5,264 results match your criteria Family practice[Journal]


The impact of the adoption of a patient rostering model on primary care access and continuity of care in urban family practices in Ontario, Canada.

BMC Fam Pract 2019 Apr 18;20(1):52. Epub 2019 Apr 18.

Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada.

Background: 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 primary care system and is believed to improve continuity and access, few studies have examined these relationships. This study examined the impact of the adoption of a patient rostering enhanced fee-for-service model (eFFS) on continuity, coordination of specialized care, and access. Read More

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http://dx.doi.org/10.1186/s12875-019-0942-7DOI Listing

Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey.

BMC Fam Pract 2019 Apr 5;20(1):50. Epub 2019 Apr 5.

Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.

Background: Patient safety is a universal issue which affects countries at all stages of health system development. Patient safety research in primary care reveals that globally millions of people suffer disabilities, injuries, or death due to unsafe medical practices. This study aims to explore the understanding of frontline primary health care professionals regarding patient safety culture in health care facilities in Oman. Read More

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http://dx.doi.org/10.1186/s12875-019-0937-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449986PMC

Perspective of healthy asymptomatic patients requesting general blood tests from their physicians: a qualitative study.

BMC Fam Pract 2019 Apr 5;20(1):51. Epub 2019 Apr 5.

Department of Family Medicine, The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Clalit Health Services, Haifa, Western Galilee District, Israel.

Background: Routine blood tests for young, healthy, asymptomatic patients have no proven value in early detection of diseases. Indeed, such tests have occasionally been found to be harmful. Although general blood tests are not recommended by evidence-based guidelines, patients frequently request referrals for these tests. Read More

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http://dx.doi.org/10.1186/s12875-019-0940-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451261PMC
April 2019
2 Reads

Development and validation of measurement tools for user experience evaluation surveys in the public primary healthcare facilities in Greece: a mixed methods study.

BMC Fam Pract 2019 Apr 2;20(1):49. Epub 2019 Apr 2.

Netherlands Institute for Health Services research (NIVEL), Utrecht, The Netherlands.

Background: The public primary healthcare system in Greece has not been fully developed and is delivered by urban and rural health centers, outpatient departments in public hospitals and the recently established first-contact and decentralized local primary care units. The aim of this study was to develop a valid and reliable measurement tool for conducting periodic user experience evaluation surveys in public Primary HealthCare facilities in Greece such as outpatient clinics of public hospitals and health centers.

Methods: A mixed methods approach was applied. Read More

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http://dx.doi.org/10.1186/s12875-019-0935-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444824PMC
April 2019
1 Read

The introduction of the practice nurse mental health in general practices in the Netherlands: effects on number of diagnoses of chronic and acute alcohol abuse.

BMC Fam Pract 2019 Apr 2;20(1):48. Epub 2019 Apr 2.

Department of Health Promotion, Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200, MD, Maastricht, the Netherlands.

Background: 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 problems in primary care. This study aims to investigate the effect of the introduction of the practice nurse mental health in general practices in the Netherlands on the number of diagnoses of chronic and acute alcohol abuse.

Methods: The Netherlands Institute for Health Services Research (NIVEL) retrieved data of a representative sample of general practices (n = 155) for this study. Read More

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http://dx.doi.org/10.1186/s12875-019-0938-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444815PMC

Supply, distribution and characteristics of international medical graduates in family medicine in the United States: a cross-sectional study.

BMC Fam Pract 2019 Mar 30;20(1):47. Epub 2019 Mar 30.

Educational Commission for Foreign Medical Graduates, 3624 Market Street, Philadelphia, PA, 19104-2685, USA.

Background: To describe the supply, distribution, and characteristics of international medical graduates (IMGs) in family medicine who provide patient care in the U.S.

Methods: A cross-sectional study design, using descriptive statistics on combined data from the Educational Commission for Foreign Medical Graduates and the American Medical Association, including medical school attended, country of medical school, and citizenship when entering medical school. Read More

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http://dx.doi.org/10.1186/s12875-019-0933-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441164PMC

An analysis of general practitioners' perspectives on patient safety incidents using critical incident technique interviews.

Fam Pract 2019 Mar 30. Epub 2019 Mar 30.

Department of General Practice, School of Medicine, Ireland.

Background: General practitioners report difficulty in knowing how to improve patient safety.

Objectives: To analyse general practitioners' perspectives of contributing factors to patient safety incidents by collecting accounts of incidents, identifying the contributory factors to these incidents, assessing the impact and likelihood of occurrence of these incidents and examining whether certain categories of contributory factors were associated with the occurrence of high-risk incidents.

Methods: Critical incident technique interviews were carried out with 30 general practitioners in Ireland about a patient safety incident they had experienced. Read More

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http://dx.doi.org/10.1093/fampra/cmz012DOI Listing

Effects of home visits for pregnant and postpartum women on premature birth, low birth weight and rapid repeat birth: a meta-analysis and systematic review of randomized controlled trials.

Fam Pract 2019 Mar 29. Epub 2019 Mar 29.

Nursing School, Jilin University, Changchun, China.

Background: Home visits seem promising for improving the health of women and infants during pregnancy and postpartum. This review aimed to quantitatively analyse the effects of home visits delivered during pregnancy and postpartum on premature birth (PTB), low birth weight (LBW) and rapid repeat birth (RRB).

Methods: Literature was retrieved from PubMed, EMBASE, Web of Science and the Cochrane Library from January 1960 to October 2018 and the references lists of related studies and reviews were also screened. Read More

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http://dx.doi.org/10.1093/fampra/cmz009DOI Listing
March 2019
1 Read
1.842 Impact Factor

Dissonant views - GPs' and parents' perspectives on antibiotic prescribing for young children with respiratory tract infections.

BMC Fam Pract 2019 Mar 28;20(1):46. Epub 2019 Mar 28.

National Ageing Research Institute LTD, 34-54 Poplar Road, Parkville, VIC, 3052, Australia.

Background: Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure and fear of losing patients if they do not prescribe antibiotics, however, parental views on antibiotics for RTIs are unclear. Therefore, this study examined GPs' and parents' perceptions regarding antibiotic prescribing for RTIs in young children. Read More

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http://dx.doi.org/10.1186/s12875-019-0936-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437946PMC
March 2019
2 Reads

Use of delayed antibiotic prescription in primary care: a cross-sectional study.

BMC Fam Pract 2019 Mar 26;20(1):45. Epub 2019 Mar 26.

Iberoamerican Cochrane Center, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Background: One of several strategies developed to reduce inappropriate antibiotic use in situations where the indication is not clear is delayed antibiotic prescription (DAP), defined as an antibiotic prescription issued for the patient to take only in case of feeling worse or not feeling better several days after the visit. We conducted a survey to identify DAP use in Spanish primary care settings.

Methods: We surveyed 23 healthcare centers located in 4 autonomous regions where a randomized controlled trial (RCT) on DAP was underway. Read More

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http://dx.doi.org/10.1186/s12875-019-0934-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434640PMC
March 2019
1 Read

Practical mixed methods strategies used to integrate qualitative and quantitative methods in community-based primary health care research.

Fam Pract 2019 Mar 19. Epub 2019 Mar 19.

Department of Family Medicine, McGill University, Montreal, Canada.

Background: Mixed methods (MM) are common in community-based primary health care (CBPHC) research studies. Several strategies have been proposed to integrate qualitative and quantitative components in MM, but they are seldom well conceptualized and described. The purpose of the present review was to identify and describe practical MM strategies and combinations of strategies used to integrate qualitative and quantitative methods in CBPHC research. Read More

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http://dx.doi.org/10.1093/fampra/cmz010DOI Listing

Interprofessional collaboration in diabetes care: perceptions of family physicians practicing in or not in a primary health care team.

BMC Fam Pract 2019 Mar 13;20(1):44. Epub 2019 Mar 13.

Department of Family Medicine, University of Alberta, Health Sciences Addition Room 110, London, Ontario, N6A 5C1, Canada.

Background: 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 ranging from a single practitioner to interprofessional team models of care. This study examined the extent to which family physicians collaborate with other health professionals in the care of patients with T2DM, comparing those who are part of an interprofessional health care team called a Primary Care Network (PCN) to those who are not part of a PCN. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-019-0932-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419394PMC
March 2019
3 Reads
1.735 Impact Factor

Primary care cost savings-the role of trust.

Authors:
Niharika Khanna

Fam Pract 2019 Mar 11. Epub 2019 Mar 11.

Department of Family and Community Medicine, School of Medicine, University of Maryland, Baltimore, MD, USA.

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http://dx.doi.org/10.1093/fampra/cmz011DOI Listing

Role of professional networks on social media in addressing clinical questions at general practice: a cross-sectional study of general practitioners in Australia and New Zealand.

BMC Fam Pract 2019 Mar 6;20(1):43. Epub 2019 Mar 6.

Centre for Research in Evidence Based Practice, Bond University, 14 University Dr, Robina, QLD, 4229, Australia.

Background: Clinicians frequently have questions about patient care. However, for more than half of the generated questions, answers are never pursued, and if they are, often not answered satisfactorily. We aimed to characterise the clinical questions asked and answers provided by general practitioners (GP) through posts to a popular professional social media network. Read More

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http://dx.doi.org/10.1186/s12875-019-0931-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404315PMC
March 2019
1 Read

Recruiting general practitioners for palliative care research in primary care: real-life barriers explained.

BMC Fam Pract 2019 Mar 5;20(1):40. Epub 2019 Mar 5.

Department of Primary and Interdisciplinary Care, Faculty of Health and Life Sciences, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Antwerp, Belgium.

Background: The implementation of early palliative care within a primary care setting is a recent academic topic. Recruiting General Practitioners (GPs) to participate in a palliative care study can be challenging. The pro-Spinoza project implemented a Care Pathway for Primary Palliative Care in 5 areas in Belgium. Read More

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http://dx.doi.org/10.1186/s12875-019-0930-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399951PMC

Cross-sectional study in an out-of-hours primary care centre in northwestern Germany - patient characteristics and the urgency of their treatment.

BMC Fam Pract 2019 Mar 5;20(1):41. Epub 2019 Mar 5.

Department for Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, D-26111, Oldenburg, Germany.

Background: 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 was to provide an insight into the care structures of an OOH primary care centre, to evaluate the reasons for encounter (RFE) and to assess the urgency of the treatment from the physicians´ point of view.

Methods: In the summer of 2017, we conducted a cross-sectional study over four weeks in the OOH primary care centre of Oldenburg, a city in Lower Saxony with about 160,000 inhabitants. Read More

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http://dx.doi.org/10.1186/s12875-019-0929-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399868PMC

Periodic health visits by primary care practice model, a population-based study using health administrative data.

BMC Fam Pract 2019 Mar 5;20(1):42. Epub 2019 Mar 5.

The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada.

Background: 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 for primary care may be associated with the provision of service delivery according to recommended guidelines. We sought to determine how use of the periodic health visit for healthy individuals without comorbidities, despite evidence against its use, differed by primary care model. Read More

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http://dx.doi.org/10.1186/s12875-019-0927-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399901PMC

Skill mix in Swiss primary care group practices - a nationwide online survey.

BMC Fam Pract 2019 Mar 4;20(1):39. Epub 2019 Mar 4.

University of Applied Sciences of Southern Switzerland, Department of Business Economics, Health and Social Care, Via Violino 11, Manno, 6928, Switzerland.

Background: Increasing chronic conditions and multimorbidity is placing growing service pressures on health care, especially primary care services. This comes at a time when GP workforce shortages are starting to be felt across Switzerland, placing a threat on the sustainability of good access to primary care. By establishing multiprofessional teams in primary care, service capacity is increased and the pressures on the GP workforce can be alleviated. Read More

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http://dx.doi.org/10.1186/s12875-019-0926-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398248PMC

Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study.

BMC Fam Pract 2019 Mar 2;20(1):38. Epub 2019 Mar 2.

Department of Health Services Research, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.

Background: Assessing the cost effectiveness of training aimed at increasing general practitioners' (GP) work awareness and patients' work-related self-efficacy and quality of life.

Methods: A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GPs working in an intervention group practice received training and GPs working in a control group practice delivered usual care. Read More

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http://dx.doi.org/10.1186/s12875-019-0924-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397438PMC

Cultural adaptation and psychometric properties of the Chinese Burden of Treatment Questionnaire (C-TBQ) in primary care patients with multi-morbidity.

Fam Pract 2019 Mar 1. Epub 2019 Mar 1.

Department of Family Medicine and Primary Care, University of Hong Kong, Ap lei Chau, Hong Kong.

Background: The Burden of Treatment Questionnaire (TBQ) assesses the impact of a patient's treatment workload on their quality of life.

Objectives: The aim was to translate and validate the TBQ on Chinese primary care patients with multi-morbidity.

Methods: The English TBQ was translated and back-translated using professional translators. Read More

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http://dx.doi.org/10.1093/fampra/cmz008DOI Listing

Are big data analytics helpful in caring for multimorbid patients in general practice? - A scoping review.

BMC Fam Pract 2019 Feb 27;20(1):37. Epub 2019 Feb 27.

Institute for Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, Haus 50, 23538, Lübeck, Germany.

Background: The treatment of multimorbid patients is one crucial task in general practice as multimorbidity is highly prevalent in this setting. However, there is little evidence how to treat these patients and consequently there are but a few guidelines that focus primarily on multimorbidity. Big data analytics are defined as a method that obtains results for high volume data with high variety generated at high velocity. Read More

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http://dx.doi.org/10.1186/s12875-019-0928-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394098PMC
February 2019

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations.

BMC Fam Pract 2019 Feb 26;20(1):36. Epub 2019 Feb 26.

Research Unit for General Practice, Aarhus University, Aarhus, Denmark.

Background: The demand for out-of-hours (OOH) primary care has increased during the last decades, with a considerable amount of contacts for young children. This study aims to describe the reasons for encounter (RFE), the most common diagnoses, the provided care, and the parental satisfaction with the general practitioner (GP) led OOH service in a Danish population of children (0-5 years).

Methods: We conducted a one-year cross-sectional study based on data for 2363 randomly selected contacts concerning children from a survey on OOH primary care including 21,457 patients in Denmark. Read More

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http://dx.doi.org/10.1186/s12875-019-0922-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390329PMC
February 2019

Actions and processes that patients, family members, and physicians associate with patient- and family-centered care.

BMC Fam Pract 2019 Feb 25;20(1):35. Epub 2019 Feb 25.

TrilliumHealth Partners, 100 Queensway West, 6th, Mississauga, ON, L5B 1B8, Canada.

Background: Patient- and family-centered care (PFCC) is increasingly linked to improved communication, care quality, and patient decision making. However, in order to consistently implement and study PFCC, health care systems and researchers need a solid evidentiary base. Most current definitions and models of PFCC are broad and conceptual, and difficult to translate into measurable behaviors and actions. Read More

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http://dx.doi.org/10.1186/s12875-019-0918-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388493PMC
February 2019

Challenges in diagnosing dementia in patients with a migrant background - a cross-sectional study among German general practitioners.

BMC Fam Pract 2019 Feb 25;20(1):34. Epub 2019 Feb 25.

Institute of General Practice and Family Medicine, Medical Faculty of the University of Bonn, Bonn, Germany.

Background: Diagnosing dementia, a syndrome affecting 35.6 million people worldwide, can be challenging, especially in patients with a migrant background. Language barriers and language-based diagnostic tools, cultural differences in the perception of the syndrome as well as restricted access to healthcare can influence medical care. Read More

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http://dx.doi.org/10.1186/s12875-019-0920-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388491PMC
February 2019

Well informed physician-patient communication in consultations on back pain - study protocol of the cluster randomized GAP trial.

BMC Fam Pract 2019 Feb 25;20(1):33. Epub 2019 Feb 25.

Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.

Background: Back pain is one of the most frequent causes of health-related work absence. In Germany, more than 70% of adults suffer from at least one back pain episode per annum. It has strong impact on health care costs and patients' quality of life. Read More

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http://dx.doi.org/10.1186/s12875-019-0925-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388488PMC
February 2019
1 Read

Talk About Self-Harm (TASH): participatory action research with young people, GPs and practice nurses to explore how the experiences of young people who self-harm could be improved in GP surgeries.

Fam Pract 2019 Feb 23. Epub 2019 Feb 23.

Social Work and Health, School of Social Sciences, Nottingham Trent University, Nottingham, UK.

Background: The incidence of self-harm in young people in primary care is increasing dramatically, and many young people who self-harm visit their GP surgery as a first point of contact for help.

Objective: To explore with young people, GPs and practice nurses (PNs): (i) why young people present with self-harm to primary care and (ii) whether young people, GPs and PNs can take steps to have more helpful consultations about self-harm in GP surgeries that include self-help materials developed by young people being used to support such consultations to take place.

Methods: Participatory action research with GPs, PNs and young people employed mixed methods to collect statistical and narrative data. Read More

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http://dx.doi.org/10.1093/fampra/cmz006DOI Listing
February 2019

The impact of quality and accessibility of primary care on emergency admissions for a range of chronic ambulatory care sensitive conditions (ACSCs) in Scotland: longitudinal analysis.

BMC Fam Pract 2019 Feb 22;20(1):32. Epub 2019 Feb 22.

University of Glasgow, Glasgow, UK.

Background: 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 increasingly used as performance indicators. However, key questions remain about the validity of these measures. Read More

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http://dx.doi.org/10.1186/s12875-019-0921-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385424PMC
February 2019

The influence of an educational internet-based intervention in the beliefs and attitudes of primary care professionals on non-specific chronic low back pain: study protocol of a mixed methods approach.

BMC Fam Pract 2019 Feb 21;20(1):31. Epub 2019 Feb 21.

Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.

Background: Personal convictions in referral to pain cause misbeliefs in health professionals, which can influence patients who suffer from non-specific chronic low back pain. Likewise, health professionals' beliefs affect their advice and attitudes towards patients' treatment, becoming a possible cause of greater disability. The development of educational interventions based on the best scientific evidence in neurophysiology of pain could be a way to provide information and advice to primary care health professionals to change their cognition towards chronic non-specific low back pain. Read More

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http://dx.doi.org/10.1186/s12875-019-0919-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383219PMC
February 2019
1 Read

A conceptual framework for increasing clinical staff member involvement in general practice: a proposed strategy to improve the management of low back pain.

BMC Fam Pract 2019 Feb 21;20(1):30. Epub 2019 Feb 21.

Center for General Practice at Aalborg University, Fyrkildevej 7, 9220, Aalborg, Denmark.

Background: 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 consensus in international clinical practice guidelines to provide patients with information about the nature of their pain and recommend them to stay active despite discomfort. Read More

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https://bmcfampract.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12875-019-0923-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383226PMC
February 2019
1 Read

Prescribing of diabetes medications to people with type 2 diabetes and chronic kidney disease: a national cross-sectional study.

BMC Fam Pract 2019 Feb 18;20(1):29. Epub 2019 Feb 18.

Department of Medicine, St Vincent's Hospital and University of Melbourne, Fitzroy, Australia.

Background: Previous studies in general practice and hospital settings have identified that prescribing of non-insulin diabetes medications may be sub-optimal in people with type 2 diabetes (T2D) and renal impairment. Since these publications, a number of new medications have become available for the management of T2D. Study aims were to, in a cohort of Australians with T2D and renal impairment attending general practice, (1) investigate whether the prescribing of non-insulin diabetes medications is consistent with dosing adjustments recommended within current Australian Diabetes Society (ADS) guidelines; and (2) identify patient socio-demographic and clinical factors associated with at least one prescription of a non-insulin diabetes medication inconsistent with current ADS guidelines for medication doses. Read More

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http://dx.doi.org/10.1186/s12875-019-0915-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378720PMC
February 2019
7 Reads

Effectiveness of individual and group multicomponent interventions for smoking cessation in primary care: a quasi-experimental study.

Fam Pract 2019 Feb 17. Epub 2019 Feb 17.

Servicio Extremeño de Salud, Centro de Salud Universitario 'La Paz', Unidad Docente de Medicina Familiar y Comunitaria, Departamento de Ciencias Biomédicas, Universidad de Extremadura, Badajoz, Spain.

Background: The efficacy of smoking cessation interventions can be quite diverse in day-to-day clinical practice.

Objective: To analyse the effectiveness in smoking cessation of multicomponent interventions carried out in groups or individually in primary care practices.

Methods: A quasi-experimental, multicentre study of 12-month follow-up of patients treated in multicomponent smoking cessation interventions was carried out in Urban health care centres in Sevilla, Spain. Read More

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http://dx.doi.org/10.1093/fampra/cmz005DOI Listing
February 2019

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376650PMC
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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374900PMC
February 2019

Challenges and strategies for hypertension management: qualitative analysis of small primary care practices with varying blood pressure control.

Fam Pract 2019 Feb 8. Epub 2019 Feb 8.

New York City Department of Health and Mental Hygiene, Division of Prevention and Primary Care, Bureau of the Primary Care Information Project, New York City, NY, USA.

Background: Electronic health record (EHR) data on blood pressure (BP) control among patients with hypertension show that practices' rates vary greatly. This suggests providers use different approaches in managing hypertension, and so we aimed to explore challenges small primary care practice providers face and strategies they use to manage patients' BP. We explored differences between providers with high and low BP control rates to help inform future quality improvement work. Read More

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http://dx.doi.org/10.1093/fampra/cmz004DOI Listing
February 2019
1 Read
1.842 Impact Factor

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
6 Reads

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
1 Read

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
1 Read

Consultations for gastroenteritis in general practice and out-of-hours services in Norway 2006-15.

Fam Pract 2019 Jan 26. Epub 2019 Jan 26.

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Background: Most of the patients with gastroenteritis seeking health care services are managed in primary care; yet, little is known about these consultations. Syndromic-based surveillance of gastrointestinal infections is used in several countries, including Norway.

Aim: To investigate the extent of, and explore characteristics associated with, consultations for gastroenteritis in primary care and to compare consultations in daytime general practice and out-of-hours (OOH) services in Norway. Read More

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http://dx.doi.org/10.1093/fampra/cmy133DOI Listing
January 2019
1 Read

Regularity of contact with GPs: Measurement approaches to improve valid associations with hospitalization.

Fam Pract 2019 Jan 26. Epub 2019 Jan 26.

Health Systems & Health Economics, School of Public Health, Curtin University, Perth, Australia.

Background: Studies examine longitudinal continuity of GP contact though few consider 'regularity of GP contact', i.e., the dispersion of contacts over time. Read More

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http://dx.doi.org/10.1093/fampra/cmz002DOI Listing
January 2019
2 Reads

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
5 Reads

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
7 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
4 Reads

Managing mental health disorders requires attending to both primary care and its specialty mental health collaborators.

Fam Pract 2019 01;36(1):1-2

HealthPartners Institute, Minneapolis, MN, USA.

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http://dx.doi.org/10.1093/fampra/cmz001DOI Listing
January 2019
1 Read

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
Publisher Site
http://dx.doi.org/10.1186/s12875-018-0901-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337818PMC
January 2019
11 Reads