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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. 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

    Published on:

  2. 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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  3. 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

    Published on:

  4. 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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  5. 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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  6. 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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  7. 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

    Published on:

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

  8. 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

    Published on:

  9. 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:

  10. 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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  11. 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

    Published on:

  12. 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

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  13. 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

  14. 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

    Published on:

  15. 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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  16. 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

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  17. 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

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  18. 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

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  19. 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

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  20. 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

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  21. 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:

  22. 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:

  23. 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:

  24. 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:

  25. 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

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  26. 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:

  27. 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

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  28. 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:

  29. 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:

  30. 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

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  31. 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

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  32. 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:

  33. In many countries, financial assistance is awarded to physicians who settle in an area that is designated as a shortage area to prevent unequal accessibility to primary health care. Today, however, policy make...

    Authors: Bart Dewulf, Tijs Neutens, Yves De Weerdt and Nico Van de Weghe

    Citation: BMC Family Practice 2013 14:122

    Content type: Research article

    Published on:

  34. A team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health pro...

    Authors: Lina Jaruseviciene, Ida Liseckiene, Leonas Valius, Ausrine Kontrimiene, Gediminas Jarusevicius and Luís Velez Lapão

    Citation: BMC Family Practice 2013 14:118

    Content type: Research article

    Published on:

  35. The need to understand barriers to the implementation of health care innovations in daily practice has been widely documented, but perceived facilitators and barriers in diabetes care by Dutch health care prof...

    Authors: Lieke GM Raaijmakers, Femke JM Hamers, Marloes K Martens, Charlotte Bagchus, Nanne K de Vries and Stef PJ Kremers

    Citation: BMC Family Practice 2013 14:114

    Content type: Research article

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  36. A growing proportion of people are living with long term conditions. The majority have more than one. Dealing with multi-morbidity is a complex problem for health systems: for those designing and implementing ...

    Authors: Joanne Reeve, Tom Blakeman, George K Freeman, Larry A Green, Paul A James, Peter Lucassen, Carmel M Martin, Joachim P Sturmberg and Chris van Weel

    Citation: BMC Family Practice 2013 14:112

    Content type: Debate

    Published on:

  37. Job satisfaction and organizational attributes in primary care teams are important issues as they affect clinical outcomes and the quality of health care provided. As practice assistants are an integral part o...

    Authors: Amina Gavartina, Stavria Zaroti, Joachim Szecsenyi, Antje Miksch, Dominik Ose, Stephen M Campbell and Katja Goetz

    Citation: BMC Family Practice 2013 14:110

    Content type: Research article

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  38. In England, guidance from National Institute for Clinical Excellence (NICE) states women with a family history of breast cancer presenting to primary care should be reassured or referred.

    Authors: Imran Rafi, Susmita Chowdhury, Tom Chan, Ibrahim Jubber, Mohammad Tahir and Simon de Lusignan

    Citation: BMC Family Practice 2013 14:105

    Content type: Research article

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  39. Long-term conditions (LTCs) are increasingly important determinants of quality of life and healthcare costs in populations worldwide. The Chronic Care Model and the NHS and Social Care Long Term Conditions Mod...

    Authors: Carolyn A Chew-Graham, Cheryl Hunter, Susanne Langer, Alexandra Stenhoff, Jessica Drinkwater, Elspeth A Guthrie and Peter Salmon

    Citation: BMC Family Practice 2013 14:103

    Content type: Research article

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  40. Community-based support will become increasingly important for people with dementia, but currently services are fragmented and the quality of care is variable. Case management is a popular approach to care co-...

    Authors: Amy Waugh, Allana Austin, Jill Manthorpe, Chris Fox, Barbara Stephens, Louise Robinson and Steve Iliffe

    Citation: BMC Family Practice 2013 14:101

    Content type: Research article

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  41. Drug dosing errors are common in renal-impaired patients. Appropriate dosing adjustment and drug selection is important to ensure patients’ safety and to avoid adverse drug effects and poor outcomes. There are...

    Authors: M Angeles Via-Sosa, Natali Lopes and Marian March

    Citation: BMC Family Practice 2013 14:96

    Content type: Research article

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  42. Changing family practice (voluntary disenrollment) without changing address may indicate dissatisfaction with care. We investigate the potential to use voluntary disenrollment as a quality indicator for primar...

    Authors: Shobhana Nagraj, Gary Abel, Charlotte Paddison, Rupert Payne, Marc Elliott, John Campbell and Martin Roland

    Citation: BMC Family Practice 2013 14:89

    Content type: Research article

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  43. Despite being at high risk, disadvantaged patients may be less likely to receive preventive care in general practice. This study aimed to explore self-reported preventive care received from general practitione...

    Authors: Mark F Harris, Fakhrul Md Islam, Bin Jalaludin, Jack Chen, Adrian E Bauman and Elizabeth J Comino

    Citation: BMC Family Practice 2013 14:83

    Content type: Research article

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