Skip to main content

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.

Page 8 of 12

  1. 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

    Published on:

  2. 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

    Published on:

  3. 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

    Published on:

  4. 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

    Published on:

  5. 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

    Published on:

  6. 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

    Published on:

  7. 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

    Published on:

  8. 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

    Published on:

  9. 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

    Published on:

  10. 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

    Published on:

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

  11. 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

    Published on:

  12. 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

    Published on:

  13. 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

    Published on:

  14. Children diagnosed with cancer often require extensive care for medical, psychosocial and educational problems during and after therapy. Part of this care is provided by family physicians and non-cancer specia...

    Authors: Marianne J. Heins, Maria F. Lorenzi, Joke C. Korevaar and Mary L. McBride

    Citation: BMC Family Practice 2016 17:60

    Content type: Research article

    Published on:

  15. Strong primary care systems are believed to have an important role in dealing with healthcare challenges. Strengthening primary care systems is therefore a common policy goal for many countries. This study aim...

    Authors: Tessa van Loenen, Michael J. van den Berg, Stephanie Heinemann, Richard Baker, Marjan J. Faber and Gert P. Westert

    Citation: BMC Family Practice 2016 17:59

    Content type: Research article

    Published on:

  16. The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines colla...

    Authors: Jerôme Jean Jacques van Dongen, Stephanie Anna Lenzen, Marloes Amantia van Bokhoven, Ramon Daniëls, Trudy van der Weijden and Anna Beurskens

    Citation: BMC Family Practice 2016 17:58

    Content type: Research article

    Published on:

  17. Elderly patients are particularly vulnerable to adverse drug reactions, especially if they are affected by additional risk factors such as multimorbidity, polypharmacy, impaired renal function and intake of dr...

    Authors: Julia Carolin Stingl, Katharina Luise Kaumanns, Katrin Claus, Marie-Louise Lehmann, Kathrin Kastenmüller, Markus Bleckwenn, Gunther Hartmann, Michael Steffens, Dorothee Wirtz, Ann-Kristin Leuchs, Norbert Benda, Florian Meier, Oliver Schöffski, Stefan Holdenrieder, Christoph Coch and Klaus Weckbecker

    Citation: BMC Family Practice 2016 17:49

    Content type: Study protocol

    Published on:

  18. Improving the quality of care of at the medical primary-secondary care interface is both a national and a wider concern. In a qualitative exploration of clinicians’ relationship at the interface, we want to st...

    Authors: Rod Sampson, Rosaline Barbour and Philip Wilson

    Citation: BMC Family Practice 2016 17:45

    Content type: Research article

    Published on:

  19. Low back pain (LBP) care is frequently discordant with research evidence. This pilot study evaluated changes in LBP care following a systematic, theory informed intervention in a rural Australian Aboriginal He...

    Authors: Ivan B. Lin, Juli Coffin and Peter B. O’Sullivan

    Citation: BMC Family Practice 2016 17:44

    Content type: Research article

    Published on:

  20. The rising volume of referrals to secondary care is a continuing concern in the NHS in England, with considerable resource implications. Referral management centres (RMCs) are one of a range of initiatives bro...

    Authors: Sarah L. Ball, Joanne Greenhalgh and Martin Roland

    Citation: BMC Family Practice 2016 17:37

    Content type: Research article

    Published on:

  21. Complex patients are increasingly common in primary care and often have poor clinical outcomes. Healthcare system barriers to effective care for complex patients have been previously described, but less is kno...

    Authors: Danielle F. Loeb, Elizabeth A. Bayliss, Carey Candrian, Frank V. deGruy and Ingrid A. Binswanger

    Citation: BMC Family Practice 2016 17:34

    Content type: Research article

    Published on:

  22. In addiction care, urine drug screening tests are recommended to assess psychoactive substances use. While intrinsic diagnostic value of these tests is demonstrated, the consequences of carrying out these test...

    Authors:

    Citation: BMC Family Practice 2016 17:24

    Content type: Study protocol

    Published on:

  23. Family Medicine Groups (FMG) were introduced in Quebec in 2002 to re-organize primary care practices and encourage inter-professional service delivery. We measured visits to the emergency department (ED) for a...

    Authors: Renee Carter, Amélie Quesnel-Vallée, Céline Plante, Philippe Gamache and Jean-Frédéric Lévesque

    Citation: BMC Family Practice 2016 17:23

    Content type: Research article

    Published on:

  24. Living in a neighbourhood with a high density of livestock farms has been associated with adverse respiratory health effects, but less is known about healthcare utilisation. This study aimed at investigating t...

    Authors: Christel E. van Dijk, Lidwien A. M. Smit, Mariette Hooiveld, Jan-Paul Zock, Inge M. Wouters, Dick J. J. Heederik and C. Joris Yzermans

    Citation: BMC Family Practice 2016 17:22

    Content type: Research article

    Published on:

  25. Despite improving evidence-based practice following clinical guidelines to optimise drug therapy, Type 2 diabetes (T2DM) still exerts a devastating toll from vascular complications and premature death. Biochem...

    Authors: Wilma S. Leslie, Ian Ford, Naveed Sattar, Kieren G. Hollingsworth, Ashley Adamson, Falko F. Sniehotta, Louise McCombie, Naomi Brosnahan, Hazel Ross, John C. Mathers, Carl Peters, George Thom, Alison Barnes, Sharon Kean, Yvonne McIlvenna, Angela Rodrigues…

    Citation: BMC Family Practice 2016 17:20

    Content type: Study protocol

    Published on:

  26. General practices in the United Kingdom are encouraged to have a protocol for the identification of carers and a mechanism for social care referral. However, a minority of carers are identified and those carin...

    Authors: Emma Carduff, Alison Jarvis, Gill Highet, Anne Finucane, Marilyn Kendall, Nadine Harrison, Jane Greenacre and Scott A Murray

    Citation: BMC Family Practice 2016 17:18

    Content type: Research article

    Published on:

    The Erratum to this article has been published in BMC Family Practice 2016 17:39

  27. In Singapore, subsidized primary care is provided by centralized polyclinics; since 2000, policies have allowed lower-income Singaporeans to utilize subsidies at private general-practitioner (GP) clinics. We s...

    Authors: Liang En Wee, Wen Qi Cher, David Sin, Zong Chen Li and Gerald Choon-Huat Koh

    Citation: BMC Family Practice 2016 17:16

    Content type: Research article

    Published on:

  28. Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentatio...

    Authors: Anna Cheshire, David Peters and Damien Ridge

    Citation: BMC Family Practice 2016 17:13

    Content type: Research article

    Published on:

  29. Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with dia...

    Authors: Enza Gucciardi, Sherry Espin, Antonia Morganti and Linda Dorado

    Citation: BMC Family Practice 2016 17:12

    Content type: Research article

    Published on:

  30. In a gatekeeper system, primary care physicians and patients jointly decide whether or not medical specialist care is needed. However, it is the patient who decides to actually use the referral. Referral non-c...

    Authors: Christel E. van Dijk, Judith D. de Jong, Robert A. Verheij, Tessa Jansen, Joke C. Korevaar and Dinny H. de Bakker

    Citation: BMC Family Practice 2016 17:11

    Content type: Research article

    Published on:

  31. Patient safety gained widespread public attention in the last 20 years. However, most patient safety research relied upon professionals’ exceptions and was realised especially in the hospital sector. Gradually...

    Authors: Sarah Lang, Marcial Velasco Garrido and Christoph Heintze

    Citation: BMC Family Practice 2016 17:6

    Content type: Research article

    Published on:

  32. Particularly with ageing populations, dementia and stroke and their resultant disability are worldwide concerns. Much of the support for people with these conditions comes from unpaid carers or caregivers. The...

    Authors: Nan Greenwood, Ferruccio Pelone and Anne-Marie Hassenkamp

    Citation: BMC Family Practice 2016 17:3

    Content type: Research article

    Published on:

  33. Rising demand for health care has prompted interest in new technologies to support a shift of care from hospital to community and primary care, which may require clinicians to undertake new working practices. ...

    Authors: Alison Porter, Mark Rhys Kingston, Bridie Angela Evans, Hayley Hutchings, Shirley Whitman and Helen Snooks

    Citation: BMC Family Practice 2016 17:1

    Content type: Research article

    Published on:

    The Erratum to this article has been published in BMC Family Practice 2016 17:14

  34. Mastitis is an acute, debilitating condition that occurs in approximately 20 % of breastfeeding women who experience a red, painful breast with fever. This paper describes the factors correlated with mastitis ...

    Authors: Meabh Cullinane, Lisa H. Amir, Susan M. Donath, Suzanne M. Garland, Sepehr N. Tabrizi, Matthew S. Payne and Catherine M. Bennett

    Citation: BMC Family Practice 2015 16:181

    Content type: Research article

    Published on:

  35. Switzerland is facing a shortage of primary care physicians (PCPs); government organizations therefore suggested a broad variety of interventions to promote primary care. The aim of the study was to prioritize...

    Authors: Ryan Tandjung, Sima Djalali, Susann Hasler, Nathalie Scherz, Thomas Rosemann and Stefan Markun

    Citation: BMC Family Practice 2015 16:178

    Content type: Research article

    Published on:

  36. Since 2012, all GP practices across Scotland have been supported to take a systematic approach to end-of-life care, by helping them to identify more patients for palliative care through a Palliative Care Direc...

    Authors: Bruce Mason, Susan Buckingham, Anne Finucane, Peter Hutchison, Marilyn Kendall, Hazel McCutcheon, Lorna Porteous and Scott A. Murray

    Citation: BMC Family Practice 2015 16:176

    Content type: Research article

    Published on:

  37. Generalized Anxiety Disorder (GAD) is a common mental disorder in the primary care setting, marked by persistent anxiety and worries. The aims of this study were to: 1) examine mental health services utilisati...

    Authors: Pasquale Roberge, François Normand-Lauzière, Isabelle Raymond, Mireille Luc, Marie-Michèle Tanguay-Bernard, Arnaud Duhoux, Christian Bocti and Louise Fournier

    Citation: BMC Family Practice 2015 16:146

    Content type: Research article

    Published on:

  38. The general practice (GP) workforce in England is in crisis, reflected in increasing rates of early retirement and intentions to reduce hours of working. This study aimed to investigate underlying factors and ...

    Authors: Jeremy Dale, Rachel Potter, Katherine Owen, Nicholas Parsons, Alba Realpe and Jonathan Leach

    Citation: BMC Family Practice 2015 16:140

    Content type: Research article

    Published on:

  39. Sexual dysfunction is prevalent in patients with type 2 diabetes mellitus, but remains one of the most frequently neglected complications in diabetes care. Both patients and care providers appear to have diffi...

    Authors: Anne Rutte, Patricia van Oppen, Giel Nijpels, Frank J. Snoek, Paul Enzlin, Peter Leusink and Petra J. M. Elders

    Citation: BMC Family Practice 2015 16:69

    Content type: Study protocol

    Published on:

  40. Developing integrated service models in a primary care setting is considered an essential strategy for establishing a sustainable and affordable health care system. The Rainbow Model of Integrated Care (RMIC) ...

    Authors: Pim P. Valentijn, Hubertus J. M. Vrijhoef, Dirk Ruwaard, Inge Boesveld, Rosa Y. Arends and Marc A. Bruijnzeels

    Citation: BMC Family Practice 2015 16:64

    Content type: Research article

    Published on:

  41. Socioeconomic deprivation is associated with inequalities in health care and outcomes. Despite concerns that the Quality and Outcomes Framework pay-for-performance scheme in the UK would exacerbate inequalitie...

    Authors: Liz Glidewell, Robert West, Julia EC Hackett, Paul Carder, Tim Doran and Robbie Foy

    Citation: BMC Family Practice 2015 16:61

    Content type: Research article

    Published on:

  42. We investigated the effectiveness of an occupational therapy led self-management support programme, OPTIMAL, designed to address the challenges of living with multiple chronic conditions or multimorbidity in a...

    Authors: Jess Garvey, Deirdre Connolly, Fiona Boland and Susan M Smith

    Citation: BMC Family Practice 2015 16:59

    Content type: Research article

    Published on:

  43. In the Netherlands, primary out-of-hours (OOH) care is provided by large scale General Practitioner (GP) cooperatives. GP cooperatives can be contacted by patients living in the area surrounding the GP coopera...

    Authors: Tessa Jansen, Marieke Zwaanswijk, Karin Hek and Dinny de Bakker

    Citation: BMC Family Practice 2015 16:54

    Content type: Research article

    Published on:

  44. Teleradiology entails attainment of x-rays in one location, transfer over some distance and assessment at another location for diagnosis or consultation. This study documents fracture diagnostics, unnecessary ...

    Authors: Jac JWM Jacobs, Jan PAM Jacobs, Eric van Sonderen, Thys van der Molen and Robbert Sanderman

    Citation: BMC Family Practice 2015 16:53

    Content type: Research article

    Published on:

  45. The use of out-of-hours healthcare services for non-urgent health problems is believed to be related to the organisation of daytime primary care but insight into underlying mechanisms is limited. Our objective...

    Authors: Marleen Smits, Yvonne Peters, Sanne Broers, Ellen Keizer, Michel Wensing and Paul Giesen

    Citation: BMC Family Practice 2015 16:52

    Content type: Research article

    Published on:

  46. Telephone triage represents one strategy to manage demand for face-to-face GP appointments in primary care. However, limited evidence exists of the challenges GP practices face in implementing telephone triage...

    Authors: Jamie Murdoch, Anna Varley, Emily Fletcher, Nicky Britten, Linnie Price, Raff Calitri, Colin Green, Valerie Lattimer, Suzanne H Richards, David A Richards, Chris Salisbury, Rod S Taylor and John L Campbell

    Citation: BMC Family Practice 2015 16:47

    Content type: Research article

    Published on:

  47. The working relationship between client and therapist can be important to enhance outcomes from vocational rehabilitation for women with stress-related disorders in primary health care. The aim was to investig...

    Authors: Mona Eklund, Lena-Karin Erlandsson and Birgitta A Wästberg

    Citation: BMC Family Practice 2015 16:46

    Content type: Research article

    Published on:

Annual Journal Metrics

\