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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. The majority of patient contacts occur in general practice but general practice patient safety has been poorly described and under-researched to date compared to hospital settings. Our objective was to produce...

    Authors: Brian G Bell, Rachel Spencer, Anthony J Avery and Stephen M Campbell

    Citation: BMC Family Practice 2014 15:110

    Content type: Research article

    Published on:

  2. Further research on effective interventions for patients with peristent Medically Unexplained Physical Symptoms (MUPS) in general practice is needed. Prevalence estimates of such patients are conflicting, and ...

    Authors: Aase Aamland, Kirsti Malterud and Erik L Werner

    Citation: BMC Family Practice 2014 15:107

    Content type: Research article

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  3. Emergency (unscheduled) and elective (scheduled) use of secondary care varies between practices. Past studies have described factors associated with the number of emergency admissions; however, high quality ca...

    Authors: Chantelle Elizabeth Wiseman and Richard Baker

    Citation: BMC Family Practice 2014 15:101

    Content type: Research article

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  4. The study aimed to explore the views of general practitioners (GPs), nurses and physiotherapists towards extending the role of sickness certification beyond the medical profession in primary care.

    Authors: Victoria K Welsh, Tom Sanders, Jane C Richardson, Gwenllian Wynne-Jones, Clare Jinks and Christian D Mallen

    Citation: BMC Family Practice 2014 15:100

    Content type: Research article

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  5. This paper describes the development of a model of Comprehensive Primary Health Care (CPHC) applicable to the Australian context. CPHC holds promise as an effective model of health system organization able to ...

    Authors: Angela Lawless, Toby Freeman, Michael Bentley, Fran Baum and Gwyn Jolley

    Citation: BMC Family Practice 2014 15:99

    Content type: Research article

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  6. The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had...

    Authors: Risto Raivio, Juhani Jääskeläinen, Doris Holmberg-Marttila and Kari J Mattila

    Citation: BMC Family Practice 2014 15:98

    Content type: Research article

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  7. The increasing prevalence of cardiometabolic disease (CMD) in combination with an ageing population is a major public health problem. Early detection and management of individuals at risk for CMD is required t...

    Authors: Ilse F Badenbroek, Daphne M Stol, Marcus MJ Nielen, Monika Hollander, Roderik A Kraaijenhagen, G Ardine de Wit, François G Schellevis and Niek J de Wit

    Citation: BMC Family Practice 2014 15:90

    Content type: Study protocol

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    The Erratum to this article has been published in BMC Family Practice 2016 17:42

  8. Home visits are part of general practice work in Germany. Within the context of an expanding elderly population and a decreasing number of general practitioner (GPs), open questions regarding the organisation ...

    Authors: Karen Voigt, Stephanie Taché, Andreas Klement, Thomas Fankhaenel, Stefan Bojanowski and Antje Bergmann

    Citation: BMC Family Practice 2014 15:87

    Content type: Research article

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  9. The role of primary care professionals in lifestyle counseling for smoking, alcohol consumption, physical activity, and diet is receiving attention at the national level in many countries. The U. S. and Sweden...

    Authors: Lars Weinehall, Helene Johansson, Julie Sorensen, Lars Jerdén, John May and Paul Jenkins

    Citation: BMC Family Practice 2014 15:83

    Content type: Research article

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  10. Collaborative care (CC) is an organisational framework which facilitates the delivery of a mental health intervention to patients by case managers in collaboration with more senior health professionals (superv...

    Authors: Nia Coupe, Emma Anderson, Linda Gask, Paul Sykes, David A Richards and Carolyn Chew-Graham

    Citation: BMC Family Practice 2014 15:78

    Content type: Commentary

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  11. After the implementation of new healthcare reform, Chinese government paid increasing attention to developing community health service (CHS). The current focus is mainly on cultivating community general practi...

    Authors: Zhenni Luo, Xue Bai, Rui Min, Changmin Tang and Pengqian Fang

    Citation: BMC Family Practice 2014 15:77

    Content type: Research article

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  12. Providing good quality primary health care to all inhabitants is one of the Chinese Government’s health care objectives. However, information is scarce regarding the difference in quality of primary health car...

    Authors: Haitao Li, Roger Yat-Nork Chung, Xiaolin Wei, Jin Mou, Samuel Yeung-Shan Wong, Martin Chi-Sang Wong, Dan Zhang, Yingji Zhang and Sian Griffiths

    Citation: BMC Family Practice 2014 15:76

    Content type: Research article

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  13. In Spain, primary healthcare (PHC) referrals for diagnostic procedures are subject to long waiting-times, and physicians and patients often use the emergency department (ED) as a shortcut. We aimed to determin...

    Authors: Xavier Bosch, Ona Escoda, David Nicolás, Emmanuel Coloma, Sara Fernández, Antonio Coca and Alfonso López-Soto

    Citation: BMC Family Practice 2014 15:75

    Content type: Research article

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  14. The Danish health care sector is reorganising based on disease management programmes designed to secure integrated and high quality chronic care across hospitals, general practitioners and municipalities. The ...

    Authors: Tina Drud Due, Thorkil Thorsen, Marius Brostrøm Kousgaard, Volkert Dirk Siersma and Frans Boch Waldorff

    Citation: BMC Family Practice 2014 15:65

    Content type: Research article

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  15. Internationally there is policy support for the introduction of methadone maintenance programmes into prison settings. Increasingly GPs are encouraged to undertake this work although concerns remain regarding ...

    Authors: Nat MJ Wright, Charlotte French and Victoria Allgar

    Citation: BMC Family Practice 2014 15:64

    Content type: Research article

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  16. Multimorbidity is common among ageing populations and it affects the demand for health services. The objective of this study was to examine the relationship between multimorbidity (i.e. the number of diseases ...

    Authors: Sandra H van Oostrom, H Susan J Picavet, Simone R de Bruin, Irina Stirbu, Joke C Korevaar, Francois G Schellevis and Caroline A Baan

    Citation: BMC Family Practice 2014 15:61

    Content type: Research article

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  17. Approximately 10% of the UK population have an unpaid caring role for a family member or friend. Many of these carers make a significant contribution to supporting patients at the end of life. Carers can exper...

    Authors: Emma Carduff, Anne Finucane, Marilyn Kendall, Alison Jarvis, Nadine Harrison, Jane Greenacre and Scott A Murray

    Citation: BMC Family Practice 2014 15:48

    Content type: Research article

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  18. Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on t...

    Authors: Elizabeth J Halcomb, Yenna Salamonson, Patricia M Davidson, Rajneesh Kaur and Samantha AM Young

    Citation: BMC Family Practice 2014 15:52

    Content type: Research article

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  19. There has been growing interest regarding the impact of telemonitoring and its ability to reduce the increasing burden of chronic diseases, including chronic cardiovascular disease (CVD), on healthcare systems...

    Authors: Renee Purcell, Susan McInnes and Elizabeth J Halcomb

    Citation: BMC Family Practice 2014 15:43

    Content type: Research article

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  20. Provision of post stroke care in developing countries is hampered by discoordination of services and limited access to specialised care. Albeit shortcomings, primary care continues to provide post-stroke servi...

    Authors: Aznida F Abdul Aziz, Nor Azlin Mohd Nordin, Noor Abd Aziz, Suhazeli Abdullah, Saperi Sulong and Syed M Aljunid

    Citation: BMC Family Practice 2014 15:40

    Content type: Research article

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  21. A person-list-based family medicine model was introduced in Turkey during health care reforms. This study aimed to explore from primary care workers’ perspectives whether this model could achieve the cardinal ...

    Authors: Zeliha Asli Öcek, Meltem Çiçeklioğlu, Ummahan Yücel and Raziye Özdemir

    Citation: BMC Family Practice 2014 15:38

    Content type: Research article

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    The Erratum to this article has been published in BMC Family Practice 2015 16:74

  22. Internationally, guidelines for depression recommend a stepped care approach, implying that antidepressant medication should not be offered as a first step treatment to patients with sub-threshold or mild depr...

    Authors: Gerdien Franx, Jochanan Huyser, Jan Koetsenruijter, Christina M van der Feltz-Cornelis, Peter FM Verhaak, Richard PTM Grol and Michel Wensing

    Citation: BMC Family Practice 2014 15:35

    Content type: Research article

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  23. In 2008, the Sunshine Coast Division of General Practice (SCDGP) in Queensland, Australia initiated a highly successful Improved Diabetes Management (IDM) program with general practices in a regional area. The...

    Authors: Tina Janamian, Lisa J Crossland, Claire Jackson and Jenny Morcom

    Citation: BMC Family Practice 2014 15:32

    Content type: Research article

    Published on:

  24. As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary...

    Authors: Colin Angus, Emanuele Scafato, Silvia Ghirini, Aleksandra Torbica, Francesca Ferre, Pierluigi Struzzo, Robin Purshouse and Alan Brennan

    Citation: BMC Family Practice 2014 15:26

    Content type: Research article

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  25. Despite the efforts of the healthcare community to improve the quality of diabetes care, about 50% of people with type 2 diabetes do not reach their treatment targets, increasing the risk of future micro-and m...

    Authors: Irina Odnoletkova, Geert Goderis, Frank Nobels, Bert Aertgeerts, Lieven Annemans and Dirk Ramaekers

    Citation: BMC Family Practice 2014 15:24

    Content type: Study protocol

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  26. Practice facilitation has proven to be effective at improving care delivery. Practice facilitators are healthcare professionals who work with and support other healthcare providers. To the best of our knowledg...

    Authors: Clare E Liddy, Valeriya Blazhko, Molly Dingwall, Jatinderpreet Singh and William E Hogg

    Citation: BMC Family Practice 2014 15:23

    Content type: Research article

    Published on:

  27. Several new primary care models have been implemented in Ontario, Canada over the past two decades. These practice models differ in team structure, physician remuneration, and group size. Few studies have exam...

    Authors: Clare Liddy, Jatinderpreet Singh, Ryan Kelly, Simone Dahrouge, Monica Taljaard and Jamie Younger

    Citation: BMC Family Practice 2014 15:22

    Content type: Research article

    Published on:

    The Erratum to this article has been published in BMC Family Practice 2015 16:65

  28. The majority of care for people with type 2 diabetes occurs in general practice, however when insulin initiation is required it often does not occur in this setting or in a timely manner and this may have impl...

    Authors: Jo-Anne Manski-Nankervis, John Furler, Irene Blackberry, Doris Young, David O’Neal and Elizabeth Patterson

    Citation: BMC Family Practice 2014 15:20

    Content type: Research article

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  29. Wait times are an important measure of access to various health care sectors and from a patient’s perspective include several stages in their care. While mechanisms to improve wait times from specialty care ha...

    Authors: Liisa Jaakkimainen, Richard Glazier, Jan Barnsley, Erin Salkeld, Hong Lu and Karen Tu

    Citation: BMC Family Practice 2014 15:16

    Content type: Research article

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  30. Insufficient physical activity (PA) levels which increase the risk of chronic disease are reported by almost two-thirds of the population. More evidence is needed about how PA promotion can be effectively impl...

    Authors: Neil Heron, Mark A Tully, Michelle C McKinley and Margaret E Cupples

    Citation: BMC Family Practice 2014 15:11

    Content type: Research article

    Published on:

  31. Mental disorders account for six of the 20 leading causes of disability worldwide with a very high prevalence of psychiatric morbidity in youth aged 15–24 years. However, healthcare professionals are faced wit...

    Authors: Dorothy Leahy, Elisabeth Schaffalitzky, Claire Armstrong, Gerard Bury, Paula Cussen-Murphy, Rachel Davis, Barbara Dooley, Blanaid Gavin, Rory Keane, Eamon Keenan, Linda Latham, David Meagher, Pat McGorry, Fiona McNicholas, Ray O’Connor, Ellen O’Dea…

    Citation: BMC Family Practice 2013 14:194

    Content type: Research article

    Published on:

  32. There are limited data on perceptions of health professionals on challenges faced by cervical cancer patients seeking healthcare in the developing countries. We explored the views of operational level health p...

    Authors: Amos D Mwaka, Henry R Wabinga and Harriet Mayanja-Kizza

    Citation: BMC Family Practice 2013 14:193

    Content type: Research article

    Published on:

  33. Today, in several north-western European countries, patients are encouraged to choose, actively, a healthcare provider. However, patients often visit the provider that is recommended by their general practitio...

    Authors: Aafke Victoor, Janneke Noordman, Johan A Sonderkamp, Diana M J Delnoij, Roland D Friele, Sandra van Dulmen and Jany J D J M Rademakers

    Citation: BMC Family Practice 2013 14:189

    Content type: Research article

    Published on:

  34. As primary care practices evolve into medical homes, there is an increasing need for effective models to shift from visit-based to population-based strategies for care. However, most medical teams lack tools a...

    Authors: Stella M Savarimuthu, Ashley E Jensen, Antoinette Schoenthaler, Anne Dembitzer, Craig Tenner, Colleen Gillespie, Mark D Schwartz and Scott E Sherman

    Citation: BMC Family Practice 2013 14:176

    Content type: Research article

    Published on:

  35. Cases of emerging infectious diseases, including H5N1 influenza, H7N9 influenza, and Middle East Respiratory Syndrome, have been reported in recent years, and the threat of pandemic outbreaks persists. In Japa...

    Authors: Taro Tomizuka, Yasuhiro Kanatani and Kazuo Kawahara

    Citation: BMC Family Practice 2013 14:174

    Content type: Research article

    Published on:

  36. Burnout syndrome is an important health problem that affects many professionals and must be addressed globally, with both organizational measures and personal interventions. Burnout of health professionals can...

    Authors: Tomás Gómez-Gascón, Jesús Martín-Fernández, Macarena Gálvez-Herrer, Ester Tapias-Merino, Milagros Beamud-Lagos and José Carlos Mingote-Adán

    Citation: BMC Family Practice 2013 14:173

    Content type: Study protocol

    Published on:

  37. Nurses in Denmark have been increasingly involved in general practice care, which may have implications for the role of the general practitioner (GP) and patients’ experience of primary care. The aim of this s...

    Authors: Karen Busk Nørøxe, Grete Moth, Helle Terkildsen Maindal and Peter Vedsted

    Citation: BMC Family Practice 2013 14:171

    Content type: Research article

    Published on:

  38. A virtual professional community of practice (VCoP), HOBE+, has been set up to foster and facilitate innovation in primary care. It is aimed at all primary care professionals of the Basque Public Health Servic...

    Authors: Galder Abos Mendizabal, Roberto Nuño Solinís and Irune Zaballa González

    Citation: BMC Family Practice 2013 14:168

    Content type: Research article

    Published on:

  39. The Egyptian government is considering embarking on a new wave of health sector reform. Although primary care is seen as central to the anticipated reforms, little is known about the current morbidity and util...

    Authors: Ahmed Aboulghate, Gary Abel, Georgios Lyratzopoulos, Aida Abdelmohsen, Ahmed R Hamed and Martin Roland

    Citation: BMC Family Practice 2013 14:161

    Content type: Research article

    Published on:

  40. Primary care-based care management (CM) could reduce hospital admissions in high-risk patients. Identification of patients most likely to benefit is needed as resources for CM are limited. This study aimed to ...

    Authors: Tobias Freund, Matthias Gondan, Justine Rochon, Frank Peters-Klimm, Stephen Campbell, Michel Wensing and Joachim Szecsenyi

    Citation: BMC Family Practice 2013 14:157

    Content type: Research article

    Published on:

  41. People living with chronic disease currently account for the majority of the total healthcare costs. The Central Denmark Region implemented a disease management programme (DMP) for chronic obstructive pulmonar...

    Authors: Margrethe Smidth, Frede Olesen, Morten Fenger-Grøn and Peter Vedsted

    Citation: BMC Family Practice 2013 14:147

    Content type: Research article

    Published on:

  42. There has been created an online communication tool with the objective to improve the communication among different levels of care, between Primary Care clinicians and Specialists. This tool is web 2.0 based t...

    Authors: David Lacasta Tintorer, Souhel Flayeh Beneyto, Xavier Alzaga Reig, Xavier Mundet Tuduri, Josep Anton De la Fuente, Josep Maria Manresa, Pere Torán Monserrat and Francesc Saigí Rubió

    Citation: BMC Family Practice 2013 14:146

    Content type: Study protocol

    Published on:

  43. The introduction of efficacious physical activity interventions in primary health care is a complex process. Understanding factors influencing the process can enhance the development of effective introduction ...

    Authors: Johanna M Huijg, Mathilde R Crone, Marieke W Verheijden, Nicolette van der Zouwe, Barend JC Middelkoop and Winifred A Gebhardt

    Citation: BMC Family Practice 2013 14:142

    Content type: Research article

    Published on:

  44. Frequently attending patients to primary care (FA) are likely to cost more in primary care than their non-frequently attending counterparts. But how much is spent on specialist care of FAs? We describe the hea...

    Authors: Frans T Smits, Henk J Brouwer, Aeilko H Zwinderman, Jacob Mohrs, Hugo M Smeets, Judith E Bosmans, Aart H Schene, Henk C Van Weert and Gerben ter Riet

    Citation: BMC Family Practice 2013 14:138

    Content type: Research article

    Published on:

  45. The use of unscheduled out of hours medical care is related to the social status of the patient. However, the social variance in the patient’s preference for a hospital based versus a primary care based facili...

    Authors: Sara Willems, Wim Peersman, Philippe De Maeyer, Walter Buylaert, Jan De Maeseneer and Peter De Paepe

    Citation: BMC Family Practice 2013 14:136

    Content type: Research article

    Published on:

  46. Goal setting is a recommended approach in clinical care that can help individuals with multi-morbidities and their caregivers manage chronic conditions. In this paper, the types of goals that were important fo...

    Authors: Kerry Kuluski, Ashlinder Gill, Gayathri Naganathan, Ross Upshur, R Liisa Jaakkimainen and Walter P Wodchis

    Citation: BMC Family Practice 2013 14:133

    Content type: Research article

    Published on:

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