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Service organization, utilization, and delivery of care

Section edited by Mark Harris and Cindy Lam

This section covers, though is not limited to, service policy and evaluation, health systems research, professional boundaries, access, referral and consultations, screening and early detection, within the context of primary care.

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  1. Content type: Research article

    Problematic translational gaps continue to exist between demonstrating the positive impact of healthcare interventions in research settings and their implementation into routine daily practice. The aim of this...

    Authors: Liam G. Glynn, Fergus Glynn, Monica Casey, Louise Gaffney Wilkinson, Patrick S. Hayes, David Heaney and Andrew W. M. Murphy

    Citation: BMC Family Practice 2018 19:48

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  2. Content type: Research article

    More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increase...

    Authors: Marleen H. Lovink, Anneke J. A. H. van Vught, Anke Persoon, Lisette Schoonhoven, Raymond T. C. M. Koopmans and Miranda G. H. Laurant

    Citation: BMC Family Practice 2018 19:51

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  3. Content type: Research article

    Western countries are facing the challenges of an imminent shortage of physicians, especially general practitioners. As a consequence longer travel times to doctors’ practices may arise. This study aimed to in...

    Authors: Lisa Schröder, Kristina Flägel, Katja Goetz and Jost Steinhäuser

    Citation: BMC Family Practice 2018 19:47

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  4. Content type: Research article

    General practice care plays a key role in keeping healthcare effective and cost-efficient. However, variation in the utilization rates of practices may reveal variation in practice performance. Our research go...

    Authors: W. A. de Graaf-Ruizendaal, L. van der Hoek and D. H. de Bakker

    Citation: BMC Family Practice 2018 19:46

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  5. Content type: Research article

    There is only limited evidence to support care redefinition and role optimization processes needed for scaling up of a stronger primary care capacity.

    Authors: Damien Contandriopoulos, Mélanie Perroux, Aurore Cockenpot, Arnaud Duhoux and Emmanuelle Jean

    Citation: BMC Family Practice 2018 19:44

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  6. Content type: Research article

    In the western world, a growing number of the older people live at home. In the Netherlands, GPs are expected to play a pivotal role in the organization of integrated care for this patient group. However, litt...

    Authors: Sietske M. Grol, Gerard R. M. Molleman, Anne Kuijpers, Rob van der Sande, Gerdine A. J. Fransen, Willem J. J. Assendelft and Henk J. Schers

    Citation: BMC Family Practice 2018 19:40

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  7. Content type: Research article

    Ghana introduced capitation payment method in 2012 but was faced with resistance for its perceived poor quality of care. This paper assesses National Health Insurance Scheme subscribers and care providers’ per...

    Authors: Francis-Xavier Andoh-Adjei, Eric Nsiah-Boateng, Felix Ankomah Asante, Ernst Spaan and Koos van der Velden

    Citation: BMC Family Practice 2018 19:37

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  8. Content type: Research article

    Social relationships are important to people and affect their quality of life, morbidity and mortality. The aim of this study was to examine the correlation between elderly patients’ descriptions of their soci...

    Authors: Tina Drud Due, Håkon Sandholdt, Volkert Dirk Siersma and Frans Boch Waldorff

    Citation: BMC Family Practice 2018 19:34

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  9. Content type: Research article

    In an ageing population, it is inevitable to improve the management of care for community-dwelling elderly with incontinence. A previous study showed that implementation of the Optimum Continence Service Speci...

    Authors: Margreet G Franken, Isaac Corro Ramos, Jeanine Los and Maiwenn J Al

    Citation: BMC Family Practice 2018 19:31

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  10. Content type: Research article

    Evidence from first world contexts support the notion that strong primary health care teams contain family physicians (FPs). African leaders are looking for evidence from their own context. The roles and scope...

    Authors: Klaus B. von Pressentin, Robert J. Mash, Laurel Baldwin-Ragaven, Roelf Petrus Gerhardus Botha, Indiran Govender, Wilhelm Johannes Steinberg and Tonya M. Esterhuizen

    Citation: BMC Family Practice 2018 19:24

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  11. Content type: Research article

    Offenders frequently have substantial healthcare needs and, like many other socially marginalised groups, often receive healthcare in inverse proportion to their needs. Improved continuity of healthcare over t...

    Authors: Cath Quinn, Katie Denman, Philippa Smithson, Christabel Owens, Rod Sheaff, John Campbell, Ian Porter, Jill Annison and Richard Byng

    Citation: BMC Family Practice 2018 19:22

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  12. Content type: Research article

    Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of ind...

    Authors: Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton and Janet Krska

    Citation: BMC Family Practice 2018 19:17

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  13. Content type: Research article

    Low patient satisfaction with the quality of out-of-hours primary care (OOH-PC) has been linked with several individual and organizational factors. However, findings have been ambiguous and may not apply to th...

    Authors: Mette Tranberg, Peter Vedsted, Bodil Hammer Bech, Morten Bondo Christensen, Søren Birkeland and Grete Moth

    Citation: BMC Family Practice 2018 19:15

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  14. Content type: Research article

    Persons with severe mental illness (e.g. schizophrenia, bipolar disorder) have a high prevalence of somatic conditions compared to the general population. Mortality data in the Nordic countries reveal that the...

    Authors: Elisabeth Björk Brämberg, Jarl Torgerson, Anna Norman Kjellström, Peder Welin and Marie Rusner

    Citation: BMC Family Practice 2018 19:12

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  15. Content type: Research article

    Treatment burden is the workload of healthcare experienced by those with long-term conditions and the impact that this has on well-being. Treatment burden can negatively impact on quality of life and adherence...

    Authors: Katie I. Gallacher, Carl R. May, Peter Langhorne and Frances S. Mair

    Citation: BMC Family Practice 2018 19:9

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  16. Content type: Research article

    Primary and community care are key settings for the effective management of long term conditions. We aimed to evaluate the pattern of health outcomes in chronic disease management interventions for adults with...

    Authors: Rebecca Reynolds, Sarah Dennis, Iqbal Hasan, Jan Slewa, Winnie Chen, David Tian, Sangeetha Bobba and Nicholas Zwar

    Citation: BMC Family Practice 2018 19:11

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  17. Content type: Research article

    UK guidelines recommend that patients with obesity in primary care receive opportunistic weight loss advice from health care professionals, but there is a lack of research into the characteristics and existing...

    Authors: Elizabeth H. Evans, Kirby Sainsbury, Dominika Kwasnicka, Alex Bolster, Vera Araujo-Soares and Falko F. Sniehotta

    Citation: BMC Family Practice 2018 19:6

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  18. Content type: Research article

    Although polypharmacy can cause adverse health outcomes, patients often know little about their medication. A regularly conducted medication review (MR) can help provide an overview of a patient’s medication, ...

    Authors: Mirella Carolin Uhl, Christiane Muth, Ferdinand Michael Gerlach, Goentje-Gesine Schoch and Beate Sigrid Müller

    Citation: BMC Family Practice 2018 19:3

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  19. Content type: Research article

    Approximately 24 million Americans are living with diabetes. Patient activation among individuals with diabetes is critical to successful diabetes management. The Patient Centered Medical Home (PCMH) model hol...

    Authors: Lori A. Bilello, Allyson Hall, Jeffrey Harman, Christopher Scuderi, Nipa Shah, Jon C. Mills and Shenae Samuels

    Citation: BMC Family Practice 2018 19:4

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  20. Content type: Research article

    Monitoring and evaluating changes of quality of primary care for older adult hypertensive patients is part of effective delivery of primary care. This study aimed to investigate changes of older adult hyperten...

    Authors: Haitao Li, Xiaolin Wei and Martin C. S. Wong

    Citation: BMC Family Practice 2017 18:114

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  21. Content type: Research article

    Due to the growing prevalence of elderly patients with multi-morbidity living at home, there is an increasing need for primary care professionals from different disciplinary backgrounds to collaborate as prima...

    Authors: Kirti D. Doekhie, Martina Buljac-Samardzic, Mathilde M. H. Strating and Jaap Paauwe

    Citation: BMC Family Practice 2017 18:111

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  22. Content type: Research article

    Out-of-hours primary care (OOH-PC) is intended to provide medical care services for health problems that cannot wait until normal office hours. Children under five years of age represent about 19% of all OOH-P...

    Authors: Grete Moth, Linda Huibers, Astrid Ovesen, Morten Bondo Christensen and Peter Vedsted

    Citation: BMC Family Practice 2017 18:112

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  23. Content type: Research article

    We sought to characterize how the term “missed opportunities” is reported in the literature in the context of immunization rates and to assess how missed opportunities can be operationalized.

    Authors: Natalia Loskutova, Craig Smail, Brian Webster, Kemi Ajayi, Julie Wood and Jennifer Carroll

    Citation: BMC Family Practice 2017 18:108

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  24. Content type: Research article

    Primary care needs to be strengthened in order to address the many societal challenges. Group practices in primary care foster collaboration with other health care providers, which encourages care co-ordinatio...

    Authors: Evi Matthys, Roy Remmen and Peter Van Bogaert

    Citation: BMC Family Practice 2017 18:110

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  25. Content type: Research article

    It is not known how general practitioners (GPs) perceive the concept of self-care and how they assess self-care ability in patients with multiple chronic conditions. As a part of the strategy to improve the ca...

    Authors: Mads Aage Toft Kristensen, Bibi Hølge-Hazelton, Frans Boch Waldorff and Ann Dorrit Guassora

    Citation: BMC Family Practice 2017 18:109

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  26. Content type: Research article

    High utilization of health care services is a costly phenomenon commonly observed in primary care practices. However, while frequent attendance in primary care has been broadly studied across age groups, aspec...

    Authors: Franziska D. Welzel, Janine Stein, André Hajek, Hans-Helmut König and Steffi G. Riedel-Heller

    Citation: BMC Family Practice 2017 18:104

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  27. Content type: Research article

    In the future, ‘delegation’ as task shifting from general practitioners (GPs) to non-physicians will be important in primary care. Therefore, the aim of this study was to evaluate the attitudes towards the con...

    Authors: Katja Goetz, Anna Kornitzky, Janis Mahnkopf and Jost Steinhäuser

    Citation: BMC Family Practice 2017 18:102

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  28. Content type: Research article

    Depression is a common comorbidity in patients with chronic heart failure (HF) and linked to a wider range of symptoms which, in turn, are linked to a decreased health-related quality of life (HRQOL). Treatmen...

    Authors: Marion Eisele, Sigrid Boczor, Anja Rakebrandt, Eva Blozik, Jens-Martin Träder, Stefan Störk, Christoph Herrmann-Lingen and Martin Scherer

    Citation: BMC Family Practice 2017 18:100

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  29. Content type: Research article

    The diagnostic pathway of Parkinson’s disease (PD) is often complicated. Experiences during this pathway can affect patients’ satisfaction and their confidence and trust in healthcare providers. Although healt...

    Authors: Annette O. A. Plouvier, Tim C. Olde Hartman, Olga A. de Bont, Sjoerd Maandag, Bastiaan R. Bloem, Chris van Weel and Antoine L. M. Lagro-Janssen

    Citation: BMC Family Practice 2017 18:83

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  30. Content type: Research article

    Missed appointments serve as a key indicator for adherence to therapy and as such, identifying patient reasons for this inconsistency could assist in developing programmes to improve health outcomes. In this a...

    Authors: Bvudzai P. Magadzire, Thubelihle Mathole and Kim Ward

    Citation: BMC Family Practice 2017 18:82

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  31. Content type: Research article

    Substantial variations are still to be found in the strength of general practice/family medicine (GP/FM) across Europe regarding governance, workforce competence and performance, as well as academic developmen...

    Authors: Natalia Zarbailov, Stefan Wilm, Howard Tandeter, Francesco Carelli and Mette Brekke

    Citation: BMC Family Practice 2017 18:80

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  32. Content type: Research article

    In many countries, the referral-consultation process faces a number of challenges from inefficiencies and rising demand, resulting in excessive wait times for many specialties. We collected referral data from ...

    Authors: Clare Liddy, Sadaf Arbab-Tafti, Isabella Moroz and Erin Keely

    Citation: BMC Family Practice 2017 18:81

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  33. Content type: Research article

    One-in-five people in the UK experience anxiety and/or depression in later life. However, anxiety and depression remain poorly detected in older people, particularly in those with chronic physical ill health. ...

    Authors: Tom Kingstone, Heather Burroughs, Bernadette Bartlam, Mo Ray, Janine Proctor, Thomas Shepherd, Peter Bullock and Carolyn Anne Chew-Graham

    Citation: BMC Family Practice 2017 18:77

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  34. Content type: Research article

    Improved Primary Health Care (PHC) utilisation is central to reducing the unacceptable morbidity and mortality rates characterising populations living in remote communities. Despite poorer health, significant ...

    Authors: John Wakerman, Lisa Sparrow, Susan L Thomas, John S Humphreys and Mike Jones

    Citation: BMC Family Practice 2017 18:75

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  35. Content type: Research article

    Overweight and obesity are common health problems which increase the risk of developing several serious health conditions. The main difficulty in the management of weight-loss lies in its maintenance, once it ...

    Authors: Juan Jose Rodriguez-Cristobal, Carlos Alonso-Villaverde, Jose Ma Panisello, Pere Travé-Mercade, Francisca Rodriguez-Cortés, Josep Ramon Marsal and Esther Peña

    Citation: BMC Family Practice 2017 18:74

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  36. Content type: Research article

    Patients from rural and urban regions should have equitable access to health care. In Germany, the physician-patient-ratio and the supply of medical services vary greatly between urban and rural areas. The aim...

    Authors: H. Hansen, N. J. Pohontsch, L. Bole, I. Schäfer and M. Scherer

    Citation: BMC Family Practice 2017 18:68

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  37. Content type: Research article

    Reducing unplanned hospital admissions is a key priority within the UK and other healthcare systems, however it remains uncertain how this can be achieved. This paper explores the relationship between unplanne...

    Authors: John Busby, Sarah Purdy and William Hollingworth

    Citation: BMC Family Practice 2017 18:67

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  38. Content type: Research article

    In the Netherlands, out-of-hours primary care is provided in general practitioner-cooperatives (GPCs). These are increasingly located on site and in collaboration with emergency departments of hospitals (ED). ...

    Authors: Martijn Rutten, Fieke Vrielink, Marleen Smits and Paul Giesen

    Citation: BMC Family Practice 2017 18:62

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  39. Content type: Research article

    Social change, intensified by industrialization and globalization, has not only changed people’s work lives but also their personal lives, especially in developing countries. The aim of this study was to provi...

    Authors: Yao Cheng, Liuyi Zhang, Fang Wang, Ping Zhang, Beizhu Ye and Yuan Liang

    Citation: BMC Family Practice 2017 18:59

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  40. Content type: Research article

    Chronic diseases, primarily cardiovascular disease, respiratory disease, diabetes and cancer, are the leading cause of death and disability worldwide. In sub-Saharan Africa (SSA), where communicable disease pr...

    Authors: Jennifer Kane, Megan Landes, Christopher Carroll, Amy Nolen and Sumeet Sodhi

    Citation: BMC Family Practice 2017 18:46

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  41. Content type: Research article

    Family practitioners (FPs) who work in Out-Of-Hours Care (OOHC) - especially in rural areas – complain about high workload related to low urgency and potentially unnecessary patient presentations with minor ai...

    Authors: R. Leutgeb, P. Engeser, S. Berger, J. Szecsenyi and G. Laux

    Citation: BMC Family Practice 2017 18:42

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    The Erratum to this article has been published in BMC Family Practice 2017 18:64

  42. Content type: Research article

    Consensus guidelines recommend multi-modal chronic pain treatment with increased uptake of non-pharmacological pain treatment modalities (NPMs). We aimed to identify the barriers and facilitators to uptake of ...

    Authors: William C. Becker, Lindsey Dorflinger, Sara N. Edmond, Leila Islam, Alicia A. Heapy and Liana Fraenkel

    Citation: BMC Family Practice 2017 18:41

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  43. Content type: Research article

    Access to most contraceptives in Australia requires a prescription from a doctor, and it has been shown that doctors can influence women’s decision-making with respect to contraception. However, little researc...

    Authors: Denisa L. Goldhammer, Catriona Fraser, Britta Wigginton, Melissa L. Harris, Deborah Bateson, Deborah Loxton, Mary Stewart, Jacqueline Coombe and Jayne C. Lucke

    Citation: BMC Family Practice 2017 18:35

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  44. Content type: Research article

    Optimal utilisation of the out-of-hours primary care (OOH-PC) services remains a concern in public health policy. We need more knowledge on potentially avoidable contacts. This study examines the frequency of ...

    Authors: Karen Busk Nørøxe, Linda Huibers, Grete Moth and Peter Vedsted

    Citation: BMC Family Practice 2017 18:34

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  45. Content type: Research article

    The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary healt...

    Authors: Nerida Volker, Lauren T. Williams, Rachel C. Davey, Thomas Cochrane and Tanya Clancy

    Citation: BMC Family Practice 2017 18:28

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  46. Content type: Research article

    Depression is common in patients with diabetes type 2 (DM2) and/or coronary heart disease (CHD), with high personal and societal burden and may even be preventable. Recently, a cluster randomized trial of step...

    Authors: Alide D. Pols, Karen Schipper, Debbie Overkamp, Susan E. van Dijk, Judith E. Bosmans, Harm W. J. van Marwijk, Marcel C. Adriaanse and Maurits W. van Tulder

    Citation: BMC Family Practice 2017 18:26

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  47. Content type: Research article

    Process evaluation is recommended to improve the understanding of underlying mechanisms related to clinicians, patients, context and intervention delivery that may impact on trial or program results, feasibili...

    Authors: Alvaro Sanchez, Gonzalo Grandes, Josep M. Cortada, Haizea Pombo, Catalina Martinez, Mary Helen Corrales, Enrique de la Peña, Justo Mugica and Esther Gorostiza

    Citation: BMC Family Practice 2017 18:24

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  48. Content type: Research article

    The impact of lifestyle on health is undeniable and effective healthy lifestyle promotion interventions do exist. However, this is not a fundamental part of routine primary care clinical practice. We describe ...

    Authors: Catalina Martinez, Gonzalo Bacigalupe, Josep M. Cortada, Gonzalo Grandes, Alvaro Sanchez, Haizea Pombo and Paola Bully

    Citation: BMC Family Practice 2017 18:23

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