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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. To assess the contribution of physician-related factors, especially their influenza vaccine status, in the vaccination coverage of their patients.

    Authors: Pere Godoy, Jesús Castilla, José María Mayoral, Vicente Martín, Jenaro Astray, Núria Torner, Diana Toledo, Núria Soldevila, Fernando González-Candelas, Susana García, José Diaz-Borrego, Sonia Tamames and Angela Domínguez

    Citation: BMC Family Practice 2015 16:44

    Content type: Research article

    Published on:

  2. The impact of physical inactivity and unhealthy diet on health is increasingly profound. Lifestyle interventions targeting both behaviors simultaneously might decrease the prevalence of overweight and comorbid...

    Authors: Brenda AJ Berendsen, Stef PJ Kremers, Hans HCM Savelberg, Nicolaas C Schaper and Marike RC Hendriks

    Citation: BMC Family Practice 2015 16:37

    Content type: Research article

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  3. The NHS Cardiovascular Health Check (NHSHC) programme was introduced in England in 2009 to reduce cardiovascular disease mortality and morbidity for all patients aged 40 to 74 years old. Programme cost-effecti...

    Authors: Caroline E Jenkinson, Anthea Asprey, Christopher E Clark and Suzanne H Richards

    Citation: BMC Family Practice 2015 16:33

    Content type: Research article

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  4. Patients with comorbid depression and physical health problems have poorer outcomes compared with those with single long term conditions (LTCs), or multiple LTCs without depression. Primary care has traditiona...

    Authors: Sarah E Knowles, Carolyn Chew-Graham, Isabel Adeyemi, Nia Coupe and Peter A Coventry

    Citation: BMC Family Practice 2015 16:32

    Content type: Research article

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  5. Geriatric screening tools are increasingly implemented in daily practice, especially in the oncology setting, but also in primary care in some countries such as the Netherlands. Nonetheless, validation of thes...

    Authors: Laura Deckx, Marjan van den Akker, Liesbeth Daniels, Eric T De Jonge, Paul Bulens, Vivianne CG Tjan-Heijnen, Doris L van Abbema and Frank Buntinx

    Citation: BMC Family Practice 2015 16:30

    Content type: Research article

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  6. A Reference Framework for Hypertension Care was recently developed by Hong Kong government to emphasise the importance of primary care for subjects with high blood pressure (BP). The Dietary Approaches to Stop...

    Authors: Harry HX Wang, Martin CS Wong, Rosina Y Mok, Mandy WM Kwan, Wai Man Chan, Carmen KM Fan, Catherine LS Lee and Sian M Griffiths

    Citation: BMC Family Practice 2015 16:26

    Content type: Research article

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  7. Many physicians in Sweden, as well as in other countries, find the matter of certification of sickness absence (COSA) particularly burdensome. The issuing of COSAs has also been perceived as a work-environment...

    Authors: Lars Carlsson, Linda Lännerström, Thorne Wallman and Inger K Holmström

    Citation: BMC Family Practice 2015 16:21

    Content type: Research article

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  8. The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in o...

    Authors: Marius Brostrøm Kousgaard, Anne Sofie Kjær Joensen and Thorkil Thorsen

    Citation: BMC Family Practice 2015 16:17

    Content type: Research article

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  10. North American patients are experiencing difficulties in securing affiliations with family physicians. Centralized waiting lists are increasingly being used in Organisation for Economic Co-operation and Develo...

    Authors: Mylaine Breton, Astrid Brousselle, Antoine Boivin, Danièle Roberge, Raynald Pineault and Djamal Berbiche

    Citation: BMC Family Practice 2015 16:10

    Content type: Research article

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  11. Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in...

    Authors: Claudette de Vries, Carine Doggen, Ellen Hilbers, Robert Verheij, Maarten IJzerman, Robert Geertsma and Ron Kusters

    Citation: BMC Family Practice 2015 16:9

    Content type: Research article

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  12. Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are exp...

    Authors: Gloria Cordoba, Volkert Siersma, Beatriz Lopez-Valcarcel, Lars Bjerrum, Carl Llor, Rune Aabenhus and Marjukka Makela

    Citation: BMC Family Practice 2015 16:7

    Content type: Research article

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  13. Geriatric assessments are established tools in institutional care since they enable standardized detection of relevant age-related disorders. Geriatric assessments could also be helpful in general practice. Ho...

    Authors: Tanja Barkhausen, Ulrike Junius-Walker, Eva Hummers-Pradier, Christiane A Mueller and Gudrun Theile

    Citation: BMC Family Practice 2015 16:4

    Content type: Research article

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  14. Strategies to improve care coordination between primary and hospital care do not always have the desired results. This is partly due to incomplete understanding of the key concepts of care coordination. An in-...

    Authors: Sabine Van Houdt, Walter Sermeus, Kris Vanhaecht and Jan De Lepeleire

    Citation: BMC Family Practice 2014 15:177

    Content type: Research article

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  15. Integration of lifestyle promotion in routine primary care has been suboptimal. Coordinated care models (e.g. screening, brief advice and referral to in-house specialized staff) could facilitate lifestyle prom...

    Authors: Kristin Thomas, Barbro Krevers and Preben Bendtsen

    Citation: BMC Family Practice 2014 15:201

    Content type: Research article

    Published on:

  16. 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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  17. 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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  18. 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

    Published on:

  19. 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

    Published on:

  20. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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

    Published on:

  27. 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

    Published on:

  28. 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

    Published on:

  29. 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

    Published on:

  30. 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

    Published on:

  31. 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

    Published on:

  32. 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

    Published on:

  33. 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

    Published on:

  35. 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

    Published on:

  36. 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

    Published on:

  37. 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

    Published on:

  38. 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

    Published on:

  39. 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

    Published on:

  40. 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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  41. 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

    Published on:

  42. 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

    Published on:

  43. 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

    Published on:

  44. 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

    Published on:

  45. 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

    Published on:

  46. 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

    Published on:

  48. 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

    Published on:

  49. 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

    Published on:

  50. 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

    Published on:

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