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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. Accreditation is a widely employed quality assurance concept in health care and the survey visit is the central method for assessing participating organisations’ compliance with accreditation standards. Despit...

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

    Citation: BMC Family Practice 2021 22:163

    Content type: Research article

    Published on:

  2. Access to high-quality primary care has been identified as a pressing need for adults with intellectual and developmental disabilities (IDD). Adults with IDD live with complex physical and mental health condit...

    Authors: Nicole Bobbette, Rosemary Lysaght, Hélène Ouellette-Kuntz, Joan Tranmer and Catherine Donnelly

    Citation: BMC Family Practice 2021 22:157

    Content type: Research article

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  3. The rising prevalence of non-communicable diseases (NCDs) such as diabetes mellitus (DM) and hypertension (HT) has placed a tremendous burden on healthcare systems around the world, resulting in a call for mor...

    Authors: Kam-Suen Chan, Eric Yuk-Fai Wan, Weng-Yee Chin, Will Ho-Gi Cheng, Margaret Kay Ho, Esther Yee-Tak Yu and Cindy Lo-Kuen Lam

    Citation: BMC Family Practice 2021 22:145

    Content type: Research article

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  4. Primary healthcare-based Early Identification and Brief Intervention (EIBI) for hazardous and harmful alcohol use is both a clinically relevant and cost-effective strategy to reduce heavy drinking. Unfortunate...

    Authors: Bram Pussig, Lodewijk Pas, Ann Li, Mieke Vermandere, Bert Aertgeerts and Catharina Matheï

    Citation: BMC Family Practice 2021 22:144

    Content type: Study protocol

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  5. The role played by nurses in caring for children in pediatricians’ officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of children aged 0–14 y...

    Authors: Immacolata Dall’Oglio, Giovanni Vitali Rosati, Valentina Biagioli, Emanuela Tiozzo, Orsola Gawronski, Riccardo Ricci, Antonio Garofalo, Simone Piga, Simone Gramaccioni, Claudio Di Maria, Valentina Vanzi, Alessandra Querciati, Rosaria Alvaro, Luciana Biancalani, Ersilia Buonomo, Mattia Doria…

    Citation: BMC Family Practice 2021 22:136

    Content type: Research article

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  6. Emergency Care and Treatment Plans are recommended for all primary care patients in the United Kingdom who are expected to experience deterioration of their health. The Recommended Summary Plan for Emergency C...

    Authors: Caroline J. Huxley, Karin Eli, Claire A. Hawkes, Gavin D. Perkins, Rob George, Frances Griffiths and Anne-Marie Slowther

    Citation: BMC Family Practice 2021 22:128

    Content type: Research article

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  7. With an ageing population and an increase in chronic disease burden in Australia, Patient Centred Medical Home (PCMH) models of care have been identified as potential options for primary care reform and improv...

    Authors: Christine Metusela, Bridget Dijkmans-Hadley, Judy Mullan, Andrew Gow and Andrew Bonney

    Citation: BMC Family Practice 2021 22:120

    Content type: Research article

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  8. The family doctors’ contract service problem is not about government management alone, but an interaction of a complex social environment. Consequently, the effect of contracted services of family doctors not ...

    Authors: Xinglong Xu, Henry Asante Antwi, Lulin Zhou, Tehzeeb Mustafa and Ama Boafo-Arthur

    Citation: BMC Family Practice 2021 22:117

    Content type: Research article

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  9. High quality primary care is expected to be the basis of many health care systems. Expectations on primary care are rising as societies age and the burden of chronic disease grows. To stimulate adherence to gu...

    Authors: Eva Arvidsson, Sofia Dahlin and Anders Anell

    Citation: BMC Family Practice 2021 22:113

    Content type: Research article

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  10. Patient-centred care is a core attribute of primary care. Not much is known about the relationship between patient-centred care and doctor-patient familiarity. This study aimed to explore the association betwe...

    Authors: Chenwen Zhong, Mengping Zhou, Zhuojun Luo, Cuiying Liang, Lina Li and Li Kuang

    Citation: BMC Family Practice 2021 22:107

    Content type: Research article

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  11. Primary healthcare centers (PHC) ensure that patients receive comprehensive care from promotion and prevention to treatment, rehabilitation, and palliative care in a familiar environment. It is designed to pro...

    Authors: Soha A. Tashkandi, Ali Alenezi, Ismail Bakhsh, Abdullah AlJuryyan, Zahir H AlShehry, Saeed AlRashdi, Maryjane Guzman, Marvin Pono, Franklin Lim, April Rose Tabudlong, Lamees Elwan, Musa Fagih and Ahmad Aboabat

    Citation: BMC Family Practice 2021 22:105

    Content type: Research article

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  12. Mobile technologies have become capable of changing the paradigm of healthcare services. A clear example is that, nowadays, these technologies are an important instrument for data collection processes, epidemi...

    Authors: Anisbed Naranjo-Rojas, Luis Ángel Perula-de-Torres, Freiser Eceomo Cruz-Mosquera and Guillermo Molina-Recio

    Citation: BMC Family Practice 2021 22:104

    Content type: Study protocol

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  13. To explore the perceived barriers and facilitators in the management of the patients having diabetes with comorbidities by primary care physicians.

    Authors: Sandipana Pati, Sanghamitra Pati, Marjan van den Akker, F. G. Schellevis, Krushna Chandra Sahoo and Jako S. Burgers

    Citation: BMC Family Practice 2021 22:99

    Content type: Research article

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  14. General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for t...

    Authors: Rosy Tsopra, Paul Frappe, Sven Streit, Ana Luisa Neves, Persijn J. Honkoop, Ana Belen Espinosa-Gonzalez, Berk Geroğlu, Tobias Jahr, Heidrun Lingner, Katarzyna Nessler, Gabriella Pesolillo, Øyvind Stople Sivertsen, Hans Thulesius, Raluca Zoitanu, Anita Burgun and Shérazade Kinouani

    Citation: BMC Family Practice 2021 22:96

    Content type: Research article

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  15. The implementation of lockdowns in the UK during the COVID-19 pandemic resulted in a system switch to remote primary care consulting at the same time as the incidence of domestic violence and abuse (DVA) incre...

    Authors: Eszter Szilassy, Estela Capelas Barbosa, Sharon Dixon, Gene Feder, Chris Griffiths, Medina Johnson, Anna De Simoni, Vari Wileman, Jasmina Panovska-Griffiths and Anna Dowrick

    Citation: BMC Family Practice 2021 22:91

    Content type: Study protocol

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  16. Direct-to-consumer genetic testing (DTCGT) offers individuals access to information on their probable risks of suffering from a wide range of chronic diseases. General practitioners (GPs) will probably play a ...

    Authors: Christine Cohidon, Regula Cardinaux, Jacques Cornuz, Robin Chenal, Béatrice Desvergne, Idris Guessous, Daniela Cerqui and Daniel Widmer

    Citation: BMC Family Practice 2021 22:79

    Content type: Research article

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  17. Type 2 diabetes (T2DM) and COPD are chronic medical conditions, for which patients need lifelong healthcare. The aim of this study is to examine in which healthcare setting patients with T2DM and COPD receive ...

    Authors: R. P. Willink, Rimke C. Vos, I. Looijmans-van den Akker and Huberta E. Hart

    Citation: BMC Family Practice 2021 22:78

    Content type: Research article

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  18. Nurse practitioners (NPs) have been added to primary healthcare teams to improve access to care. Team processes, including communication and decision-making, explicate how patients and families view team funct...

    Authors: Kelley Kilpatrick, Eric Tchouaket, Nicolas Fernandez, Mira Jabbour, Carl-Ardy Dubois, Lysane Paquette, Véronique Landry, Nathalie Gauthier and Marie-Dominique Beaulieu

    Citation: BMC Family Practice 2021 22:76

    Content type: Research article

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  19. The primary objective was to describe outpatient treatment of epistaxis among different physicians based on a large patient population over a period of 10 years. The secondary objective was to evaluate the val...

    Authors: Annina E. Althaus, Jonas Lüske, Ulrike Arendt, Michael Dörks, Michael H. Freitag, Falk Hoffmann and Kathrin Jobski

    Citation: BMC Family Practice 2021 22:75

    Content type: Research article

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  20. The present study describes how primary care can be improved for patients with multimorbidity, based on the evaluation of a patient-centered care (PCC) improvement program designed to foster the eight PCC dime...

    Authors: Sanne Jannick Kuipers, Anna Petra Nieboer and Jane Murray Cramm

    Citation: BMC Family Practice 2021 22:70

    Content type: Research article

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  21. Patients in need of palliative care often want to reside at home. Providing palliative care requires resources and a high level of competence in primary care. The Norwegian guideline for palliative care points...

    Authors: Anne Fasting, Irene Hetlevik and Bente Prytz Mjølstad

    Citation: BMC Family Practice 2021 22:64

    Content type: Research article

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  22. Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering s...

    Authors: Eva Seckler, Verena Regauer, Melanie Krüger, Anna Gabriel, Joachim Hermsdörfer, Carolin Niemietz, Petra Bauer and Martin Müller

    Citation: BMC Family Practice 2021 22:62

    Content type: Research article

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  23. Most patients nearing the end of life can benefit from a palliative approach in primary care. We currently do not know how to measure a palliative approach in family practice. The objective of this study was t...

    Authors: Erin Gallagher, Daniel Carter-Ramirez, Kaitlyn Boese, Samantha Winemaker, Amanda MacLennan, Nicolle Hansen, Abe Hafid and Michelle Howard

    Citation: BMC Family Practice 2021 22:58

    Content type: Research article

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  24. There is evidence that an ongoing patient-physician relationship is associated with improved health outcomes and more efficient health systems. The main objective of this study is to describe the continuity of...

    Authors: Ermengol Coma, Núria Mora, Paula Peremiquel-Trillas, Mència Benítez, Leonardo Méndez, Albert Mercadé, Francesc Fina, Mireia Fàbregas and Manuel Medina

    Citation: BMC Family Practice 2021 22:56

    Content type: Research article

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  25. Access to transgender care in Canada is poor. Although primary care providers are ideally positioned to initiate care, many feel uncomfortable providing transgender care. This study aimed to explore the impact...

    Authors: Jatinderpreet Singh, Allison Lou, Michael Green, Erin Keely, Mary Greenaway and Clare Liddy

    Citation: BMC Family Practice 2021 22:55

    Content type: Research article

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  26. Social Prescribing is increasingly popular, and several evaluations have shown positive results. However, Social Prescribing is an umbrella term that covers many different interventions. We aimed to test, deve...

    Authors: Emily Wood, Sally Ohlsen, Sarah-Jane Fenton, Janice Connell and Scott Weich

    Citation: BMC Family Practice 2021 22:53

    Content type: Research article

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  27. Universal health coverage is one of the Sustainable Development Goal targets known to improve population health and reduce financial burden. There is little qualitative data on access to and quality of primary...

    Authors: Soter Ameh, Bolarinwa Oladimeji Akeem, Caleb Ochimana, Abayomi Olabayo Oluwasanu, Shukri F. Mohamed, Samson Okello, Alfa Muhihi and Goodarz Danaei

    Citation: BMC Family Practice 2021 22:45

    Content type: Research article

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  28. Persistent physical symptoms (PPS) are estimated to be present in 17% of patients in general practice. Hence, general practitioners (GPs) play a key role in both the diagnostic assessment and the management of...

    Authors: Mette Trøllund Rask, Pernille Ravn Jakobsen, Jane Clemensen, Marianne Rosendal and Lisbeth Frostholm

    Citation: BMC Family Practice 2021 22:33

    Content type: Research article

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  29. Rural settings in low- and middle-income countries are bedeviled with poverty and high disease burden, and lack adequate resources to deliver quality healthcare to the population. Drug shortage and inadequate ...

    Authors: Vitalis Bawontuo, Augustine Adomah-Afari, Williams W. Amoah, Desmond Kuupiel and Irene Akua Agyepong

    Citation: BMC Family Practice 2021 22:32

    Content type: Research article

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  30. Interprofessional primary care (IPC) teams provide comprehensive and coordinated care and are ideally equipped to support those populations most at risk of adverse health outcomes during the COVID-19 pandemic,...

    Authors: Catherine Donnelly, Rachelle Ashcroft, Nicole Bobbette, Christine Mills, Amanda Mofina, Todd Tran, Kyle Vader, Ashley Williams, Sandeep Gill and Jordan Miller

    Citation: BMC Family Practice 2021 22:31

    Content type: Research article

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  31. Domestic migration poses a challenge for China as migrants have little access to preventive healthcare services and are vulnerable to certain risks and diseases. This research sought to unveil and explore the ...

    Authors: Shuang Shao, Huirong Zhang, Xiaolei Chen, Xiaojingyuan Xu, Yali Zhao, Meirong Wang and Juan Du

    Citation: BMC Family Practice 2021 22:23

    Content type: Research article

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  32. The purpose of this study is to forward the implementation of an operational evidence-based state screening program of common diseases in Ukraine, where currently no state-based and evidence-based screening (E...

    Authors: Pavlo Kolesnyk, Thomas Frese, Shlomo Vinker, Ivanna Shushman, Albina Zharkova, Nassir Messaadi, Andriy Kolesnyk and Sabine Bayen

    Citation: BMC Family Practice 2021 22:20

    Content type: Research article

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  33. Primary care needs to respond effectively to patients experiencing or perpetrating domestic violence and abuse (DVA) and their children, but there is uncertainty about the value of integrated programmes. The a...

    Authors: Eszter Szilassy, Jessica Roy, Emma Williamson, Katherine Pitt, Mei-See Man and Gene Feder

    Citation: BMC Family Practice 2021 22:19

    Content type: Research article

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  34. Kerala is known as the diabetes mellitus (DM) and hypertension (HTN) capital of the world, thus compelling health professionals to model strategies, addressing their social, behavioural, and cognitive risk fac...

    Authors: M D Saju, Bindiya M Varghese, Lorane Scaria, Anuja Maria Benny, Shilpa V Yohannan, Natania Cheguvera, S P Rajeev and Amuthavalli Thiyagarajan Jotheeswaran

    Citation: BMC Family Practice 2021 22:15

    Content type: Study protocol

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  35. Family medicine is a branch of medicine that manages common and long-term illnesses in children and adults. Family physicians in particular play a major role and their scope of practice is expected to impact p...

    Authors: Hervé Tchala Vignon Zomahoun, Isabelle Samson, Jasmine Sawadogo, José Massougbodji, Amédé Gogovor, Ella Diendéré, Frédéric Turgeon and France Légaré

    Citation: BMC Family Practice 2021 22:12

    Content type: Research article

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  36. The family doctor system is a vital part of China’s national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy mak...

    Authors: Shanshan Liu, Yan Liu, Tao Zhang, Luan Wang, Jiaoling Huang, Hong Liang, Gang Chen, Chengjun Liu and Yimin Zhang

    Citation: BMC Family Practice 2021 22:11

    Content type: Research article

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  37. South Africa has unique and diverse social and economic factors that have an impact on the provision of basic water, sanitation, hygiene and waste management infrastructure and practices at health care facilit...

    Authors: N. Potgieter, N. T. Banda, P. J. Becker and A. N. Traore-Hoffman

    Citation: BMC Family Practice 2021 22:8

    Content type: Research article

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  38. Most people in Australia visit a General Practitioner each year and are free to choose their General Practitioner and/or practice on each occasion. A proportion of people visit multiple general practices, whic...

    Authors: Kristen M. Glenister, John Guymer, Lisa Bourke and David Simmons

    Citation: BMC Family Practice 2021 22:2

    Content type: Research article

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  39. A growing demand for physicians exists worldwide. Due to political changes, economic incentives and new workplace expectations a trend from single-handed practices to group practices has been noticed in many c...

    Authors: Lisa-Marie Weinmayr, Ruben Zwierlein and Jost Steinhäuser

    Citation: BMC Family Practice 2020 21:276

    Content type: Research article

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  40. 11.5 % of girls and 17.8 % of boys are affected by a mental health problem (MHP). The most prevalent problem areas are behavioural problems (girls/boys in %: 11.9/17.9), emotional problems (9.7/8.6) and hypera...

    Authors: Siona Decke, Karina Deckert, Martin Lang, Otto Laub, Verena Loidl, Lars Schwettmann and Eva Grill

    Citation: BMC Family Practice 2020 21:273

    Content type: Research article

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  41. In an earlier study, PRIM-CARE RCT, a care manager implementation at the primary care centre showed improved return to work and reduced sick leave for patients with CMD. To further improve return to work, the ...

    Authors: Eva-Lisa Petersson, Karin Törnbom, Dominique Hange, Shabnam Nejati, Margareta Jerlock, Carl Wikberg, Cecilia Björkelund and Irene Svenningsson

    Citation: BMC Family Practice 2020 21:272

    Content type: Research article

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  42. The new coronavirus pneumonia (NCP) caused by COVID-19 has affected more than 46 million people worldwide. In China, primary care has played a vital role during the COVID-19 outbreak, and it is important to ex...

    Authors: Desiree Man-Sik Tse, Zhuo Li, Ye Lu, Yang Li, Ying Liu and William Chi Wai Wong

    Citation: BMC Family Practice 2020 21:271

    Content type: Research article

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  43. During the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March–May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consul...

    Authors: Fiona Imlach, Eileen McKinlay, Lesley Middleton, Jonathan Kennedy, Megan Pledger, Lynne Russell, Marianna Churchward, Jacqueline Cumming and Karen McBride-Henry

    Citation: BMC Family Practice 2020 21:269

    Content type: Research article

    Published on:

  44. Individuals living in poverty often visit their primary care physician for health problems resulting from unmet legal needs. Providing legal services for those in need may therefore improve health outcomes. Po...

    Authors: Gina Agarwal, Melissa Pirrie, Dan Edwards, Bethany Delleman, Sharon Crowe, Hugh Tye and Jayne Mallin

    Citation: BMC Family Practice 2020 21:267

    Content type: Research article

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  45. Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not managed appropriately ...

    Authors: Jeremy Horwood, Emer Brangan, Petra Manley, Paddy Horner, Peter Muir, Paul North and John Macleod

    Citation: BMC Family Practice 2020 21:265

    Content type: Research article

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