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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. With the increasing double burden of communicable and non-communicable diseases (NCDs) in sub-Saharan Africa, health systems require new approaches to organise and deliver services for patients requiring long-...

    Authors: Vibian Angwenyi, Carolien Aantjes, Joske Bunders-Aelen, Bart Criel and Jeffrey V. Lazarus

    Citation: BMC Family Practice 2020 21:101

    Content type: Research article

    Published on:

  2. As in other countries, there is concern and some fragmentary evidence that GPs’ central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gi...

    Authors: Marc Höglinger, Fabio Knöfler, Rita Schaumann-von Stosch, Stefan M. Scholz-Odermatt and Klaus Eichler

    Citation: BMC Family Practice 2020 21:99

    Content type: Research article

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  3. Primary care serves all age groups and individuals with health states ranging from those with no chronic conditions to those who are medically complex, or frail and approaching the end of life. For information...

    Authors: Julia M. Langton, Sabrina T. Wong, Fred Burge, Alexandra Choi, Niloufar Ghaseminejad-Tafreshi, Sharon Johnston, Alan Katz, Ruth Lavergne, Dawn Mooney, Sandra Peterson and Kimberlyn McGrail

    Citation: BMC Family Practice 2020 21:98

    Content type: Research article

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  4. Research indicate that when general practitioners (GPs) refer their patients for specialist care, the patient often has long distance. This study had a twofold aim: in accordance to the GP’s suspicion of cance...

    Authors: Line Flytkjær Virgilsen, Line Hvidberg and Peter Vedsted

    Citation: BMC Family Practice 2020 21:97

    Content type: Research article

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  5. The integration of community health and social care services has been widely promoted nationally as a vital step to improve patient centred care, reduce costs, reduce admissions to hospital and facilitate time...

    Authors: Claire Mitchell, Abigail Tazzyman, Susan J. Howard and Damian Hodgson

    Citation: BMC Family Practice 2020 21:96

    Content type: Research article

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  6. Specialist LINK is a real-time, non-urgent telephone collaboration line designed to link family doctors and specialists. The purpose was to reduce wait times, improve efficiency and enhance the coordination of pa...

    Authors: Mubashir Arain, Mahnoush Rostami, Mariama Zaami, Valerie Kiss and Richard Ward

    Citation: BMC Family Practice 2020 21:86

    Content type: Research article

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  7. To explore and compare safety, efficiency, and health-related quality of telephone triage in out-of-hours primary care (OOH-PC) services performed by general practitioners (GPs), nurses using a computerised de...

    Authors: D. S. Graversen, M. B. Christensen, A. F. Pedersen, A. H. Carlsen, F. Bro, H. C. Christensen, C. H. Vestergaard and L. Huibers

    Citation: BMC Family Practice 2020 21:84

    Content type: Research article

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  8. An increasing prevalence of having survived a myocardial infarction increases the importance of medical secondary prevention. Although preventive medication reduces mortality, prescribing and adherence are kno...

    Authors: Christian Freier, Christoph Heintze and Wolfram J. Herrmann

    Citation: BMC Family Practice 2020 21:81

    Content type: Research article

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  9. End of life (EoL) care becomes more complex and increasingly takes place in the community, but there is little data on the use of general practice (GP) services to guide care improvement. This study aims to de...

    Authors: Wei Gao, Martin Gulliford, Myfanwy Morgan and Irene J. Higginson

    Citation: BMC Family Practice 2020 21:76

    Content type: Research article

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  10. Since 2000, China has been developing primary care institutions to serve as the gateway to the healthcare system. However, the investment of resources in primary care institutions is not based on the actual me...

    Authors: Jianwei Shi, Chunhua Chi, Xin Gong, Chen Chen, Wenya Yu, Jiaoling Huang, Liang Zhou, Ning Chen, Yan Yang, Qian Liu and Zhaoxin Wang

    Citation: BMC Family Practice 2020 21:74

    Content type: Research article

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  11. Due to differences of residency training programs’ emphases – inpatient vs office-based – internal medicine and family medicine residents consistently reported differences in preparedness to care for common ad...

    Authors: Kristina Flaegel, Bettina Brandt, Katja Goetz and Jost Steinhaeuser

    Citation: BMC Family Practice 2020 21:73

    Content type: Research article

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  12. Patient-centered care (PCC) has been proposed as the way forward in improving primary care for patients with multi-morbidity. However, it is not clear what PCC exactly looks like in practice for patients with ...

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

    Citation: BMC Family Practice 2020 21:71

    Content type: Research article

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  13. There are gaps in knowledge and understanding about the relationships between primary care and community-based health and social services in the context of healthy aging at home and system navigation. This stu...

    Authors: Ruta Valaitis, Laura Cleghorn, Jenny Ploeg, Cathy Risdon, Derelie Mangin, Lisa Dolovich, Gina Agarwal, Doug Oliver, Jessica Gaber and Harjit Chung

    Citation: BMC Family Practice 2020 21:69

    Content type: Research article

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  14. There is guidance in the United Kingdom about what long-term care stroke survivors should receive, but a lack of guidance about who should deliver it and where this care should take place. This is a key issue ...

    Authors: Lisa Lim, Jonathan Mant, Ricky Mullis and Martin Roland

    Citation: BMC Family Practice 2020 21:66

    Content type: Research article

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  15. Many countries are engaged in primary care reforms to support older adults who are living longer in the community. Health Teams Advancing Patient Experience: Strengthening Quality [Health TAPESTRY] is a primar...

    Authors: Ruta Valaitis, Laura Cleghorn, Lisa Dolovich, Gina Agarwal, Jessica Gaber, Derelie Mangin, Doug Oliver, Fiona Parascandalo, Jenny Ploeg and Cathy Risdon

    Citation: BMC Family Practice 2020 21:63

    Content type: Research article

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  16. Guidelines recommend a biopsychosocial framework for low back pain (LBP) management and the avoidance of inappropriate imaging. In clinical practice, care strategies are often inconsistent with evidence and gu...

    Authors: A. S. Simula, A. Malmivaara, N. Booth and J. Karppinen

    Citation: BMC Family Practice 2020 21:61

    Content type: Study protocol

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  17. To evaluate the efficacy of a multidisciplinary vocational programme in sick-listed, primary health care patients as compared to matched non-programme patients.

    Authors: Anna-Sophia von Celsing, Per Kristiansson, Kurt Svärdsudd and Thorne Wallman

    Citation: BMC Family Practice 2020 21:59

    Content type: Research article

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  18. The communication of relevant patient information between general practitioners (GPs) and medical specialists is important in order to avoid fragmentation of care thus achieving a higher quality of care and en...

    Authors: Giacomo Scaioli, Willemijn L. A. Schäfer, Wienke G. W. Boerma, Peter M. M. Spreeuwenberg, François G. Schellevis and Peter P. Groenewegen

    Citation: BMC Family Practice 2020 21:54

    Content type: Research article

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  19. To evaluate the impact of integrating diabetes education teams in primary care on glycemic control, lipid, and blood-pressure management in type 2 diabetes patients.

    Authors: Enza Gucciardi, Changchang Xu, Michele Vitale, Wendy Lou, Stacey Horodezny, Linda Dorado, Souraya Sidani and Baiju R. Shah

    Citation: BMC Family Practice 2020 21:48

    Content type: Research article

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  20. Adult immunization rates are below Healthy People 2020 targets. Our objective was to evaluate the effectiveness of a multicomponent intervention to improve adult immunization rates.

    Authors: Natalia Y. Loskutova, Craig Smail, Elisabeth Callen, Elizabeth W. Staton, Niaman Nazir, Brian Webster and Wilson D. Pace

    Citation: BMC Family Practice 2020 21:46

    Content type: Research article

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  21. Timely access in primary health care is one of the key issues facing health systems. Among many interventions developed around the world, advanced access is the most highly recommended intervention designed sp...

    Authors: Mylaine Breton, Lara Maillet, Arnaud Duhoux, Sabina Abou Malham, Isabelle Gaboury, Luiza Maria Manceau, Catherine Hudon, Isabel Rodrigues, Jeannie Haggerty, Nassera Touati, Marie-Claude Beaulieu, Christine Loignon, Marie-Thérèse Lussier, Isabelle Vedel, Jalila Jbilou and France Légaré

    Citation: BMC Family Practice 2020 21:41

    Content type: Study protocol

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  22. Optimal parental preconception health benefits reproductive outcomes. However, preconception health promotion is not routinely offered in primary health care settings to people of reproductive age. The aim was...

    Authors: Karin Hammarberg, Julie Hassard, Renee de Silva and Louise Johnson

    Citation: BMC Family Practice 2020 21:40

    Content type: Research article

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  23. Multimorbidity is highly relevant for both service commissioning and clinical decision-making. Optimization of variables assessing multimorbidity in order to enhance chronic care management is an unmet need. T...

    Authors: D. Monterde, E. Vela, M. Clèries, L. Garcia-Eroles, J. Roca and P. Pérez-Sust

    Citation: BMC Family Practice 2020 21:39

    Content type: Research article

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  24. General practitioner (GP) shortages and increasing demand for care led to the introduction of nurse practitioners (NPs) to primary care. Many concepts for task sharing among health professionals feature comple...

    Authors: Robyn Cody, Stefan Gysin, Christoph Merlo, Armin Gemperli and Stefan Essig

    Citation: BMC Family Practice 2020 21:38

    Content type: Research article

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  25. The implementation of the Electronic Medical Record (EMR) system initiated a significant transition in the healthcare system from traditional paper-based medical records to a digital version. Though EMR offers...

    Authors: R. M. Wali, R. M. Alqahtani, S. K. Alharazi, S. A. Bukhari and S. M. Quqandi

    Citation: BMC Family Practice 2020 21:37

    Content type: Research article

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  26. Cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, is the leading cause of death and disability globally. A large proportion of mortality occurs in people with prior CHD and effec...

    Authors: Julie Redfern, Nashid Hafiz, Karice Hyun, Andrew Knight, Charlotte Hespe, Clara K. Chow, Tom Briffa, Robyn Gallagher, Christopher Reid, David L. Hare, Nicholas Zwar, Mark Woodward, Stephen Jan, Emily R. Atkins, Tracey-Lea Laba, Elizabeth Halcomb…

    Citation: BMC Family Practice 2020 21:36

    Content type: Study protocol

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  27. Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes gu...

    Authors: Prakash Poudel, Rhonda Griffiths, Vincent W. Wong, Amit Arora, Jeff R. Flack, Chee L. Khoo and Ajesh George

    Citation: BMC Family Practice 2020 21:34

    Content type: Research article

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  28. Unhealthy alcohol use involves a spectrum from hazardous use (exceeding guidelines but no harms) through to alcohol dependence. Evidence-based management of unhealthy alcohol use in primary health care has bee...

    Authors: Monika Dzidowska, K. S. Kylie Lee, Claire Wylie, Jodie Bailie, Nikki Percival, James H. Conigrave, Noel Hayman and Katherine M. Conigrave

    Citation: BMC Family Practice 2020 21:33

    Content type: Research article

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  29. Among Australians aged 50 and over, an estimated 1 in 4 men and 2 in 5 women will experience a minimal trauma fracture during their remaining lifetime. Effective fracture prevention is hindered by substantial ...

    Authors: Pradnya Naik-Panvelkar, Sarah Norman, Zain Elgebaly, Jeff Elliott, Allan Pollack, Jill Thistlethwaite, Clare Weston and Markus J. Seibel

    Citation: BMC Family Practice 2020 21:32

    Content type: Research article

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  30. Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate...

    Authors: Alexander Maximilian Fassmer, Alexandra Pulst, Ove Spreckelsen and Falk Hoffmann

    Citation: BMC Family Practice 2020 21:29

    Content type: Research article

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  31. Poor transitions of care leads to increased health costs, over-utilization of emergency room departments, increased re-hospitalizations and causes poor patient experiences and outcomes. This study evaluated Te...

    Authors: Kimberly Noel, Catherine Messina, Wei Hou, Elinor Schoenfeld and Gerald Kelly

    Citation: BMC Family Practice 2020 21:27

    Content type: Research article

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  32. Among other factors, the patients’ consultation reasons and GPs’ spectrum of services determine the process and outcome of the medical treatment. So far, however, there has been little information on differenc...

    Authors: Ingmar Schäfer, Heike Hansen, Thomas Ruppel, Dagmar Lühmann, Hans-Otto Wagner, Agata Kazek and Martin Scherer

    Citation: BMC Family Practice 2020 21:22

    Content type: Research article

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  33. A Model Programme of primary care group practices was implemented in Hungary between 2013 and 2017 – where virtually all GPs had worked in single practices – aiming to increase preventive service uptake and re...

    Authors: Karolina Kósa, Cintia Katona, Magor Papp, Gergely Fürjes, János Sándor, Klára Bíró and Róza Ádány

    Citation: BMC Family Practice 2020 21:19

    Content type: Research article

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  34. A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other...

    Authors: David Lacasta Tintorer, Josep Maria Manresa Domínguez, Ana Jiménez-Zarco, Teresa Rodríguez-Blanco, Souhel Flayeh Beneyto, Pere Torán-Monserrat, Xavier Mundet Tuduri and Francesc Saigí-Rubió

    Citation: BMC Family Practice 2020 21:15

    Content type: Research article

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    The Correction to this article has been published in BMC Family Practice 2020 21:65

  35. Low job satisfaction, severe burnout and high turnover intention are found to be prevalent among the primary care providers (PCPs) in township health centers (THCs), but their associations have received scant ...

    Authors: Haipeng Wang, Yinzi Jin, Dan Wang, Shichao Zhao, Xingang Sang and Beibei Yuan

    Citation: BMC Family Practice 2020 21:12

    Content type: Research article

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  36. In Germany, patients are consulting general practitioners increasingly frequently, resulting in a high burden on the healthcare system. This study aimed to identify factors associated with frequent primary car...

    Authors: Melanie Luppa, Jan Giersdorf, Steffi Riedel-Heller, Franziska Prütz and Alexander Rommel

    Citation: BMC Family Practice 2020 21:10

    Content type: Research article

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  37. It remains to be determined whether collaborative strategies to improve and sustain overall health in patients with heart failure (HF) are currently being adopted by health care professionals. We surveyed prim...

    Authors: Narlon C. Boa Sorte Silva, Roseanne W. Pulford, Douglas S. Lee and Robert J. Petrella

    Citation: BMC Family Practice 2020 21:8

    Content type: Research article

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  38. The wars that ravaged the former Socialist Federal Republic of Yugoslavia in the 1990’s resulted in the near destruction of the healthcare system, including education of medical students and the training of sp...

    Authors: Geoffrey Hodgetts, Glenn Brown, Olivera Batić-Mujanović, Larisa Gavran, Zaim Jatić, Maja Račić, Gordana Tešanović, Amra Zahilić, Mary Martin and Richard Birtwhistle

    Citation: BMC Family Practice 2020 21:7

    Content type: Research article

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    The Correction to this article has been published in BMC Family Practice 2020 21:16

  39. In the Netherlands, euthanasia or physician-assisted suicide (EAS) is allowed if due care criteria are met. One criterion is consultation of a second independent physician, often SCEN physicians. The public de...

    Authors: Tessa D. Bergman, H. Roeline W. Pasman and Bregje D. Onwuteaka-Philipsen

    Citation: BMC Family Practice 2020 21:6

    Content type: Research article

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  40. Chronic conditions such as diabetes and chronic obstructive pulmonary disease (COPD) are common and burdensome diseases primarily managed in primary care. Yet, evidence points to suboptimal quality of care for...

    Authors: Brigitte Vachon, Isabelle Gaboury, Matthew Menear, Marie-Pascale Pomey, Denis Roy, Lise Houle, Mylaine Breton, Arnaud Duhoux, Valérie Émond, Guylaine Giasson, Janusz Kaczorowski, France Légaré, Marie-Thérèse Lussier, Pierre Pluye and Alain Vanasse

    Citation: BMC Family Practice 2020 21:3

    Content type: Study protocol

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  41. General Practitioners (GPs) are ideally placed to identify and manage emerging mental illness in young people, however, many report low levels of confidence in doing so. A web-based universal screening service...

    Authors: Belinda Louise Parker, Melinda Rose Achilles, Mirjana Subotic-Kerry and Bridianne O’Dea

    Citation: BMC Family Practice 2020 21:2

    Content type: Research article

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  42. The medical use of cannabis has been legislatively restricted for decades in the US and abroad. In recent years, changing local and national policies have given rise to a community of healthcare providers who ...

    Authors: Jamie Corroon, Michelle Sexton and Ryan Bradley

    Citation: BMC Family Practice 2019 20:174

    Content type: Research article

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  43. Violence against women (VAW) has many impacts on health, but the role of the primary healthcare physicians in the intervention program is lacking. This research aimed to explore the primary healthcare physicia...

    Authors: Nuretha Hevy Purwaningtyas, Guswan Wiwaha, Elsa Pudji Setiawati and Insi Farisa Desy Arya

    Citation: BMC Family Practice 2019 20:168

    Content type: Research article

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  44. There is a large and unexplained variation in referral rates to specialists by general practitioners, which calls for investigations regarding general practitioners’ perceptions and expectations during the ref...

    Authors: Konstantinos Tzartzas, Pierre-Nicolas Oberhauser, Régis Marion-Veyron, Céline Bourquin, Nicolas Senn and Friedrich Stiefel

    Citation: BMC Family Practice 2019 20:165

    Content type: Research article

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  45. Management of care transitions from primary care into and out of oncology is critical for optimal care of cancer patients and cancer survivors. There is limited understanding of existing primary care-oncology ...

    Authors: Jennifer Tsui, Jenna Howard, Denalee O’Malley, William L. Miller, Shawna V. Hudson, Ellen B. Rubinstein, Jeanne M. Ferrante, Alicja Bator and Benjamin F. Crabtree

    Citation: BMC Family Practice 2019 20:164

    Content type: Research article

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  46. Primary care is facing a multimorbid, ageing population and a lack of general practitioners (GPs), especially in rural areas. In many countries, advanced practice nurses (APNs) may be a potential solution for ...

    Authors: Stefan Gysin, Beat Sottas, Muriel Odermatt and Stefan Essig

    Citation: BMC Family Practice 2019 20:163

    Content type: Research article

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  47. In Germany, a decreasing number of general practitioners (GPs) face a growing number of patients with multimorbidity. Whilst care for patients with multimorbidity involves various healthcare providers, the coo...

    Authors: Judith Stumm, Cornelia Thierbach, Lisa Peter, Susanne Schnitzer, Lorena Dini, Christoph Heintze and Susanne Döpfmer

    Citation: BMC Family Practice 2019 20:160

    Content type: Research article

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  48. Many young people with Attention Deficit Hyperactivity Disorder (ADHD) have impairing symptoms that persist into adulthood, yet only a minority experience continuity of care into adult life. Despite growing em...

    Authors: Tamsin Newlove-Delgado, Sharon Blake, Tamsin Ford and Astrid Janssens

    Citation: BMC Family Practice 2019 20:159

    Content type: Research article

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