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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. The Dutch care for hip and knee osteoarthritis (OA) is of good quality, but there is room for improvement regarding the efficient use of diagnostic imaging and conservative treatment. Therefore a stepped-care ...

    Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg, Ramon P. G. Ottenheijm, Patrick Deckers and Dirk Ruwaard

    Citation: BMC Family Practice 2019 20:154

    Content type: Research article

    Published on:

  2. People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professio...

    Authors: Sue Roberts, Simon Eaton, Tracy Finch, Nick Lewis-Barned, Monique Lhussier, Lindsay Oliver, Tim Rapley and Dawn Temple-Scott

    Citation: BMC Family Practice 2019 20:153

    Content type: Research article

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  3. Approximately 425 million people globally have diabetes, with ~ 90% of these having Type 2 Diabetes Mellitus (T2DM). This is a condition that leads to a poor quality of life and increased risk of serious healt...

    Authors: Melanie J. Davies, Caroline A. Kristunas, Abualbishr Alshreef, Simon Dixon, Helen Eborall, Agnieszka Glab, Lisa Huddlestone, Nicky Hudson, Kamlesh Khunti, Graham Martin, Alison Northern, Mike Patterson, Rebecca Pritchard, Sally Schreder, Bernie Stribling, Jessica Turner…

    Citation: BMC Family Practice 2019 20:152

    Content type: Study protocol

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  4. While warfarin is the most commonly prescribed medication to prevent thromboembolic disorders, the risk of adverse drug reactions (ADR) poses a serious concern. This prospective study evaluated how primary car...

    Authors: Lisa B. E. Shields, Paula Fowler, Diane M. Siemens, Douglas J. Lorenz, Kenneth C. Wilson, Steven T. Hester and Joshua T. Honaker

    Citation: BMC Family Practice 2019 20:151

    Content type: Research article

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  5. Cardiovascular diseases (CVD) contribute considerably to mortality and morbidity. Prevention of CVD by lifestyle change and medication is important and needs full attention.

    Authors: Suzanne Marchal, Monika Hollander, Marieke Schoenmakers, Michiel Schouwink, Jorik R. Timmer, Henk J. G. Bilo, Olof Schwantje, Arnoud W. J. van ’t Hof and Arno W. Hoes

    Citation: BMC Family Practice 2019 20:149

    Content type: Study protocol

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  6. Geographical maldistribution of physicians, and their subsequent shortage in rural areas, has been a serious problem in Japan and in other countries. Family Medicine, a new board-certified specialty started 10...

    Authors: Shuhei Yoshida, Masatoshi Matsumoto, Saori Kashima, Soichi Koike, Susumu Tazuma and Takahiro Maeda

    Citation: BMC Family Practice 2019 20:147

    Content type: Research article

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  7. Atrial fibrillation (AF) is a serious heart arrhythmia associated with devastating outcomes such as stroke. Inequitable rural AF care may put patients at risk. Virtually delivered specialty AF care offers a vi...

    Authors: Kathy L. Rush, Lindsay Burton, Fransien Van Der Merwe, Linda Hatt and Camille Galloway

    Citation: BMC Family Practice 2019 20:144

    Content type: Research article

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  8. The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician ...

    Authors: Christine Kersting, Lena Zimmer, Anika Thielmann and Birgitta Weltermann

    Citation: BMC Family Practice 2019 20:143

    Content type: Research article

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  9. Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the associa...

    Authors: Emily Gard Marshall, Frederick Burge, Richard J. Gibson, Beverley Lawson and Colleen O’Connell

    Citation: BMC Family Practice 2019 20:141

    Content type: Research article

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  10. Low use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment of depression in Hispanics. Common concerns include fears about the addictive a...

    Authors: Katherine Sanchez, Michael O. Killian, Brittany H. Eghaneyan, Leopoldo J. Cabassa and Madhukar H. Trivedi

    Citation: BMC Family Practice 2019 20:140

    Content type: Research article

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  11. Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors ...

    Authors: Rune Aakvik Pedersen, Halfdan Petursson and Irene Hetlevik

    Citation: BMC Family Practice 2019 20:138

    Content type: Research article

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  12. Community pharmacy represents an important setting to identify patients who may benefit from an adherence intervention, however it remains unclear whether it would be feasible to monitor antihypertensive adher...

    Authors: Paul Dillon, Ronald McDowell, Susan M. Smith, Paul Gallagher and Gráinne Cousins

    Citation: BMC Family Practice 2019 20:131

    Content type: Research article

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  13. The United Kingdom (UK) is experiencing a general practitioner (GP) workforce retention crisis. Research has focused on investigating why GPs intend to quit, but less is known about the acceptability and effec...

    Authors: Rupa Chilvers, Suzanne H. Richards, Emily Fletcher, Alex Aylward, Sarah Dean, Chris Salisbury and John Campbell

    Citation: BMC Family Practice 2019 20:130

    Content type: Research article

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  15. In the UK, there is ongoing integration of pharmacists into general practice as a new healthcare service in primary care. Evaluation of the service involves national measures that require pharmacists to record...

    Authors: Georgios Dimitrios Karampatakis, Kath Ryan, Nilesh Patel and Graham Stretch

    Citation: BMC Family Practice 2019 20:126

    Content type: Research article

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  16. Team-based models of care are efficacious in improving outcomes for patients with mental and physical illnesses. However, primary care clinics have been slow to adopt these models. We used iterative stakeholde...

    Authors: Danielle F. Loeb, Danielle M. Kline, Kurt Kroenke, Cynthia Boyd, Elizabeth A. Bayliss, Evette Ludman, L. Miriam Dickinson, Ingrid A. Binswanger and Samantha P. Monson

    Citation: BMC Family Practice 2019 20:124

    Content type: Research article

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  17. Depression is the second leading cause of death among young adults and a major cause of disability worldwide. Some studies suggest a disparity between rural and urban outcomes for depression. Collaborative Car...

    Authors: Hailon Wong, Kyle Moore, Kurt B. Angstman and Gregory M. Garrison

    Citation: BMC Family Practice 2019 20:123

    Content type: Research article

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  18. Working with patients and health care providers to co-design health interventions is gaining global prominence. While co-design of interventions is important for all patients, it is particularly important for ...

    Authors: Ruta Valaitis, Jennifer Longaphy, Jenny Ploeg, Gina Agarwal, Doug Oliver, Kalpana Nair, Monika Kastner, Ernie Avilla and Lisa Dolovich

    Citation: BMC Family Practice 2019 20:122

    Content type: Research article

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  19. In France, with the growing scarcity of gynecologists and a globally low and socially differentiated coverage of cervical cancer screening (CCS), general practitioners (GPs) are valuable resources to improve s...

    Authors: Chiara Maj, Lorraine Poncet, Henri Panjo, Arnaud Gautier, Pierre Chauvin, Gwenn Menvielle, Emmanuelle Cadot, Virginie Ringa and Laurent Rigal

    Citation: BMC Family Practice 2019 20:114

    Content type: Research article

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  20. 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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  21. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. Changning District of Shanghai pioneered in implementing Family Doctor and Medical Insurance Payment Coordination Reform. The survey aimed to assess the effect of the reform to provide a decision-making basis ...

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

    Citation: BMC Family Practice 2019 20:60

    Content type: Research article

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  37. Patient portal secure messaging (asynchronous electronic communication between physicians and their established patients) allows patients to manage their care through asynchronous, direct communication with th...

    Authors: Jennifer L. Hefner, Sarah R. MacEwan, Alison Biltz and Cynthia J. Sieck

    Citation: BMC Family Practice 2019 20:57

    Content type: Research article

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  38. Heterogeneity of population health needs and the resultant difficulty in health care resources planning are challenges faced by primary care systems globally. To address this challenge in population health man...

    Authors: Shi Yan, Benjamin Jun Jie Seng, Yu Heng Kwan, Chuen Seng Tan, Joanne Hui Min Quah, Julian Thumboo and Lian Leng Low

    Citation: BMC Family Practice 2019 20:54

    Content type: Research article

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  39. Limited studies exist on successful interventions for patients with multimorbidity. Even more limited is the knowledge on how socioeconomic factors have an impact on these interventions. The objective of this ...

    Authors: Éric Contant, Christine Loignon, Tarek Bouhali, José Almirall and Martin Fortin

    Citation: BMC Family Practice 2019 20:53

    Content type: Research article

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  40. Greater continuity and access to primary care results in improved patient health, satisfaction, and reduced healthcare costs. Although patient rostering is considered to be a cornerstone of a high performing p...

    Authors: Jatinderpreet Singh, Simone Dahrouge and Michael E. Green

    Citation: BMC Family Practice 2019 20:52

    Content type: Research article

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  41. Since 2008 mental health practice nurses have been gradually introduced in general practices in the Netherlands as part of health policy aiming to improve early identification and treatment of mental health pr...

    Authors: L. Abidi, A. Oenema, P. Verhaak, F. E. S. Tan and D. van de Mheen

    Citation: BMC Family Practice 2019 20:48

    Content type: Research article

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  43. In Canada, most patients with type 2 diabetes mellitus (T2DM) are cared for in the primary care setting in the practices of family physicians. This care is delivered through a variety of practice models rangin...

    Authors: Olga Szafran, Sandra L. Kennett, Neil R. Bell and Jacqueline M. I. Torti

    Citation: BMC Family Practice 2019 20:44

    Content type: Research article

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  44. The general health check, which includes the periodic health visit and annual physical exam, is not recommended to maintain the health of asymptomatic adults with no risk factors. Different funding mechanisms ...

    Authors: Natasha Ruth Saunders, Jun Guan, Longdi Fu, Helen Guo, Xuesong Wang and Astrid Guttmann

    Citation: BMC Family Practice 2019 20:42

    Content type: Research article

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  45. Due to the increasing number of non-urgent visits to emergency departments, it is becoming increasingly important to also investigate emergency care in out-of-hours (OOH) primary care. The aim of this study wa...

    Authors: Insa Seeger, Laura Kreienmeyer, Falk Hoffmann and Michael H. Freitag

    Citation: BMC Family Practice 2019 20:41

    Content type: Research article

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  47. Hospital admissions for Ambulatory Care Sensitive Conditions (ACSC) are those that could potentially be prevented by timely and effective disease management within primary care. ACSC admissions are increasingl...

    Authors: Marjon van der Pol, Damilola Olajide, Mark Dusheiko, Robert Elliott, Bruce Guthrie, Louisa Jorm and Alastair H. Leyland

    Citation: BMC Family Practice 2019 20:32

    Content type: Research article

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  48. Low back pain affects about 80% of all adults, many of whom consult general practice. Providing management can be challenging, in part due to the scarcity of effective treatment methods. There is broad consens...

    Authors: Allan Riis, Emma L. Karran, Jonathan C. Hill, Martin B. Jensen and Janus L. Thomsen

    Citation: BMC Family Practice 2019 20:30

    Content type: Debate

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  49. The ageing population and increasing prevalence of multimorbidity place greater resource demands on the health systems internationally. Accurate prediction of general practice (GP) services is important for he...

    Authors: Christopher Harrison, Joan Henderson, Graeme Miller and Helena Britt

    Citation: BMC Family Practice 2019 20:28

    Content type: Research article

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  50. This study aimed to use marketing theory to examine the views of patients, pharmacists and general practitioners (GPs) on how community pharmacies are currently used and to identify how community pharmacy serv...

    Authors: Ali M. K. Hindi, Ellen I. Schafheutle and Sally Jacobs

    Citation: BMC Family Practice 2019 20:26

    Content type: Research article

    Published on:

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