfmer

    Citation: BMC Family Practice 2019 20:160

    Content type: Research article

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  33. Many young people with Attention Deficit Hyperactivity Disorder (ADHD) have impairing symptoms that persist into adulthood, yet only a minority experience continuity of care into adult life. Despite growing em...

    Authors: Tamsin Newlove-Delgado, Sharon Blake, Tamsin Ford and Astrid Janssens

    Citation: BMC Family Practice 2019 20:159

    Content type: Research article

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  34. The Dutch care for hip and knee osteoarthritis (OA) is of good quality, but there is room for improvement regarding the efficient use of diagnostic imaging and conservative treatment. Therefore a stepped-care ...

    Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg, Ramon P. G. Ottenheijm, Patrick Deckers and Dirk Ruwaard

    Citation: BMC Family Practice 2019 20:154

    Content type: Research article

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  35. People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professio...

    Authors: Sue Roberts, Simon Eaton, Tracy Finch, Nick Lewis-Barned, Monique Lhussier, Lindsay Oliver, Tim Rapley and Dawn Temple-Scott

    Citation: BMC Family Practice 2019 20:153

    Content type: Research article

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  36. Approximately 425 million people globally have diabetes, with ~ 90% of these having Type 2 Diabetes Mellitus (T2DM). This is a condition that leads to a poor quality of life and increased risk of serious healt...

    Authors: Melanie J. Davies, Caroline A. Kristunas, Abualbishr Alshreef, Simon Dixon, Helen Eborall, Agnieszka Glab, Lisa Huddlestone, Nicky Hudson, Kamlesh Khunti, Graham Martin, Alison Northern, Mike Patterson, Rebecca Pritchard, Sally Schreder, Bernie Stribling, Jessica Turner…

    Citation: BMC Family Practice 2019 20:152

    Content type: Study protocol

    Published on:

  37. While warfarin is the most commonly prescribed medication to prevent thromboembolic disorders, the risk of adverse drug reactions (ADR) poses a serious concern. This prospective study evaluated how primary car...

    Authors: Lisa B. E. Shields, Paula Fowler, Diane M. Siemens, Douglas J. Lorenz, Kenneth C. Wilson, Steven T. Hester and Joshua T. Honaker

    Citation: BMC Family Practice 2019 20:151

    Content type: Research article

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  38. Cardiovascular diseases (CVD) contribute considerably to mortality and morbidity. Prevention of CVD by lifestyle change and medication is important and needs full attention.

    Authors: Suzanne Marchal, Monika Hollander, Marieke Schoenmakers, Michiel Schouwink, Jorik R. Timmer, Henk J. G. Bilo, Olof Schwantje, Arnoud W. J. van ’t Hof and Arno W. Hoes

    Citation: BMC Family Practice 2019 20:149

    Content type: Study protocol

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  39. Geographical maldistribution of physicians, and their subsequent shortage in rural areas, has been a serious problem in Japan and in other countries. Family Medicine, a new board-certified specialty started 10...

    Authors: Shuhei Yoshida, Masatoshi Matsumoto, Saori Kashima, Soichi Koike, Susumu Tazuma and Takahiro Maeda

    Citation: BMC Family Practice 2019 20:147

    Content type: Research article

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  40. Atrial fibrillation (AF) is a serious heart arrhythmia associated with devastating outcomes such as stroke. Inequitable rural AF care may put patients at risk. Virtually delivered specialty AF care offers a vi...

    Authors: Kathy L. Rush, Lindsay Burton, Fransien Van Der Merwe, Linda Hatt and Camille Galloway

    Citation: BMC Family Practice 2019 20:144

    Content type: Research article

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  41. The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician ...

    Authors: Christine Kersting, Lena Zimmer, Anika Thielmann and Birgitta Weltermann

    Citation: BMC Family Practice 2019 20:143

    Content type: Research article

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  42. Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the associa...

    Authors: Emily Gard Marshall, Frederick Burge, Richard J. Gibson, Beverley Lawson and Colleen O’Connell

    Citation: BMC Family Practice 2019 20:141

    Content type: Research article

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  43. Low use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment of depression in Hispanics. Common concerns include fears about the addictive a...

    Authors: Katherine Sanchez, Michael O. Killian, Brittany H. Eghaneyan, Leopoldo J. Cabassa and Madhukar H. Trivedi

    Citation: BMC Family Practice 2019 20:140

    Content type: Research article

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  44. Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors ...

    Authors: Rune Aakvik Pedersen, Halfdan Petursson and Irene Hetlevik

    Citation: BMC Family Practice 2019 20:138

    Content type: Research article

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  45. Community pharmacy represents an important setting to identify patients who may benefit from an adherence intervention, however it remains unclear whether it would be feasible to monitor antihypertensive adher...

    Authors: Paul Dillon, Ronald McDowell, Susan M. Smith, Paul Gallagher and Gráinne Cousins

    Citation: BMC Family Practice 2019 20:131

    Content type: Research article

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  46. The United Kingdom (UK) is experiencing a general practitioner (GP) workforce retention crisis. Research has focused on investigating why GPs intend to quit, but less is known about the acceptability and effec...

    Authors: Rupa Chilvers, Suzanne H. Richards, Emily Fletcher, Alex Aylward, Sarah Dean, Chris Salisbury and John Campbell

    Citation: BMC Family Practice 2019 20:130

    Content type: Research article

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  47. In the UK, there is ongoing integration of pharmacists into general practice as a new healthcare service in primary care. Evaluation of the service involves national measures that require pharmacists to record...

    Authors: Georgios Dimitrios Karampatakis, Kath Ryan, Nilesh Patel and Graham Stretch

    Citation: BMC Family Practice 2019 20:126

    Content type: Research article

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