abstract：BACKGROUND:Overuse of proton pump inhibitors (PPIs) - frequently used for relieving symptoms of gastroesophageal reflux disease (GORD) - raises long-term safety concerns, warranting evidence-based non-drug interventions. We conducted a systematic review to evaluate the effect of head-of-bed elevation on relieving sympt...

journal_title：BMC family practice

authors： Albarqouni L,Moynihan R,Clark J,Scott AM,Duggan A,Del Mar C

更新日期：2021-01-19 00:00:00

abstract：BACKGROUND:The family doctor system is a vital part of China's national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy makers in Pudong with resource allocation planning. This study analyzed changes in indicators (family d...

journal_title：BMC family practice

authors： Liu S,Liu Y,Zhang T,Wang L,Huang J,Liang H,Chen G,Liu C,Zhang Y

更新日期：2021-01-08 00:00:00

abstract：BACKGROUND:Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded...

journal_title：BMC family practice

authors： Leslie M,Khayatzadeh-Mahani A,Birdsell J,Forest PG,Henderson R,Gray RP,Schraeder K,Seidel J,Zwicker J,Green LA

更新日期：2020-12-05 00:00:00

abstract：BACKGROUND:We have shown previously that current recommendations in UK guidelines for monitoring long-term conditions are largely based on expert opinion. Due to a lack of robust evidence on optimal monitoring strategies and testing intervals, the guidelines are unclear and incomplete. This uncertainty may underly vari...

journal_title：BMC family practice

authors： Elwenspoek MMC,Mann E,Alsop K,Clark H,Patel R,Watson JC,Whiting P

更新日期：2020-12-05 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:Physical activity (PA) counselling is an effective approach to promote PA in primary health care (PHC). Barriers to PA counselling in PHC include time constraints, lack of knowledge and skills of providers, and systemic barriers. Using electronic health (eHealth) has the potential to promote PA. This scoping...

journal_title：BMC family practice

authors： Wattanapisit A,Tuangratananon T,Wattanapisit S

更新日期：2020-11-06 00:00:00

abstract：BACKGROUND:Attention deficit hyperactivity disorder (ADHD) is underdiagnosed in the UK and the assessment and diagnosis pathway often involves a general practitioner (GP) referral to secondary care services. GPs' levels of knowledge and understanding about ADHD is often a significant barrier in patients accessing care....

journal_title：BMC family practice

authors： French B,Daley D,Perez Vallejos E,Sayal K,Hall CL

更新日期：2020-11-01 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:Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study aimed to investigate characteristics associated with referrals from primary to specialist ...

journal_title：BMC family practice

authors： Gurol-Urganci I,Geary RS,Mamza JB,Iwagami M,El-Hamamsy D,Duckett J,Wilson A,Tincello D,van der Meulen J

更新日期：2020-10-16 00:00:00

abstract：BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...

journal_title：BMC family practice

authors： Lapane KL,Khan S,Shridharmurthy D,Beccia A,Dubé C,Yi E,Kay J,Liu SH

更新日期：2020-09-29 00:00:00

abstract：BACKGROUND:Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and pr...

journal_title：BMC family practice

authors： Alduraibi RK,Almigbal TH,Alrasheed AA,Batais MA

更新日期：2020-09-24 00:00:00

abstract：BACKGROUND:From 2015 to 2016 Germany faced an influx of 1.16 million asylum seekers. In the state of Hamburg Primary Care walk-in clinics (PCWC) were commissioned at refugee camps because the high number of residents (57,000 individuals) could not be provided with access to regular healthcare services. Our study aims w...

journal_title：BMC family practice

authors： Oltrogge JH,Schäfer I,Schlichting D,Jahnke M,Rakebrandt A,Pruskil S,Wagner HO,Lühmann D,Scherer M

更新日期：2020-09-21 00:00:00

abstract：BACKGROUND:Chronic obstructive pulmonary disease (COPD) is a progressive lung disease commonly encountered in primary care. This study aimed to audit COPD care at primary care clinics of Hong Kong and to work out improvement strategies. METHOD:All COPD patients aged 40 or above who had been followed up at 13 public pr...

journal_title：BMC family practice

authors： Chen XRC,Leung SH,Li YC

更新日期：2020-09-08 00:00:00

abstract：BACKGROUND:In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising 's...

journal_title：BMC family practice

authors： Janssen M,Sagasser MH,Fluit CRMG,Assendelft WJJ,de Graaf J,Scherpbier ND

更新日期：2020-09-02 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:General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health pr...

journal_title：BMC family practice

authors： Rivière M,Toullic Y,Lerouge P,Blanchon T,Leroyer A,Plancke L,Prazuck T,Melchior M,Younès N

更新日期：2020-07-02 00:00:00

abstract：BACKGROUND:Urinary tract infections are one of the most common reasons for prescribing antibiotics in primary care. Current guidelines recommend fosfomycin, nitrofurantoin, or trimethoprim - sulfamethoxazol as empiric first line antimicrobial agents in uncomplicated infections. However, there is evidence that the use o...

journal_title：BMC family practice

authors： Plate A,Kronenberg A,Risch M,Mueller Y,Di Gangi S,Rosemann T,Senn O

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine the clinical indications of ultrasound in Swiss general practice...

journal_title：BMC family practice

authors： Touhami D,Merlo C,Hohmann J,Essig S

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Very Brief Advice on smoking (VBA) is an evidence-based intervention designed to increase quit attempts among patients who smoke. VBA has been widely disseminated in general practice settings in the United Kingdom, however its transferability to Southern European settings is not well established. This study ...

journal_title：BMC family practice

authors： Papadakis S,Anastasaki M,Papadakaki M,Antonopoulou Μ,Chliveros C,Daskalaki C,Varthalis D,Triantafyllou S,Vasilaki I,McEwen A,Lionis C

更新日期：2020-06-24 00:00:00

abstract：BACKGROUND:There is a high prevalence of potentially inappropriate prescriptions in primary care. This is associated with more frequent adverse events, lower quality of life and more frequent visits to hospital accident & emergency departments. The aim of the present study is to summarise available evidence on the effe...

journal_title：BMC family practice

authors： Olry de Labry Lima A,Marcos Marcos J,Marquina Marquez A,González Vera MLÁ,Matas Hoces A,Bermúdez Tamayo C

更新日期：2020-06-08 00:00:00

abstract：BACKGROUND:As in other countries, there is concern and some fragmentary evidence that GPs' central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gives a systematic account of GPs' involvement in accident care from 2008 to 2016 and identifies chang...

journal_title：BMC family practice

authors： Höglinger M,Knöfler F,Schaumann-von Stosch R,Scholz-Odermatt SM,Eichler K

更新日期：2020-06-05 00:00:00

abstract：BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...

journal_title：BMC family practice

authors： Bennett RJ,Fletcher S,Conway N,Barr C

更新日期：2020-05-14 00:00:00

abstract：BACKGROUND:This study evaluated the impact of multifaceted NPS MedicineWise programs that targeted all general practitioners (GPs) in Australia in 2009 and 2015 with the aim of reducing unnecessary prescribing of proton pump inhibitors (PPIs) and encouraged stepping down to a lower strength PPI or to discontinue treatm...

journal_title：BMC family practice

authors： Wu J,Dickinson S,Elgebaly Z,Blogg S,Heaney A,Soo Y,Daniels B,Weekes L

更新日期：2020-05-09 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:There are gaps in knowledge and understanding about the relationships between primary care and community-based health and social services in the context of healthy aging at home and system navigation. This study examined provider perspectives on: a) older adults' health and social needs; b) barriers to acces...

journal_title：BMC family practice

authors： Valaitis R,Cleghorn L,Ploeg J,Risdon C,Mangin D,Dolovich L,Agarwal G,Oliver D,Gaber J,Chung H

更新日期：2020-04-23 00:00:00

abstract：BACKGROUND:Despite evidence supporting the effectiveness of alcohol screening and brief advice to reduce heavy drinking, implementation in primary healthcare remains limited. The challenges that clinicians experience when delivering such interventions are well-known, but we have little understanding of the patient pers...

journal_title：BMC family practice

authors： O'Donnell A,Hanratty B,Schulte B,Kaner E

更新日期：2020-04-22 00:00:00

abstract：BACKGROUND:In hypertensive patients, reducing plasma low-density lipoprotein cholesterol level (LDL-C) is one of the main interventions for preventing chronic cardiovascular diseases (CVD). However, LDL-C control remains generally insufficient, also in patients with hypertension. We analyzed Electronic Health Record (E...

journal_title：BMC family practice

authors： Tahkola A,Korhonen P,Kautiainen H,Niiranen T,Mäntyselkä P

更新日期：2020-04-14 00:00:00

abstract：BACKGROUND:Throat pain is a common complaint in the ambulatory setting. Diagnosis of group A Streptococcus is made with a culture, molecular test or a rapid antigen detection test from the tonsils or the posterior pharyngeal wall, while other areas of the oral cavity are considered unacceptable. The purpose of the stud...

journal_title：BMC family practice

authors： Adler L,Parizade M,Koren G,Yehoshua I

更新日期：2020-03-26 00:00:00

abstract：BACKGROUND:Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes guidelines encourage a proactive role for GPs in oral health complications management in people with d...

journal_title：BMC family practice

authors： Poudel P,Griffiths R,Wong VW,Arora A,Flack JR,Khoo CL,George A

更新日期：2020-02-13 00:00:00

abstract：BACKGROUND:Unhealthy alcohol use involves a spectrum from hazardous use (exceeding guidelines but no harms) through to alcohol dependence. Evidence-based management of unhealthy alcohol use in primary health care has been recommended since 1979. However, sustained and systematic implementation has proven challenging. T...

journal_title：BMC family practice

authors： Dzidowska M,Lee KSK,Wylie C,Bailie J,Percival N,Conigrave JH,Hayman N,Conigrave KM

更新日期：2020-02-13 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:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...

journal_title：BMC family practice

authors： O'Regan A,Hayes P,O'Connor R,Casey M,O'Dwyer P,Culhane A,O'Donnell P,Stack G,Cuddihy J,O'Connell B,O'Flynn J,Cullen W,O'Doherty J,O'Connell M,Glynn L

更新日期：2020-02-05 00:00:00

abstract：BACKGROUND:Over the last two decades, ultrasonography (US) has been shown to be an accurate tool for the diagnosis of suspected bone fractures; however, the integration of this application of US into routine care and outpatient settings needs to be explored. In this study, we surveyed German general practitioners (GPs)...

journal_title：BMC family practice

authors： Schmid GL,Kühnast B,Heise M,Deutsch T,Frese T

更新日期：2020-01-13 00:00:00

abstract：BACKGROUND:Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to pot...

journal_title：BMC family practice

authors： Zhao Y,Zhao X,Liu Y,Wei Y,Jin G,Shao S,Lu X

更新日期：2019-12-06 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：:The editors have retracted this article [1] because it contains extensive overlap with an article published by the same authors in the Journal of Family & Community Medicine [2] and is therefore redundant. ...

journal_title：BMC family practice

authors： Al-Ghamdi S,Ahmad G,Ali AH,Bahakim N,Alomran S,Alhowikan W,Almutairi S,Basalem T,Aljuaid F

更新日期：2019-11-05 00:00:00

abstract：BACKGROUND:Accreditation is a widespread tool for quality management in health care. However, there is lack of research on the impact of accreditation, particularly in general practice. This study explores how general practitioners and their staff experienced the impact of a mandatory accreditation program in Denmark. ...

journal_title：BMC family practice

authors： Kousgaard MB,Thorsen T,Due TD

更新日期：2019-10-28 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:A perennial challenge of primary care quality improvement is to establish why interventions work in some circumstances, but not others. This study aimed to identify factors explaining variations in the impact on clinical practice of a facilitation led vascular health intervention in Australian family practic...

journal_title：BMC family practice

authors： Russell G,Lane R,Parker S,Litt J,Mazza D,Lloyd J,Zwar N,van Driel M,Del Mar C,Smith J,Harris MF,Preventive Evidence into Practice (PEP) Partnership Group.

更新日期：2019-08-08 00:00:00

abstract：BACKGROUND:Clinical guidelines exhort clinicians to encourage patients to improve their health behaviours. However, most offer little support on how to have these conversations in practice. Clinicians fear that health behaviour change talk will create interactional difficulties and discomfort for both clinician and pat...

journal_title：BMC family practice

authors： Albury C,Hall A,Syed A,Ziebland S,Stokoe E,Roberts N,Webb H,Aveyard P

更新日期：2019-08-03 00:00:00