Emerging organisational models of primary healthcare and unmet needs for care: insights from a population-based survey in Quebec province.

abstract：BACKGROUND:The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM). METHODS:35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus...

journal_title：BMC family practice

authors： Mathew R,Gucciardi E,De Melo M,Barata P

更新日期：2012-12-19 00:00:00

abstract：BACKGROUND:When medically unexplained physical symptoms (MUPS) become persistent, it may have major implications for the patient, the general practitioner (GP) and for society.Early identification of patients with MUPS in electronic medical records (EMRs) might contribute to prevention of persistent MUPS by creating aw...

journal_title：BMC family practice

authors： den Boeft M,van der Wouden JC,Rydell-Lexmond TR,de Wit NJ,van der Horst HE,Numans ME

更新日期：2014-06-05 00:00:00

abstract：BACKGROUND:Primary care is a central element of healthcare and addresses the main health problems of the population. While primary care gains in importance due to an aging population, there is an ongoing debate on physician shortages in German rural regions. The study aims on analyzing the population's preferences on p...

journal_title：BMC family practice

authors： Krinke KS,Tangermann U,Amelung VE,Krauth C

更新日期：2019-06-11 00:00:00

abstract：BACKGROUND:Families of children with rare diseases (i.e., not more than 5 out of 10,000 people are affected) are often highly burdened with fears, insecurities and concerns regarding the affected child and its siblings. Although families caring for children with rare diseases are known to be at risk for mental disorder...

journal_title：BMC family practice

authors： Boettcher J,Filter B,Denecke J,Hot A,Daubmann A,Zapf A,Wegscheider K,Zeidler J,von der Schulenburg JG,Bullinger M,Rassenhofer M,Schulte-Markwort M,Wiegand-Grefe S

更新日期：2020-11-20 00:00:00

abstract：BACKGROUND:Young people (12-24 years) visit general practice but may not have a 'regular' general practitioner (GP). Whether continuity of GP care influences experiences with, and barriers to, health care among young people is unknown. This paper explores the association between having a regular GP and experience of he...

journal_title：BMC family practice

authors： Kang M,Robards F,Luscombe G,Sanci L,Usherwood T

更新日期：2020-10-28 00:00:00

abstract：BACKGROUND:The objective of this study is to perform an independent evaluation of the feasibility and effectiveness of an educational programme for the primary prevention of type 2 diabetes (DM2) in high risk populations in primary care settings, implanted within the Basque Health Service - Osakidetza. METHODS/DESIGN:...

journal_title：BMC family practice

authors： Sanchez A,Silvestre C,Sauto R,Martínez C,Grandes G,PreDE research group.

更新日期：2012-11-16 00:00:00

abstract：BACKGROUND:Antibiotics are being overprescribed in ambulant care, especially for respiratory tract infections (RTIs). Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. We aimed to determine items of importance for the ant...

journal_title：BMC family practice

authors： Coenen S,Michiels B,Van Royen P,Van der Auwera JC,Denekens J

更新日期：2002-09-09 00:00:00

abstract：BACKGROUND:Cluster randomized controlled trials are often used in research in primary care but creates challenges regarding biases and confounders. We recently presented a study on low back pain from primary care in Norway with equal effects in the intervention and the control group. In order to understand the specific...

journal_title：BMC family practice

authors： Werner EL,Løchting I,Storheim K,Grotle M

更新日期：2018-05-22 00:00:00

abstract：BACKGROUND:Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicia...

journal_title：BMC family practice

authors： Marshall EG,Burge F,Gibson RJ,Lawson B,O'Connell C

更新日期：2019-10-23 00:00:00

abstract：BACKGROUND:Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and d...

journal_title：BMC family practice

authors： Putnam W,Burge FI,Lawson B,Cox JL,Sketris I,Flowerdew G,Zitner D

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Preventive services and health promotion in terms of lifestyle counselling provided through primary health care (PHC) has the potential to reduce morbidity and mortality in the population. Health professionals in general are positive about and willing to develop a health-promoting and/or preventive role. A n...

journal_title：BMC family practice

authors： Carlfjord S,Lindberg M,Andersson A

更新日期：2012-10-10 00:00:00

abstract：BACKGROUND:Distress is an expected emotional response to a negative life event. Experiences common in later life may trigger distress such as bereavement or loss of physical mobility. Distress is considered to be distinct to anxiety and/or depression and is not diagnostically labelled as a mental health problem. Older ...

journal_title：BMC family practice

authors： Moult A,Kingstone T,Chew-Graham CA

更新日期：2020-05-04 00:00:00

abstract：BACKGROUND:People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an ...

journal_title：BMC family practice

authors： Roberts S,Eaton S,Finch T,Lewis-Barned N,Lhussier M,Oliver L,Rapley T,Temple-Scott D

更新日期：2019-11-08 00:00:00

abstract：BACKGROUND:'Ad hoc' help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in seeking supervisor assistance, and trainee perceptions of the outcomes of this help-seeking (including ...

journal_title：BMC family practice

authors： Sturman N,Jorm C,Parker M

更新日期：2020-02-07 00:00:00

abstract：BACKGROUND:Primary care physicians struggle to treat chronic noncancer pain while limiting opioid misuse, abuse, and diversion. The objective of this study was to understand how primary care physicians perceive their decisions to prescribe opioids in the context of chronic noncancer pain management. This question is im...

journal_title：BMC family practice

authors： Harle CA,Bauer SE,Hoang HQ,Cook RL,Hurley RW,Fillingim RB

更新日期：2015-04-14 00:00:00

abstract：BACKGROUND:Consultations for minor ailments constitute a large part of the workload of general practitioners (GPs). As medical interventions are not always available, specific communication strategies, such as active listening and positive communication, might help GPs to handle these problems adequately. This study ex...

journal_title：BMC family practice

authors： Fassaert T,van Dulmen S,Schellevis F,van der Jagt L,Bensing J

更新日期：2008-06-30 00:00:00

abstract：BACKGROUND:The QUALICOPC (Quality and Costs of Primary Care in Europe) study aims to evaluate the performance of primary care systems in Europe in terms of quality, equity and costs. The study will provide an answer to the question what strong primary care systems entail and which effects primary care systems have on t...

journal_title：BMC family practice

authors： Schäfer WL,Boerma WG,Kringos DS,De Maeseneer J,Gress S,Heinemann S,Rotar-Pavlic D,Seghieri C,Svab I,Van den Berg MJ,Vainieri M,Westert GP,Willems S,Groenewegen PP

更新日期：2011-10-20 00:00:00

abstract：BACKGROUND:Audits have shown numerous deficiencies in the quality of hypertension and diabetes primary care in Barbados, despite distribution of regional guidelines. This study aimed to evaluate the knowledge, attitudes and practices, and the barriers faced by primary care practitioners in Barbados concerning the recom...

journal_title：BMC family practice

authors： Adams OP,Carter AO

更新日期：2010-12-03 00:00:00

abstract：BACKGROUND:As part of a broader study to improve the capacity for advance care planning (ACP) in primary healthcare settings, the research team set out to develop and validate a computerized algorithm to help primary care physicians identify individuals at risk of death, and also carried out focus groups and interviews...

journal_title：BMC family practice

authors： Kendell C,Kotecha J,Martin M,Han H,Jorgensen M,Urquhart R

更新日期：2020-07-09 00:00:00

abstract：BACKGROUND:Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men's Well-b...

journal_title：BMC family practice

authors： Cheshire A,Peters D,Ridge D

更新日期：2016-02-02 00:00:00

abstract：BACKGROUND:Recurrent urinary tract infections (RUTIs) are commonly presented by women in primary care. In order to explore the poorly described experience of women with RUTIs a qualitative study was conducted that analysed data from a publically accessible internet-based self-help forum. METHODS:Qualitative Descriptio...

journal_title：BMC family practice

authors： Flower A,Bishop FL,Lewith G

更新日期：2014-09-26 00:00:00

abstract：BACKGROUND:Although many studies have documented patient-, clinician-, and organizational barriers/facilitators of primary care among people with mental illnesses, few have examined whether these factors predict actual rates of preventive service use. We assessed whether clinician behaviors, beliefs, characteristics, a...

journal_title：BMC family practice

authors： Yarborough BJH,Stumbo SP,Perrin NA,Hanson GC,Muench J,Green CA

更新日期：2018-01-12 00:00:00

abstract：BACKGROUND:Primary care based management of long-term conditions (LTCs) is high on the international healthcare agenda, including the Asia-Pacific region. Hong Kong has a 'mixed economy' healthcare system with both public and private sectors with a range of types of primary care doctors. Recent Hong Kong Government pol...

journal_title：BMC family practice

authors： Mercer SW,Siu JY,Hillier SM,Lam CL,Lo YY,Lam TP,Griffiths SM

更新日期：2010-06-04 00:00:00

abstract：BACKGROUND:The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses t...

journal_title：BMC family practice

authors： Huddlestone L,Walker GM,Hussain-Mills R,Ratschen E

更新日期：2015-08-06 00:00:00

abstract：BACKGROUND:General practitioners (GPs) are ideally placed to bridge the widely noted evidence-practice gap between current management of NVAF and the need to increase anticoagulant use to reduce the risk of fatal and disabling stroke in NVAF. We aimed to identify gaps in current care, and asked GPs to identify potentia...

journal_title：BMC family practice

authors： Gattellari M,Worthington JM,Zwar NA,Middleton S

更新日期：2008-11-13 00:00:00

abstract：BACKGROUND:The definition of primary care varies between countries. Swedish primary care has developed from a philosophic viewpoint based on quality, accessibility, continuity, co-operation and a holistic view. The meaning of holism in international literature differs between medicine and nursing. The question is, if t...

journal_title：BMC family practice

authors： Strandberg EL,Ovhed I,Borgquist L,Wilhelmsson S

更新日期：2007-03-08 00:00:00

abstract：BACKGROUND:Missed appointments are known to interfere with appropriate care and to misspend medical and administrative resources. The aim of this study was to test the effectiveness of a sequential intervention reminding patients of their upcoming appointment and to identify the profile of patients missing their appoin...

journal_title：BMC family practice

authors： Perron NJ,Dao MD,Kossovsky MP,Miserez V,Chuard C,Calmy A,Gaspoz JM

更新日期：2010-10-25 00:00:00

abstract：BACKGROUND:There is some evidence to support a risk-stratified, multi-disciplinary approach to manage patients with hypertension in primary care. The aim of this study is to evaluate the quality of care (QOC) of a multi-disciplinary Risk Assessment and Management Programme for Hypertension (RAMP-HT) for hypertensive pa...

journal_title：BMC family practice

authors： Yu EY,Wan EY,Chan KH,Wong CK,Kwok RL,Fong DY,Lam CL

更新日期：2015-06-19 00:00:00

abstract：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 outc...

journal_title：BMC family practice

authors： Kip MMA,Hummel JM,Eppink EB,Koffijberg H,Hopstaken RM,IJzerman MJ,Kusters R

更新日期：2019-01-10 00:00:00

abstract：BACKGROUND:Previous studies have shown the importance of paying attention to lay peoples' interpretations of risk of disease, in order to explain health-related behavior. However, risk interpretations interplay with social context in complex ways. The objective was to explore how asymptomatic patients with high cholest...

journal_title：BMC family practice

authors： Kirkegaard P,Edwards A,Risør MB,Thomsen JL

更新日期：2013-09-16 00:00:00