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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. Rising healthcare costs due to unnecessary referrals to secondary healthcare services underscore the need for optimizing current referral procedures. This study investigates whether the use of web-based consul...

    Authors: Thomas van der Velden, Bianca W. M. Schalk, Mirjam Harmsen, Guido Adriaansens, Tjard R. Schermer and Marc A. ten Dam

    Citation: BMC Family Practice 2019 20:73

    Content type: Research article

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  2. General practitioners (GPs) play a key role in securing and coordinating appropriate use of healthcare services, by providing primary and preventive healthcare and by acting as gatekeepers for secondary health...

    Authors: Ellen Rabben Svedahl, Kristine Pape, Marlen Toch-Marquardt, Lena Janita Skarshaug, Silje-Lill Kaspersen, Johan Håkon Bjørngaard and Bjarne Austad

    Citation: BMC Family Practice 2019 20:68

    Content type: Research article

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  3. National guidelines recommend patients with suspected transient ischaemic attack (TIA) should be seen by a specialist within 24 h. However, people with suspected TIA often present to non-specialised services, ...

    Authors: Duncan Edwards, Grace M. Turner, Satnam K. Virdee and Jonathan Mant

    Citation: BMC Family Practice 2019 20:67

    Content type: Research article

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  4. Changning District of Shanghai pioneered in implementing Family Doctor and Medical Insurance Payment Coordination Reform. The survey aimed to assess the effect of the reform to provide a decision-making basis ...

    Authors: Jiaoling Huang, Wei Lu, Luan Wang, Tao Zhang, Chengjun Liu, Shanshan Liu, Hong Liang, Yimin Zhang and Dongfeng Guo

    Citation: BMC Family Practice 2019 20:60

    Content type: Research article

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  5. Patient portal secure messaging (asynchronous electronic communication between physicians and their established patients) allows patients to manage their care through asynchronous, direct communication with th...

    Authors: Jennifer L. Hefner, Sarah R. MacEwan, Alison Biltz and Cynthia J. Sieck

    Citation: BMC Family Practice 2019 20:57

    Content type: Research article

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  6. Heterogeneity of population health needs and the resultant difficulty in health care resources planning are challenges faced by primary care systems globally. To address this challenge in population health man...

    Authors: Shi Yan, Benjamin Jun Jie Seng, Yu Heng Kwan, Chuen Seng Tan, Joanne Hui Min Quah, Julian Thumboo and Lian Leng Low

    Citation: BMC Family Practice 2019 20:54

    Content type: Research article

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  7. Limited studies exist on successful interventions for patients with multimorbidity. Even more limited is the knowledge on how socioeconomic factors have an impact on these interventions. The objective of this ...

    Authors: Éric Contant, Christine Loignon, Tarek Bouhali, José Almirall and Martin Fortin

    Citation: BMC Family Practice 2019 20:53

    Content type: Research article

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  8. Greater continuity and access to primary care results in improved patient health, satisfaction, and reduced healthcare costs. Although patient rostering is considered to be a cornerstone of a high performing p...

    Authors: Jatinderpreet Singh, Simone Dahrouge and Michael E. Green

    Citation: BMC Family Practice 2019 20:52

    Content type: Research article

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  9. Since 2008 mental health practice nurses have been gradually introduced in general practices in the Netherlands as part of health policy aiming to improve early identification and treatment of mental health pr...

    Authors: L. Abidi, A. Oenema, P. Verhaak, F. E. S. Tan and D. van de Mheen

    Citation: BMC Family Practice 2019 20:48

    Content type: Research article

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  10. In Canada, most patients with type 2 diabetes mellitus (T2DM) are cared for in the primary care setting in the practices of family physicians. This care is delivered through a variety of practice models rangin...

    Authors: Olga Szafran, Sandra L. Kennett, Neil R. Bell and Jacqueline M. I. Torti

    Citation: BMC Family Practice 2019 20:44

    Content type: Research article

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  11. The general health check, which includes the periodic health visit and annual physical exam, is not recommended to maintain the health of asymptomatic adults with no risk factors. Different funding mechanisms ...

    Authors: Natasha Ruth Saunders, Jun Guan, Longdi Fu, Helen Guo, Xuesong Wang and Astrid Guttmann

    Citation: BMC Family Practice 2019 20:42

    Content type: Research article

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  12. Due to the increasing number of non-urgent visits to emergency departments, it is becoming increasingly important to also investigate emergency care in out-of-hours (OOH) primary care. The aim of this study wa...

    Authors: Insa Seeger, Laura Kreienmeyer, Falk Hoffmann and Michael H. Freitag

    Citation: BMC Family Practice 2019 20:41

    Content type: Research article

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  13. Hospital admissions for Ambulatory Care Sensitive Conditions (ACSC) are those that could potentially be prevented by timely and effective disease management within primary care. ACSC admissions are increasingl...

    Authors: Marjon van der Pol, Damilola Olajide, Mark Dusheiko, Robert Elliott, Bruce Guthrie, Louisa Jorm and Alastair H. Leyland

    Citation: BMC Family Practice 2019 20:32

    Content type: Research article

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  14. Low back pain affects about 80% of all adults, many of whom consult general practice. Providing management can be challenging, in part due to the scarcity of effective treatment methods. There is broad consens...

    Authors: Allan Riis, Emma L. Karran, Jonathan C. Hill, Martin B. Jensen and Janus L. Thomsen

    Citation: BMC Family Practice 2019 20:30

    Content type: Debate

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  15. The ageing population and increasing prevalence of multimorbidity place greater resource demands on the health systems internationally. Accurate prediction of general practice (GP) services is important for he...

    Authors: Christopher Harrison, Joan Henderson, Graeme Miller and Helena Britt

    Citation: BMC Family Practice 2019 20:28

    Content type: Research article

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  16. This study aimed to use marketing theory to examine the views of patients, pharmacists and general practitioners (GPs) on how community pharmacies are currently used and to identify how community pharmacy serv...

    Authors: Ali M. K. Hindi, Ellen I. Schafheutle and Sally Jacobs

    Citation: BMC Family Practice 2019 20:26

    Content type: Research article

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  17. Patient safety research is conducted predominantly in hospital settings, with a dearth of insight from primary care, despite suggestions that 2.2% of primary care consultations result in a patient safety incid...

    Authors: Caoimhe Madden, Sinéad Lydon, Margaret E. Cupples, Nigel D. Hart, Ciara Curran, Andrew W. Murphy and Paul O’Connor

    Citation: BMC Family Practice 2019 20:22

    Content type: Research article

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  18. Anxiety and depression often co-exist. These disorders are under-diagnosed and under-treated, specifically among older people, and lead to increased use of health and social care services and raised mortality....

    Authors: Tom Kingstone, Bernadette Bartlam, Heather Burroughs, Peter Bullock, Karina Lovell, Mo Ray, Peter Bower, Waquas Waheed, Simon Gilbody, Elaine Nicholls and Carolyn A. Chew-Graham

    Citation: BMC Family Practice 2019 20:16

    Content type: Research article

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  19. Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in...

    Authors: Clara González-Formoso, Ana Clavería, M.J. Fernández-Domínguez, F.L. Lago-Deibe, Luis Hermida-Rial, Antonio Rial, Francisco Gude-Sampedro, Salvador Pita-Fernández and Victoria Martín-Miguel

    Citation: BMC Family Practice 2019 20:15

    Content type: Research article

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  20. Sexually transmitted infections (STI) caused by multidrug resistant Neisseria gonorrhoea are an emerging threat to global health. In the Netherlands, the general practitioner (GP) provides the major part of STI c...

    Authors: Roos van Amerongen, Roel P. Gazendam and Jan E. A. M. van Bergen

    Citation: BMC Family Practice 2019 20:12

    Content type: Research article

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  21. NHS Health Check is a national cardiovascular disease (CVD) risk assessment programme for 40–74 year olds in England, in which practitioners should assess and communicate CVD risk, supported by appropriate ris...

    Authors: Christopher J. Gidlow, Naomi J. Ellis, Lisa Cowap, Victoria Riley, Diane Crone, Elizabeth Cottrell, Sarah Grogan, Ruth Chambers and David Clark-Carter

    Citation: BMC Family Practice 2019 20:11

    Content type: Study protocol

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  22. The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests m...

    Authors: Michelle M. A. Kip, J. Marjan Hummel, Elra B. Eppink, Hendrik Koffijberg, Rogier M. Hopstaken, Maarten J. IJzerman and Ron Kusters

    Citation: BMC Family Practice 2019 20:8

    Content type: Research article

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  23. In Germany, home visits account for a considerable workload for many family practitioners, substantial rural-urban disparities are assumable with regards to home visit frequency and duration. Considering the o...

    Authors: Maik Pochert, Karen Voigt, Martin Bortz, Alessa Sattler, Jeannine Schübel and Antje Bergmann

    Citation: BMC Family Practice 2019 20:3

    Content type: Research article

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  24. Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need i...

    Authors: Grace M. Turner, Ricky Mullis, Lisa Lim, Lizzie Kreit and Jonathan Mant

    Citation: BMC Family Practice 2019 20:2

    Content type: Research article

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  25. In response to a rising shortage of general practitioners (GPs), physicians in general internal medicine (GIM) have become part of the German primary care physician workforce. Previous studies have shown subst...

    Authors: C. Strumann, K. Flägel, T. Emcke and J. Steinhäuser

    Citation: BMC Family Practice 2018 19:189

    Content type: Research article

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  26. First-contact accessibility remains an important problem in Canada, with this indicator staying the worst of all Organization for Economic Co-operation and Development countries. In the province of Quebec, a n...

    Authors: Andrée-Anne Paré-Plante, Antoine Boivin, Djamal Berbiche, Mylaine Breton and Maryse Guay

    Citation: BMC Family Practice 2018 19:188

    Content type: Research article

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  27. While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limi...

    Authors: Agnus M. Kim, Jaekyoung Bae, Sungchan Kang, Yeon-Yong Kim and Jin-Seok Lee

    Citation: BMC Family Practice 2018 19:187

    Content type: Research article

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  28. Patients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.

    Authors: M. C. Castillejos, C. Martín-Pérez, F. Mayoral-Cleries, A. Bordallo-Aragón, J. Sepúlveda-Muñoz and B. Moreno-Küstner

    Citation: BMC Family Practice 2018 19:180

    Content type: Research article

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  29. Primary health care teams are key to the delivery of care for patients with advanced cancer during the last year of life. The Gold Standards Framework is proposed as a mechanism for coordinating and guiding id...

    Authors: Julia Hackett, Lucy Ziegler, Mary Godfrey, Robbie Foy and Michael I. Bennett

    Citation: BMC Family Practice 2018 19:177

    Content type: Research article

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  30. Routine weight recording in electronic health records (EHRs) could assist general practitioners (GPs) in the identification, prevention, and management of overweight patients. However, the extent to which weig...

    Authors: Lisa D. M. Verberne, Markus M. J. Nielen, Chantal J. Leemrijse, Robert A. Verheij and Roland D. Friele

    Citation: BMC Family Practice 2018 19:174

    Content type: Research article

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  31. Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is kn...

    Authors: Anja G Strehlau, Michael Due Larsen, Jens Søndergaard, Anna B Almarsdóttir and Jens-Ulrik Rosholm

    Citation: BMC Family Practice 2018 19:168

    Content type: Research article

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  32. People who are diagnosed with both mental and chronic medical illness present unique challenges for the health care system. In resource-limited settings, such as rural India, people with depression and anxiety...

    Authors: Krishnamachari Srinivasan, Amanda Mazur, Prem K. Mony, Mary Whooley and Maria L. Ekstrand

    Citation: BMC Family Practice 2018 19:158

    Content type: Study protocol

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  33. Chronic widespread pain (CWP) is a major public health problem. Many people experiencing CWP experience mental health problems such as anxiety or depression. Complete relief of skeletal and body pain symptoms ...

    Authors: Judith Gellatly, Gosia Pelikan, Paul Wilson, Kate Woodward-Nutt, Michael Spence, Anthony Jones and Karina Lovell

    Citation: BMC Family Practice 2018 19:151

    Content type: Research article

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  34. Poor morale among primary care providers (PCPs) and staff can undermine the success of patient-centered care models such as the patient-centered medical home that rely on highly coordinated inter-professional ...

    Authors: Lisa S. Meredith, Benjamin Batorsky, Matthew Cefalu, Jill E. Darling, Susan E. Stockdale, Elizabeth M. Yano and Lisa V. Rubenstein

    Citation: BMC Family Practice 2018 19:149

    Content type: Research article

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  35. Patient perspectives on new programs to manage metabolic syndrome (MetS) are critical to evaluate for possible implementation in the primary healthcare system. Participants’ perspectives were sought for the Ca...

    Authors: Jennifer Klein, Paula Brauer, Dawna Royall, Maya Israeloff-Smith, Doug Klein, Angelo Tremblay, Rupinder Dhaliwal, Caroline Rheaume, David M. Mutch and Khursheed Jeejeebhoy

    Citation: BMC Family Practice 2018 19:148

    Content type: Research article

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  36. Primary care has been reformed in recent years in Ontario, Canada, with a move away from traditional fee-for-service to enhanced fee-for-service and capitation-based models. It is unclear how new models have a...

    Authors: Aisha K. Lofters, Amy Mark, Monica Taljaard, Michael E. Green, Richard H. Glazier and Simone Dahrouge

    Citation: BMC Family Practice 2018 19:147

    Content type: Research article

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  37. Despite significant investments to improve primary health care (PHC) delivery in Canada, provincial health care systems remain fragmented and uncoordinated. Canada’s commitment to strengthening PHC should be d...

    Authors: Stephanie Montesanti, Ardene Robinson-Vollman and Lee A. Green

    Citation: BMC Family Practice 2018 19:144

    Content type: Research article

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  38. Validated instruments are needed to assess the delivery of patient-centred care (PCC) to patients with multimorbidity in the primary care setting. Eight dimensions of PCC have been identified: respect for pati...

    Authors: Jane Murray Cramm and Anna Petra Nieboer

    Citation: BMC Family Practice 2018 19:143

    Content type: Research article

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  39. Frequent attenders (FAs) use a disproportionately large share of the resources of general practitioners (GPs) working in primary healthcare centres. The aim of this study was to estimate the proportion of FAs ...

    Authors: Anne K. Santalahti, Tero J. Vahlberg, Sinikka H. Luutonen and Päivi T. Rautava

    Citation: BMC Family Practice 2018 19:142

    Content type: Research article

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  40. It is well known that older adults are high users of the health care system. Older adults with chronic conditions receive care from multiple providers, across multiple settings, and this care is often unorgani...

    Authors: Jacobi Elliott, Paul Stolee, Veronique Boscart, Lora Giangregorio and George Heckman

    Citation: BMC Family Practice 2018 19:137

    Content type: Research article

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  41. There has been a significant growth of the international primary health care (PHC) nursing workforce in recent decades in response to health system reform. However, there has been limited attention paid to str...

    Authors: Elizabeth Halcomb, Elizabeth Smyth and Susan McInnes

    Citation: BMC Family Practice 2018 19:136

    Content type: Research article

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  42. Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated ...

    Authors: Christine M. Everett, Perri Morgan, Valerie A. Smith, Sandra Woolson, David Edelman, Cristina C. Hendrix, Theodore Berkowitz, Brandolyn White and George L. Jackson

    Citation: BMC Family Practice 2018 19:132

    Content type: Research article

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  43. Poor mental well-being and low job satisfaction among physicians can have significant negative implications for the physicians and their patients and may also reduce the cost efficiency in health care. Mental ...

    Authors: Karen Busk Nørøxe, Anette Fischer Pedersen, Flemming Bro and Peter Vedsted

    Citation: BMC Family Practice 2018 19:130

    Content type: Research article

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  44. Advanced primary care models emphasize patient-centered care, including self-management support (SMS), but the effective use of SMS for patients with type 2 diabetes (T2DM) remains a challenge. Interactive beh...

    Authors: W. Perry Dickinson, L. Miriam Dickinson, Bonnie T. Jortberg, Danielle M. Hessler, Douglas H. Fernald and Lawrence Fisher

    Citation: BMC Family Practice 2018 19:126

    Content type: Study protocol

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  45. The consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a...

    Authors: Lars Bruun Larsen, Anders Larrabee Sonderlund, Jens Sondergaard, Janus Laust Thomsen, Anders Halling, Niels Christian Hvidt, Elisabeth Assing Hvidt, Troels Mønsted, Line Bjornskov Pedersen, Ewa M. Roos, Pia Vivian Pedersen and Trine Thilsing

    Citation: BMC Family Practice 2018 19:124

    Content type: Study protocol

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