1,907 results match your criteria BMC Family Practice[Journal]


Predicting patient use of general practice services in Australia: models developed using national cross-sectional survey data.

BMC Fam Pract 2019 Feb 14;20(1):28. Epub 2019 Feb 14.

(Then) Family Medicine Research Centre, School of Public Health, University of Sydney, Camperdown, Australia.

Background: 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 health workforce planning. The aim of this research was to develop a parsimonious model that predicts patient visit rates to general practice. Read More

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http://dx.doi.org/10.1186/s12875-019-0914-yDOI Listing
February 2019

Over prescribing of antibiotics for acute respiratory tract infections; a qualitative study to explore Irish general practitioners' perspectives.

BMC Fam Pract 2019 Feb 14;20(1):27. Epub 2019 Feb 14.

Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

Background: Anti-microbial resistance (AMR) is a global threat to public health and antibiotics are often unnecessarily prescribed for acute respiratory tract infections (ARTIs) in general practice. We aimed to investigate why general practitioners (GPs) continue to prescribe antibiotics for ARTIs despite increasing knowledge of their poor efficacy and worsening antimicrobial resistance.

Methods: We used an explorative qualitative study design. Read More

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http://dx.doi.org/10.1186/s12875-019-0917-8DOI Listing
February 2019

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients', pharmacists' and GPs' experiences and expectations.

BMC Fam Pract 2019 Feb 8;20(1):26. Epub 2019 Feb 8.

Centre for Pharmacy Workforce Studies, Division of Pharmacy and Optometry, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK.

Background: 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 services may be better integrated within the primary care pathway for people with long-term conditions (LTCs).

Methods: A qualitative research design was used. Two focus groups were conducted with respiratory patients (n = 6, 5) and two with type 2 diabetes patients (both n = 5). Read More

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http://dx.doi.org/10.1186/s12875-019-0912-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368723PMC
February 2019

INTEGRA study protocol: primary care intervention in type 2 diabetes patients with poor glycaemic control.

BMC Fam Pract 2019 Feb 7;20(1):25. Epub 2019 Feb 7.

Department of Endocrinology & Nutrition, CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Health Sciences Research Institute and University Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Background: The management of hyperglycaemia and associated cardiovascular risk factors in patients with type 2 diabetes mellitus (T2DM) may reduce diabetes-related complications. The strategy to broaden the knowledge base of primary care professionals to improve health care has mainly been prompted by the current reality of limited resources and access to specialized care. The main objective of this study is to assess the effectiveness of comprehensive interventions focused on treatment intensification, decrease clinical inertia and reduce possible barriers to treatment adherence in patients with poorly controlled diabetes in a primary care setting. Read More

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http://dx.doi.org/10.1186/s12875-019-0916-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367799PMC
February 2019

Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol.

BMC Fam Pract 2019 Feb 6;20(1):24. Epub 2019 Feb 6.

Family and Community Medicine Teaching Unit of Córdoba. Lucena II Health Centre, Córdoba, Spain.

Background: Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents.

Methods: The MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Read More

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http://dx.doi.org/10.1186/s12875-019-0913-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364464PMC
February 2019

Understanding accreditation standards in general practice - a qualitative study.

BMC Fam Pract 2019 Jan 31;20(1):23. Epub 2019 Jan 31.

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Background: Accreditation is a widely adopted tool for quality control and quality improvement in health care, which has increasingly been employed for general practice. However, there is lack of knowledge of how accreditation is received and experienced by health professionals in general practice. This study explores how general practitioners (GPs) and their staff experienced the comprehensibility of accreditation standards and how they worked to increase their understanding of the standards. Read More

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http://dx.doi.org/10.1186/s12875-019-0910-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354356PMC
January 2019

Safety in primary care (SAP-C): a randomised, controlled feasibility study in two different healthcare systems.

BMC Fam Pract 2019 Jan 30;20(1):22. Epub 2019 Jan 30.

Department of General Practice, School of Medicine, National University of Ireland, Galway, Galway, Ireland.

Background: Patient safety research is conducted predominantly in hospital settings, with a dearth of insight from primary care, despite suggestions that 2.2% of primary care consultations result in a patient safety incident. This study aimed to assess the feasibility of an intervention intended to improve patient safety in general practice. Read More

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http://dx.doi.org/10.1186/s12875-019-0909-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352328PMC
January 2019

Mixed feelings: general practitioners' attitudes towards eHealth for stress urinary incontinence - a qualitative study.

BMC Fam Pract 2019 Jan 26;20(1):21. Epub 2019 Jan 26.

Department of Primary and Community Care, Unit Gender in Primary and Transmural Care, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, the Netherlands.

Background: Stress urinary incontinence (SUI) is the most prevalent subtype of urinary incontinence and is a bothering condition in women. Only a minority of those with SUI consult a general practitioner (GP). EHealth with pelvic floor muscle training (PFMT) is effective in reducing incontinence symptoms and might increase access to care. Read More

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http://dx.doi.org/10.1186/s12875-019-0907-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347743PMC
January 2019
1 Read

Attitudes and barriers towards conducting research amongst primary care physicians in Bahrain: a cross-sectional study.

BMC Fam Pract 2019 Jan 26;20(1):20. Epub 2019 Jan 26.

Family Medicine, Royal College of Surgeons in Ireland-Medical University in Bahrain, PO Box 15503, Adliya, Bahrain.

Background: Research in primary care is essential for disease diagnosis, management and prevention in relation to the individuals, families and the community. This research aims to study the attitude of primary care physicians towards conducting research in Bahrain and to identify the main barriers encountered during research.

Methods: A cross-sectional study was conducted amongst 200 randomly selected primary care physicians registered in Ministry of Health affiliated primary healthcare centers in Bahrain. Read More

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http://dx.doi.org/10.1186/s12875-019-0911-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347740PMC
January 2019
1 Read

Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system.

BMC Fam Pract 2019 Jan 25;20(1):19. Epub 2019 Jan 25.

Department of ambulatory care and community medicine, Institute of Family Medicine, University of Lausanne, Lausanne, Switzerland.

Background: Representing 60% of medical consultations in Switzerland, primary care holds an important place in our medical system. Patients' values in family medicine (FM) are nowadays recognized as important factors to take into account in order to provide good quality of care. The aim of this study is to describe patients' most important values regarding FM and to assess their associations with socio-demographics factors in a fee-for-services health system. Read More

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http://dx.doi.org/10.1186/s12875-018-0895-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346577PMC
January 2019

Pain management in acute otitis media: a qualitative study of parents' views and expectations.

BMC Fam Pract 2019 Jan 23;20(1):18. Epub 2019 Jan 23.

Department of Primary Care and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.

Background: For unclarified reasons, parents tend to be cautious about administering analgesics to their children, potentially leading to suboptimal management of AOM symptoms. We aim to understand parents' views and expectations of pain management in acute otitis media (AOM) in children.

Methods: Qualitative study alongside a cluster-randomised controlled trial (PIM-POM study) aimed at optimising pain management in childhood AOM. Read More

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http://dx.doi.org/10.1186/s12875-019-0908-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343236PMC
January 2019

A survey of the attitudes, beliefs and knowledge about medical cannabis among primary care providers.

BMC Fam Pract 2019 Jan 22;20(1):17. Epub 2019 Jan 22.

Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.

Background: Healthcare providers play a critical role in facilitating patient access to medical cannabis. However, previous surveys suggest only a minority of providers believe that medical cannabis confers benefits to patients. Significant new knowledge about the potential benefits and harms of medical cannabis has recently emerged. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-019-0906-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341534PMC
January 2019
2 Reads

Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation.

BMC Fam Pract 2019 Jan 19;20(1):16. Epub 2019 Jan 19.

Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK.

Background: Anxiety and depression often co-exist. These disorders are under-diagnosed and under-treated, specifically among older people, and lead to increased use of health and social care services and raised mortality. Older people report a reluctance to present to their GP with depression or anxiety symptoms due to perceived stigma about mental health problems, lack of acceptable treatments and the prioritising of physical health problems. Read More

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http://dx.doi.org/10.1186/s12875-019-0903-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339431PMC
January 2019
3 Reads

Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial.

BMC Fam Pract 2019 Jan 18;20(1):15. Epub 2019 Jan 18.

Vigo Teaching Unit of Family and Community Medicine and Nursing, EOXI Vigo, Galician Health Service, RedIAPP, Grupo I-Saúde (Instituto de Investigación Sanitaria Galicia Sur), Vigo, Spain.

Background: Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in the family and community medicine teaching units in an Atlantic European Region.

Methods: Randomized study conducted in family and community medicine teaching units in Galicia (Spain). Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0901-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337818PMC
January 2019
5 Reads

Correction to: Prevalence of anal symptoms in general practice: a prospective study.

BMC Fam Pract 2019 Jan 17;20(1):14. Epub 2019 Jan 17.

Sorbonne Paris Cité, General practice department, University Paris Diderot, F-75018 Paris, France; REMES, F-75018, Paris, France.

Following publication of the original article [1], the authors reported an error to one of the 'study groups' in the authorship section. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-019-0905-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335827PMC
January 2019
5 Reads

Helpful ways providers can communicate about persistent medically unexplained physical symptoms.

BMC Fam Pract 2019 Jan 16;20(1):13. Epub 2019 Jan 16.

War Related Illness and Injury Study Center, Veterans Affairs New Jersey Health Care System, 385 Tremont Avenue, East Orange, NJ, 07018, USA.

Background: Communication between patients and providers about persistent "medically unexplained" physical symptoms (MUS) is characterized by discordance. While the difficulties are well documented, few studies have examined effective communication. We sought to determine what veterans with Gulf War Illness (GWI) perceive as the most helpful communication from their providers. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0881-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334465PMC
January 2019
13 Reads

Trends in antimicrobial management of gonorrhoea by general practitioners in Amsterdam, the Netherlands, between 2010 and 2016: a cross-sectional study.

BMC Fam Pract 2019 Jan 15;20(1):12. Epub 2019 Jan 15.

Department of General Practice, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22700, 1100 DE, Amsterdam, The Netherlands.

Background: Sexually transmitted infections (STI) caused by multidrug resistant Neisseria gonorrhoea are an emerging threat to global health. In the Netherlands, the general practitioner (GP) provides the major part of STI care. In 2013 an update of the Dutch guideline was published, recommending a single dose of intramuscular ceftriaxone as treatment for gonorrhoea infections. Read More

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http://dx.doi.org/10.1186/s12875-018-0900-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332518PMC
January 2019
1 Read

A qualitative study of cardiovascular disease risk communication in NHS Health Check using different risk calculators: protocol for the RIsk COmmunication in NHS Health Check (RICO) study.

BMC Fam Pract 2019 Jan 14;20(1):11. Epub 2019 Jan 14.

Staffordshire University, The Science Centre, Leek Road, Stoke-on-Trent, ST4 2DF, UK.

Background: NHS Health Check is a national cardiovascular disease (CVD) risk assessment programme for 40-74 year olds in England, in which practitioners should assess and communicate CVD risk, supported by appropriate risk-management advice and goal-setting. This requires effective communication, to equip patients with knowledge and intention to act. Currently, the QRISK®2 10-year CVD risk score is most common way in which CVD risk is estimated. Read More

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http://dx.doi.org/10.1186/s12875-018-0897-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332912PMC
January 2019
1 Read
1.735 Impact Factor

Effectiveness of treatment of newly diagnosed hypertension in family medicine practices in South Croatia.

BMC Fam Pract 2019 Jan 14;20(1):10. Epub 2019 Jan 14.

Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia.

Background: Uncontrolled blood pressure remains an urgent issue in clinical practice worldwide. This study aimed to compare the characteristics and effectiveness of hypertension control in family medicine pratice in the first treatment year, in relation to the geographical position, socio-economic standard, and access to medical services and public pharmacies in urban, rural and island environments (city of Split vs. Dalmatian Hinterland vs. Read More

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http://dx.doi.org/10.1186/s12875-019-0902-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330736PMC
January 2019
1 Read

Job satisfaction, work stress, and turnover intentions among rural health workers: a cross-sectional study in 11 western provinces of China.

BMC Fam Pract 2019 Jan 14;20(1). Epub 2019 Jan 14.

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.

Background: Health workforce turnover remains a global concern, particularly in rural and remote areas. Western rural areas are the least developed in China, where it faces the serious challenge on the rural health worker (RHW) management. This study aimed to investigate job satisfaction, work stress, and turnover intentions of RHWs, and to explore prominent factors associated with turnover intentions of RHWs in rural western China. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-019-0904-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330754PMC
January 2019
2 Reads

Understanding the adoption and use of point-of-care tests in Dutch general practices using multi-criteria decision analysis.

BMC Fam Pract 2019 Jan 10;20(1). Epub 2019 Jan 10.

Department of Health Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, Technical Medical Centre, University of Twente, P.O. Box 217, 7500, AE, Enschede, The Netherlands.

Background: The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests may offer benefits in terms of low turn-around-time, improved patient's satisfaction, and health outcomes, only few are actually used in clinical practice. Therefore, this study aims to identify which criteria are, in general, important in the decision to implement a POC test, and to determine their weight. Read More

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http://dx.doi.org/10.1186/s12875-018-0893-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327588PMC
January 2019
1 Read

Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study.

BMC Fam Pract 2019 Jan 9;20(1). Epub 2019 Jan 9.

Département de médecine de famille et de médecine d'urgence, Université de Sherbrooke, Sherbrooke 3001, 12e avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada.

Background: The PR1MaC study was conducted to evaluate the integration of Chronic Disease Prevention and Management services into primary care practices and was reported effective. The aim of this study was to further explore the effects of the PR1MaC intervention on patients and their family.

Methods: We conducted a qualitative study embedded in a randomized controlled trial. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0898-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325817PMC
January 2019
4 Reads

General practitioners attitude and confidence scale for dementia (GPACS-D): confirmatory factor analysis and comparative subscale scores among GPs and supervisors.

BMC Fam Pract 2019 Jan 8;20(1). Epub 2019 Jan 8.

Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania Private Bag 143, Hobart, Tasmania, 7001, Australia.

Background: The attitude of General Practitioner's (GP's) towards dementia and confidence in their clinical abilities impacts on diagnosis rates and management of the condition. The purpose of the present research is to refine and confirm the reliability and validity of the General Practitioner Attitudes and Confidence Scale for Dementia (GPACS-D) as a tool to measure confidence and attitude.

Methods: A sample of 194 GP volunteers attending dementia education workshops were recruited to complete the GPACS-D before and after the workshop. Read More

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http://dx.doi.org/10.1186/s12875-018-0896-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323804PMC
January 2019
1 Read

Exploring the sorting of patients in community health centres across Gauteng Province, South Africa.

Authors:
B A Stott S Moosa

BMC Fam Pract 2019 Jan 7;20(1). Epub 2019 Jan 7.

Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Primary health care worldwide faces large numbers of patients daily. Poor waiting times, low patient satisfaction and staff burnout are some problems facing such facilities. Limited research has been done on sorting patients in non-emergency settings in Africa. Read More

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http://dx.doi.org/10.1186/s12875-018-0899-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322241PMC
January 2019
1 Read

Attitudes and behaviour towards psychotropic drug prescribing in Swedish primary care: a questionnaire study.

BMC Fam Pract 2019 Jan 5;20(1). Epub 2019 Jan 5.

Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: The prescribing of psychotropic drugs, i.e. antidepressants, sedatives (anxiolytics, hypnotics), and antipsychotics is considerable and a large proportion is prescribed by general practitioners (GPs). Read More

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http://dx.doi.org/10.1186/s12875-018-0885-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321667PMC
January 2019
2 Reads

Using a checklist to facilitate management of long-term care needs after stroke: insights from focus groups and a feasibility study.

BMC Fam Pract 2019 Jan 4;20(1). Epub 2019 Jan 4.

Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts' Causeway, Cambridge, CB1 8RN, UK.

Background: Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need in people with stroke.

Aim: We aimed to explore, refine and test the feasibility and acceptability of a post-stroke checklist for stroke reviews in primary care. Read More

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http://dx.doi.org/10.1186/s12875-018-0894-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318919PMC
January 2019
1 Read

The workload for home visits by German family practitioners: an analysis of regional variation in a cross-sectional study.

BMC Fam Pract 2019 Jan 4;20(1). Epub 2019 Jan 4.

Department of General Practice/Medical Clinic III, University Hospital Carl Gustav Carus of the Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Background: In Germany, home visits account for a considerable workload for many family practitioners, substantial rural-urban disparities are assumable with regards to home visit frequency and duration. Considering the ongoing demographic change and a rural-urban migration a significant regional difference in the provision of care is assumable. There is a lack of reliable data on the current provision of home visits and how their organisational procedures can be ensured in the future. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0891-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318834PMC
January 2019
5 Reads

Being tested but not educated - a qualitative focus group study exploring patients' perceptions of diabetic dietary advice.

BMC Fam Pract 2019 Jan 3;20(1). Epub 2019 Jan 3.

Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.

Background: Diet is a key component of the management of diabetes. Several studies suggest that patients receive insufficient and inadequate information. As a first step for developing an intervention for improving dietary advice in primary care, we aimed to explore patients' experience of receiving dietary advice; their attitudes towards that advice; their perceived dietary advice needs, and any barriers faced in adopting a diet that supports the management of their diabetes. Read More

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http://dx.doi.org/10.1186/s12875-018-0892-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317200PMC
January 2019
2 Reads

Patients' and practice nurses' perceptions of depression in patients with type 2 diabetes and/or coronary heart disease screened for subthreshold depression.

BMC Fam Pract 2018 Dec 23;19(1):202. Epub 2018 Dec 23.

Department of Health Sciences, Amsterdam Public Health Research Institute, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

Background: Comorbid depression is common in patients with type 2 diabetes (DM2) and/or coronary heart disease (CHD) and is associated with poor quality of life and adverse health outcomes. However, little is known about patients' and practice nurses' (PNs) perceptions of depression. Tailoring care to these perceptions may affect depression detection and patient engagement with treatment and prevention programs. Read More

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http://dx.doi.org/10.1186/s12875-018-0870-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304236PMC
December 2018
1 Read

The needs of informal caregivers and barriers of primary care workers toward dementia management in primary care: a qualitative study in Beijing.

BMC Fam Pract 2018 Dec 20;19(1):201. Epub 2018 Dec 20.

School of General Practice and Continuing Education, Capital Medical University, No.10 Xitoutiao, You An Men, Beijing, 100069, China.

Background: Informal caregivers of people with dementia in Beijing are increasingly called upon to provide home-based care for their patients due to the increasing number of dementia patients and the shortage of standardized institutional solutions of care for patients in China. This study aimed to clarify the needs of informal caregivers and barriers of primary care workers toward dementia management in primary care in Beijing to provide references that may help to improve the care and services provided to individuals with dementia and their family caregivers residing in urban China.

Methods: A mixed-methods approach was used in this study. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0890-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302289PMC
December 2018
2 Reads

An online survey of Irish general practitioner experience of and attitude toward managing problem alcohol use.

BMC Fam Pract 2018 Dec 18;19(1):200. Epub 2018 Dec 18.

Irish College of General Practitioners, 4-5 Lincoln Place, Dublin, 2, County Tipperary, Ireland.

Background: In the general practice setting screening, brief intervention and counselling have been shown to be effective in the reduction of problem alcohol use. This study aimed to explore Irish general practitioners' (GPs) current practice of and attitudes towards the management of problem alcohol use.

Methods: An online survey was emailed, with one email reminder, to 1750 general/family practitioners who were members of the Irish College of General Practitioners (ICGP) and for whom an active email address was available. Read More

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http://dx.doi.org/10.1186/s12875-018-0889-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297939PMC
December 2018
1 Read

Diabetes mellitus and periodontal disease: awareness and practice among doctors working in public general out-patient clinics in Kowloon West Cluster of Hong Kong.

Authors:
Sut Yee Tse

BMC Fam Pract 2018 Dec 17;19(1):199. Epub 2018 Dec 17.

Department of Family Medicine and Primary Health Care, New Territories West Cluster, Hospital Authority, Hong Kong, China.

Background: Diabetes mellitus (DM) and periodontitis are very common and they interact with each other bidirectionally. This survey studied public primary care doctors on their awareness of this bidirectional relationship and their corresponding practice.

Methods: All Family Medicine doctors in Kowloon West Cluster, Hospital Authority were invited to a cross-sectional questionnaire survey. Read More

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http://dx.doi.org/10.1186/s12875-018-0887-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297978PMC
December 2018
1 Read

The value of an embedded qualitative study in a trial of a second antidepressant for people who had not responded to one antidepressant: understanding the perspectives of patients and general practitioners.

BMC Fam Pract 2018 Dec 14;19(1):197. Epub 2018 Dec 14.

Centre for Academic Primary Care, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK.

Background: Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease. The number of prescriptions for antidepressants has risen dramatically in recent years yet up to 50% of patients who are treated for depression with antidepressants do not report feeling better as a result of treatment, and do not show the desired improvement on depression measures. We report a qualitative study embedded in a trial of second antidepressant for people who had not responded to one antidepressant, exploring the acceptability of a combination of antidepressants from the perspectives of both patients and practitioners, together with experiences of participating in a clinical trial. Read More

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http://dx.doi.org/10.1186/s12875-018-0877-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293563PMC
December 2018
2 Reads

Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan.

BMC Fam Pract 2018 Dec 14;19(1):198. Epub 2018 Dec 14.

South Tyneside District Hospital, South Shields, UK.

Background: Nocturnal enuresis (NE) is a common symptom in children worldwide. International Children's Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE with co-morbid conditions. The objectives of this study were to determine the frequencies and types of NE and associated symptoms and conditions in children aged 5 to 16 years based on ICCS criteria. Read More

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http://dx.doi.org/10.1186/s12875-018-0876-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293541PMC
December 2018
3 Reads
1.735 Impact Factor

Irish general practitioners' view of perinatal mental health in general practice: a qualitative study.

BMC Fam Pract 2018 Dec 13;19(1):196. Epub 2018 Dec 13.

School of Allied Health, Faculty of Education & Health Sciences, Health Sciences Building, University of Limerick, Limerick, Ireland.

Background: Identification of perinatal mental health problems and effective care for women who experience them are important considering the potentially serious impact that they may have on the wellbeing of the woman, her baby, family and wider society. General practitioners (GPs) play a central role in identifying and supporting women and this study aimed to explore GPs' experiences of caring for women with perinatal mental health problems in primary care. The results of this study may provide guidance to inform policy, practice, research and development of curriculum and continuous professional development resources. Read More

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http://dx.doi.org/10.1186/s12875-018-0884-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293539PMC
December 2018
2 Reads

Evaluation of an educational intervention to increase HIV-testing in high HIV prevalence general practices: a pilot feasibility stepped-wedged randomised controlled trial.

BMC Fam Pract 2018 Dec 13;19(1):195. Epub 2018 Dec 13.

Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.

Background: HIV-infected patients often present to primary care several times with HIV-indicator conditions before diagnosis but the opportunity to test by healthcare professionals (HCPs) is frequently missed. Current HIV testing rates in primary care are low and educational interventions to facilitate HCPs to increase testing and awareness of HIV are needed.

Method: We implemented a pilot feasibility stepped-wedged randomised controlled trial of an educational intervention in high HIV prevalence practices in Bristol. Read More

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http://dx.doi.org/10.1186/s12875-018-0880-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292019PMC
December 2018
2 Reads

Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience.

BMC Fam Pract 2018 Dec 12;19(1):193. Epub 2018 Dec 12.

Department of Family Medicine, Medical Faculty, Semmelweis University, Budapest, Hungary.

Background: Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. However, little is known about potential predictors of burnout among GPs. The aim of this study was to explore psychosocial correlates of burnout among GPs and residents in Hungary. Read More

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http://dx.doi.org/10.1186/s12875-018-0886-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290496PMC
December 2018
1 Read

Nurses' perceptions towards the delivery and feasibility of a behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care: a qualitative study.

BMC Fam Pract 2018 Dec 12;19(1):194. Epub 2018 Dec 12.

Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.

Background: Self-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support patients in changing their behaviour, the structured behaviour change Activate intervention was developed. Read More

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http://dx.doi.org/10.1186/s12875-018-0888-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292042PMC
December 2018
1 Read

Primary care provider perceptions of enablers and barriers to following guideline-recommended laboratory tests to confirm chronic kidney disease: a qualitative descriptive study.

BMC Fam Pract 2018 Dec 10;19(1):192. Epub 2018 Dec 10.

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Background: Patients should receive follow-up serum creatinine tests after an initial abnormal result to diagnose chronic kidney disease. However, half of the time this fails to occur in primary care. We interviewed primary care providers to better understand their perceptions of enablers and barriers to following this guideline-recommended care. Read More

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http://dx.doi.org/10.1186/s12875-018-0879-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287355PMC
December 2018
1 Read

Development and use of an index for measuring implementation of a weight management program in children in primary care clinics in Texas.

BMC Fam Pract 2018 Dec 5;19(1):191. Epub 2018 Dec 5.

Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth) School of Public Health in Austin, Austin, TX, USA.

Background: The Texas Childhood Obesity Research Demonstration study was an integrated, systems-oriented intervention that incorporated primary and secondary obesity prevention approaches targeting multiple sectors, including primary care clinics, to address childhood obesity. The primary care clinic component included the American Academy of Pediatrics' Next Steps weight management counseling materials that support brief healthy lifestyle-focused visits. The current study describes the methodology and assesses the implementation of the Next Steps program in the participating primary care clinics, as well as the association of implementation with enrollment of children with overweight and obesity in the secondary prevention intervention. Read More

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http://dx.doi.org/10.1186/s12875-018-0882-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280362PMC
December 2018
2 Reads

General practitioners' reasoning on risk screening and primary prevention of stroke - a focus group study.

BMC Fam Pract 2018 Dec 4;19(1):190. Epub 2018 Dec 4.

Malmo Hogskola, Malmo, Sweden.

Background: By screening and modifying risk factors, stroke incidence can be reduced. Clinical guidelines states that primary prevention of stroke is a responsibility and task of primary health care, but research shows that this not always the case. The aim of the study was to explore and describe what characterizes GPs' reasoning around risk screening and primary prevention among persons at risk for stroke in primary health care. Read More

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http://dx.doi.org/10.1186/s12875-018-0883-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278124PMC
December 2018
1 Read

Procedures performed by general practitioners and general internal medicine physicians - a comparison based on routine data from Northern Germany.

BMC Fam Pract 2018 Dec 3;19(1):189. Epub 2018 Dec 3.

Institute of Family Medicine, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.

Background: In response to a rising shortage of general practitioners (GPs), physicians in general internal medicine (GIM) have become part of the German primary care physician workforce. Previous studies have shown substantial differences in practice patterns between both specialties. The aim of this study was to analyse and compare the application of procedures by German GPs and GIM physicians based on routine data. Read More

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http://dx.doi.org/10.1186/s12875-018-0878-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276264PMC
December 2018
1 Read

Primary health care organizational characteristics associated with better accessibility: data from the QUALICO-PC survey in Quebec.

BMC Fam Pract 2018 Dec 3;19(1):188. Epub 2018 Dec 3.

Centre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé, Campus de Longueuil, 150 place Charles-Le Moyne, 9e étage, Longueuil, J4K 0A8, Canada.

Background: First-contact accessibility remains an important problem in Canada, with this indicator staying the worst of all Organization for Economic Co-operation and Development countries. In the province of Quebec, a number of primary healthcare (PHC) organizations have adopted measures to improve access (e.g. Read More

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http://dx.doi.org/10.1186/s12875-018-0871-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276215PMC
December 2018
1 Read

How older adults self-manage distress - does the internet have a role? A qualitative study.

BMC Fam Pract 2018 Nov 29;19(1):185. Epub 2018 Nov 29.

Research Institute for Primary Care & Health Sciences, Keele University, Keele, Staffordshire, ST5 5BG, UK.

Background: Anxiety and depression are common in older adults, but often under-recognised by GPs. Rather than perceiving themselves as suffering from anxiety or depression, older adults are more likely to self-identify as experiencing low mood, stress or distress. Older people may also feel responsible for managing their own mood problems. Read More

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http://dx.doi.org/10.1186/s12875-018-0874-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263534PMC
November 2018
2 Reads

Patient factors that affect trust in physicians: a cross-sectional study.

BMC Fam Pract 2018 Nov 29;19(1):187. Epub 2018 Nov 29.

Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.

Background: While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of both parties: patients and physicians. This study aimed to investigate the factors for trust in physicians among the Koreans by focusing on patients' traits which are related to their subjective perceptions. Read More

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http://dx.doi.org/10.1186/s12875-018-0875-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267873PMC
November 2018
1 Read

Competencies required for general practitioners/family physicians in urban areas versus non-urban areas: a preliminary study.

BMC Fam Pract 2018 Nov 29;19(1):186. Epub 2018 Nov 29.

Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Background: The medical practice of general practitioners/family physicians in urban areas differs from that in rural areas, accounting for the difference in specific competencies. However, variations in competencies in community healthcare required for general practitioners/family physicians in urban areas compared with those in rural areas have not yet been fully clarified. Thus, this study aimed to elucidate the competencies required for general practitioners/family physicians, especially in those characteristic to urban areas, and compare them with those in non-urban/rural areas. Read More

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http://dx.doi.org/10.1186/s12875-018-0869-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264627PMC
November 2018
1 Read

Controlled trial of the impact of a BC adult mental health practice support program (AMHPSP) on primary health care professionals' management of depression.

BMC Fam Pract 2018 Nov 28;19(1):183. Epub 2018 Nov 28.

University of Calgary, Calgary, Alberta, Canada.

Background: Depression affects over 400 million people globally. The majority are seen in primary care. Barriers in providing adequate care are not solely related to physicians' knowledge/skills deficits, but also time constraints, lack of confidence/avoidance, which need to be addressed in mental health-care redesign. Read More

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http://dx.doi.org/10.1186/s12875-018-0862-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262957PMC
November 2018
9 Reads

Development of the Japanese version of the general practice assessment questionnaire: measurement of patient experience and testing of data quality.

BMC Fam Pract 2018 Nov 28;19(1):181. Epub 2018 Nov 28.

Department of Medical Education and Research, Faculty of Medicine, Shimane University, 89-1, Enya-cho, Izumo-shi, Shimane, 693-8501, Japan.

Background: Physicians' interpersonal performance is critical in medical practice, especially primary care practice. The General Practice Assessment Questionnaire (GPAQ) was developed in the United Kingdom to evaluate the quality of primary care from the viewpoint of patients. This questionnaire highlights the evaluation of interpersonal skills and interactions between physicians and patients. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12875-018-0873-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264598PMC
November 2018
8 Reads

Stroke follow-up in primary care: a prospective cohort study on guideline adherence.

BMC Fam Pract 2018 Nov 28;19(1):179. Epub 2018 Nov 28.

General Practice Research Unit, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, PO Box 8905 MTFS, N-7491, Trondheim, Norway.

Background: After a stroke, a person has an increased risk of recurrent strokes. Effective secondary prevention can provide significant gains in the form of reduced disability and mortality. While considerable efforts have been made to provide high quality acute treatment of stroke, there has been less focus on the follow-up in general practice after the stroke. Read More

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http://dx.doi.org/10.1186/s12875-018-0872-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263549PMC
November 2018
1 Read

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga.

BMC Fam Pract 2018 Nov 28;19(1):180. Epub 2018 Nov 28.

Andalusian Group of Psychosocial Research (GAP), Malaga, Spain.

Background: Patients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.

Methods: We aimed to elaborate a multilevel explanatory model of general practitioner (GP) visits made by patients with schizophrenia and related disorders (SRD). An observational, cross-sectional study was conducted from January 1, 2008 to July 1, 2011, in the area of the Clinical Management Unit of Mental Health (CMU-MH) of the Regional Hospital of Malaga (Spain). Read More

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http://dx.doi.org/10.1186/s12875-018-0866-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264610PMC
November 2018
8 Reads