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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 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

    Content type: Research article

    Published on:

  2. 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

    Content type: Research article

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  3. 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

    Content type: Research article

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  4. 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

    Content type: Research article

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  5. Due to the increasing demand on primary care, it is not only debated whether there are enough general practitioners (GPs) to comply with these demands but also whether specific tasks can be performed by other ...

    Authors: Mieke van der Biezen, Emmy Derckx, Michel Wensing and Miranda Laurant

    Citation: BMC Family Practice 2017 18:16

    Content type: Research article

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  6. Team-based care is now recognized as an essential feature of high quality primary care, but there is limited empiric evidence to guide practice transformation. The purpose of this paper is to describe advances...

    Authors: Edward H. Wagner, Margaret Flinter, Clarissa Hsu, DeAnn Cromp, Brian T. Austin, Rebecca Etz, Benjamin F. Crabtree and MaryJoan D. Ladden

    Citation: BMC Family Practice 2017 18:13

    Content type: Research article

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  7. In Switzerland, the mean age of GPs in 1993 was 46. In 2015, it had increased to 55, and GPs over 65 made up 15% of the workforce of the about 6000 GPs. As older, self-employed GPs retire, young doctors will b...

    Authors: Luzia Birgit Gisler, Marius Bachofner, Cora Nina Moser-Bucher, Nathalie Scherz and Sven Streit

    Citation: BMC Family Practice 2017 18:12

    Content type: Research article

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  8. Substitution is the shift of care from specialized health care to less expensive and more accessible primary health care. It seems promising for restraining rising mental health care costs. The goal of this st...

    Authors: Tessa Magnée, Derek P. de Beurs, Richard Boxem, Dinny H. de Bakker and Peter F. Verhaak

    Citation: BMC Family Practice 2017 18:10

    Content type: Research article

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  9. Studies of Primary Health Care (PHC) reveal considerable practice variations in terms of the range of services provided. In Norway, general practitioners (GPs) are traditionally expected to perform IUD-inserti...

    Authors: Andreas Saxlund Pahle, Daniel Sørli, Ivar Sønbø Kristiansen, Trygve S. Deraas and Peder A. Halvorsen

    Citation: BMC Family Practice 2017 18:7

    Content type: Research article

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  10. Cardiovascular disease (CVD) is the leading cause of death globally. However, many individuals are unaware of their CVD risk factors. The objective of this systematic review is to determine the effectiveness o...

    Authors: AT Cheong, SM Liew, EM Khoo, NF Mohd Zaidi and K Chinna

    Citation: BMC Family Practice 2017 18:4

    Content type: Research article

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  11. The terms integration and integrated care describe the complex, patient-centred strategies to improve coordination of healthcare services. Frameworks exist to conceptualise these terms, but these have been dev...

    Authors: Michelle Banfield, Tanisha Jowsey, Anne Parkinson, Kirsty A. Douglas and Paresh Dawda

    Citation: BMC Family Practice 2017 18:2

    Content type: Research article

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  12. With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provin...

    Authors: Mylaine Breton, Mélanie Ann Smithman, Astrid Brousselle, Christine Loignon, Nassera Touati, Carl-Ardy Dubois, Kareen Nour, Antoine Boivin, Djamal Berbiche and Danièle Roberge

    Citation: BMC Family Practice 2017 18:1

    Content type: Research article

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  13. Norwegian general practitioners (GPs) consult on a variety of conditions with a mix of patient types. Patients with chronic diseases benefit from appropriate continuity of care and generally visit their GPs mo...

    Authors: Anastasia Mokienko and Knut Reidar Wangen

    Citation: BMC Family Practice 2016 17:170

    Content type: Research article

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  14. Usual source of care (USC) is one of the hallmarks of primary care. We aimed to examine the status of having a USC and its patient-related sociodemographic factors among Korean adults.

    Authors: Ah Reum An, Kyoungwoo Kim, Jae-Ho Lee, Nak-Jin Sung, Sang-il Lee and Min Kyung Hyun

    Citation: BMC Family Practice 2016 17:167

    Content type: Research article

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  15. The burden of morbidity represented by patients with long term conditions (LTCs) varies substantially between general practices. This study aimed to determine the characteristics of general practices with high...

    Authors: Charlotte Weston, Alexander Gilkes, Stevo Durbaba, Peter Schofield, Patrick White and Mark Ashworth

    Citation: BMC Family Practice 2016 17:166

    Content type: Research article

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  16. Local and national financial incentives were introduced in England between 2008 and 2015 to encourage screening and brief alcohol intervention delivery in primary care. We used routine Read Code data and inter...

    Authors: Amy O’Donnell, Catherine Haighton, David Chappel, Colin Shevills and Eileen Kaner

    Citation: BMC Family Practice 2016 17:165

    Content type: Research article

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  17. Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the...

    Authors: E. Tierney, M. O’Sullivan, L. Hickey, A. Hannigan, C. May, W. Cullen, N. Kennedy, L. Kineen and A. MacFarlane

    Citation: BMC Family Practice 2016 17:163

    Content type: Research article

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  18. Lesbian women have higher rates of physical and psychiatric disorders associated with experiences of discrimination, homophobia and difficulties with coming out. Therefore, easy access to specialized healthcar...

    Authors: Oliver Hirsch, Karina Löltgen and Annette Becker

    Citation: BMC Family Practice 2016 17:162

    Content type: Research article

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  19. Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and so...

    Authors: Lorainne Tudor Car, Nikolaos Papachristou, Joseph Gallagher, Rajvinder Samra, Kerri Wazny, Mona El-Khatib, Adrian Bull, Azeem Majeed, Paul Aylin, Rifat Atun, Igor Rudan, Josip Car, Helen Bell, Charles Vincent and Bryony Dean Franklin

    Citation: BMC Family Practice 2016 17:160

    Content type: Research article

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  20. The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate t...

    Authors: Anis Safura Ramli, Sharmini Selvarajah, Maryam Hannah Daud, Jamaiyah Haniff, Suraya Abdul-Razak, Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik, Mohamad Adam Bujang, Boon How Chew, Thuhairah Rahman, Seng Fah Tong, Asrul Akmal Shafie, Verna K. M. Lee, Kien Keat Ng, Farnaza Ariffin, Hasidah Abdul-Hamid, Md Yasin Mazapuspavina…

    Citation: BMC Family Practice 2016 17:157

    Content type: Research article

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  21. Child abuse is often unrecognized at out-of-hours primary care (OOH-PC) services. The aim of our study was to evaluate the clinical outcome of the screening instrument SPUTOVAMO-R2 for child abuse (checklist),...

    Authors: Maartje C. M. Schouten, Henk F. van Stel, Theo J. M. Verheij, Edward E. S. Nieuwenhuis and Elise M. van de Putte

    Citation: BMC Family Practice 2016 17:155

    Content type: Research article

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  22. Primary care (PC) allows patients to address most of their health needs and is essential for high quality healthcare systems. The aim of the study was to analyze the insight of nine core dimensions of Polish P...

    Authors: Anna Krztoń-Królewiecka, Marek Oleszczyk, Willemijn LA Schäfer, Wienke GW Boerma and Adam Windak

    Citation: BMC Family Practice 2016 17:151

    Content type: Research article

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  23. The objective of this study was to analyze prescription decisions for family practice (FP) patients with Diabetes mellitus type 2 (DM2) using the case of the incretin mimetics Dipeptidyl peptidase-4 (DDP-4) in...

    Authors: Gunter Laux, Sarah Berger, Joachim Szecsenyi, Petra Kaufmann-Kolle and Rüdiger Leutgeb

    Citation: BMC Family Practice 2016 17:146

    Content type: Research article

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  24. Evaluation is a fundamental component in building quality primary care and is ideally situated to support individual, team and organizational learning by offering an accessible form of participatory inquiry. T...

    Authors: Catherine Donnelly, Lyn Shulha, Don Klinger and Lori Letts

    Citation: BMC Family Practice 2016 17:142

    Content type: Research article

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  25. There is an urgent need to improve patient safety in the area of medication treatment among the elderly. The aim of this study was to explore which improvement needs and strengths, relating to medication safet...

    Authors: Sara Modig, Cecilia Lenander, Nina Viberg and Patrik Midlöv

    Citation: BMC Family Practice 2016 17:140

    Content type: Research article

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  26. The aim of this study was to use secondary analysis to interrogate a qualitative data set to explore the experiences of patients living with heart failure.

    Authors: Mirella Fry, Sarah McLachlan, Sarah Purdy, Tom Sanders, Umesh T. Kadam and Carolyn A. Chew-Graham

    Citation: BMC Family Practice 2016 17:139

    Content type: Research article

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  27. The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care p...

    Authors: Jerôme Jean Jacques van Dongen, Marloes Amantia van Bokhoven, Ramon Daniëls, Trudy van der Weijden, Wencke Wilhelmina Gerarda Petronella Emonts and Anna Beurskens

    Citation: BMC Family Practice 2016 17:137

    Content type: Research article

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  28. The prevalence of comorbid anxiety and depressive disorders is high among patients with chronic diseases in primary care, and is associated with increased morbidity and mortality rates. The detection and treat...

    Authors: Pasquale Roberge, Catherine Hudon, Alan Pavilanis, Marie-Claude Beaulieu, Annie Benoit, Hélène Brouillet, Isabelle Boulianne, Anna De Pauw, Serge Frigon, Isabelle Gaboury, Martine Gaudreault, Ariane Girard, Marie Giroux, Élyse Grégoire, Line Langlois, Martin Lemieux…

    Citation: BMC Family Practice 2016 17:134

    Content type: Research article

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    The Erratum to this article has been published in BMC Family Practice 2016 17:174

  29. Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. The European General Practice Research Network (EGPRN) created a rese...

    Authors: B. Le Floch, H. Bastiaens, J. Y. Le Reste, H. Lingner, R. D. Hoffman, S. Czachowski, R. Assenova, T. H. Koskela, Z. Klemenc-Ketis, P. Nabbe, A. Sowinska, T. Montier and L. Peremans

    Citation: BMC Family Practice 2016 17:133

    Content type: Research article

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  30. The pressure in out-of-hours primary care is high due to an increasing demand for care and rising health-care costs. During the daytime, substituting general practitioners (GPs) with nurse practitioners (NPs) ...

    Authors: Mieke Van Der Biezen, Eddy Adang, Regi Van Der Burgt, Michel Wensing and Miranda Laurant

    Citation: BMC Family Practice 2016 17:132

    Content type: Research article

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  31. Delayed diagnosis in primary care is a common, harmful and costly patient safety incident. Its measurement and monitoring are underdeveloped and underutilised. We created and implemented a novel approach to id...

    Authors: Lorainne Tudor Car, Nikolaos Papachristou, Adrian Bull, Azeem Majeed, Joseph Gallagher, Mona El-Khatib, Paul Aylin, Igor Rudan, Rifat Atun, Josip Car and Charles Vincent

    Citation: BMC Family Practice 2016 17:131

    Content type: Research article

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  32. The social determinants of health (SDH) are conditions that shape the overall health of an individual on a continuous basis. As momentum for addressing social factors in primary care settings grows, provider a...

    Authors: Joy H. Lewis, Kate Whelihan, Isaac Navarro and Kimberly R. Boyle

    Citation: BMC Family Practice 2016 17:121

    Content type: Research article

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  33. No study has assessed the association between patients’ and doctors’ gender and patient satisfaction with organizational aspects of health care in primary care. However, just like satisfaction regarding commun...

    Authors: Paul Sebo, François R. Herrmann and Dagmar M. Haller

    Citation: BMC Family Practice 2016 17:120

    Content type: Research article

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  34. In 2006 The Dutch Health Care system changed to a market oriented system. The GP remuneration changed from ± 2/3 capitation patients and 1/3 private patients before 2006 to a mixed payment scheme. From 2006 on...

    Authors: Pieter van den Hombergh, Arna van Doorn-Klomberg, Stephen Campbell, Michel Wensing and Jozé Braspenning

    Citation: BMC Family Practice 2016 17:118

    Content type: Research article

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  35. COPD-6™ is a lung function testing device for a rapid pre-spirometry testing to screen-out at-risk individuals not having COPD and indicating those at risk. The aim of this study was to validate COPD-6™ lung f...

    Authors: Marina Labor, Žarko Vrbica, Ivan Gudelj, Slavica Labor and Davor Plavec

    Citation: BMC Family Practice 2016 17:112

    Content type: Research article

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  36. Reinforcing the gatekeeping role of general practitioners (GPs) by embedding specialist knowledge into primary care is seen as a possibility for stimulating a more sustainable healthcare system and avoiding un...

    Authors: Sofie J. M. van Hoof, Marieke D. Spreeuwenberg, Mariëlle E. A. L. Kroese, Jessie Steevens, Ronald J. Meerlo, Monique M. H. Hanraets and Dirk Ruwaard

    Citation: BMC Family Practice 2016 17:108

    Content type: Research article

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  37. Family physicians and other primary care practitioners are encouraged or expected to screen for an expanding array of concerns and problems including intimate partner violence (IPV). While there is no debate a...

    Authors: John D. McLennan and Harriet L. MacMillan

    Citation: BMC Family Practice 2016 17:103

    Content type: Debate

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  38. Childhood vaccination remains a primary mechanism for reducing the burden of infectious disease. In the United Kingdom, as in many countries, a sustained effort is required to ensure that vaccination targets a...

    Authors: Saumu Lwembe, Stuart A. Green, Nuttan Tanna, Jane Connor, Colin Valler and Ruth Barnes

    Citation: BMC Family Practice 2016 17:101

    Content type: Research article

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  39. In 2010 policy changes were introduced to the Australian healthcare system that granted nurse practitioners access to the public health insurance scheme (Medicare) subject to a collaborative arrangement with a...

    Authors: Verena Schadewaldt, Elizabeth McInnes, Janet E. Hiller and Anne Gardner

    Citation: BMC Family Practice 2016 17:99

    Content type: Research article

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  40. Based on changes in pharmacokinetics and –dynamics in elderly patients, there are potentially inappropriate medications (PIM) that should be avoided in patients aged ≥ 65 years. Current studies showed prescrip...

    Authors: Karen Voigt, Mandy Gottschall, Juliane Köberlein-Neu, Jeannine Schübel, Nadine Quint and Antje Bergmann

    Citation: BMC Family Practice 2016 17:93

    Content type: Research article

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  41. In response to growing demand for urgent care services there is a need to implement more effective strategies in primary care to support patients with complex care needs. Improving primary care management of k...

    Authors: Rebecca L. Morris, Darren Ashcroft, Denham Phipps, Peter Bower, Donal O’Donoghue, Paul Roderick, Sarah Harding, Andrew Lewington and Thomas Blakeman

    Citation: BMC Family Practice 2016 17:91

    Content type: Research article

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  42. General Practice Co-Operatives provide most out of hours care in communities in Ireland. Limited data exists on patient complaints. This study reports on complaints at Kildare and West Wicklow Doctors on Call ...

    Authors: Ruth A. Barragry, Leo E. Varadkar, David K. Hanlon, Ken F. Bailey, Tom C. O’Dowd and Brendan J. O’Shea

    Citation: BMC Family Practice 2016 17:87

    Content type: Research article

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  43. Interprofessional Primary Care Teams (IPCTs) have been shown to benefit health systems and patients, particularly those patients with complex care needs. The literature suggests a wide range of factors that ma...

    Authors: Gillian Mulvale, Mark Embrett and Shaghayegh Donya Razavi

    Citation: BMC Family Practice 2016 17:83

    Content type: Research article

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  44. GPs’ individual decisions to refer and the various ways of working when they refer are important determinants of secondary care use. The objective of this study was to explore and describe potential characteri...

    Authors: Olav Thorsen, Miriam Hartveit, Jan Olav Johannessen, Lars Fosse, Geir Egil Eide, Jörn Schulz and Anders Bærheim

    Citation: BMC Family Practice 2016 17:76

    Content type: Research article

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    The Erratum to this article has been published in BMC Family Practice 2017 18:11

  45. Depression is a major cause of work absenteeism that general practitioners (GPs) face directly since they are responsible for sickness certification and for supervising the return to work (RTW). These activiti...

    Authors: Chantal Sylvain, Marie-José Durand, Pascale Maillette and Lise Lamothe

    Citation: BMC Family Practice 2016 17:71

    Content type: Research article

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  46. Screening and brief interventions (SBI) in primary healthcare are cost-effective in risky drinkers, yet they are not offered to all eligible patients. This qualitative study aimed to provide more insight into ...

    Authors: M. Keurhorst, M. Heinen, J. Colom, C. Linderoth, U. Müssener, K. Okulicz-Kozaryn, J. Palacio-Vieira, L. Segura, F. Silfversparre, L. Słodownik, E. Sorribes, M. Laurant and M. Wensing

    Citation: BMC Family Practice 2016 17:70

    Content type: Research article

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  47. Studies evaluating collaborative care for anxiety disorders are recently emerging. A systematic review and meta-analysis to estimate the effect of collaborative care for adult patients with anxiety disorders i...

    Authors: Anna DT Muntingh, Christina M van der Feltz-Cornelis, Harm WJ van Marwijk, Philip Spinhoven and Anton JLM van Balkom

    Citation: BMC Family Practice 2016 17:62

    Content type: Research article

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