abstract：BACKGROUND:Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. METHODS:We used a novel priority-setting method for i...

journal_title：BMC family practice

authors： Tudor Car L,Papachristou N,Gallagher J,Samra R,Wazny K,El-Khatib M,Bull A,Majeed A,Aylin P,Atun R,Rudan I,Car J,Bell H,Vincent C,Franklin BD

更新日期：2016-11-16 00:00:00

abstract：BACKGROUND:Patients' expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs), and whether knowledge is associated with increased expectations for antibiotics among patients vi...

journal_title：BMC family practice

authors： Pan DS,Huang JH,Lee MH,Yu Y,Chen MI,Goh EH,Jiang L,Chong JW,Leo YS,Lee TH,Wong CS,Loh VW,Poh AZ,Tham TY,Wong WM,Lim FS

更新日期：2016-11-03 00:00:00

abstract：BACKGROUND:There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help o...

journal_title：BMC family practice

authors： Dutton SN,Dennis SM,Zwar N,Harris MF

更新日期：2016-09-22 00:00:00

abstract：BACKGROUND:Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. METHODS:Internet based survey of 3081 primary care physicians, recruited via ...

journal_title：BMC family practice

authors： Rehm J,Prieto JA,Beier M,Duhot D,Rossi A,Schulte B,Zarco J,Aubin HJ,Bachmann M,Grimm C,Kraus L,Manthey J,Scafato E,Gual A

更新日期：2016-09-08 00:00:00

abstract：BACKGROUND:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for ...

journal_title：BMC family practice

authors： Bukman AJ,Teuscher D,Ben Meftah J,Groenenberg I,Crone MR,van Dijk S,Bos MB,Feskens EJ

更新日期：2016-07-21 00:00:00

abstract：BACKGROUND:Multiple diagnostic algorithms for heart failure exist. However, it is unclear whether these algorithms are incorporated in the 'scripts' clinicians use in every day practice. Scripts are networks of organised knowledge that are acquired and accumulated during clinical training and are refined with each clin...

journal_title：BMC family practice

authors： Decaluwe K,Degryse J,Vaes B

更新日期：2016-07-21 00:00:00

abstract：BACKGROUND:General Practice Co-Operatives provide most out of hours care in communities in Ireland. Limited data exists on patient complaints. This study reports on complaints at Kildare and West Wicklow Doctors on Call ('K Doc'), a GP Co-Operative in Ireland, examining the impact of a formal risk reduction strategy im...

journal_title：BMC family practice

authors： Barragry RA,Varadkar LE,Hanlon DK,Bailey KF,O'Dowd TC,O'Shea BJ

更新日期：2016-07-21 00:00:00

abstract：BACKGROUND:The aim of this study is in a general practice trial setting to identify predictive factors for weight loss after 1 year among young adults who are over-weight or obese and who have several psychosocial problems. METHODS:Twenty-eight general practitioners recruited 495 patients aged 20-45 years with psychos...

journal_title：BMC family practice

authors： Lous J,Freund KS

更新日期：2016-04-11 00:00:00

abstract：BACKGROUND:The health of doctors who work in primary care is threatened by workforce and workload issues. There is a need to find and appraise ways in which to protect their mental health, including how to achieve the broader, positive outcome of well-being. Our primary outcome was to evaluate systematically the resear...

journal_title：BMC family practice

authors： Murray M,Murray L,Donnelly M

更新日期：2016-03-24 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:Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with diabetes. This practice model is being implemented throughout Canada in an effort to increase patient a...

journal_title：BMC family practice

authors： Gucciardi E,Espin S,Morganti A,Dorado L

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Switzerland is facing a shortage of primary care physicians (PCPs); government organizations therefore suggested a broad variety of interventions to promote primary care. The aim of the study was to prioritize these interventions according to the acceptance and perceived barriers of most relevant groups of p...

journal_title：BMC family practice

authors： Tandjung R,Djalali S,Hasler S,Scherz N,Rosemann T,Markun S

更新日期：2015-12-15 00:00:00

abstract：BACKGROUND:Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources ...

journal_title：BMC family practice

authors： Bengough T,Bovet E,Bécherraz C,Schlegel S,Burnand B,Pidoux V

更新日期：2015-12-11 00:00:00

abstract：BACKGROUND:A rising number of people with chronic conditions is offered interventions to enhance self-management. The responsiveness of individuals to these interventions depends on patient characteristics. We aimed to develop and validate a tool to facilitate personalised counselling and support for self-management in...

journal_title：BMC family practice

authors： Eikelenboom N,Smeele I,Faber M,Jacobs A,Verhulst F,Lacroix J,Wensing M,van Lieshout J

更新日期：2015-11-11 00:00:00

abstract：BACKGROUND:In the Netherlands, about half of the patient contacts with a general practitioner (GP) cooperative are nonurgent from a medical perspective. A part of these problems can wait until office hours or can be managed by the patient himself without further professional care. However, from the patient's perspectiv...

journal_title：BMC family practice

authors： Keizer E,Smits M,Peters Y,Huibers L,Giesen P,Wensing M

更新日期：2015-10-28 00:00:00

abstract：:Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of r...

journal_title：BMC family practice

authors： Moffat K,Mercer SW

更新日期：2015-10-14 00:00:00

abstract：BACKGROUND:Biological and sociocultural differences between men and women may play an important role in medical treatment. Little is known about the awareness of these differences among general practitioners (GPs) and if they consider such differences in their medical practice. The aim of this study was to explore GPs'...

journal_title：BMC family practice

authors： Loikas D,Karlsson L,von Euler M,Hallgren K,Schenck-Gustafsson K,Bastholm Rahmner P

更新日期：2015-10-13 00:00:00

abstract：BACKGROUND:Comorbid chronic pain and depression is a challenging dyad of conditions to manage in primary care and reporting has shown to vary by ethnic group. Whether the relationship between depression and chronic pain varies by ethnicity is unclear. This study aims to explore chronic pain and depression reporting acr...

journal_title：BMC family practice

authors： Nicholl BI,Smith DJ,Cullen B,Mackay D,Evans J,Anderson J,Lyall DM,Fawns-Ritchie C,McIntosh AM,Deary IJ,Pell JP,Mair FS

更新日期：2015-10-06 00:00:00

abstract：BACKGROUND:Symptoms of cancer may be interpreted differently by different patients before the diagnosis. This study investigated symptom attributions in Danish patients with colorectal cancer and the potential associations with symptom type, socio-demographic characteristics and patient interval. METHODS:Data were col...

journal_title：BMC family practice

authors： Jensen LF,Hvidberg L,Pedersen AF,Vedsted P

更新日期：2015-09-03 00:00:00

abstract：BACKGROUND:In the primary health care setting, patients interact directly with their healthcare workers (HCW), which include their primary physicians, nurses and pharmacists. Studies have shown that such interactions, when interrupted by phone calls received by either party, can lead to adverse outcomes and negative ex...

journal_title：BMC family practice

authors： Koong AY,Koot D,Eng SK,Purani A,Yusoff A,Goh CC,Teo SS,Tan NC

更新日期：2015-09-02 00:00:00

abstract：BACKGROUND:A variety of psychological interventions to treat depressive disorders have been developed and are used in primary care. In a systematic review, we compared the effectiveness of psychological treatments grouped by theoretical background, intensity of contact with the health care professional, and delivery mo...

journal_title：BMC family practice

authors： Linde K,Rücker G,Sigterman K,Jamil S,Meissner K,Schneider A,Kriston L

更新日期：2015-08-19 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:Alcohol dependence (AD) in Europe is prevalent and causes considerable health burden. Recognition by general practitioners (GPs) and provision of or referral to treatment may contribute to reduce this burden. This paper studied AD prevalence in varying European primary care settings and examined who received...

journal_title：BMC family practice

authors： Rehm J,Allamani A,Elekes Z,Jakubczyk A,Manthey J,Probst C,Struzzo P,Della Vedova R,Gual A,Wojnar M

更新日期：2015-07-29 00:00:00

abstract：BACKGROUND:Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to asse...

journal_title：BMC family practice

authors： Rodrigues LB,Dos Santos CB,Goyatá SL,Popolin MP,Yamamura M,Deon KC,Lapão LM,Santos Neto M,Uchoa SA,Arcêncio RA

更新日期：2015-07-22 00:00:00

abstract：BACKGROUND:Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT ...

journal_title：BMC family practice

authors： Gröndal H,Hedin K,Strandberg EL,André M,Brorsson A

更新日期：2015-07-04 00:00:00

abstract：BACKGROUND:Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences o...

journal_title：BMC family practice

authors： Nouwens E,van Lieshout J,Wensing M

更新日期：2015-07-03 00:00:00

abstract：BACKGROUND:Guidelines for primary prevention of cardiovascular disease provide little guidance on how patients' preferences should be taken into account. We wanted to explore whether general practitioners (GPs) are sensitive to patient preferences regarding survival gains from statin therapy. METHODS:In a cross sectio...

journal_title：BMC family practice

authors： Halvorsen PA,Aasland OG,Kristiansen IS

更新日期：2015-07-03 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:Little is known about psychological impact of disclosing lifestyle-related diseases. Previous studies discussed the long-term psychological impact of disease disclosure, and a significant psychological impact was not observed. This study clarified the psychological impact on anxiety state of patients when li...

journal_title：BMC family practice

authors： Tominaga T,Matsushima M,Nagata T,Moriya A,Watanabe T,Nakano Y,Hirayama Y,Fujinuma Y

更新日期：2015-05-14 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:The vast majority of patients with diabetes have multiple chronic conditions, increasing complexity of care; however, clinical practice guidelines, interventions, and public reporting metrics do not adequately address the interaction of these multiple conditions. To advance the understanding of diabetes clin...

journal_title：BMC family practice

authors： Magnan EM,Gittelson R,Bartels CM,Johnson HM,Pandhi N,Jacobs EA,Smith MA

更新日期：2015-03-28 00:00:00

abstract：BACKGROUND:Due to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandate...

journal_title：BMC family practice

authors： Herzog A,Gaertner B,Scheidt-Nave C,Holzhausen M

更新日期：2015-03-14 00:00:00

abstract：BACKGROUND:The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in order to facilitate inter-organizational and inter-sectoral collaboration. However, this task can be ...

journal_title：BMC family practice

authors： Kousgaard MB,Joensen AS,Thorsen T

更新日期：2015-02-13 00:00:00

abstract：BACKGROUND:Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescr...

journal_title：BMC family practice

authors： Cordoba G,Siersma V,Lopez-Valcarcel B,Bjerrum L,Llor C,Aabenhus R,Makela M

更新日期：2015-01-29 00:00:00

abstract：BACKGROUND:Irritable Bowel Syndrome (IBS) is a chronic, relapsing gastrointestinal disorder, that affects approximately 10% of the general population and the majority are diagnosed in primary care. IBS has been reported to be associated with altered psychological and cognitive functioning such as mood disturbances, som...

journal_title：BMC family practice

authors： Grodzinsky E,Walter S,Viktorsson L,Carlsson AK,Jones MP,Faresjö Å

更新日期：2015-01-28 00:00:00

abstract：BACKGROUND:Policy makers in Africa are ambivalent about the need for family physicians to strengthen district health services. Evidence on the impact of family physicians is therefore needed. The aim was to develop a tool to evaluate the impact of family physicians on district health services according to the six expec...

journal_title：BMC family practice

authors： Pasio KS,Mash R,Naledi T

更新日期：2014-12-12 00:00:00

abstract：BACKGROUND:Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases). The patient's signs, symptoms and electrocardiography results are insufficient diagnostic tools to...

journal_title：BMC family practice

authors： Willemsen RT,Buntinx F,Winkens B,Glatz JF,Dinant GJ,‘RAPIDA’-study team.

更新日期：2014-12-12 00:00:00

abstract：BACKGROUND:The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic care, and to determine whether referral decisions were biased by gender or socioeconomic status. We ...

journal_title：BMC family practice

authors： Nilsson G,Mooe T,Söderström L,Samuelsson E

更新日期：2014-11-30 00:00:00

abstract：BACKGROUND:The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however, give little information about impact on subjective health and personal illness experience. We aim to examine the strength of association of single and multimorbid physical chronic diseases with self-rated hea...

journal_title：BMC family practice

authors： Mavaddat N,Valderas JM,van der Linde R,Khaw KT,Kinmonth AL

更新日期：2014-11-25 00:00:00

abstract：BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...

journal_title：BMC family practice

authors： van Bijnen EM,Paget WJ,den Heijer CD,Stobberingh EE,Bruggeman CA,Schellevis FG,APRES Study Team.

更新日期：2014-10-25 00:00:00