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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. 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

    Published on:

  2. 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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  3. Earlier research showed that healthcare in stroke could be better organized, aiming for improved survival and less comorbidity. Therefore, in 2004 the Dutch College of General Practitioners (NHG) and the Dutch...

    Authors: Leonie de Weerd, Feikje Groenhof, Boudewijn J Kollen and Klaas van der Meer

    Citation: BMC Family Practice 2013 14:74

    Content type: Research article

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  4. Continuity is a fundamental tenet of primary care, and highly valued by patients; it may also improve patient outcomes and lower cost of health care. It is thus important to investigate factors that predict hi...

    Authors: Elizabeth Kristjansson, William Hogg, Simone Dahrouge, Meltem Tuna, Liesha Mayo-Bruinsma and Goshu Gebremichael

    Citation: BMC Family Practice 2013 14:72

    Content type: Research article

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  5. To evaluate the effectiveness of a multifaceted implementation strategy on physicians’ referral rate to and knowledge on the community occupational therapy in dementia program (COTiD program).

    Authors: Carola ME Döpp, Maud JL Graff, Steven Teerenstra, Maria WG Nijhuis-van der Sanden, Marcel GM Olde Rikkert and Myrra JFJ Vernooij-Dassen

    Citation: BMC Family Practice 2013 14:70

    Content type: Research article

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  6. Early identification of frailty is important for proactive primary care. Currently, however, there is no consensus on which measure to use. Therefore, we examined whether a Frailty Index (FI), based on ICPC-co...

    Authors: Irene Drubbel, Nienke Bleijenberg, Guido Kranenburg, René JC Eijkemans, Marieke J Schuurmans, Niek J de Wit and Mattijs E Numans

    Citation: BMC Family Practice 2013 14:64

    Content type: Research article

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  7. Respiratory tract infections are an important burden in primary care and it’s known that they are usually self-limited and that antibiotics only alter its course slightly. This together with the alarming incre...

    Authors: Mariam de la Poza Abad, Gemma Mas Dalmau, Mikel Moreno Bakedano, Ana Isabel González González, Yolanda Canellas Criado, Silvia Hernández Anadón, Rafael Rotaeche del Campo, Pere Torán Monserrat, Antonio Negrete Palma, Guillem Pera, Eulàlia Borrell Thió, Carl LLor, Paul Little and Pablo Alonso Coello

    Citation: BMC Family Practice 2013 14:63

    Content type: Study protocol

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  8. Attention to patients with acute minor-illnesses requesting same-day consultation represents a major burden in primary care. The workload is assumed by general practitioners in many countries. A number of repo...

    Authors: Núria Fabrellas, Carmen Sánchez, Eulàlia Juvé, Eva Aurin, Dolors Monserrat, Esther Casanovas and Magali Urrea

    Citation: BMC Family Practice 2013 14:61

    Content type: Research article

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  9. For over two decades occupational therapists have been encouraged to enhance their roles within primary care and focus on health promotion and prevention activities. While there is a clear fit between occupati...

    Authors: Catherine Donnelly, Christie Brenchley, Candace Crawford and Lori Letts

    Citation: BMC Family Practice 2013 14:60

    Content type: Research article

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  10. Newly arrived immigrant patients who frequently use primary health care resources have difficulties in verbal communication. Also, they have a system of beliefs related to health and disease that makes difficu...

    Authors: Pere Torán-Monserrat, Jordi Cebrià-Andreu, Josep Arnau-Figueras, Jordi Segura-Bernal, Anna Ibars-Verdaguer, Josep Massons-Cirera, Mª Carmen Barreiro-Montaña, Sandra Santamaria-Bayes, Esther Limón-Ramírez, Juan José Montero-Alia, Carles Pérez-Testor, Guillem Pera-Blanco, Laura Muñoz-Ortiz, Carolina Palma-Sevillano, Gerard Segarra-Gutiérrez and Sergi Corbella-Santomà

    Citation: BMC Family Practice 2013 14:54

    Content type: Study protocol

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  11. Group practices are increasingly common for primary care physicians worldwide. Although breakups are likely to happen frequently within group practices, their process has not been studied to date. The aims of ...

    Authors: François Marechal, Dorothée Schmidt, Evelyne Lasserre and Laurent Letrilliart

    Citation: BMC Family Practice 2013 14:53

    Content type: Research article

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  12. Frail elderly people represent a major patient group in family practice. Little is known about the patients’ needs, and how their needs evolve over time with increasing frailty towards the end of life. This st...

    Authors: Gabriele Müller-Mundt, Jutta Bleidorn, Karin Geiger, Katharina Klindtworth, Sabine Pleschberger, Eva Hummers-Pradier and Nils Schneider

    Citation: BMC Family Practice 2013 14:52

    Content type: Study protocol

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  13. Interest in how to implement evidence-based practices into routine health care has never been greater. Primary care faces challenges in managing the increasing burden of chronic disease in an ageing population...

    Authors: Barbara J Booth, Nicholas Zwar and Mark F Harris

    Citation: BMC Family Practice 2013 14:51

    Content type: Research article

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  14. In the period 2004–2009, national and regional initiatives were developed in Sweden to improve the quality of sickness certificates. Parameters for assessing the quality of sickness certificates in primary hea...

    Authors: Ylva Skånér, Britt Arrelöv, Lars G Backlund, Magdalena Fresk, Amanda Waleh Åström and Gunnar H Nilsson

    Citation: BMC Family Practice 2013 14:48

    Content type: Research article

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  15. Cost-effectiveness studies of lifestyle interventions in people at risk for lifestyle-related diseases, addressing ‘real-world’ implementation, are needed. This study examines the cost-effectiveness of a prima...

    Authors: Marieke F van Wier, Jeroen Lakerveld, Sandra D M Bot, Mai J M Chinapaw, Giel Nijpels and Maurits W van Tulder

    Citation: BMC Family Practice 2013 14:45

    Content type: Research article

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  16. HIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV...

    Authors: Christy E Newman, Asha Persson, John BF de Wit, Robert H Reynolds, Peter G Canavan, Susan C Kippax and Michael R Kidd

    Citation: BMC Family Practice 2013 14:39

    Content type: Research article

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  17. The prevalence of depression in people with coronary heart disease (CHD) is high but little is known about patients’ own perceptions and experiences of this. This study aimed to explore (i) primary care (PC) p...

    Authors: Rosemary L Simmonds, Andre Tylee, Paul Walters and Diana Rose

    Citation: BMC Family Practice 2013 14:38

    Content type: Research article

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  18. Since the early 1990s former communist countries have been reforming their health care systems, emphasizing the key role of primary care and recognizing family medicine as a specialty and an academic disciplin...

    Authors: Anna Krztoń-Królewiecka, Igor Švab, Marek Oleszczyk, Bohumil Seifert, W Henry Smithson and Adam Windak

    Citation: BMC Family Practice 2013 14:37

    Content type: Research article

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  19. Coordination of care is considered a key component of patient-centered health care systems, but is rarely defined or operationalised in health care policy. Continuity, an aspect of coordination, is the patient...

    Authors: Michelle Banfield, Karen Gardner, Ian McRae, James Gillespie, Robert Wells and Laurann Yen

    Citation: BMC Family Practice 2013 14:34

    Content type: Research article

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  20. To describe the current treatment gap in management of cardiovascular risk factors in patients with poorly controlled type 2 diabetes in general practice as well as the associated financial and therapeutic bur...

    Authors: John Furler, Justin W S Hii, Danny Liew, Irene Blackberry, James Best, Leonie Segal and Doris Young

    Citation: BMC Family Practice 2013 14:32

    Content type: Research article

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  21. Midwives and obstetricians are the key providers of care during pregnancy and postpartum. Information about the consultations with a general practitioner (GP) during this period is generally lacking.

    Authors: Esther I Feijen-de Jong, Frank Baarveld, Danielle EMC Jansen, Jennie Ursum, Sijmen A Reijneveld and François G Schellevis

    Citation: BMC Family Practice 2013 14:10

    Content type: Research article

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  22. Children’s emergency admissions in England are increasing. Community Children’s Nursing Teams (CCNTs) have developed services to manage acutely ill children at home to reduce demand for unscheduled care. Refer...

    Authors: Richard G Kyle, Michele Banks, Susan Kirk, Peter Powell and Peter Callery

    Citation: BMC Family Practice 2013 14:4

    Content type: Research article

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  23. Although collaborative team models (CTM) improve care processes and health outcomes, their diffusion poses challenges related to difficulties in securing their adoption by primary care clinicians (PCPs). The o...

    Authors: Isabelle Vedel, Veronique Ghadi, Matthieu De Stampa, Christelle Routelous, Howard Bergman, Joel Ankri and Liette Lapointe

    Citation: BMC Family Practice 2013 14:3

    Content type: Research article

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  24. Immigrants make up one fifth of the Canadian population and this number continues to grow. Adequate access to primary health care is important for this population but it is not clear if this is being achieved....

    Authors: Elizabeth Muggah, Simone Dahrouge and William Hogg

    Citation: BMC Family Practice 2012 13:128

    Content type: Research article

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  25. Patient safety is vital in patient care. There is a lack of studies on medical errors in primary care settings. The aim of the study is to determine the extent of diagnostic inaccuracies and management errors ...

    Authors: Ee Ming Khoo, Wai Khew Lee, Sondi Sararaks, Azah Abdul Samad, Su May Liew, Ai Theng Cheong, Mohd Yusof Ibrahim, Sebrina HC Su, Ainul Nadziha Mohd Hanafiah, Kalsom Maskon, Rohana Ismail and Maimunah A Hamid

    Citation: BMC Family Practice 2012 13:127

    Content type: Research article

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  26. Most Canadians receive basic health services from a family physician and these physicians are particularly critical in the management of chronic disease. Canada, however, has an endemic shortage of family phys...

    Authors: Ellen Randall, Valorie A Crooks and Laurie J Goldsmith

    Citation: BMC Family Practice 2012 13:125

    Content type: Research article

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  27. Revalidation for UK doctors is expected to be introduced from late 2012. For general practitioners (GPs), this entails collecting supporting information to be submitted and assessed in a revalidation portfolio...

    Authors: Jane Coomber, Rodger Charlton, Jill E Thistlethwaite and Liz England

    Citation: BMC Family Practice 2012 13:123

    Content type: Research article

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  28. 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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  29. 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

    Published on:

  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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