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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. Growing interest in the promise of patient-centered care has led to numerous health care innovations, including the patient-centered medical home, shared decision-making, and payment reforms. How best to vet a...

    Authors: Peter Reed, Douglas A Conrad, Susan E Hernandez, Carolyn Watts and Miriam Marcus-Smith

    Citation: BMC Family Practice 2012 13:120

    Content type: Research article

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  2. Type 2 Diabetes Mellitus (DM) is a common chronic disease associated with multiple clinical complications. Management guidelines have been established which recommend a risk-stratified approach to managing the...

    Authors: Colman SC Fung, Weng Yee Chin, Daisy SK Dai, Ruby LP Kwok, Eva LH Tsui, Yuk Fai Wan, Wendy Wong, Carlos KH Wong, Daniel YT Fong and Cindy LK Lam

    Citation: BMC Family Practice 2012 13:116

    Content type: Study protocol

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  3. With increasing age and longevity, the rising number of frail elders with complex and numerous health-related needs demands a coordinated health care delivery system integrating cure, care and welfare. Studies...

    Authors: Franca GH Ruikes, Antoinette RM Meys, Gijs van de Wetering, Reinier P Akkermans, Betsie GI van Gaal, Sytse U Zuidema, Henk J Schers, Theo van Achterberg and Raymond TCM Koopmans

    Citation: BMC Family Practice 2012 13:115

    Content type: Study protocol

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  4. In Sweden three key criteria are used for priority setting: severity of the health condition; patient benefit; and cost-effectiveness. They are derived from the ethical principles established by the Swedish pa...

    Authors: Eva Arvidsson, Malin André, Lars Borgquist, David Andersson and Per Carlsson

    Citation: BMC Family Practice 2012 13:114

    Content type: Research article

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  5. Mental health problems are common and are associated with increased disability and health care costs. Problem-Solving Treatment (PST) delivered to these patients by nurses in primary care might be efficient. T...

    Authors: Judith E Bosmans, Bettine Schreuders, Harm WJ van Marwijk, Jan H Smit, Patricia van Oppen and Maurits W van Tulder

    Citation: BMC Family Practice 2012 13:98

    Content type: Research article

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  6. To evaluate the efficacy of Counselling and Advisory Care for Health (COACH) programme in managing dyslipidaemia among primary care practices in Malaysia. This open-label, parallel, randomised controlled trial...

    Authors: Francis Jude Selvaraj, Mafauzy Mohamed, Khairani Omar, Sudha Nanthan, Zainab Kusiar, Selvaraj Y Subramaniam, Norsiah Ali, Kamalakaran Karanakaran, Fauziah Ahmad and Wilson H Low

    Citation: BMC Family Practice 2012 13:97

    Content type: Research article

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  7. Primary care has an important role in cardiovascular risk management (CVRM) and a minimum size of scale of primary care practices may be needed for efficient delivery of CVRM . We examined CVRM in patients wit...

    Authors: Jan van Lieshout, Richard Grol, Stephen Campbell, Hector Falcoff, Eva Frigola Capell, Mathias Glehr, Margalit Goldfracht, Esko Kumpusalo, Beat Künzi, Sabine Ludt, Davorina Petek, Veerle Vanderstighelen and Michel Wensing

    Citation: BMC Family Practice 2012 13:96

    Content type: Research article

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  8. Many patients are transferred from home to hospital during the final phase of life and the majority die in hospital. The aim of the study is to explore hospital referrals of palliative care patients for whom a...

    Authors: Maria C De Korte-Verhoef, H Roeline W Pasman, Bart PM Schweitzer, Anneke L Francke, Bregje D Onwuteaka-Philipsen and Luc Deliens

    Citation: BMC Family Practice 2012 13:89

    Content type: Research article

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  9. Colombia has a highly segmented and fragmented national health system that contributes to inequitable health outcomes. In 2004 the district government of Bogota initiated a Primary Health Care (PHC) strategy t...

    Authors: Paola A Mosquera, Jinneth Hernández, Román Vega, Jorge Martínez, Ronald Labonte, David Sanders and Miguel San Sebastián

    Citation: BMC Family Practice 2012 13:84

    Content type: Research article

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  10. We know little about when and why general practitioners (GPs) submit stool specimens in patients with diarrhoea. The recent UK-wide intestinal infectious disease (IID2) study found ten GP consultations for eve...

    Authors: Cliodna AM McNulty, Gemma Lasseter, Katie Newby, Puja Joshi, Harry Yoxall, Kalyanaraman Kumaran, Sarah J O’Brien and Mark Evans

    Citation: BMC Family Practice 2012 13:77

    Content type: Research article

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  11. In many countries out-of-hours care faces serious challenges, including shortage of general practitioners, a high workload, reduced motivation to work out of hours, and increased demand for out-of-hours care. ...

    Authors: Nancy Wijers, Lisette Schoonhoven, Paul Giesen, Hubertus Vrijhoef, Regi van der Burgt, Joke Mintjes, Michel Wensing and Miranda Laurant

    Citation: BMC Family Practice 2012 13:75

    Content type: Study protocol

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  12. Unattached patients do not have a regular primary care provider. Initiatives are being developed to increase attachment rates across Canada. Most existing attention paid to patient unattachment has focused on ...

    Authors: Valorie A Crooks, Gina Agarwal and Angela Harrison

    Citation: BMC Family Practice 2012 13:69

    Content type: Research article

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  13. Reform of primary healthcare (PHC) organisations is underway in Canada. The capacity of various types of PHC organizations to respond to populations’ needs remains to be assessed. The main objective of this st...

    Authors: Jean-Frédéric Levesque, Raynald Pineault, Marjolaine Hamel, Danièle Roberge, Costas Kapetanakis, Brigitte Simard and Alexandre Prud’homme

    Citation: BMC Family Practice 2012 13:66

    Content type: Research article

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  14. Governmental funding support is seen as a prerequisite for the growth of research in general practice. Several funding programs in the amount of € 13.2 Mio were introduced in Germany from 2002 to February 2012...

    Authors: Antonius Schneider, Nadine Großmann and Klaus Linde

    Citation: BMC Family Practice 2012 13:58

    Content type: Research article

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  15. Preventive health care is an important part of general practice however uptake of activities by patients is variable. Monetary incentives for doctors have been used in the UK and Australia to improve rates of ...

    Authors: Nigel Stocks, James Allan, Oliver Frank, Sue Williams and Philip Ryan

    Citation: BMC Family Practice 2012 13:54

    Content type: Research article

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  16. Coronary heart disease (CHD) is a common medical problem in general practice. Due to its chronic character, shared care of the patient between general practitioner (GP) and cardiologist (C) is required. In ord...

    Authors: Lena Kramer, Kathrin Schlößler, Susanne Träger and Norbert Donner-Banzhoff

    Citation: BMC Family Practice 2012 13:36

    Content type: Research article

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  17. Since 2005, Kenyan medical universities have been training general practitioners, providing them with clinical, management, teaching and research skills, in order to enhance access to and quality of health car...

    Authors: Chiel TM van der Voort, Geraldine van Kasteren, Patrick Chege and Geert-Jan Dinant

    Citation: BMC Family Practice 2012 13:32

    Content type: Research article

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  18. Procedures documented by general practitioners in primary care have not been studied in relation to procedure coding systems. We aimed to describe procedures documented by Swedish general practitioners in elec...

    Authors: Anna Vikström, Maria Hägglund, Mikael Nyström, Lars-Erik Strender, Sabine Koch, Per Hjerpe, Ulf Lindblad and Gunnar H Nilsson

    Citation: BMC Family Practice 2012 13:2

    Content type: Research article

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  19. Home blood pressure monitoring (HBPM) is gaining popularity among hypertensive patients. This study aimed to explore the influence of self-initiated HBPM on primary care patients with hypertension.

    Authors: Adina Abdullah and Sajaratulnisah Othman

    Citation: BMC Family Practice 2011 12:143

    Content type: Research article

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  20. In order for patients to adhere to advice, provided by family doctors, they must be able to recall it afterwards. However, several studies have shown that most patients do not fully understand or memorize it. ...

    Authors: Polona Selic, Igor Svab, Marija Repolusk and Nena K Gucek

    Citation: BMC Family Practice 2011 12:141

    Content type: Research article

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  21. Chronic obstructive pulmonary disease (COPD) is an underdiagnosed cause of morbidity and mortality worldwide. Prevalence of COPD has been shown to be highly associated with positive smoking history and increas...

    Authors: Hanna Sandelowsky, Björn Ställberg, Anna Nager and Jan Hasselström

    Citation: BMC Family Practice 2011 12:122

    Content type: Research article

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  22. Primary health care is known to have positive effects on population health and may reduce at-risk behavior and health problems in adolescence. Yet little is known about the factors that are associated with ado...

    Authors: Bridget L Ryan, Moira Stewart, M Karen Campbell, John Koval and Amardeep Thind

    Citation: BMC Family Practice 2011 12:118

    Content type: Research article

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  23. A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements....

    Authors: Dorien LM Zwart, Maaike Langelaan, Rosalinde C van de Vooren, Marijke M Kuyvenhoven, Cor J Kalkman, Theo JM Verheij and Cordula Wagner

    Citation: BMC Family Practice 2011 12:117

    Content type: Research article

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  24. Primary care providers play an important role in preventing and managing cardiovascular disease. This study compared the quality of preventive cardiovascular care delivery amongst different primary care models.

    Authors: Clare Liddy, Jatinderpreet Singh, William Hogg, Simone Dahrouge and Monica Taljaard

    Citation: BMC Family Practice 2011 12:114

    Content type: Research article

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  25. Around 1% of adults are repeatedly referred from primary to secondary care with medically unexplained symptoms (MUS); many of these patients have depression and anxiety disorders which are unrecognized or inad...

    Authors: Christopher Burton, Kelly McGorm, David Weller and Michael Sharpe

    Citation: BMC Family Practice 2011 12:107

    Content type: Research article

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  26. Delay in cancer diagnosis may have serious prognostic consequences, and some patients experience delays lasting several months. However, we have no knowledge whether such delays are associated with general pra...

    Authors: Rikke P Hansen, Peter Vedsted, Ineta Sokolowski, Jens Søndergaard and Frede Olesen

    Citation: BMC Family Practice 2011 12:100

    Content type: Research article

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  27. One-tenth of France's population is prescribed at least one antidepressant, primarily by General Practitioners. The reasons for this high prescription rate remain unclear. One-third of these prescriptions may ...

    Authors: Alain Mercier, Isabelle Auger-Aubin, Jean-Pierre Lebeau, Paul Van Royen and Lieve Peremans

    Citation: BMC Family Practice 2011 12:99

    Content type: Research article

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  28. Despite considerable efforts to promote and support guideline use, adherence is often suboptimal. Barriers to adherence vary not only across guidelines but also across recommendations within guidelines. The ai...

    Authors: Marjolein Lugtenberg, Jako S Burgers, Casper F Besters, Dolly Han and Gert P Westert

    Citation: BMC Family Practice 2011 12:98

    Content type: Research article

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  29. Many lifestyle interventions for patients with prediabetes or type 2 diabetes mellitus (T2DM) have been investigated in randomised clinical trial settings. However, the translation of these programmes into pri...

    Authors: Joris J Linmans, Mark G Spigt, Linda Deneer, Annelies EM Lucas, Marlies de Bakker, Luc G Gidding, Rik Linssen and J André Knottnerus

    Citation: BMC Family Practice 2011 12:95

    Content type: Research article

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  30. Antihypertensive drug choices and treatment levels are not in accordance with the existing guidelines. We aimed to assess the impact of a guideline implementation intervention on antihypertensive drug prescrib...

    Authors: Raija Sipilä, Arja Helin-Salmivaara, Maarit Jaana Korhonen and Eeva Ketola

    Citation: BMC Family Practice 2011 12:87

    Content type: Research article

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  31. Quality measures should be subjected to a testing protocol before being used in practice using key attributes such as acceptability, feasibility and reliability, as well as identifying issues derived from actu...

    Authors: Stephen M Campbell, Evangelos Kontopantelis, Kerin Hannon, Martyn Burke, Annette Barber and Helen E Lester

    Citation: BMC Family Practice 2011 12:85

    Content type: Research article

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  32. Relatively little is known regarding to what extent community-based primary care physicians are encountering post-deployment health care needs among veterans of the Afghanistan or Iraq conflicts and their fami...

    Authors: Polly H Noël, John E Zeber, Mary J Pugh, Erin P Finley and Michael L Parchman

    Citation: BMC Family Practice 2011 12:79

    Content type: Research article

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  33. Considering the scarcity of health care resources and the high costs associated with cardiovascular diseases, we investigated the spending on cardiovascular primary preventive activities and the prescribing be...

    Authors: Esther W de Bekker-Grob, Sandra van Dulmen, Matthijs van den Berg, Robert A Verheij and Laurentius CJ Slobbe

    Citation: BMC Family Practice 2011 12:69

    Content type: Research article

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  34. There are now effective drugs to prevent cardiovascular disease and guidelines recommend their use. Patients do not always choose to accept preventive medication at levels of risk reduction recommended in guid...

    Authors: Nicola K Gale, Sheila Greenfield, Paramjit Gill, Kerry Gutridge and Tom Marshall

    Citation: BMC Family Practice 2011 12:59

    Content type: Research article

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  35. Informal carers frequently suffer adverse consequences from caring. General practice teams are well positioned to support them. However, what carers of stroke survivors want and expect from general practice, a...

    Authors: Nan Greenwood, Ann Mackenzie, Ruth Harris, Will Fenton and Geoffrey Cloud

    Citation: BMC Family Practice 2011 12:57

    Content type: Research article

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  36. Spinal manipulation and acupuncture can be helpful in reducing the symptoms of musculoskeletal (MSK) pain. Both approaches are currently recommended by NICE as treatment options for patients with persistent lo...

    Authors: Anna Cheshire, Marie Polley, David Peters and Damien Ridge

    Citation: BMC Family Practice 2011 12:49

    Content type: Research article

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  37. Primary care reform in Ontario, Canada started with the introduction of new enrollment models, the two largest of which are Family Health Networks (FHNs), a capitation-based model, and Family Health Groups (FH...

    Authors: R Liisa Jaakkimainen, Jan Barnsley, Julie Klein-Geltink, Alexander Kopp and Richard H Glazier

    Citation: BMC Family Practice 2011 12:44

    Content type: Research article

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  38. In previous years, out- of-hours primary care has been organised in large-scale organisations in many countries. This may have lowered the threshold for many patients to present health problems at nights and d...

    Authors: Linda AMJ Huibers, Grete Moth, Gunnar T Bondevik, Janko Kersnik, Carola A Huber, Morten B Christensen, Rüdiger Leutgeb, Armando M Casado, Roy Remmen and Michel Wensing

    Citation: BMC Family Practice 2011 12:30

    Content type: Research article

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  39. Although the benefits of physical activity for health and functioning are recognized to extend throughout life, the physical activity level of most older people is insufficient with respect to current guidelin...

    Authors: Timo Hinrichs, Anna Moschny, Renate Klaaßen-Mielke, Ulrike Trampisch, Ulrich Thiem and Petra Platen

    Citation: BMC Family Practice 2011 12:26

    Content type: Research article

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  40. Home visits are claimed to be a central element of primary care. However, the frequency with which home visits are made is declining both internationally and in Germany despite the increase in the number of ch...

    Authors: Gudrun Theile, Carsten Kruschinski, Marlene Buck, Christiane A Müller and Eva Hummers-Pradier

    Citation: BMC Family Practice 2011 12:24

    Content type: Research article

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  41. Swedish health care authorities use three key criteria to produce national guidelines for local priority setting: severity of the health condition, expected patient benefit, and cost-effectiveness of medical i...

    Authors: Eva Arvidsson, Malin André, Lars Borgquist and Per Carlsson

    Citation: BMC Family Practice 2010 11:71

    Content type: Research article

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