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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. Nurse practitioners (NPs) have been added to primary healthcare teams to improve access to care. Team processes, including communication and decision-making, explicate how patients and families view team funct...

    Authors: Kelley Kilpatrick, Eric Tchouaket, Nicolas Fernandez, Mira Jabbour, Carl-Ardy Dubois, Lysane Paquette, Véronique Landry, Nathalie Gauthier and Marie-Dominique Beaulieu

    Citation: BMC Family Practice 2021 22:76

    Content type: Research article

    Published on:

  2. The primary objective was to describe outpatient treatment of epistaxis among different physicians based on a large patient population over a period of 10 years. The secondary objective was to evaluate the val...

    Authors: Annina E. Althaus, Jonas Lüske, Ulrike Arendt, Michael Dörks, Michael H. Freitag, Falk Hoffmann and Kathrin Jobski

    Citation: BMC Family Practice 2021 22:75

    Content type: Research article

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  3. The present study describes how primary care can be improved for patients with multimorbidity, based on the evaluation of a patient-centered care (PCC) improvement program designed to foster the eight PCC dime...

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

    Citation: BMC Family Practice 2021 22:70

    Content type: Research article

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  4. Patients in need of palliative care often want to reside at home. Providing palliative care requires resources and a high level of competence in primary care. The Norwegian guideline for palliative care points...

    Authors: Anne Fasting, Irene Hetlevik and Bente Prytz Mjølstad

    Citation: BMC Family Practice 2021 22:64

    Content type: Research article

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  5. Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering s...

    Authors: Eva Seckler, Verena Regauer, Melanie Krüger, Anna Gabriel, Joachim Hermsdörfer, Carolin Niemietz, Petra Bauer and Martin Müller

    Citation: BMC Family Practice 2021 22:62

    Content type: Research article

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  6. Most patients nearing the end of life can benefit from a palliative approach in primary care. We currently do not know how to measure a palliative approach in family practice. The objective of this study was t...

    Authors: Erin Gallagher, Daniel Carter-Ramirez, Kaitlyn Boese, Samantha Winemaker, Amanda MacLennan, Nicolle Hansen, Abe Hafid and Michelle Howard

    Citation: BMC Family Practice 2021 22:58

    Content type: Research article

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  7. There is evidence that an ongoing patient-physician relationship is associated with improved health outcomes and more efficient health systems. The main objective of this study is to describe the continuity of...

    Authors: Ermengol Coma, Núria Mora, Paula Peremiquel-Trillas, Mència Benítez, Leonardo Méndez, Albert Mercadé, Francesc Fina, Mireia Fàbregas and Manuel Medina

    Citation: BMC Family Practice 2021 22:56

    Content type: Research article

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  8. Access to transgender care in Canada is poor. Although primary care providers are ideally positioned to initiate care, many feel uncomfortable providing transgender care. This study aimed to explore the impact...

    Authors: Jatinderpreet Singh, Allison Lou, Michael Green, Erin Keely, Mary Greenaway and Clare Liddy

    Citation: BMC Family Practice 2021 22:55

    Content type: Research article

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  9. Social Prescribing is increasingly popular, and several evaluations have shown positive results. However, Social Prescribing is an umbrella term that covers many different interventions. We aimed to test, deve...

    Authors: Emily Wood, Sally Ohlsen, Sarah-Jane Fenton, Janice Connell and Scott Weich

    Citation: BMC Family Practice 2021 22:53

    Content type: Research article

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  10. Universal health coverage is one of the Sustainable Development Goal targets known to improve population health and reduce financial burden. There is little qualitative data on access to and quality of primary...

    Authors: Soter Ameh, Bolarinwa Oladimeji Akeem, Caleb Ochimana, Abayomi Olabayo Oluwasanu, Shukri F. Mohamed, Samson Okello, Alfa Muhihi and Goodarz Danaei

    Citation: BMC Family Practice 2021 22:45

    Content type: Research article

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  11. Persistent physical symptoms (PPS) are estimated to be present in 17% of patients in general practice. Hence, general practitioners (GPs) play a key role in both the diagnostic assessment and the management of...

    Authors: Mette Trøllund Rask, Pernille Ravn Jakobsen, Jane Clemensen, Marianne Rosendal and Lisbeth Frostholm

    Citation: BMC Family Practice 2021 22:33

    Content type: Research article

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  12. Rural settings in low- and middle-income countries are bedeviled with poverty and high disease burden, and lack adequate resources to deliver quality healthcare to the population. Drug shortage and inadequate ...

    Authors: Vitalis Bawontuo, Augustine Adomah-Afari, Williams W. Amoah, Desmond Kuupiel and Irene Akua Agyepong

    Citation: BMC Family Practice 2021 22:32

    Content type: Research article

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  13. Interprofessional primary care (IPC) teams provide comprehensive and coordinated care and are ideally equipped to support those populations most at risk of adverse health outcomes during the COVID-19 pandemic,...

    Authors: Catherine Donnelly, Rachelle Ashcroft, Nicole Bobbette, Christine Mills, Amanda Mofina, Todd Tran, Kyle Vader, Ashley Williams, Sandeep Gill and Jordan Miller

    Citation: BMC Family Practice 2021 22:31

    Content type: Research article

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  14. Domestic migration poses a challenge for China as migrants have little access to preventive healthcare services and are vulnerable to certain risks and diseases. This research sought to unveil and explore the ...

    Authors: Shuang Shao, Huirong Zhang, Xiaolei Chen, Xiaojingyuan Xu, Yali Zhao, Meirong Wang and Juan Du

    Citation: BMC Family Practice 2021 22:23

    Content type: Research article

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  15. The purpose of this study is to forward the implementation of an operational evidence-based state screening program of common diseases in Ukraine, where currently no state-based and evidence-based screening (E...

    Authors: Pavlo Kolesnyk, Thomas Frese, Shlomo Vinker, Ivanna Shushman, Albina Zharkova, Nassir Messaadi, Andriy Kolesnyk and Sabine Bayen

    Citation: BMC Family Practice 2021 22:20

    Content type: Research article

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  16. Primary care needs to respond effectively to patients experiencing or perpetrating domestic violence and abuse (DVA) and their children, but there is uncertainty about the value of integrated programmes. The a...

    Authors: Eszter Szilassy, Jessica Roy, Emma Williamson, Katherine Pitt, Mei-See Man and Gene Feder

    Citation: BMC Family Practice 2021 22:19

    Content type: Research article

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  17. Kerala is known as the diabetes mellitus (DM) and hypertension (HTN) capital of the world, thus compelling health professionals to model strategies, addressing their social, behavioural, and cognitive risk fac...

    Authors: M D Saju, Bindiya M Varghese, Lorane Scaria, Anuja Maria Benny, Shilpa V Yohannan, Natania Cheguvera, S P Rajeev and Amuthavalli Thiyagarajan Jotheeswaran

    Citation: BMC Family Practice 2021 22:15

    Content type: Study protocol

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  18. Family medicine is a branch of medicine that manages common and long-term illnesses in children and adults. Family physicians in particular play a major role and their scope of practice is expected to impact p...

    Authors: Hervé Tchala Vignon Zomahoun, Isabelle Samson, Jasmine Sawadogo, José Massougbodji, Amédé Gogovor, Ella Diendéré, Frédéric Turgeon and France Légaré

    Citation: BMC Family Practice 2021 22:12

    Content type: Research article

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  19. The family doctor system is a vital part of China’s national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy mak...

    Authors: Shanshan Liu, Yan Liu, Tao Zhang, Luan Wang, Jiaoling Huang, Hong Liang, Gang Chen, Chengjun Liu and Yimin Zhang

    Citation: BMC Family Practice 2021 22:11

    Content type: Research article

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  20. South Africa has unique and diverse social and economic factors that have an impact on the provision of basic water, sanitation, hygiene and waste management infrastructure and practices at health care facilit...

    Authors: N. Potgieter, N. T. Banda, P. J. Becker and A. N. Traore-Hoffman

    Citation: BMC Family Practice 2021 22:8

    Content type: Research article

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  21. Most people in Australia visit a General Practitioner each year and are free to choose their General Practitioner and/or practice on each occasion. A proportion of people visit multiple general practices, whic...

    Authors: Kristen M. Glenister, John Guymer, Lisa Bourke and David Simmons

    Citation: BMC Family Practice 2021 22:2

    Content type: Research article

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  22. A growing demand for physicians exists worldwide. Due to political changes, economic incentives and new workplace expectations a trend from single-handed practices to group practices has been noticed in many c...

    Authors: Lisa-Marie Weinmayr, Ruben Zwierlein and Jost Steinhäuser

    Citation: BMC Family Practice 2020 21:276

    Content type: Research article

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  23. 11.5 % of girls and 17.8 % of boys are affected by a mental health problem (MHP). The most prevalent problem areas are behavioural problems (girls/boys in %: 11.9/17.9), emotional problems (9.7/8.6) and hypera...

    Authors: Siona Decke, Karina Deckert, Martin Lang, Otto Laub, Verena Loidl, Lars Schwettmann and Eva Grill

    Citation: BMC Family Practice 2020 21:273

    Content type: Research article

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  24. In an earlier study, PRIM-CARE RCT, a care manager implementation at the primary care centre showed improved return to work and reduced sick leave for patients with CMD. To further improve return to work, the ...

    Authors: Eva-Lisa Petersson, Karin Törnbom, Dominique Hange, Shabnam Nejati, Margareta Jerlock, Carl Wikberg, Cecilia Björkelund and Irene Svenningsson

    Citation: BMC Family Practice 2020 21:272

    Content type: Research article

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  25. The new coronavirus pneumonia (NCP) caused by COVID-19 has affected more than 46 million people worldwide. In China, primary care has played a vital role during the COVID-19 outbreak, and it is important to ex...

    Authors: Desiree Man-Sik Tse, Zhuo Li, Ye Lu, Yang Li, Ying Liu and William Chi Wai Wong

    Citation: BMC Family Practice 2020 21:271

    Content type: Research article

    Published on:

  26. During the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March–May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consul...

    Authors: Fiona Imlach, Eileen McKinlay, Lesley Middleton, Jonathan Kennedy, Megan Pledger, Lynne Russell, Marianna Churchward, Jacqueline Cumming and Karen McBride-Henry

    Citation: BMC Family Practice 2020 21:269

    Content type: Research article

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  27. Individuals living in poverty often visit their primary care physician for health problems resulting from unmet legal needs. Providing legal services for those in need may therefore improve health outcomes. Po...

    Authors: Gina Agarwal, Melissa Pirrie, Dan Edwards, Bethany Delleman, Sharon Crowe, Hugh Tye and Jayne Mallin

    Citation: BMC Family Practice 2020 21:267

    Content type: Research article

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  28. Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not managed appropriately ...

    Authors: Jeremy Horwood, Emer Brangan, Petra Manley, Paddy Horner, Peter Muir, Paul North and John Macleod

    Citation: BMC Family Practice 2020 21:265

    Content type: Research article

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  29. Despite calls for improved accountability in global health systems, and a set of clear and consistent theoretical accountability frameworks, empirical descriptions of how accountability is experienced and enac...

    Authors: Netsanet Fetene, Akshar Patel, Tibebu Benyam, Assefa Ayde, Mayur M. Desai, Leslie Curry and Erika Linnander

    Citation: BMC Family Practice 2020 21:261

    Content type: Research article

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  30. Pharmacological and behavioural treatments for alcohol use disorders (AUDs) are effective but the uptake is limited. Primary care could be a key setting for identification and continuous care for AUD due to ac...

    Authors: Susan A. Rombouts, James H. Conigrave, Richard Saitz, Eva Louie, Paul Haber and Kirsten C. Morley

    Citation: BMC Family Practice 2020 21:260

    Content type: Research article

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  31. Increasing numbers of primary care practitioners in refugee resettlement countries are providing care to refugees. Access to trained interpreters is a priority for these practitioners, but there are many barri...

    Authors: Anne MacFarlane, Susann Huschke, Kevin Pottie, Fern R. Hauck, Kim Griswold and Mark F. Harris

    Citation: BMC Family Practice 2020 21:259

    Content type: Research article

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  32. Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks...

    Authors: Myles Leslie, Akram Khayatzadeh-Mahani, Judy Birdsell, P. G. Forest, Rita Henderson, Robin Patricia Gray, Kyleigh Schraeder, Judy Seidel, Jennifer Zwicker and Lee A. Green

    Citation: BMC Family Practice 2020 21:258

    Content type: Research article

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  33. The COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for next waves of the pandemic.

    Authors: Katrien Danhieux, Veerle Buffel, Anthony Pairon, Asma Benkheil, Roy Remmen, Edwin Wouters and Josefien van Olmen

    Citation: BMC Family Practice 2020 21:255

    Content type: Research article

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  34. Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evalu...

    Authors: Binyam Fekadu Desta, Azeb Abitew, Ismael Ali Beshir, Mesele Damte Argaw and Sualiha Abdlkader

    Citation: BMC Family Practice 2020 21:252

    Content type: Research article

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  35. Clinician utilization of practice guidelines can reduce inappropriate opioid prescribing and harm in chronic non-cancer pain; yet, implementation of “opioid guidelines” is subpar. We hypothesized that a multi-...

    Authors: Aleksandra E. Zgierska, James M. Robinson, Robert P. Lennon, Paul D. Smith, Kate Nisbet, Mary W. Ales, Deanne Boss, Wen-Jan Tuan, Regina M. Vidaver and David L. Hahn

    Citation: BMC Family Practice 2020 21:245

    Content type: Research article

    Published on:

  36. The expansion of community pharmacy services is one solution to relieve pressure on general practice in the United Kingdom (UK). There is a paucity of research of general practitioners’ (GPs’) perspectives of ...

    Authors: M. Watson, K. Silver and R. Watkins

    Citation: BMC Family Practice 2020 21:244

    Content type: Research article

    Published on:

  37. People with severe mental illness experience physical health significantly worse than the general population. Physical health monitoring is shared between primary care and secondary mental healthcare services,...

    Authors: Joseph Butler, Simone de Cassan, Phil Turner, Belinda Lennox, Gail Hayward and Margaret Glogowska

    Citation: BMC Family Practice 2020 21:243

    Content type: Research article

    Published on:

  38. Indonesia has the highest maternal mortality rate in South East Asia, that a third of the mortality is caused by hypertensive disorders of pregnancy (HDP), including preeclampsia and eclampsia. Research sugges...

    Authors: Fitriana Murriya Ekawati, Ova Emilia, Jane Gunn, Sharon Licqurish and Phyllis Lau

    Citation: BMC Family Practice 2020 21:242

    Content type: Research article

    Published on:

  39. Digital consultation with primary care physicians via mobile telephone apps has been spreading rapidly in Sweden since 2014. Digital consultation allows remote working because physicians can work from home, ou...

    Authors: Hanna Fernemark, Janna Skagerström, Ida Seing, Carin Ericsson and Per Nilsen

    Citation: BMC Family Practice 2020 21:241

    Content type: Research article

    Published on:

  40. Shared care is the preferred model for long-term survivorship care by cancer survivors, general practitioners and specialists. However, survivorship care remains specialist-led. A risk-stratified approach has ...

    Authors: Kylie Vuong, Kerry Uebel, Maria Agaliotis, Stella Jun, Jane Taggart, Sue Suchy, Winston Liauw, Melvin Chin, Kate Webber and Mark Harris

    Citation: BMC Family Practice 2020 21:240

    Content type: Research article

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  41. Families of children with rare diseases (i.e., not more than 5 out of 10,000 people are affected) are often highly burdened with fears, insecurities and concerns regarding the affected child and its siblings. ...

    Authors: Johannes Boettcher, Bonnie Filter, Jonas Denecke, Amra Hot, Anne Daubmann, Antonia Zapf, Karl Wegscheider, Jan Zeidler, J.-Matthias Graf von der Schulenburg, Monika Bullinger, Miriam Rassenhofer, Michael Schulte-Markwort and Silke Wiegand-Grefe

    Citation: BMC Family Practice 2020 21:239

    Content type: Study protocol

    Published on:

  42. CT Imaging is often requested for patients with low back pain (LBP) by their general practitioners. It is currently unknown what reasons are common for these referrals and if CT images are ordered according to...

    Authors: Gabrielle S. Logan, Russell Eric Dawe, Kris Aubrey-Bassler, Danielle Coombs, Patrick Parfrey, Chris Maher, Holly Etchegary and Amanda Hall

    Citation: BMC Family Practice 2020 21:236

    Content type: Research article

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  43. Meta-analyses suggest that collaborative care (CC) improves symptoms of depression and anxiety. In CC, a care manager collaborates with a general practitioner (GP) to provide evidence-based care. Most CC resea...

    Authors: Nadja Kehler Curth, Ursula Ødum Brinck-Claussen, Carsten Hjorthøj, Annette Sofie Davidsen, John Hagel Mikkelsen, Marianne Engelbrecht Lau, Merete Lundsteen, Claudio Csillag, Kaj Sparle Christensen, Marie Jakobsen, Anders Bo Bojesen, Merete Nordentoft and Lene Falgaard Eplov

    Citation: BMC Family Practice 2020 21:234

    Content type: Research article

    Published on:

  44. Multimorbidity, the co-existence of two or more chronic conditions in an individual, is present in most patients over 65 years. Primary health care (PHC) is uniquely positioned to provide the holistic and cont...

    Authors: Joel Freilich, Gunnar H. Nilsson, Mirjam Ekstedt and Maria Flink

    Citation: BMC Family Practice 2020 21:233

    Content type: Research article

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  45. Aboriginal Community Controlled Health Services (ACCHSs) play a critical role in providing culturally appropriate, accessible primary healthcare (PHC) for Aboriginal and Torres Strait Islander peoples in Austr...

    Authors: Crystal Jongen, Sandra Campbell, Janya McCalman, Ruth Fagan, Kingsley Pearson and Suzanne Andrews

    Citation: BMC Family Practice 2020 21:230

    Content type: Research article

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