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  1. A perennial challenge of primary care quality improvement is to establish why interventions work in some circumstances, but not others. This study aimed to identify factors explaining variations in the impact ...

    Authors: Grant Russell, Riki Lane, Sharon Parker, John Litt, Danielle Mazza, Jane Lloyd, Nicholas Zwar, Mieke van Driel, Chris Del Mar, Jane Smith and Mark F. Harris

    Citation: BMC Family Practice 2019 20:113

    Content type: Research article

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  2. The PaTz-method (acronym for Palliatieve Thuiszorg, palliative care at home) is perceived to improve coordination, continuity and communication in palliative care in the Netherlands. Although important for fur...

    Authors: Ian Koper, H. Roeline W. Pasman, Annicka G. M. Van der Plas, Bart P. M. Schweitzer and Bregje D. Onwuteaka-Philipsen

    Citation: BMC Family Practice 2019 20:112

    Content type: Research article

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  3. Clinical guidelines exhort clinicians to encourage patients to improve their health behaviours. However, most offer little support on how to have these conversations in practice. Clinicians fear that health be...

    Authors: C. Albury, A. Hall, A. Syed, S. Ziebland, E. Stokoe, N. Roberts, H. Webb and P. Aveyard

    Citation: BMC Family Practice 2019 20:111

    Content type: Research article

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  4. The collaborative care model with a care manager has previously generated beneficial results for patients with depression in terms of decreased burden of depression symptoms. A care manager function has been t...

    Authors: I. Svenningsson, E-L Petersson, C. Udo, J. Westman, C. Björkelund and L. Wallin

    Citation: BMC Family Practice 2019 20:108

    Content type: Research article

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  5. The German clinical guideline on tobacco addiction recommends that general practitioners (GPs) provide brief stop-smoking advice to their patients according to the “5A” or the much briefer “ABC” method, but it...

    Authors: Sabrina Kastaun, Verena Leve, Jaqueline Hildebrandt, Christian Funke, Stephanie Becker, Diana Lubisch, Wolfgang Viechtbauer, Olaf Reddemann, Linn Hempel, Hayden McRobbie, Tobias Raupach, Robert West and Daniel Kotz

    Citation: BMC Family Practice 2019 20:107

    Content type: Study protocol

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  6. Anxiety is under-recorded and under-treated in the UK and is under-represented in research compared with depression. Detecting anxiety can be difficult because of co-existing conditions. GPs can be reluctant t...

    Authors: M. C. Barnes, D. Kessler, C. Archer and N. Wiles

    Citation: BMC Family Practice 2019 20:106

    Content type: Research article

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  7. Antidepressant use continues to rise, mainly explained by an increase in the proportion of patients receiving long term treatment. Although treatment guidelines recommend discontinuation after sustained remiss...

    Authors: Carolien Wentink, Marloes J. Huijbers, Peter Lucassen, Cornelis Kramers, Reinier Akkermans, Eddy Adang, Jan Spijker and Anne E. M. Speckens

    Citation: BMC Family Practice 2019 20:105

    Content type: Study protocol

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  8. Alcohol use by health care professionals is one of the potential factors that may affect the prevention of hazardous drinking in Primary Care (PC). The objective of the study was to estimate the prevalence of ...

    Authors: Esperanza Romero-Rodríguez, Luis Ángel Pérula de Torres, Juan Manuel Parras Rejano, Fernando Leiva-Cepas, Francisco Camarelles Guillem, Rodrigo Fernández Márquez and José Ángel Fernández García

    Citation: BMC Family Practice 2019 20:104

    Content type: Research article

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  9. Healthy Hearts Northwest (H2N) is a study of external support strategies to build quality improvement (QI) capacity in primary care with a focus on cardiovascular risk factors: appropriate aspirin use, blood p...

    Authors: Michael L. Parchman, Melissa L. Anderson, Katie Coleman, Le Ann Michaels, Linnaea Schuttner, Cullen Conway, Clarissa Hsu and Lyle J. Fagnan

    Citation: BMC Family Practice 2019 20:103

    Content type: Research article

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  10. Acute respiratory tract infections (RTI) in children are a common reason for antibiotic prescribing. Clinicians’ prescribing decisions are influenced by perceived parental expectations for antibiotics, however...

    Authors: Christie Cabral, Jeremy Horwood, Jon Symonds, Jenny Ingram, Patricia J. Lucas, Niamh M. Redmond, Joe Kai, Alastair D. Hay and Rebecca K. Barnes

    Citation: BMC Family Practice 2019 20:102

    Content type: Research article

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  11. People with low health literacy (HL) are at increased risk of poor health outcomes, and receive less benefit from healthcare services. However, healthcare practitioners can effectively adapt healthcare informa...

    Authors: Paul Campbell, Martyn Lewis, Ying Chen, Rosie J. Lacey, Gillian Rowlands and Joanne Protheroe

    Citation: BMC Family Practice 2019 20:101

    Content type: Research article

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  12. Malnutrition (specifically undernutrition) in older, community-dwelling adults reduces well-being and predisposes to disease. Implementation of screen-and-treat policies could help to systematically detect and...

    Authors: Philine S. Harris, Liz Payne, Leanne Morrison, Sue M. Green, Daniela Ghio, Claire Hallett, Emma L. Parsons, Paul Aveyard, Helen C. Roberts, Michelle Sutcliffe, Siân Robinson, Joanna Slodkowska-Barabasz, Paul S. Little, Michael A. Stroud and Lucy Yardley

    Citation: BMC Family Practice 2019 20:100

    Content type: Research article

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  13. Asthma, a common yet complex airway disorder affecting about 11% of Australians, is well-controlled in only 54% of people with asthma. Those with difficult-to-treat and severe asthma are more likely to experie...

    Authors: Isla Hains, Josh Meyers, Kirsten Sterling, Jeannie Yoo, Helen Reddel and Clare Weston

    Citation: BMC Family Practice 2019 20:99

    Content type: Research article

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  14. Next to the well-known micro- and macrovascular complications, type 2 diabetes mellitus (T2DM) is associated with musculoskeletal disorders of the upper extremities referred to as limited joint mobility (LJM),...

    Authors: Login Ahmed S. Alabdali, Jasmien Jaeken, Geert-Jan Dinant and Ramon P. G. Ottenheijm

    Citation: BMC Family Practice 2019 20:98

    Content type: Research article

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  15. Shared medical appointments (SMAs), or group visits, are a healthcare delivery method with the potential to improve chronic disease management and preventive care. In this review, we sought to better understan...

    Authors: Kim H. Wadsworth, Trevor G. Archibald, Allison E. Payne, Anita K. Cleary, Byron L. Haney and Adam S. Hoverman

    Citation: BMC Family Practice 2019 20:97

    Content type: Research article

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  16. Family doctors can fulfill the gatekeeper duty to protect the residents’ health, which depends on their work competency and stability. The study aimed to identify factors influencing work competency and stabil...

    Authors: Shanshan Liu, Luan Wang, Tao Zhang, Chengjun Liu, Hong Liang, Yimin Zhang and Dongfeng Guo

    Citation: BMC Family Practice 2019 20:95

    Content type: Research article

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  17. For many patients, the general practitioner (GP) is the most important point of contact for obtaining information about a wide range of health topics. However, patients with different characteristics may seek ...

    Authors: Monika Oedekoven, Wolfram J. Herrmann, Clemens Ernsting, Susanne Schnitzer, Melanie Kanzler, Adelheid Kuhlmey and Paul Gellert

    Citation: BMC Family Practice 2019 20:94

    Content type: Research article

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  18. Developed countries have widely implemented a gatekeeping system as a core policy of primary care, also known as the system of first visit in the community. As gatekeepers, general practitioners are responsibl...

    Authors: Cuiying Liang, Jie Mei, Yuan Liang, Ruwei Hu, Li Li and Li Kuang

    Citation: BMC Family Practice 2019 20:93

    Content type: Research article

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  19. Despite the increasing use of medical records to measure quality of care, studies have shown that their validity is suboptimal. The objective of this study is to assess the concordance of cardiovascular care p...

    Authors: Cynthia Khanji, Mireille E. Schnitzer, Céline Bareil, Sylvie Perreault and Lyne Lalonde

    Citation: BMC Family Practice 2019 20:92

    Content type: Research article

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  20. The benefit of a “diagnosis” of pre-diabetes in very elderly patients is debated. How clinicians manage pre-diabetic blood results in these patients is unknown. This study aims to understand how clinicians are...

    Authors: Patrick Burch, Thomas Blakeman, Peter Bower and Caroline Sanders

    Citation: BMC Family Practice 2019 20:90

    Content type: Research article

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  21. General practitioners increasingly use point-of-care ultrasonography despite a lack of evidence-based guidelines for their appropriate use in primary care. Little is known about the integration of ultrasonogra...

    Authors: Camilla Aakjær Andersen, Annette Sofie Davidsen, John Brodersen, Ole Graumann and Martin Bach Jensen

    Citation: BMC Family Practice 2019 20:89

    Content type: Research article

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  22. Multimorbid patients may experience a high burden of treatment. This has a negative impact on treatment adherence, health outcomes and health care costs. The objective of our study was to identify factors asso...

    Authors: Lilli Herzig, Andreas Zeller, Jérôme Pasquier, Sven Streit, Stefan Neuner-Jehle, Sophie Excoffier and Dagmar M Haller

    Citation: BMC Family Practice 2019 20:88

    Content type: Research article

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  23. Does an intervention designed to foster patient-centered communication and shared decision making among GPs and their patients with poorly controlled type 2 diabetes mellitus reduce the level of HbA1c.

    Authors: Anja Wollny, Attila Altiner, Anne Daubmann, Eva Drewelow, Christian Helbig, Susanne Löscher, Michael Pentzek, Sara Santos, Karl Wegscheider, Stefan Wilm and Christin Löffler

    Citation: BMC Family Practice 2019 20:87

    Content type: Research article

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  24. Strengthening the coordination, continuity and intersectoral cooperation for cancer patients’ during cancer treatment is being underlined by international guidelines and research. General practitioners have as...

    Authors: Theis Bitz Trabjerg, Lars Henrik Jensen, Jens Søndergaard, Jeffrey James Sisler and Dorte Gilså Hansen

    Citation: BMC Family Practice 2019 20:86

    Content type: Study protocol

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  25. Strengthening primary care is considered a global strategy to address non-communicable diseases and their comorbidity. However, empirical evidence of the longer-term benefits of capacity building programmes fo...

    Authors: Paibul Suriyawongpaisal, Wichai Aekplakorn, Borwornsom Leerapan, Fatim Lakha, Samrit Srithamrongsawat and Suparpit von Bormann

    Citation: BMC Family Practice 2019 20:85

    Content type: Research article

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  26. Although patients in Germany are generally free to choose their primary healthcare provider, this role should mainly be assumed by general practitioners (GPs). While some predictors of the frequency of use of ...

    Authors: Judith Tillmann, Marie-Therese Puth, Klaus Weckbecker, Manuela Klaschik and Eva Münster

    Citation: BMC Family Practice 2019 20:84

    Content type: Research article

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  27. Older adults suffer from various chronic conditions which make them particularly vulnerable. The proper management of multiple drug use is therefore crucial. The aim of our study was to describe drug prescript...

    Authors: Marina Guisado-Clavero, Concepción Violán, Tomàs López-Jimenez, Albert Roso-Llorach, Mariona Pons-Vigués, Miguel Angel Muñoz and Quintí Foguet-Boreu

    Citation: BMC Family Practice 2019 20:82

    Content type: Research article

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  28. Primary Care Plus (PC+) is an intervention where patients consult specialists in a primary care setting outside the hospital. Two facilities have been founded in the city of Maastricht, the Netherlands. Main a...

    Authors: Paul Smeele, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg and Dirk Ruwaard

    Citation: BMC Family Practice 2019 20:81

    Content type: Research article

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  29. Primary care is a central element of healthcare and addresses the main health problems of the population. While primary care gains in importance due to an aging population, there is an ongoing debate on physic...

    Authors: Kim-Sarah Krinke, Ulla Tangermann, Volker Eric Amelung and Christian Krauth

    Citation: BMC Family Practice 2019 20:80

    Content type: Research article

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  30. Research underpinning the patient experience of people with chronic conditions in Australian general practice is not well developed. We aimed to ascertain the perspectives of key stakeholders on aspects of pat...

    Authors: Hyun Jung Song, Sarah Dennis, Jean-Frédéric Levesque and Mark Fort Harris

    Citation: BMC Family Practice 2019 20:79

    Content type: Research article

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  31. The nurse-led chronic obstructive pulmonary disease-Guidance Research on Illness Perception (COPD-GRIP) intervention was developed to incorporate illness perceptions into COPD care with the intention to improv...

    Authors: Marieke Zwakman, Saskia W. M. Weldam, Sigrid C. J. M. Vervoort, Jan-Willem J. Lammers and Marieke J. Schuurmans

    Citation: BMC Family Practice 2019 20:78

    Content type: Research article

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  32. Patients with anemia are frequently encountered in primary care. Once anemia is detected, it is essential to define the type and identify the underlying cause prior to initiation of treatment. In most cases, t...

    Authors: Anders Larsson, Lena Carlsson, Bo Karlsson and Miklos Lipcsey

    Citation: BMC Family Practice 2019 20:77

    Content type: Research article

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  33. Multimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core asp...

    Authors: Neeltje Vermunt, Glyn Elwyn, Gert Westert, Mirjam Harmsen, Marcel Olde Rikkert and Marjan Meinders

    Citation: BMC Family Practice 2019 20:76

    Content type: Research article

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  34. The national guideline for sore throat, endorsed by the Danish Society of General Medicine, recommends the use of the modified Centor score and streptococcal rapid antigen detection test to guide diagnosis and...

    Authors: Kasper Basse Reinholdt, Maria Rusan, Pernille Rosbjerg Hansen and Tejs Ehlers Klug

    Citation: BMC Family Practice 2019 20:75

    Content type: Research article

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  35. UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary care HIV testing rates are low. Efforts to increase primary c...

    Authors: Joanna M. Kesten, Charlotte F. Davies, Mark Gompels, Megan Crofts, Annette Billing, Margaret T. May and Jeremy Horwood

    Citation: BMC Family Practice 2019 20:74

    Content type: Research article

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  36. Rising healthcare costs due to unnecessary referrals to secondary healthcare services underscore the need for optimizing current referral procedures. This study investigates whether the use of web-based consul...

    Authors: Thomas van der Velden, Bianca W. M. Schalk, Mirjam Harmsen, Guido Adriaansens, Tjard R. Schermer and Marc A. ten Dam

    Citation: BMC Family Practice 2019 20:73

    Content type: Research article

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  37. In 2015, Portugal was the OECD country with the highest reported consumption of BZD. Physician’s perceptions and attitudes regarding BZD are main determinants of related prescription habits. This study aimed t...

    Authors: Inês Teixeira Neves, Joana Sara Silva Oliveira, Milene Catarina Coelho Fernandes, Osvaldo Rodrigues Santos and Vasco António Jesus Maria

    Citation: BMC Family Practice 2019 20:71

    Content type: Research article

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  38. Pelvic floor disorders including urinary incontinence (UI) and pelvic organ prolapse (POP) are common conditions; however, most women with these symptoms do not seek care. Failure to seek care may be related t...

    Authors: Chi Chiung Grace Chen, Jacob T. Cox, Chloe Yuan, Lauren Thomaier and Sonia Dutta

    Citation: BMC Family Practice 2019 20:70

    Content type: Research article

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  39. The number of dementia patients in Japan is projected to reach seven million by 2025. While modern ethicists have largely reached the conclusion that full disclosure of dementia serves the best interest of pat...

    Authors: Michiko Abe, Shinji Tsunawaki, Masakazu Matsuda, Christine T. Cigolle, Michael D. Fetters and Machiko Inoue

    Citation: BMC Family Practice 2019 20:69

    Content type: Research article

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  40. General practitioners (GPs) play a key role in securing and coordinating appropriate use of healthcare services, by providing primary and preventive healthcare and by acting as gatekeepers for secondary health...

    Authors: Ellen Rabben Svedahl, Kristine Pape, Marlen Toch-Marquardt, Lena Janita Skarshaug, Silje-Lill Kaspersen, Johan Håkon Bjørngaard and Bjarne Austad

    Citation: BMC Family Practice 2019 20:68

    Content type: Research article

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  41. National guidelines recommend patients with suspected transient ischaemic attack (TIA) should be seen by a specialist within 24 h. However, people with suspected TIA often present to non-specialised services, ...

    Authors: Duncan Edwards, Grace M. Turner, Satnam K. Virdee and Jonathan Mant

    Citation: BMC Family Practice 2019 20:67

    Content type: Research article

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  42. Patients with medically unexplained physical symptoms (MUPS) are common in primary care, with a spectrum from mild to moderate and chronic MUPS. The burden of chronic MUPS is high, and early identification of ...

    Authors: Paula Elisabeth van Westrienen, Martijn Frits Pisters, Cindy Veenhof and Nicolaas Johannes de Wit

    Citation: BMC Family Practice 2019 20:66

    Content type: Research article

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  43. Dementia is often underdiagnosed in general practice, which may be based on general practitioners’ (GPs’) knowledge and emotional factors as well as external problems. This study aimed to describe GPs’ attitud...

    Authors: Stéphanie Giezendanner, Andreas U. Monsch, Reto W. Kressig, Yolanda Mueller, Sven Streit, Stefan Essig, Andreas Zeller and Klaus Bally

    Citation: BMC Family Practice 2019 20:65

    Content type: Research article

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  44. While multiple myeloma (MM) is a rare diagnosis within primary care, its precursor MGUS (monoclonal gammopathy of undetermined significance) is more common, particularly among older populations. Upon first det...

    Authors: Charlene M. McShane, Blain Murphy, Olinda Santin and Lesley A. Anderson

    Citation: BMC Family Practice 2019 20:61

    Content type: Research article

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