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Knowledge, attitudes, behaviors, education, and communication

Section edited by Carolyn Chew-Graham and Chris Burton

This section covers, though is not limited to, education in general practice, health literacy and communication skills, eHealth and medical record systems, patient reported outcomes and quality indicators, and patient-physician relations, within the context of primary care.

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  1. Antimicrobial resistance (AMR) is high on the UK public health policy agenda, and poses challenges to patient safety and the provision of health services. Widespread prescribing of antibiotics is thought to in...

    Authors: Marieke M. van der Zande, Melanie Dembinsky, Giovanni Aresi and Tjeerd P. van Staa

    Citation: BMC Family Practice 2019 20:172

    Content type: Research article

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  2. Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care ...

    Authors: Yali Zhao, Xuexue Zhao, Yanli Liu, Yun Wei, Guanghui Jin, Shuang Shao and Xiaoqin Lu

    Citation: BMC Family Practice 2019 20:171

    Content type: Research article

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  3. Screening for atrial fibrillation (AF) in people aged ≥65 years is recommended by international guidelines. The Atrial Fibrillation Screen, Management And guideline-Recommended Therapy (AF-SMART) studies of op...

    Authors: Jessica Orchard, Jialin Li, Robyn Gallagher, Ben Freedman, Nicole Lowres and Lis Neubeck

    Citation: BMC Family Practice 2019 20:170

    Content type: Research article

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  4. The Patient Enablement Instrument (PEI) was designed to encapsulate consultation outcome from the perspective that increasing their understanding and coping ability would underpin a positive consultation outco...

    Authors: Aelita Skarbalienė, Arnoldas Jurgutis, Eva Lena Strandberg and Teresa Pawlikowska

    Citation: BMC Family Practice 2019 20:167

    Content type: Research article

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  5. Many countries in Europe have implemented managed competition and patient choice during the last decade. With the introduction of managed competition, health insurers also became an important stakeholder. They...

    Authors: Amy J. C. Potappel, Maartje C. Meijers, Corelien Kloek, Aafke Victoor, Janneke Noordman, Tim olde Hartman, Sandra van Dulmen and Judith D. de Jong

    Citation: BMC Family Practice 2019 20:166

    Content type: Research article

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  7. Approximately 50% of women gain weight in excess of gestational weight gain (GWG) recommendations during pregnancy leading to adverse maternal and foetal outcomes and the perpetuation of the cycle of obesity. ...

    Authors: Ruth Walker, Tammie S. T. Choi, Karyn Alexander, Danielle Mazza and Helen Truby

    Citation: BMC Family Practice 2019 20:148

    Content type: Research article

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  8. Accreditation is a widespread tool for quality management in health care. However, there is lack of research on the impact of accreditation, particularly in general practice. This study explores how general pr...

    Authors: Marius Brostrøm Kousgaard, Thorkil Thorsen and Tina Drud Due

    Citation: BMC Family Practice 2019 20:146

    Content type: Research article

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  9. Training of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medi...

    Authors: Khalid Gaffer Mohamed, Steinar Hunskaar, Samira Hamid Abdelrahman and Elfatih Mohamed Malik

    Citation: BMC Family Practice 2019 20:145

    Content type: Research article

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  10. Time constraints during patient visits play a major role for the work stress of primary care physicians. Several studies suggest that there is a critical situation in terms of time constraints in primary care ...

    Authors: Olaf von dem Knesebeck, Sarah Koens, Gabriella Marx and Martin Scherer

    Citation: BMC Family Practice 2019 20:142

    Content type: Research article

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  11. Postgraduate vocational training in family medicine (FM) is essential for physicians to build capacity and develop quality primary care. Inadequate standards in training and curriculum development can contribu...

    Authors: K. P. Lee, C. Wong, D. Chan, K. Kung, L. Luk, M. C. S. Wong, D. Chao, V. Leung, C. W. Chan, W. Ko, T. F. Leung, Y. H. Chan, H. T. Fung, M. K. Lee and S. Y. S. Wong

    Citation: BMC Family Practice 2019 20:139

    Content type: Research article

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  12. This study aims to describe barriers and facilitators of the implementation of a combined lifestyle intervention (CLI) in primary care for patients with chronic disease. The aim of CLI to help patients to crea...

    Authors: C. C. M. Molema, G. C. W. Wendel-Vos, S. ter Schegget, A. J. Schuit and L. A. M. van de Goor

    Citation: BMC Family Practice 2019 20:137

    Content type: Research article

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  13. Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been report...

    Authors: Mark J. Yaffe, Richard B. Hovey and Charo Rodriguez

    Citation: BMC Family Practice 2019 20:136

    Content type: Research article

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  14. This study was embedded in the Check-In randomised controlled trial that investigated the effectiveness of general practice-based preventive health checks on adverse health behaviour and early detection of non...

    Authors: Nina Kamstrup-Larsen, Marie Broholm-Jørgensen, Susanne O. Dalton, Lars B. Larsen, Janus L. Thomsen and Janne S. Tolstrup

    Citation: BMC Family Practice 2019 20:135

    Content type: Research article

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  15. Research shows that few general practitioners perform intra- and periarticular infiltrations. Lack of good training strategies to teach these skills would be an important reason for this observation. In this s...

    Authors: Nele R. Michels and Els Vanhomwegen

    Citation: BMC Family Practice 2019 20:133

    Content type: Research article

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  16. Family Medicine is a novel discipline in many countries, where the motivation for training and value added to communities is not well-described. Our purpose was to understand the reason behind the choice of Fa...

    Authors: Vincent K. Cubaka, Clayton Dyck, Russell Dawe, Baraa Alghalyini, Molly Whalen-Browne, Gabriel Cejas and Christine Gibson

    Citation: BMC Family Practice 2019 20:129

    Content type: Research article

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  18. BATHE is a brief psychosocial intervention designed for physician use in patient consultations. The technique has gained some international recognition, but there is currently limited research evidence to demo...

    Authors: Clare Thomas, Helen Cramer, Sue Jackson, David Kessler, Chris Metcalfe, Charlie Record and Rebecca K. Barnes

    Citation: BMC Family Practice 2019 20:121

    Content type: Research article

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  19. To enable delivery of high quality patient-centered care, as well as to allow primary care health systems to allocate appropriate resources that align with patients’ identified self-management problems (SM-Pro...

    Authors: Danielle M. Hessler, Lawrence Fisher, Vicky Bowyer, L. Miriam Dickinson, Bonnie T. Jortberg, Bethany Kwan, Douglas H. Fernald, Matt Simpson and W. Perry Dickinson

    Citation: BMC Family Practice 2019 20:120

    Content type: Research article

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  20. General practitioners (GPs) are responsible for managing chronic care in the growing population of patients with comorbid chronic conditions and cancer. Studies have shown, however, that cancer patients are le...

    Authors: Anne Beiter Arreskov, Anette Hauskov Graungaard, Mads Toft Kristensen, Jens Søndergaard and Annette Sofie Davidsen

    Citation: BMC Family Practice 2019 20:119

    Content type: Research article

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  21. Depression and anxiety disorders are common in primary care. Comorbidities are frequent, and the diagnoses can be difficult. The Mini-International Neuropsychiatric Interview (MINI) can be a support in the cli...

    Authors: Agneta Pettersson, Sonja Modin, Henna Hasson and Ingvar Krakau

    Citation: BMC Family Practice 2019 20:117

    Content type: Research article

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  22. General Practice (GP) seems to be perceived as less attractive throughout Europe. Most of the policies on the subject focused on negative factors. An EGPRN research team from eight participating countries was ...

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

    Citation: BMC Family Practice 2019 20:96

    Content type: Research article

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  23. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  32. 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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  33. 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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  34. 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

    Published on:

  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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  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

    Published on:

  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. 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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  41. Polypharmacy is an increasing problem, leading to increased morbidity and mortality, especially in older, multimorbid patients. Consequently, there is a need for reduction of polypharmacy. The aim of this stud...

    Authors: Stefan Zechmann, Cosima Trueb, Fabio Valeri, Sven Streit, Oliver Senn and Stefan Neuner-Jehle

    Citation: BMC Family Practice 2019 20:64

    Content type: Research article

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  43. 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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  44. Longstanding variation in the views of family physicians (FPs) on the role of opioids seems to translate into widely varying prescribing rates. Improvement interventions are unlikely to achieve change if they ...

    Authors: L. Desveaux, M. Saragosa, N. Kithulegoda and N. M. Ivers

    Citation: BMC Family Practice 2019 20:59

    Content type: Research article

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  45. In routine practice, general practitioners (GPs) see many patients for whom treatment might not be necessary, or evidence-based treatments are not available, yet often a treatment is prescribed. We denote such...

    Authors: Agnes Ostermaier, Niklas Barth, Antonius Schneider and Klaus Linde

    Citation: BMC Family Practice 2019 20:55

    Content type: Research article

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  46. Routine blood tests for young, healthy, asymptomatic patients have no proven value in early detection of diseases. Indeed, such tests have occasionally been found to be harmful. Although general blood tests ar...

    Authors: Michal Shaked, Inbar Levkovich, Tamar Adar, Alma Peri and Nir Liviatan

    Citation: BMC Family Practice 2019 20:51

    Content type: Research article

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  47. Patient safety is a universal issue which affects countries at all stages of health system development. Patient safety research in primary care reveals that globally millions of people suffer disabilities, inj...

    Authors: Muna Habib AL Lawati, Stephanie D. Short, Nadia Noor Abdulhadi, Sathiya Murthi Panchatcharam and Sarah Dennis

    Citation: BMC Family Practice 2019 20:50

    Content type: Research article

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  48. Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure...

    Authors: Ruby Biezen, Danilla Grando, Danielle Mazza and Bianca Brijnath

    Citation: BMC Family Practice 2019 20:46

    Content type: Research article

    Published on:

  49. One of several strategies developed to reduce inappropriate antibiotic use in situations where the indication is not clear is delayed antibiotic prescription (DAP), defined as an antibiotic prescription issued...

    Authors: Mariam de la Poza Abad, Gemma Mas Dalmau, Ignasi Gich Saladich, Laura Martínez García, Carl Llor and Pablo Alonso-Coello

    Citation: BMC Family Practice 2019 20:45

    Content type: Research article

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  50. Clinicians frequently have questions about patient care. However, for more than half of the generated questions, answers are never pursued, and if they are, often not answered satisfactorily. We aimed to chara...

    Authors: Loai Albarqouni, Tammy Hoffmann, Katrina McLean, Karen Price and Paul Glasziou

    Citation: BMC Family Practice 2019 20:43

    Content type: Research article

    Published on:

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