Articles
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Citation: BMC Family Practice 2016 17:174
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A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial
Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an ...
Citation: BMC Family Practice 2016 17:173 -
What influences general practitioners’ use of exercise for patients with chronic knee pain? Results from a national survey
Exercise is a recommended ‘core’ treatment for chronic knee pain (CKP), however it appears to be underused by general practitioners (GPs). While behavioural theories suggest that attitudes and beliefs influenc...
Citation: BMC Family Practice 2016 17:172 -
Erratum to: Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire
Citation: BMC Family Practice 2016 17:171 -
Disenrollment from general practitioners among chronic patients: a register-based longitudinal study of Norwegian claims data
Norwegian general practitioners (GPs) consult on a variety of conditions with a mix of patient types. Patients with chronic diseases benefit from appropriate continuity of care and generally visit their GPs mo...
Citation: BMC Family Practice 2016 17:170 -
The clinically excellent primary care physician: examples from the published literature
Clinical excellence is the ultimate goal in patient care. Exactly what the clinically excellent primary care physician (PCP) looks like and her characteristics have not been explicitly described. This manuscri...
Citation: BMC Family Practice 2016 17:169 -
Relations between task delegation and job satisfaction in general practice: a systematic literature review
It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally in...
Citation: BMC Family Practice 2016 17:168 -
Having a usual source of care and its associated factors in Korean adults: a cross-sectional study of the 2012 Korea Health Panel Survey
Usual source of care (USC) is one of the hallmarks of primary care. We aimed to examine the status of having a USC and its patient-related sociodemographic factors among Korean adults.
Citation: BMC Family Practice 2016 17:167 -
Long term condition morbidity in English general practice: a cross-sectional study using three composite morbidity measures
The burden of morbidity represented by patients with long term conditions (LTCs) varies substantially between general practices. This study aimed to determine the characteristics of general practices with high...
Citation: BMC Family Practice 2016 17:166 -
Impact of financial incentives on alcohol intervention delivery in primary care: a mixed-methods study
Local and national financial incentives were introduced in England between 2008 and 2015 to encourage screening and brief alcohol intervention delivery in primary care. We used routine Read Code data and inter...
Citation: BMC Family Practice 2016 17:165 -
Do primary care professionals agree about progress with implementation of primary care teams: results from a cross sectional study
Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the...
Citation: BMC Family Practice 2016 17:163 -
Lesbian womens’ access to healthcare, experiences with and expectations towards GPs in German primary care
Lesbian women have higher rates of physical and psychiatric disorders associated with experiences of discrimination, homophobia and difficulties with coming out. Therefore, easy access to specialized healthcar...
Citation: BMC Family Practice 2016 17:162 -
The need to scale up HIV indicator condition-guided testing for early case-finding: a case-control study in primary care
European guidelines recommend offering an HIV test to individuals who display HIV indicator conditions (ICs). We aimed to investigate the incidence of ICs in primary care reported in medical records prior to H...
Citation: BMC Family Practice 2016 17:161 -
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study
Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and so...
Citation: BMC Family Practice 2016 17:160 -
Non-coronary chest pain does not affect long-term mortality: a prospective, observational study using a matched population control
Chest pain assumed to be of non-coronary origin (NCCP) may be linked to enhanced mortality due to coronary heart disease (CHD). The aim of this study was to follow NCCP patients, as defined in primary care, wi...
Citation: BMC Family Practice 2016 17:159 -
Developing cultural competence in general practitioners: an integrative review of the literature
Cultural competence is a broad concept with multiple theoretical underpinnings and conflicting opinions on how it should be materialized. While it is recognized that cultural competence should be an integral p...
Citation: BMC Family Practice 2016 17:158 -
Effectiveness of the EMPOWER-PAR Intervention in Improving Clinical Outcomes of Type 2 Diabetes Mellitus in Primary Care: A Pragmatic Cluster Randomised Controlled Trial
The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate t...
Citation: BMC Family Practice 2016 17:157 -
More primary care patients regret health decisions if they experienced decisional conflict in the consultation: a secondary analysis of a multicenter descriptive study
We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret.
Citation: BMC Family Practice 2016 17:156 -
A screening protocol for child abuse at out-of-hours primary care locations: a descriptive study
Child abuse is often unrecognized at out-of-hours primary care (OOH-PC) services. The aim of our study was to evaluate the clinical outcome of the screening instrument SPUTOVAMO-R2 for child abuse (checklist),...
Citation: BMC Family Practice 2016 17:155 -
Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study
Severe illness among parents may interfere with their parenting. Children having ill or substance-abusing parents are at risk of own health problems and psychosocial difficulties. The health care system should...
Citation: BMC Family Practice 2016 17:154 -
Feasibility of alcohol screening among patients receiving opioid treatment in primary care
Identifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this ...
Citation: BMC Family Practice 2016 17:153 -
Factors influencing deprescribing for residents in Advanced Care Facilities: insights from General Practitioners in Australia and Sweden
General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living in Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when...
Citation: BMC Family Practice 2016 17:152 -
Quality of primary health care in Poland from the perspective of the physicians providing it
Primary care (PC) allows patients to address most of their health needs and is essential for high quality healthcare systems. The aim of the study was to analyze the insight of nine core dimensions of Polish P...
Citation: BMC Family Practice 2016 17:151 -
The burden of cardiovascular morbidity in a European Mediterranean population with multimorbidity: a cross-sectional study
Cardiovascular diseases are highly represented in multimorbidity patterns. Nevertheless, few studies have analysed the burden of these diseases in the population with multimorbidity. The objective of this stud...
Citation: BMC Family Practice 2016 17:150 -
Exploring the barriers and facilitators to use of point of care tests in family medicine clinics in the United States
Point-of-care tests (POCTs) are increasingly used in family medicine clinics in the United States. While the diagnostics industry predicts significant growth in the number and scope of POCTs deployed, little i...
Citation: BMC Family Practice 2016 17:149 -
Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore
Patients’ expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs...
Citation: BMC Family Practice 2016 17:148 -
The differential diagnosis of tiredness: a systematic review
Tiredness is one of the most frequent complaints in primary care. Although often self-limiting and frequently associated with psychosocial stress, patients but also their physicians are often uncertain regardi...
Citation: BMC Family Practice 2016 17:147 -
Prescribing differences in family practice for diabetic patients in Germany according to statutory or private health insurance: the case of DPP-4-inhibitors and GLP-1-agonists
The objective of this study was to analyze prescription decisions for family practice (FP) patients with Diabetes mellitus type 2 (DM2) using the case of the incretin mimetics Dipeptidyl peptidase-4 (DDP-4) in...
Citation: BMC Family Practice 2016 17:146 -
Severity and management of psoriasis within primary care
Scottish Intercollegiate Guidelines Network and National Institute of Health and Care Excellence guidelines stress the importance of assessing patients with psoriasis for psoriatic arthritis, comorbidities ass...
Citation: BMC Family Practice 2016 17:145 -
Sex and age differences in the achievement of control targets in patients with type 2 diabetes: results from a population-based study in a South European region
We aimed to determine the degree to which control targets of glycaemia and cardiovascular risk factors were achieved among patients with type 2 diabetes and to investigate sex- and age-related differences in t...
Citation: BMC Family Practice 2016 17:144 -
Scoring and psychometric validation of the ‘Determinants of Intentions to Vaccinate’ (DIVA©) questionnaire
Primary care physicians (PCPs) play a key role regarding vaccination in France. The aims of the present study were to define the scoring rules and to assess the measurement properties of the ‘Determinants of I...
Citation: BMC Family Practice 2016 17:143 -
Using program evaluation to support knowledge translation in an interprofessional primary care team: a case study
Evaluation is a fundamental component in building quality primary care and is ideally situated to support individual, team and organizational learning by offering an accessible form of participatory inquiry. T...
Citation: BMC Family Practice 2016 17:142 -
Developing physical activity counselling in primary care through participatory action approach
Many adults are insufficiently physically active for health. Counselling is the main method to promote physical activity (PA) in primary care but often implemented inadequately. The aim of this study was to in...
Citation: BMC Family Practice 2016 17:141 -
Safer drug use in primary care - a pilot intervention study to identify improvement needs and make agreements for change in five Swedish primary care units
There is an urgent need to improve patient safety in the area of medication treatment among the elderly. The aim of this study was to explore which improvement needs and strengths, relating to medication safet...
Citation: BMC Family Practice 2016 17:140 -
The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis
The aim of this study was to use secondary analysis to interrogate a qualitative data set to explore the experiences of patients living with heart failure.
Citation: BMC Family Practice 2016 17:139 -
An explorative qualitative study on acceptability of physical activity assessment instruments among primary care professionals in southern Sydney
There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative accep...
Citation: BMC Family Practice 2016 17:138 -
Developing interprofessional care plans in chronic care: a scoping review
The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care p...
Citation: BMC Family Practice 2016 17:137 -
A longitudinal study on the information needs and preferences of patients after an acute coronary syndrome
Research has shown that the provision of pertinent health information to patients with cardiovascular disease is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perc...
Citation: BMC Family Practice 2016 17:136 -
Impact of the primary care curriculum and its teaching formats on medical students’ perception of primary care: a cross-sectional study
Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary...
Citation: BMC Family Practice 2016 17:135 -
A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients
The prevalence of comorbid anxiety and depressive disorders is high among patients with chronic diseases in primary care, and is associated with increased morbidity and mortality rates. The detection and treat...
Citation: BMC Family Practice 2016 17:134 -
Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review
Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. The European General Practice Research Network (EGPRN) created a rese...
Citation: BMC Family Practice 2016 17:133 -
The impact of substituting general practitioners with nurse practitioners on resource use, production and health-care costs during out-of-hours: a quasi-experimental study
The pressure in out-of-hours primary care is high due to an increasing demand for care and rising health-care costs. During the daytime, substituting general practitioners (GPs) with nurse practitioners (NPs) ...
Citation: BMC Family Practice 2016 17:132 -
Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study
Delayed diagnosis in primary care is a common, harmful and costly patient safety incident. Its measurement and monitoring are underdeveloped and underutilised. We created and implemented a novel approach to id...
Citation: BMC Family Practice 2016 17:131 -
The role of alcohol in the management of hypertension in patients in European primary health care practices – a survey in the largest European Union countries
Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in...
Citation: BMC Family Practice 2016 17:130 -
What do general practitioners know about ADHD? Attitudes and knowledge among first-contact gatekeepers: systematic narrative review
Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with international prevalence estimates of 5 % in childhood, yet significant evidence exists that far fewer children receive ADHD ...
Citation: BMC Family Practice 2016 17:129 -
Comorbidities treated in primary care in children with chronic fatigue syndrome / myalgic encephalomyelitis: A nationwide registry linkage study from Norway
Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a complex condition. Causal factors are not established, although underlying psychological or immunological susceptibility has been proposed. We s...
Citation: BMC Family Practice 2016 17:128 -
Patient capacity and constraints in the experience of chronic disease: a qualitative systematic review and thematic synthesis
Life and healthcare demand work from patients, more so from patients living with multimorbidity. Patients must respond by mobilizing available abilities and resources, their so-called capacity. We sought to su...
Citation: BMC Family Practice 2016 17:127 -
Contribution of extended family history in assessment of risk for breast and colon cancer
Family history is important for identifying candidates for high risk cancer screening and referral for genetic counseling. We sought to determine the percentage of individuals who would be eligible for high ri...
Citation: BMC Family Practice 2016 17:126 -
General Practitioners’ and patients’ perceptions towards stratified care: a theory informed investigation
Stratified primary care involves changing General Practitioners’ (GPs) clinical behaviour in treating patients, away from the current stepped care approach to instead identifying early treatment options that a...
Citation: BMC Family Practice 2016 17:125 -
The respiratory research agenda in primary care in Portugal: a Delphi study
A research agenda can help to stimulate and guide research. The International Primary Care Respiratory Group (IPCRG) published a Research Needs Statement (RNS) in 2010 in which 145 research questions were iden...
Citation: BMC Family Practice 2016 17:124
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