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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. Policy makers in Africa are ambivalent about the need for family physicians to strengthen district health services. Evidence on the impact of family physicians is therefore needed. The aim was to develop a too...

    Authors: Kevin S Pasio, Robert Mash and Tracey Naledi

    Citation: BMC Family Practice 2014 15:204

    Content type: Research article

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  2. Ovarian cancer is the most lethal gynaecological malignancy in the United Kingdom (UK). Studies have found that many women with ovarian cancer have symptoms for several months before diagnosis. Using a symptom...

    Authors: Anita WeyWey Lim, David Mesher and Peter Sasieni

    Citation: BMC Family Practice 2014 15:200

    Content type: Research article

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  3. Health care professionals in several countries are searching for alternatives to acute hospitalization. In Hallingdal, Norway, selected acute patients are admitted to a community hospital. The aim of this stud...

    Authors: Øystein Lappegard and Per Hjortdahl

    Citation: BMC Family Practice 2014 15:198

    Content type: Research article

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  4. Primary healthcare meets increased demands from an aging population concerning quality and availability while concurrently dealing with a growing shortage of general practitioners and imperfect efficiency in h...

    Authors: Andy Maun, Miriam Engström, Anna Frantz, Elisabeth Björk Brämberg and Jörgen Thorn

    Citation: BMC Family Practice 2014 15:189

    Content type: Research article

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  5. Recruitment to research studies in primary care is challenging despite widespread implementation of electronic patient record (EPR) systems which potentially make it easier to identify eligible cases.

    Authors: Helen Carr, Simon de Lusignan, Harshana Liyanage, Siaw-Teng Liaw, Amanda Terry and Imran Rafi

    Citation: BMC Family Practice 2014 15:169

    Content type: Research article

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  6. Fatigue is a common yet difficult to treat condition in primary care. The objective of this study is to evaluate the cost-effectiveness of a brief cognitive behavioral therapy (CBT) based fatigue self-manageme...

    Authors: Hongdao Meng, Fred Friedberg and Melissa Castora-Binkley

    Citation: BMC Family Practice 2014 15:184

    Content type: Research article

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  7. Age, gender and socioeconomic status have been shown to be associated with the use of prescription drugs, even after adjustment for multimorbidity. General practitioners have a holistic and patient-centred per...

    Authors: Jessica Skoog, Patrik Midlöv, Anders Beckman, Jan Sundquist and Anders Halling

    Citation: BMC Family Practice 2014 15:183

    Content type: Research article

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  8. Community health workers are the main providers of community health services in China and have been important in the process of health system reform that has been in place since 2009. Therefore, it is critical...

    Authors: Li Li, Zhong Zhang, Zhinan Sun, Hao Zhou, Xinyan Liu, Heng Li, Lihua Fan and Peter C Coyte

    Citation: BMC Family Practice 2014 15:180

    Content type: Research article

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  9. Practice accreditation is widely used to assess and improve quality of healthcare providers. Little is known about its effectiveness, particularly in primary care. In this study we examined the effect of accre...

    Authors: Arna L van Doorn - Klomberg, Jozé CC Braspenning, René J Wolters, Margriet Bouma and Michel Wensing

    Citation: BMC Family Practice 2014 15:179

    Content type: Research article

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  10. The primary care system in the Republic of Korea has weakened over the past decade and is now in poorer condition than the systems in other countries. However, little is known about how the two key players, pa...

    Authors: Minsu Ock, Jung-Eun Kim, Min-Woo Jo, Hyeon-Jeong Lee, Hyun Joo Kim and Jin Yong Lee

    Citation: BMC Family Practice 2014 15:178

    Content type: Research article

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  11. Population ageing fosters new models of care delivery for older people that are increasingly integrated into existing care systems. In the Netherlands, a primary-care based preventive home visitation programme...

    Authors: Mandy M N Stijnen, Maria W J Jansen, Inge G P Duimel-Peeters and Hubertus J M Vrijhoef

    Citation: BMC Family Practice 2014 15:173

    Content type: Research article

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  12. A range of policy initiatives have addressed inequalities in healthcare and health outcomes. Local pay-for-performance schemes for primary care have been advocated as means of enhancing clinical ownership of t...

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

    Citation: BMC Family Practice 2014 15:168

    Content type: Research article

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  13. Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer sym...

    Authors: Katie Mills, Jon Emery, Camilla Cheung, Nicola Hall, Linda Birt and Fiona M Walter

    Citation: BMC Family Practice 2014 15:167

    Content type: Research article

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  14. The overall burden of disease (BOD) especially for infectious diseases is higher in Sub-Saharan Africa than other regions of the world. Existing data collected through the Health Management Information System ...

    Authors: Martin Kayitale Mbonye, Sarah M Burnett, Robert Colebunders, Sarah Naikoba, Jean-Pierre Van Geertruyden, Marcia R Weaver and Allan Ronald

    Citation: BMC Family Practice 2014 15:165

    Content type: Research article

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  15. Long-term conditions such as chronic obstructive pulmonary disease (COPD) are growing challenges for health services. Psychosocial co-morbidity is associated with poorer quality of life and greater use of heal...

    Authors: Susanne Langer, Carolyn A Chew-Graham, Jessica Drinkwater, Cara Afzal, Kim Keane, Cheryl Hunter, Else Guthrie and Peter Salmon

    Citation: BMC Family Practice 2014 15:164

    Content type: Research article

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  16. A high prevalence of mental and physical ill health among refugees resettled in the Netherlands has been reported. With this study we aim to assess the quality of primary healthcare for resettled refugees in t...

    Authors: Marije A van Melle, Majda Lamkaddem, Martijn M Stuiver, Annette AM Gerritsen, Walter LJM Devillé and Marie-Louise Essink-Bot

    Citation: BMC Family Practice 2014 15:160

    Content type: Research article

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  17. An ageing population and high levels of multimorbidity increase rates of GP and specialist consultations. Constraints on health care funding are leading to additional pressure for the adoption of safe and cost...

    Authors: Egle Price, Richard Baker, Jane Krause and Christine Keen

    Citation: BMC Family Practice 2014 15:158

    Content type: Debate

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  18. There is currently a growing emphasis in primary care on upscaling the provision of evidence-based services for specific conditions, such as heart failure (HF), which have traditionally been seen as part of a ...

    Authors: Stephanie Tierney, Roman Kislov and Christi Deaton

    Citation: BMC Family Practice 2014 15:153

    Content type: Research article

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  19. Chronic disease management presents enormous challenges to the primary care workforce because of the rising epidemic of cardiovascular risk factors. The chronic care model was proven effective in improving chr...

    Authors: Anis S Ramli, Sharmila Lakshmanan, Jamaiyah Haniff, Sharmini Selvarajah, Seng F Tong, Mohamad-Adam Bujang, Suraya Abdul-Razak, Asrul A Shafie, Verna KM Lee, Thuhairah H Abdul-Rahman, Maryam H Daud, Kien K Ng, Farnaza Ariffin, Hasidah Abdul-Hamid, Md-Yasin Mazapuspavina, Nafiza Mat-Nasir…

    Citation: BMC Family Practice 2014 15:151

    Content type: Study protocol

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  20. A prospective Population Risk Stratification (PRS) tool was first introduced in the public Basque Health Service in 2011, at the level of its several Primary Care (PC) practices. This paper aims at exploring t...

    Authors: Regina Sauto Arce, Amaia Saenz De Ormijana, Juan F Orueta, Marie-Pierre Gagnon and Roberto Nuño-Solinís

    Citation: BMC Family Practice 2014 15:150

    Content type: Research article

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  21. International and national bodies promote interdisciplinary care in the management of people with chronic conditions. We examine one facilitative factor in this team-based approach - the co-location of non-phy...

    Authors: Juliet Rumball-Smith, Walter P Wodchis, Anna Koné, Tim Kenealy, Jan Barnsley and Toni Ashton

    Citation: BMC Family Practice 2014 15:149

    Content type: Research article

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  22. Adults with chronic disease are the most frequent users of the primary healthcare system. In Manitoba, patients are allowed to seek ambulatory (outpatient) care from the provider of their choosing (primary car...

    Authors: Alan Katz, Patricia Martens, Dan Chateau, Bodgan Bogdanovic and Ina Koseva

    Citation: BMC Family Practice 2014 15:148

    Content type: Research article

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  23. Comparative performance information (CPI) about the quality of hospital care is information used to identify high-quality hospitals and providers. As the gatekeeper to secondary care, the general practitioner ...

    Authors: Nicole ABM Ketelaar, Marjan J Faber, Glyn Elwyn, Gert P Westert and Jozé C Braspenning

    Citation: BMC Family Practice 2014 15:146

    Content type: Research article

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  24. A program supporting the initiation of insulin therapy in primary care was introduced in Belgium, as part of a larger quality improvement project on diabetes care. This paper reports on a study exploring facto...

    Authors: Patricia Sunaert, Sara Willems, Luc Feyen, Hilde Bastiaens, Jan De Maeseneer, Lut Jenkins, Frank Nobels, Emmanuel Samyn, Marie Vandekerckhove, Johan Wens and An De Sutter

    Citation: BMC Family Practice 2014 15:144

    Content type: Research article

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  25. Australians living in rural and remote areas experience poorer access to primary health care (PHC) and poorer health outcomes compared to metropolitan populations. Current health reform in Australia aims to en...

    Authors: Susan L Thomas, John Wakerman and John S Humphreys

    Citation: BMC Family Practice 2014 15:143

    Content type: Research article

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  26. Danish general practitioners (GPs) answer all calls to the out-of-hours primary care service. About 60% of the calls are terminated on the telephone through provision of medical advice and prescription of medi...

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

    Citation: BMC Family Practice 2014 15:142

    Content type: Research article

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  27. A stepwise screening approach for the detection and management of cardiometabolic disease is proposed in various primary care guidelines. The aim of this study was to explore the implementation of a cardiometa...

    Authors: Merijn Godefrooij, Mark Spigt, Wim van der Minne, Georgette Jurrissen, Geert-Jan Dinant and André Knottnerus

    Citation: BMC Family Practice 2014 15:132

    Content type: Research article

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  28. The EUprimecare project-team assessed the perception of primary health care (PHC) professionals and patients on quality of organization of PHC systems in the participating countries: Estonia, Finland, Germany,...

    Authors: Renata Papp, Ilona Borbas, Eva Dobos, Maren Bredehorst, Lina Jaruseviciene, Tuulikki Vehko and Sandor Balogh

    Citation: BMC Family Practice 2014 15:128

    Content type: Research article

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  29. Chlamydia trachomatis is a common bacterial sexually transmitted infection (STI), which disproportionately affects young people under 25 years. Commonly, more women are offered screening than men. This study o...

    Authors: Karen Lorimer, Susan Martin and Lisa M McDaid

    Citation: BMC Family Practice 2014 15:127

    Content type: Research article

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  30. Integrated team-based primary care is an international imperative. This is required more so in Africa, where fragmented verticalised care dominates. South Africa is trying to address this with health reforms, ...

    Authors: Shabir Moosa, Bob Mash, Anselme Derese and Wim Peersman

    Citation: BMC Family Practice 2014 15:125

    Content type: Research article

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  31. Women are disproportionately affected by cardiovascular disease, often experiencing poorer outcomes following a cardiovascular event. Evidence points to inequities in processes of care as a potential contribut...

    Authors: Kiyuri Naicker, Clare Liddy, Jatinderpreet Singh, Monica Taljaard and William Hogg

    Citation: BMC Family Practice 2014 15:123

    Content type: Research article

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  32. The majority of patient contacts occur in general practice but general practice patient safety has been poorly described and under-researched to date compared to hospital settings. Our objective was to produce...

    Authors: Brian G Bell, Rachel Spencer, Anthony J Avery and Stephen M Campbell

    Citation: BMC Family Practice 2014 15:110

    Content type: Research article

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  33. When medically unexplained physical symptoms (MUPS) become persistent, it may have major implications for the patient, the general practitioner (GP) and for society.

    Authors: Madelon den Boeft, Johannes C van der Wouden, Trudie R Rydell-Lexmond, Niek J de Wit, Henriëtte E van der Horst and Mattijs E Numans

    Citation: BMC Family Practice 2014 15:109

    Content type: Research article

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  34. Further research on effective interventions for patients with peristent Medically Unexplained Physical Symptoms (MUPS) in general practice is needed. Prevalence estimates of such patients are conflicting, and ...

    Authors: Aase Aamland, Kirsti Malterud and Erik L Werner

    Citation: BMC Family Practice 2014 15:107

    Content type: Research article

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  35. Emergency (unscheduled) and elective (scheduled) use of secondary care varies between practices. Past studies have described factors associated with the number of emergency admissions; however, high quality ca...

    Authors: Chantelle Elizabeth Wiseman and Richard Baker

    Citation: BMC Family Practice 2014 15:101

    Content type: Research article

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  36. The study aimed to explore the views of general practitioners (GPs), nurses and physiotherapists towards extending the role of sickness certification beyond the medical profession in primary care.

    Authors: Victoria K Welsh, Tom Sanders, Jane C Richardson, Gwenllian Wynne-Jones, Clare Jinks and Christian D Mallen

    Citation: BMC Family Practice 2014 15:100

    Content type: Research article

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  37. This paper describes the development of a model of Comprehensive Primary Health Care (CPHC) applicable to the Australian context. CPHC holds promise as an effective model of health system organization able to ...

    Authors: Angela Lawless, Toby Freeman, Michael Bentley, Fran Baum and Gwyn Jolley

    Citation: BMC Family Practice 2014 15:99

    Content type: Research article

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  38. The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had...

    Authors: Risto Raivio, Juhani Jääskeläinen, Doris Holmberg-Marttila and Kari J Mattila

    Citation: BMC Family Practice 2014 15:98

    Content type: Research article

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  39. The increasing prevalence of cardiometabolic disease (CMD) in combination with an ageing population is a major public health problem. Early detection and management of individuals at risk for CMD is required t...

    Authors: Ilse F Badenbroek, Daphne M Stol, Marcus MJ Nielen, Monika Hollander, Roderik A Kraaijenhagen, G Ardine de Wit, François G Schellevis and Niek J de Wit

    Citation: BMC Family Practice 2014 15:90

    Content type: Study protocol

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    The Erratum to this article has been published in BMC Family Practice 2016 17:42

  40. Home visits are part of general practice work in Germany. Within the context of an expanding elderly population and a decreasing number of general practitioner (GPs), open questions regarding the organisation ...

    Authors: Karen Voigt, Stephanie Taché, Andreas Klement, Thomas Fankhaenel, Stefan Bojanowski and Antje Bergmann

    Citation: BMC Family Practice 2014 15:87

    Content type: Research article

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  41. The role of primary care professionals in lifestyle counseling for smoking, alcohol consumption, physical activity, and diet is receiving attention at the national level in many countries. The U. S. and Sweden...

    Authors: Lars Weinehall, Helene Johansson, Julie Sorensen, Lars Jerdén, John May and Paul Jenkins

    Citation: BMC Family Practice 2014 15:83

    Content type: Research article

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  42. Collaborative care (CC) is an organisational framework which facilitates the delivery of a mental health intervention to patients by case managers in collaboration with more senior health professionals (superv...

    Authors: Nia Coupe, Emma Anderson, Linda Gask, Paul Sykes, David A Richards and Carolyn Chew-Graham

    Citation: BMC Family Practice 2014 15:78

    Content type: Commentary

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  43. After the implementation of new healthcare reform, Chinese government paid increasing attention to developing community health service (CHS). The current focus is mainly on cultivating community general practi...

    Authors: Zhenni Luo, Xue Bai, Rui Min, Changmin Tang and Pengqian Fang

    Citation: BMC Family Practice 2014 15:77

    Content type: Research article

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  44. Providing good quality primary health care to all inhabitants is one of the Chinese Government’s health care objectives. However, information is scarce regarding the difference in quality of primary health car...

    Authors: Haitao Li, Roger Yat-Nork Chung, Xiaolin Wei, Jin Mou, Samuel Yeung-Shan Wong, Martin Chi-Sang Wong, Dan Zhang, Yingji Zhang and Sian Griffiths

    Citation: BMC Family Practice 2014 15:76

    Content type: Research article

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  45. In Spain, primary healthcare (PHC) referrals for diagnostic procedures are subject to long waiting-times, and physicians and patients often use the emergency department (ED) as a shortcut. We aimed to determin...

    Authors: Xavier Bosch, Ona Escoda, David Nicolás, Emmanuel Coloma, Sara Fernández, Antonio Coca and Alfonso López-Soto

    Citation: BMC Family Practice 2014 15:75

    Content type: Research article

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  46. The Danish health care sector is reorganising based on disease management programmes designed to secure integrated and high quality chronic care across hospitals, general practitioners and municipalities. The ...

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

    Citation: BMC Family Practice 2014 15:65

    Content type: Research article

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