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European expert consensus recommendations on the primary care use of direct oral anticoagulants in patients with venous thromboembolism BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-18 Carter Patrice, Fuat Ahmet, Haas Sylvia, Smyth Elizabeth, Brotons Carlos, Cools Frank, Bauersachs Rupert, Hobbs F. D. Richard
Direct oral anticoagulants for the treatment of venous thromboembolism are supported by robust clinical trial evidence. Despite published guidance, general practitioners are faced with increasingly complex decisions and implementation remains sub-optimal in certain real-world scenarios. A two stage formal consensus exercise was performed to formulate consensus statements and a summary guide, facilitating
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The relation between usage of an eHealth intervention for stress urinary incontinence and treatment outcomes: an observational study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-16 Lotte Firet, Theodora Alberta Maria Teunissen, Rudolf Bertijn Kool, Reinier Peter Akkermans, Antoinette Leonarda Maria Lagro-Janssen, Huub van der Vaart, Willem Jan Jozef Assendelft
Stress urinary incontinence (SUI), though a prevalent condition among women, is undertreated in primary care. EHealth with pelvic floor muscle training is an evidence-based alternative to care-as-usual. It is unknown, however, how eHealth usage is related to treatment outcome, and this knowledge is required for general practitioners to implement eHealth in their practice. This study examines the relation
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Exploring treatment burden in people with type 2 diabetes mellitus: a thematic analysis in china's primary care settings BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-15 Kai Lin, Mi Yao, Lesley Andrew, Rouyan Li, Yilin Chen, Jacques Oosthuizen, Moira Sim, Yongsong Chen
Understanding treatment burden is a critical element to the effective management of Type 2 Diabetes Mellitus (T2DM). The current study aims to address the knowledge gap surrounding treatment burden of T2DM from the patient’s perspective in China’s primary care settings. A narrative review informed the creation of an a priori coding structure to identify aspects of T2DM treatment burden. Focus groups
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Effect of online infographics for enhancing health literacy among patients with type 2 diabetes in primary care unit during the COVID-19 pandemic: a randomized controlled trial BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-15 Suchada Sutthiworapon, Polathep Vichitkunakorn, Kittisakdi Choomalee, Pitchayanont Ngamchaliew
Health literacy (HL) in patients with type 2 diabetes mellitus (DM) can help control disease and prevent complications. However, most patients with type 2 DM have inadequate HL; therefore, their HL must be further improved. This study aimed to determine the effects of online infographics on improving HL among patients with type 2 DM. This randomized controlled trial was conducted from July 2022 to
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Development of the national consensus statement on ear health and hearing check recommendations for Aboriginal and Torres Strait Islander children aged under 6 years attending primary care: systematic scoping review and e-Delphi BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-14 Samantha Harkus, Vivienne Marnane, Isabel O’Keeffe, Carmen Kung, Meagan Ward, Neil Orr, John Skinner, Jessica Kate Hughes, Lose Fonua (Wiradjuri), Michelle Kennedy (Wiradjuri), Kelvin Kong (Worimi), Mary Belfrage
Early detection of long-term, often asymptomatic, middle ear infection in young Aboriginal and Torres Strait Islander children is more likely to be achieved when ear health and hearing checks are routinely undertaken in primary healthcare. Evidence consistently demonstrates the adverse impacts of this condition on the development and wellbeing of children and their families. We aimed to develop feasible
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A qualitative examination of primary care team’s participation in the distribution of the COVID-19 vaccination BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-14 Rachelle Ashcroft, Catherine Donnelly, Simon Lam, Peter Sheffield, Bryn Hamilton, Connor Kemp, Keith Adamson, Judith Belle Brown
Primary health care (PHC) has historically led and implemented successful immunization programs, driven by strong relationships with patients and communities. During the COVID-19 pandemic, Canada began its vaccination strategy with mass immunizations that later included local efforts with PHC providers. This study seeks to understand how PHC contributed to the different phases of the COVID-19 vaccination
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Barriers and facilitators to primary care management of type 2 diabetes in Shijiazhuang City, China: a mixed methods study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-13 Xuanchen Tao, Limin Mao, Puhong Zhang, Xinyan Ma, Zhenyu Liang, Kaige Sun, David Peiris
The prevalence of type 2 diabetes (T2DM) in China is over 10%, affecting around 114 million people. Despite the inclusion of T2DM in the National Basic Public Health Service Program (NBPHSP), most people with T2DM experience challenges in achieving optimal management targets. This study aimed to identify barriers and facilitators of diabetes management from the perspectives of primary health care (PHC)
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One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018–19) BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-13 Jeanne Pergeline, Thomas Lesuffleur, Jeanne Fresson, Annick Vilain, Antoine Rachas, Philippe Tuppin
This study was designed to identify factors associated with at least one emergency department (ED) visit and those associated without consultation by a general practitioner or paediatrician (GPP) before ED visit. Levels of annual consumption of healthcare services as a function of the number of ED visit were reported. This retrospective study focused on children < 18 years of age living in mainland
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A systematic review of the types, workload, and supervision mechanism of community health workers: lessons learned for Indonesia BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-11 Sofwatun Nida, Agatha Swasti Ayuning Tyas, Nidya Eka Putri, Ayudina Larasanti, Aldhea Ayu Widoyopi, Rima Sumayyah, Saetia Listiana, Aufia Espressivo
Community health workers (CHWs) have demonstrated capability to improve various health indicators, however, many programmes require support in meeting their objectives due to subpar performance and a high rate of CHW attrition. This systematic review investigated the types of CHWs, their workloads, and supervision practices that contribute to their performance in different countries. The search was
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Validation of self-reported cardiovascular problems in childhood cancer survivors by contacting general practitioners: feasibility and results BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-08 Eva-Maria Hau, Tomáš Sláma, Stefan Essig, Gisela Michel, Laura Wengenroth, Eva Bergstraesser, Nicolas X. von der Weid, Christina Schindera, Claudia E. Kuehni
Epidemiological studies often rely on self-reported health problems and validation greatly improves study quality. In a study of late effects after childhood cancer, we validated self-reported cardiovascular problems by contacting general practitioners (GPs). This paper describes: (a) the feasibility of this approach; and (b) the agreement between survivor-reports and reports from their GP. The Swiss
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Family physicians’ preferences for education to support family caregivers: a sequential mixed methods study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-07 Jasneet Parmar, Sara Hafeez, Tanya L’Heureux, Lesley Charles, Josephine Tite, Peter George J. Tian, Sharon Anderson
One in four Canadians is a family caregiver. Family caregivers (carers, care-partners) are relatives or chosen family, friends, or neighbors who provide 75 to 90% of the care for people with physical or mental illness, disabilities, or frailty living in community homes and assist with 15 to 30% of the care in congregate care. However, a recent (2022) Statistics Canada population health study reports
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Quality of care in Belgian general practices during the COVID-19 pandemic: results of the cross-sectional PRICOV-19 study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-05 Esther Van Poel, Pierre Vanden Bussche, Benoît Pétré, Cécile Ponsar, Claire Collins, Michel De Jonghe, Anne-Françoise Donneau, Nicolas Gillain, Michèle Guillaume, Sara Willems
The COVID-19 pandemic immensely impacted care provision, including quality of care in general practice. This paper aimed: (1) to assess how Belgian general practices acted upon the six dimensions of quality of care during COVID-19; (2) to study differences between the three Belgian regions; and (3) to benchmark the performance of the Belgian practices against the performance in other European countries
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Interprofessional collaboration in the home care setting: perspectives of people receiving home care, relatives, nurses, general practitioners, and therapists—results of a qualitative analysis BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-04 Uta Sekanina, Britta Tetzlaff, Ana Mazur, Tilman Huckle, Anja Kühn, Richard Dano, Carolin Höckelmann, Martin Scherer, Katrin Balzer, Sascha Köpke, Eva Hummers, Christiane Müller
About one million people in need of home care in Germany are assisted by 15,400 home care services. Home healthcare is mostly a complex endeavour because interprofessional collaboration is often challenging. This might negatively impact patient safety. The project interprof HOME aims to develop an interprofessional person-centred care concept for people receiving home care in a multistep approach.
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Evaluation of deprescription by general practitioners in elderly people with different levels of dependence: cross-sectional study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-02 Tânia Coelho, Inês Rosendo, Carlos Seiça Cardoso
Polypharmacy is easily achieved in elderly patients with multimorbidity and it is associated with a higher risk of potentially inappropriate medication use and worse health outcomes. Studies have shown that deprescription is safe, however, some barriers have been identified. The aim of this study was to analyse Portuguese General Practitioners (GP) deprescription’s attitudes using clinical vignettes
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Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-01 David T. Eton, Kathleen J. Yost, Jennifer L. Ridgeway, Bayly Bucknell, Mike Wambua, Natalie C. Erbs, Summer V. Allen, Elizabeth A. Rogers, Roger T. Anderson, Mark Linzer
The aim of this study was to develop a web-based tool for patients with multiple chronic conditions (MCC) to communicate concerns about treatment burden to their healthcare providers. Patients and providers from primary-care clinics participated. We conducted focus groups to identify content for a prototype clinical tool to screen for treatment burden by reviewing domains and items from a previously
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Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals’ experiences BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-01 Lotte Timmermans, Dagje Boeykens, Muhammed Mustafa Sirimsi, Dominique Van de Velde, Patricia De Vriendt, Peter Decat, Veerle Foulon, Ann Van Hecke, Mieke Vermandere, Birgitte Schoenmakers
To support self-management of chronically ill persons, innovative approaches of care practice are being developed. Unfortunately, many self-management supporting interventions struggle to achieve reliable and consistent improvements at various levels (patient, provider and healthcare system level). One possible strategy to facilitate translating theory into practice, is to consider the healthcare professionals’
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The effectiveness of chronic disease management planning on self-management among patients with diabetes at general practice settings in Australia: a scoping review BMC Fam. Pract. (IF 2.9) Pub Date : 2024-03-01 Maryam Ghasemiardekani, Georgina Willetts, Kerry Hood, Wendy Cross
Medicare provides significant funding to improve, encourage and coordinate better practices in primary care. Medicare-rebated Chronic Disease Management (CDM) plans are a structured approach to managing chronic diseases in Australia. These chronic disease care plans are intended to be a vehicle to deliver guideline-based / evidence-based care.. However, recommended care is not always provided, and
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Physical work environment and burnout among primary care physicians in Israel: a cross-sectional study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-28 Yaara Bentulila, Liat Lev Shalem, Bar Cohen, Limor Adler
Physician burnout remains a prevalent issue globally, negatively affecting work satisfaction and patient care. However, exploration of the physical work environments of physicians, a potential influencing factor for burnout, remains scarce. The physical work environment is everything that surrounds the physician, including the doctor’s office, the clinic, the clinic’s building, the waiting, and staff
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Trends in low-value GP care during the COVID-19 pandemic: a retrospective cohort study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-28 Joris L. J. M. Müskens, Tim C. Olde Hartman, Henk J. Schers, Reinier P. Akkermans, Gert P. Westert, Rudolf B. Kool, Simone A. van Dulmen
Several studies showed that during the pandemic patients have refrained from visiting their general practitioner (GP). This resulted in medical care being delayed, postponed or completely forgone. The provision of low-value care, i.e. care which offers no net benefit for the patient, also could have been affected. We therefore assessed the impact of the COVID-19 restrictions on three types of low-value
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Behavioural determinants shaping infection prevention and control behaviour among healthcare workers in Dutch general practices: a qualitative study reflecting on pre-, during and post-COVID-19 pandemic BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-28 Famke Houben, Casper DJ den Heijer, Mitch van Hensbergen, Nicole HTM Dukers-Muijrers, Eefje GPM de Bont, Christian JPA Hoebe
Since the Coronavirus Disease 2019 (COVID-19) pandemic, awareness of infection prevention and control (IPC) has increased in primary care settings. This study aimed to examine behavioural determinants shaping IPC behaviour pre-, during, and post-pandemic among healthcare workers (HCWs) in general practices, to inform optimised IPC in primary care. For this qualitative study, semi-structured in-depth
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Impact of COVID-19 pandemic on pediatric dental procedures in primary healthcare settings in Piracicaba, Brazil: an ecological study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-27 Rúbia Vanessa Figueiredo dos Santos, Fernanda Maria Rovai Bado, Inara Pereira da Cunha, Marcelo de Castro Meneghim
The COVID-19 pandemic brought significant changes to dental care, which may have affected pediatric dental care offered in primary healthcare settings. Therefore, the aim of this study was to analyze the quantity of dental procedures performed in primary healthcare for children aged 6 to 12 years, before and during the COVID-19 pandemic. This is an ecological study using data from the health information
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Limited incremental predictive value of the frailty index and other vulnerability measures from routine care data for mortality risk prediction in older patients with COVID-19 in primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-23 Hannah M. la Roi-Teeuw, Kim Luijken, Marieke T. Blom, Jacobijn Gussekloo, Simon P. Mooijaart, Harmke A. Polinder-Bos, Maarten van Smeden, Geert-Jan Geersing, Carline J. van den Dries
During the COVID-19 pandemic, older patients in primary care were triaged based on their frailty or assumed vulnerability for poor outcomes, while evidence on the prognostic value of vulnerability measures in COVID-19 patients in primary care was lacking. Still, knowledge on the role of vulnerability is pivotal in understanding the resilience of older people during acute illness, and hence important
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“Cooperation between physicians and physios fosters trust you know”: a qualitative study exploring patients’ experience with first-contact physiotherapy for low back pain in French primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-23 Amélie Kechichian, Dylan Pommier, Léo Druart, Véronique Lowry, Nicolas Pinsault, François Desmeules
Physiotherapists working in collaboration with family physicians in French multidisciplinary primary healthcare clinics are now able to manage acute low back pain patients as first-contact practitioners in advanced practice roles. This includes medical act delegation such as making a medical diagnosis and prescribing medication. The aim of this study is to explore patients’ experience and perceptions
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Project nature: promoting outdoor physical activity in children via primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-23 Georgia M. Griffin, Carolina Nieto, Kirsten Senturia, Marshall Brown, Kimberly Garrett, Elizabeth Nguyen, Danette Glassy, Emily Kroshus, Pooja Tandon
Families face a range of barriers in supporting their children’s active play in nature including family circumstances, environmental constraints, and behavioral factors. Evidence-based strategies to address these barriers are needed. We aimed to develop and pilot test a primary care-based family-centered behavioral intervention to promote active outdoor play in 4–10 year-old children. Project Nature
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Evaluation of the primary health care expansion program with public-private partnership in slum areas from the perspective of stakeholders: a qualitative study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-22 Aboalfazl Marvi, Fatemeh Kokabisaghi, Seyed Saeed Tabatabaee, Ehsan Moallem, Javad Moghri
Today, economic and social determinants of health in slum settlements are at the policymakers’ center of attention. Iran has had an excellent experience in the Primary Health Care Program. This study aimed to evaluate the Primary Health Care Expansion Program with public-private partnerships in slum areas of Iran from the perspective of stakeholders in 2022. This qualitative study was conducted using
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Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-22 Sébastien Leruste, Bérénice Doray, Thierry Maillard, Christophe Lebon, Catherine Marimoutou, Michel Spodenkiewicz
Foetal alcohol spectrum disorder (FASD) is the leading preventable cause of nongenetic mental disability. Given the patient care pathway, the General Practitioner (GP) is in the front line of prevention and identification of FASD. Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention
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“I think they should give primary health care a little more priority”. The primary health care in Caribbean SIDS: what can be said about adaptation to the changing climate? The case of Dominica— a qualitative study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-22 Fiona Harris-Glenville, Patrick Cloos
Adaptation to climate change (CC) is a priority for Small Island Developing States (SIDS) in the Caribbean, as these countries and territories are particularly vulnerable to climate-related events. Primary health care (PHC) is an important contributor to CC adaptation. However, knowledge on how PHC is prepared for CC in Caribbean SIDS is very limited. The aim of this paper is to discuss health system
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What are the factors affecting primary care choice when the access under health insurance scheme is limited?: a cross-sectional study in Bandung, Indonesia BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-21 Afina Nur Fauziyyah, Akira Shibanuma, Ken Ing Cherng Ong, Masamine Jimba
Ensuring equal access to primary care services is crucial, as the gateway to a higher level of care. Indonesia has been trying to increase financial access to medical care by administering national health insurance known as BPJS-Health (Badan Penyelenggara Jaminan Sosial Kesehatan) since 2014. However, BPJS-Health beneficiaries can only use their benefits at a limited number of registered primary care
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Youth preferences for healthcare providers and healthcare interactions: a qualitative study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-21 Marika Waselewski, Xochitl Amaro, Ryan Huerto, Jessica Berger, Marcus Spinelli da Silva, Kate Siroky, Anthony Torres, Tammy Chang
Patient-physician relationships in healthcare can influence healthcare provision, patient engagement, and health outcomes. Little is known about youth preferences on types and characteristics of their healthcare providers. The aim of this study was to assess youth perspectives on preferences for and interactions with their healthcare providers. We posed 5 open-ended questions to 1,163 MyVoice participants
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Can the allocation of primary health care system resources affect efficiency? A spatial Dubin model study in China BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-21 Xinyue Sun, Bo Lv, Xiaoyi Gao, Kai Meng
The primary health care (PHC) system plays an important role in China’s health care system, but there are challenges such as irrational allocation of health resources and inefficient operation, which need to be improved. The purpose of this study was to explore the impact of resource allocation on the efficiency of the PHC system in China. The data in 31 provinces were collected from the China Statistical
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Unprofessional behaviour of GP residents leading to a dismissal dispute: characteristics and outcomes of those who appeal BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-20 Judith A. Godschalx-Dekker, Charlotte A. M. Sijbom, Pieter C. Barnhoorn, Walther N. K. A. van Mook
Recognition of poor performance in General Practice trainees is important because underperformance compromises patients’ health and safety. However, in General Practice, research on persistent underperformance while in training and its ultimate consequences is almost completely lacking. We aim to explore the unprofessional behaviours of residents in General Practice who were dismissed from training
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The relationship between general practitioner movement behaviours with burnout and fatigue BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-16 Richard S. Mayne, Gregory J. H. Biddle, Charlotte L Edwardson, Nigel D. Hart, Amanda J. Daley, Neil Heron
Physical inactivity is associated with feelings of burnout and fatigue, which in turn are associated with reduced performance among healthcare practitioners. This study explored movement behaviours of general practitioners (GPs) and the association between these behaviours with burnout and fatigue. GPs in Northern Ireland were asked to wear a thigh-worn accelerometer for seven days and complete validated
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Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-16 Álvaro Carbonell-Soliva, Rauf Nouni-García, Adriana López-Pineda, Alberto Cordero-Fort, Virtudes Pérez-Jover, Jose A. Quesada, Domingo Orozco-Beltrán, Andreu Nolasco, Jose Maria Castellano-Vázquez, Jose Joaquín Mira-Solves, Vicente F. Gil-Guillen, Concepción Carratala-Munuera
Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulties associated with therapeutic adherence. An interpretive phenomenological
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The association of family doctor contract service and patient trust in doctor: evidence from twenty-five village clinics of three counties in rural China BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-15 Linni Gu, Xiaoying Wang, Donghua Tian
China is implementing the family doctor (FD) system to reform the primary healthcare (PHC). The family doctor contract service (FDCS) policy plays a crucial role in this system implementation, aiming to transform the doctor-patient relationship and enhance PHC quality. This study aims to investigate the impact of FDCS on the doctor-patient relationship in PHCs using field research methodology. The
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How has our primary-care NHS-IAPT provision for PTSD adapted to the pandemic? A service evaluation of recovery pre-COVID-19 and peri-COVID-19 BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-12 Lilian Skilbeck, Daniela Antonie, Stephen Crane
Mental health issues have been an ongoing major cause of global disability exacerbated by the COVID-19 pandemic. The unique challenges have been the high contagiousness of COVID-19 and atypical PTSD presentations e.g., ICU-PTSD. This has led to increased demand on mental health services which have had to vary their provision for example working remotely vs. the traditional face-to-face. The pandemic
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Psychologists’ involvement in and experiences of treating patients with stress-related exhaustion in primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-12 Susanne Ellbin, Agneta Lindegård, Ingibjörg H. Jonsdottir, Elisabeth Dahlborg
Primary health care is the setting for most patients with stress-related mental health problems. Good care processes are important for patients with stress-related mental health problems and the complex needs of these patients has become a challenge for primary care settings which is traditionally designed to manage acute episodes of one illness. The care process of these patients is thus interesting
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Patient characteristics and reasons for discontinuation in a cardiovascular risk management programme in The Netherlands BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-11 Geert H.J.M. Smits, Sander van Doorn, Michiel L. Bots, Monika Hollander
Since 2010, an increasing number of patients have participated in a nurse-led integrated cardiovascular risk management programme in the Netherlands. Because it is important to understand which patients discontinue and why, when evaluating the effectiveness of the care programme, the aim was to identify the reasons for discontinuation. Electronic health records of 3997 patients enrolled in a nurse-led
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Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-11 Christoph Strumann, Nicola J. Engler, Wolfgang C. G. von Meissner, Paul-Georg Blickle, Jost Steinhäuser
Hypertension is a leading cause of morbidity and mortality if not properly managed. Primary care has a major impact on these outcomes if its strengths, such as continuity of care, are deployed wisely. The analysis aimed to evaluate the quality of care for newly diagnosed hypertension in routine primary care data. In the retrospective cohort study, routine data (from 2016 to 2022) from eight primary
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‘Why do we have to be the gatekeepers?’ Australian general practitioners’ knowledge, attitudes and prescribing intentions on e-cigarettes as a smoking cessation aid BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-07 Melis Selamoglu, Bircan Erbas, Hester Wilson, Chris Barton
A significant policy change impacting the availability of nicotine for use in electronic cigarettes (e-cigarettes) in Australia took effect from October 1, 2021. This change meant that nicotine containing liquids for use with e-cigarettes would only be available by prescription from a medical practitioner as part of a smoking cessation plan. This study aimed to explore general practitioners (GPs) perceptions
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Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-06 Allison Gayapersad, Mary Ann O’Brien, Christopher Meaney, Ishan Aditya, Julia Baxter, Peter Selby
Primary care is integral to the health system and population health. Primary care research is still in development and most academic departments lack effective research investments. High impact primary care research programs are needed to advance the field to ensure a robust primary care system for the future. The project objective was to understand key informants’ views of structures, functions, and
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Factors associated with usability of the EMPOWER-SUSTAIN Global Cardiovascular Risks Self-Management Booklet© among individuals with metabolic syndrome in primary care: a cross-sectional study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-03 Mohamad Abu Zar Abdul-Halim, Noorhida Baharudin, Hasidah Abdul-Hamid, Mohamed-Syarif Mohamed-Yassin, Maryam Hannah Daud, Siti Fatimah Badlishah-Sham, Suraya Abdul-Razak, Anis Safura Ramli
Self-management support has been recognized as one of the most essential elements of the Chronic Care Model (CCM). Inspired by the CCM, the EMPOWER-SUSTAIN Global Cardiovascular Risks Self-Management Booklet© was developed to aid and sustain self-management among patients with metabolic syndrome (MetS) in primary care to prevent cardiovascular complications. However, the usability of this booklet among
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Patients’ views on usefulness and effects of a risk communication tool for cardiovascular disease: a qualitative analysis BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-03 Anders Elkær Jensen, Jens Søndergaard, Niels Kristian Kjær, Jesper Bo Nielsen
Failing to comprehend risk communication might contribute to poor treatment adherence. Using hypertension as a case, we investigated how a risk communication tool for patients with an elevated risk of cardiovascular disease was perceived. As part of a large project featuring a randomised controlled trial in a general practice setting in the Region of Southern Denmark, we conducted a semi-structured
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Implementing decision aids for cardiovascular disease prevention: stakeholder interviews and case studies in Australian primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-02-03 Carissa Bonner, Samuel Cornell, Kristen Pickles, Carys Batcup, Carl de Wet, Mark Morgan, Kim Greaves, Denise O’Connor, Anna L Hawkes, Paul Crosland, Niamh Chapman, Jenny Doust
Australian cardiovascular disease (CVD) prevention guidelines recommend absolute CVD risk assessment, but less than half of eligible patients have the required risk factors recorded due to fragmented implementation over the last decade. Co-designed decision aids for general practitioners (GPs) and consumers have been developed that improve knowledge barriers to guideline-recommended CVD risk assessment
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Interplay of self-care, self-efficacy, and health deviation self-care requisites: a study on type 2 diabetes patients through the lens of Orem’s self-care theory BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-31 Ghorbanali Jennat Fereidooni, Fazlollah Ghofranipour, Fatemeh Zarei
This study aimed to examine the relationship between Self-Care, Self-Efficacy, and Health Deviation Self-Care Requisites in patients with type 2 diabetes based on Orem’s Self-Care Theory. The research involved 341 patients with type 2 diabetes in Rasht, Iran, using a descriptive-analytical cross-sectional design. The data collection included questionnaires assessing Self-Care Behaviors, Self-Efficacy
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Research on the control rate of hypertension under family physician-contracted service BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-31 Yiping Zheng, Yuqing Liu, Dongyu Xue, Zhao Shang, Baoquan Zhang, Yue Dai
Hypertension is one of the global public health problems. Family physician-contracted service (FPCS) is widely used in the health management of hypertension patients in China. The purpose of this study was to assess the effect of FPCS on hypertension control. PubMed, Web of Science, the Cochrane Library, China National Knowledge Network, Chinese Scientific and Technological Journal Database (CQVIP)
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Characteristics of self-management education and support programmes for people with chronic diseases delivered by primary care teams: a rapid review BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-31 Emmanuel Allory, Jordan Scheer, Vincent De Andrade, Ronan Garlantézec, Rémi Gagnayre
Primary care actors can play a major role in developing and promoting access to Self-Management Education and Support (SMES) programmes for people with chronic disease. We reviewed studies on SMES programmes in primary care by focusing on the following dimensions: models of SMES programmes in primary care, SMES team’s composition, and participants’ characteristics. For this mixed-methods rapid review
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The formation mechanism of primary health care team effectiveness : a qualitative comparative analysis research BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-29 Chanjiao Li, Lu Cui, Siyu Zhou, Anning He, Ziling Ni
Team-based care is an essential part of primary health care (PHC), and its team service delivery process is a systematic one involving multiple and complex influences. Research on the formation mechanism can help improve the effectiveness of primary health care teams (PHCTs). First, based on the Donabedian model, we explored the theoretical framework of a PHC team’s effectiveness formation mechanism
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Physical activity advice given by French general practitioners for low back pain and the role of digital e-health applications: a qualitative study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-29 Marion Dehainault, Olivia Gaillard, Bintou Ouattara, Matthieu Peurois, Cyril Begue
Low back pain is the fourth most common reason for consulting a general practitioner (GP) among people aged 40–50 years. Beyond the overall benefits of physical activity (PA) on health (psychological, cardiovascular, etc.), PA for low back pain seems to improve the prognosis in terms of pain, disability, and quality of life. The French National Health Insurance developed media campaigns to promote
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A comparison between different patient groups for diabetes management during phases of the COVID-19 pandemic: a retrospective cohort study in Ontario, Canada BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-27 A. Senthinathan, K. Tu, E. Stephenson, B. O’Neill, L. Lipscombe, C. Ji, D. A. Butt, J. Apajee, A. Train, N. Crampton
With the onset of the COVID-19 pandemic and the large uptake in virtual care in primary care in Canada, the care of patients with type 2 diabetes has been greatly affected. This includes decreased in-person visits, laboratory testing and in-person assessments such as blood pressure (BP). No studies have investigated if these changes persisted with pandemic progression, and it is unclear if shifts impacted
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Navigating the doctor-patient-AI relationship - a mixed-methods study of physician attitudes toward artificial intelligence in primary care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-27 Matthew R. Allen, Sophie Webb, Ammar Mandvi, Marshall Frieden, Ming Tai-Seale, Gene Kallenberg
Artificial intelligence (AI) is a rapidly advancing field that is beginning to enter the practice of medicine. Primary care is a cornerstone of medicine and deals with challenges such as physician shortage and burnout which impact patient care. AI and its application via digital health is increasingly presented as a possible solution. However, there is a scarcity of research focusing on primary care
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Optimizing the frequency of physician encounters in follow - up care for patients with type 2 diabetes mellitus: a systematic review BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-26 Wanchun Xu, Ivy Lynn Mak, Ran Zhang, Esther Yee Tak Yu, Amy Pui Pui Ng, David Tak Wai Lui, David Vai Kiong Chao, Samuel Yeung Shan Wong, Cindy Lo Kuen Lam, Eric Yuk Fai Wan
Decisions on the frequency of physician encounters for patients with type 2 diabetes mellitus (T2DM) have significant impacts on both patients’ health outcomes and burden on health systems, whereas definitive intervals for physician encounters are still lacking in most clinical guidelines. This study systematically reviewed the existing evidence evaluating different frequencies of physician encounters
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Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-26 Edris Kakemam, Katayoun Maassoumi, Somayeh Azimi, Madineh Abbasi, Fateme Tahmasbi, Mahasti Alizadeh
Different mental disorders may be associated with many work-related factors to which primary health care workers (PHCWs) are exposed. The current research aims to measure the rates of depression, anxiety, and stress among PHCWs, and their associated causes in primary health care (PHC) settings. An explanatory sequential mixed methods design was employed in this research from January 2021 to January
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Physiotherapists’ barriers and facilitators to the implementation of a behaviour change-informed exercise intervention to promote the adoption of regular exercise practice in patients at risk of recurrence of low back pain: a qualitative study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-26 Alexandre Moniz, Susana T. Duarte, Pedro Aguiar, Carmen Caeiro, Diogo Pires, Rita Fernandes, Diogo Moço, Marta M. Marques, Rute Sousa, Helena Canhão, Jaime Branco, Ana Maria Rodrigues, Eduardo B. Cruz
Recurrences of low back pain (LBP) are frequent and associated with high levels of disability and medical costs. Regular exercise practice may be an effective strategy to prevent recurrences of LBP, however, the promotion of this behaviour by physiotherapists seems to be challenging. This study aims to explore physiotherapists’ perceived barriers and facilitators to the implementation of a behaviour
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Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-25 Anne Estrup Olesen, Marie Haase Juhl, Ellen Tveter Deilkås, Solvejg Kristensen
Patient safety research has focused mostly on the hospital and acute care setting whereas assessments of patient safety climate in primary health care settings are warranted. Valid questionnaires as e.g., the Safety Attitudes Questionnaire (SAQ) may capture staff perceptions of patient safety climate but until now, an overview of the use of SAQ in primary care has not been systematically presented
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‘There’s a will, but not a way’: Norwegian GPs’ experiences of collaboration with child welfare services – a grounded theory study BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-24 Oda Martine Steinsdatter Øverhaug, Johanna Laue, Svein Arild Vis, Mette Bech Risør
Adverse childhood experiences can have immediate effects on a child’s wellbeing and health and may also result in disorders and illness in adult life. General practitioners are in a good position to identify and support vulnerable children and parents and to collaborate with other agencies such as child welfare services. There is a need for better integration of relevant services. The aim of this study
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Feasibility and perceptions of a benzodiazepine deprescribing quality improvement initiative for primary care providers in Japan BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-24 Masahiro Nishimura, Alan R. Teo, Takahiro Mochizuki, Naoki Fujiwara, Masakazu Nakamura, Daisuke Yamashita
Quality improvement (QI) initiatives in primary care in Japan are rare. One crucial area for QI is the appropriate prescription of benzodiazepines due to the large and growing elderly population in the country. This study aimed to determine the feasibility and other perceptions of a Benzodiazepine receptor agonist medications (BZRAs) deprescribing QI initiative for primary care providers (PCPs) in
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Preventive treatment patterns in the adult migraine population: an observational UK study over 7 years BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-24 David Kernick, Nazanin Kondori, Andrew Pain, Julie Mount, Camilla Appel, Michael Ranopa, Tania Gulati
Calcitonin gene-related peptide monoclonal antibodies (CGRP mAbs) are recommended by the United Kingdom National Institute of Health and Care Excellence for the prevention of migraine as treatment beyond third line. We report migraine prevalence and preventive treatment patterns in the adult United Kingdom primary care population over a 7.5-year period, focusing on patients ceasing ≥ 3 oral preventive
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A comparison of opioid dose between home palliative care and hospital palliative care BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-23 Hiroyoshi Iwata, Shuhei Hamada, Hiroko Harada, Katsuhiro Kusaka
While opioids are a key part of palliative care, few studies have evaluated opioid demand in the home care context. This study aims to compare opioid usage in home care and hospital care settings. This cross-sectional study retrospectively recruited patients receiving palliative care in home care and hospital settings, between November 2018 and October 2020. Opioid prescriptions were standardized to
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Understanding paramedic work in general practice in the UK: a rapid realist synthesis BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-23 Hannah Stott, Trudy Goodenough, Justin Jagosh, Andy Gibson, Nicky Harris, Cathy Liddiard, Alyesha Proctor, Behnaz Schofield, Nicola Walsh, Matthew Booker, Sarah Voss
General practice in the UK is under substantial pressure and practices are increasingly including paramedics as part of their workforce. Little is known about how different models of paramedic working may affect successful implementation of the role, as viewed from patient, clinician and system perspectives. This realist synthesis developed theories about ‘models of paramedic working in general practice’
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Point-of-care testing and antibiotics prescribing in out-of-hours general practice: a register-based study in Denmark BMC Fam. Pract. (IF 2.9) Pub Date : 2024-01-23 Line Due Christensen, Claus Høstrup Vestergaard, Ellen Keizer, Bodil Hammer Bech, Flemming Bro, Morten Bondo Christensen, Linda Huibers
Point-of-care testing may reduce diagnostic uncertainty in case of suspicion of bacterial infection, thereby contributing to prudent antibiotic prescribing. We aimed to study variations in the use of point-of-care tests (C-reactive protein test, rapid streptococcal antigen detection test, and urine dipstick) among general practitioners (GPs) and the potential association between point-of-care testing