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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. The number of patients with chronic illness is increasing worldwide. These patients usually receive care from a primary care facility. The Patient Assessment of Chronic Illness Care (PACIC) is a tool that is i...

    Authors: Daniel Zeugfang, Anawat Wisetborisut, Chaisiri Angkurawaranon, Apinun Aramrattana, Michel Wensing, Joachim Szecsenyi and Katja Krug

    Citation: BMC Family Practice 2018 19:123

    Content type: Research article

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  2. Patient safety incidents (PSIs) frequently occur in primary care and are often considered to be preventable. Better knowledge of factors contributing to PSIs is required to build safer care. The aim of this wo...

    Authors: M. Chaneliere, D. Koehler, T. Morlan, J. Berra, C. Colin, I. Dupie and P. Michel

    Citation: BMC Family Practice 2018 19:121

    Content type: Research article

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  3. To evaluate the effectiveness of a structured prescription review and prescriber feedback program in reducing prescribing errors in government primary care clinics within an administrative region in Malaysia.

    Authors: Wei Yin Lim, Amar Singh HSS, Li Meng Ng, Selva Rani John Jasudass, Sondi Sararaks, Paranthaman Vengadasalam, Lina Hashim and Ranjit Kaur Praim Singh

    Citation: BMC Family Practice 2018 19:120

    Content type: Research article

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  4. Majority of patients with chronic illnesses such as diabetes, receive care at primary care setting. Efforts have been made to restructure diabetes care in the Malaysian primary care setting in accordance with ...

    Authors: Suraya Abdul-Razak, Anis Safura Ramli, Siti Fatimah Badlishah-Sham and Jamaiyah Haniff

    Citation: BMC Family Practice 2018 19:119

    Content type: Research article

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  5. Telemonitoring for long term conditions such as hypertension and diabetes has not been widely adopted despite evidence of efficacy in trials and policy support. The Telescot programme comprised a series of sev...

    Authors: Janet Hanley, Hilary Pinnock, Mary Paterson and Brian McKinstry

    Citation: BMC Family Practice 2018 19:118

    Content type: Research article

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  6. Depression in older people may have a prevalence as high as 20%, and is associated with physical co-morbidities, loss, and loneliness. It is associated with poorer health outcomes and reduced quality of life, ...

    Authors: Anna Kathryn Taylor, Simon Gilbody, Katharine Bosanquet, Karen Overend, Della Bailey, Deborah Foster, Helen Lewis and Carolyn Anne Chew-Graham

    Citation: BMC Family Practice 2018 19:116

    Content type: Research article

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  7. Maintaining a maternity care system is one of the biggest issues in Japan due to the decreasing number of obstetricians, especially in remote areas and islands. The aim of this qualitative study was to explore...

    Authors: Ayako Shibata, Makoto Kaneko and Machiko Inoue

    Citation: BMC Family Practice 2018 19:114

    Content type: Research article

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  8. Family caregivers (FCGs) of patients at the end of life (EoL) cared for at home receive support from professional and non-professional care providers. Healthcare providers in general practice play an important...

    Authors: Katja Krug, René Alexander Ballhausen, Regine Bölter, Peter Engeser, Michel Wensing, Joachim Szecsenyi and Frank Peters-Klimm

    Citation: BMC Family Practice 2018 19:112

    Content type: Research article

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  9. Within the EU-funded project PRIMA-eDS (Polypharmacy in chronic diseases: Reduction of Inappropriate Medication and Adverse drug events in older populations by electronic Decision Support) an electronic decision ...

    Authors: Anja Rieckert, Christina Sommerauer, Anja Krumeich and Andreas Sönnichsen

    Citation: BMC Family Practice 2018 19:110

    Content type: Research article

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  10. Understanding the many factors that influence implementation of new programs, in addition to their success or failure, is extraordinarily complex. This qualitative study examines the implementation and adaptat...

    Authors: Christine P. Kowalski, Miranda Veeser and Michele Heisler

    Citation: BMC Family Practice 2018 19:109

    Content type: Research article

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  11. Facilitating appropriate and safe prescribing of opioid medications for chronic pain management in primary care is a pressing public health concern. Interdisciplinary team-based models of primary care are expl...

    Authors: Karleen F. Giannitrapani, Peter A. Glassman, Derek Vang, Jeremiah C. McKelvey, R. Thomas Day, Steven K. Dobscha and Karl A. Lorenz

    Citation: BMC Family Practice 2018 19:107

    Content type: Research article

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  12. Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sult...

    Authors: Muna Habib AL. Lawati, Sarah Dennis, Stephanie D. Short and Nadia Noor Abdulhadi

    Citation: BMC Family Practice 2018 19:104

    Content type: Research article

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  13. Treatment for opioid dependence in Ireland is provided predominantly by general practitioners (GP) who have undergone additional training in opioid agonist treatment (OAT) and substance misuse. The National Me...

    Authors: Marie Claire Van Hout, Des Crowley, Aoife McBride and Ide Delargy

    Citation: BMC Family Practice 2018 19:103

    Content type: Research article

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  14. Even in practices with a comprehensive appointment system a minority of patients walks in without prior notice, sometimes causing problems for practice service quality. We aimed to explore differences between ...

    Authors: Bernhard Riedl, Simon Kehrer, Christoph U. Werner, Antonius Schneider and Klaus Linde

    Citation: BMC Family Practice 2018 19:101

    Content type: Research article

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  15. Challenging work environment, high workload, and increasing physician shortages characterize current rural general practice in Germany and in most European Countries. These factors extend into Out-Of-Hours Car...

    Authors: R. Leutgeb, J. Frankenhauser-Mannuß, M. Scheuer, J. Szecsenyi and Katja Goetz

    Citation: BMC Family Practice 2018 19:95

    Content type: Research article

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  16. To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients’ web portal use.

    Authors: Maaike C. M. Ronda, Lioe-Ting Dijkhorst-Oei, Rimke C. Vos and Guy E. H. M. Rutten

    Citation: BMC Family Practice 2018 19:94

    Content type: Research article

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  17. Current health policy focuses on improving accessibility, increasing integration and shifting resources from hospitals to community and primary care. Initiatives aimed at achieving these policy aims have suppo...

    Authors: Rebecca Elvey, Simon Bailey, Kath Checkland, Anne McBride, Stephen Parkin, Katy Rothwell and Damian Hodgson

    Citation: BMC Family Practice 2018 19:89

    Content type: Research article

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  18. Collaborative care treatment is widely recognized as an effective approach to improve the quality of mental healthcare through enhanced and structured collaboration between general practice and specialized psy...

    Authors: Marlene Christina Rosengaard Møller, Anna Mygind and Flemming Bro

    Citation: BMC Family Practice 2018 19:78

    Content type: Research article

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  19. Practice facilitation is increasingly used to support guideline implementation and practice development in primary care and there is a need to explore how this implementation approach works in real-life settings.

    Authors: Tina Drud Due, Marius Brostrøm Kousgaard, Frans Boch Waldorff and Thorkil Thorsen

    Citation: BMC Family Practice 2018 19:75

    Content type: Research article

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  20. There is a growing need for community-based services for persons with Alzheimer’s disease and related dementias (ADRD). Memory clinic (MC) teams in primary care settings have been established to provide care t...

    Authors: Linda Sheiban, Paul Stolee, Carrie McAiney and Veronique Boscart

    Citation: BMC Family Practice 2018 19:68

    Content type: Research article

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  21. Cervical cancer is a preventable disease. Unfortunately, its mortality is high in Hungary: 9.2 deaths /100000 women/year in 2015. The Hungarian organized, nationwide cervical screening program was launched in ...

    Authors: Anikó Gyulai, Attila Nagy, Vera Pataki, Dóra Tonté, Róza Ádány and Zoltán Vokó

    Citation: BMC Family Practice 2018 19:67

    Content type: Research article

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  22. Malawi does not have validated tools for assessing primary care performance from patients’ experience. The aim of this study was to develop a Malawian version of Primary Care Assessment Tool (PCAT-Mw) and to e...

    Authors: Luckson Dullie, Eivind Meland, Øystein Hetlevik, Thomas Mildestvedt and Sturla Gjesdal

    Citation: BMC Family Practice 2018 19:63

    Content type: Research article

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  23. Over the last 20 years, integrated care programs for frail elderly people aimed to prevent functional dependence and reduce hospitalization and institutionalization. However, results have been inconsistent and...

    Authors: Franca G. H. Ruikes, Eddy M. Adang, Willem J. J. Assendelft, Henk J. Schers, Raymond T. C. M. Koopmans and Sytse U. Zuidema

    Citation: BMC Family Practice 2018 19:62

    Content type: Research article

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  24. Competencies in psychological techniques delivered by primary care nurses to support diabetes self-management were compared between the intervention and control arms of a cluster randomised controlled trial as...

    Authors: Nicholas Magill, Helen Graves, Nicole de Zoysa, Kirsty Winkley, Stephanie Amiel, Emma Shuttlewood, Sabine Landau and Khalida Ismail

    Citation: BMC Family Practice 2018 19:60

    Content type: Research article

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  25. In primary care 15% of patient encounters are perceived as challenging by general practitioners (GP). However it is unknown what impact these encounters have regarding job satisfaction. The aim of this study w...

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

    Citation: BMC Family Practice 2018 19:57

    Content type: Research article

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  26. In an attempt to deal with the pressures on the healthcare system and to guarantee sustainability, changes are needed. This study is focused on a cardiology Primary Care Plus intervention in which cardiologist...

    Authors: Tessa C. C. Quanjel, Jeroen N. Struijs, Marieke D. Spreeuwenberg, Caroline A. Baan and Dirk Ruwaard

    Citation: BMC Family Practice 2018 19:55

    Content type: Research article

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  27. Few data exist to support the observation that general practitioners (GPs) occupy many important positions in our communities or to characterize which GPs devote more of their time to such activities. We sough...

    Authors: Julian Jakob, Christine Cohidon, Jacques Cornuz and Kevin Selby

    Citation: BMC Family Practice 2018 19:52

    Content type: Research article

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  28. 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

    Content type: Research article

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  29. 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

    Content type: Research article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Research article

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  32. 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

    Content type: Research article

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  33. 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

    Content type: Research article

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  34. 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

    Content type: Research article

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  35. 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

    Content type: Research article

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  36. 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

    Content type: Research article

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  37. 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

    Content type: Research article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research article

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  40. 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

    Content type: Research article

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  41. 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

    Content type: Research article

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  42. 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

    Content type: Research article

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  43. 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

    Content type: Research article

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  44. 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

    Content type: Research article

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  45. 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

    Content type: Research article

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  46. 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

    Content type: Research article

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  47. 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

    Content type: Research article

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  48. 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

    Content type: Research article

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  49. 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

    Content type: Research article

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