How to choose the most appropriate cognitive test to evaluate cognitive complaints in primary care
Despite the wealth of research devoted to the performance of individual cognitive tests for diagnosing cognitive impairment (including mild cognitive impairment and dementia), it can be difficult for general p... (Source: BMC Family Practice)
Source: BMC Family Practice - December 16, 2017 Category: Primary Care Authors: Jolien Janssen, Paula S. Koekkoek, Eric P. Moll van Charante, L. Jaap Kappelle, Geert Jan Biessels and Guy E. H. M. Rutten Tags: Research article Source Type: research

Medical overuse and quaternary prevention in primary care – A qualitative study with general practitioners
Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting ... (Source: BMC Family Practice)
Source: BMC Family Practice - December 8, 2017 Category: Primary Care Authors: Kathrin Alber, Thomas Kuehlein, Angela Schedlbauer and Susann Schaffer Tags: Research article Source Type: research

General practitioners ’ awareness of depressive symptomatology is not associated with quality of life in heart failure patients – cross-sectional results of the observational RECODE-HF Study
Depression is a common comorbidity in patients with chronic heart failure (HF) and linked to a wider range of symptoms which, in turn, are linked to a decreased health-related quality of life (HRQOL). Treatmen... (Source: BMC Family Practice)
Source: BMC Family Practice - December 8, 2017 Category: Primary Care Authors: Marion Eisele, Sigrid Boczor, Anja Rakebrandt, Eva Blozik, Jens-Martin Tr äder, Stefan Störk, Christoph Herrmann-Lingen and Martin Scherer Tags: Research article Source Type: research

Mortality in persons with undetected and diagnosed hypertension, type 2 diabetes, and hypothyroidism, compared with persons without corresponding disease - a prospective cohort study; The HUNT Study, Norway
Suggested strategies in reducing the impact of non-communicable diseases (NCD) are early diagnosing and screening. We have limited proof of benefit of population screening for NCD. Increased mortality in perso... (Source: BMC Family Practice)
Source: BMC Family Practice - December 7, 2017 Category: Primary Care Authors: P ål Jørgensen, Arnulf Langhammer, Steinar Krokstad and Siri Forsmo Tags: Research article Source Type: research

‘Sussing that doctor out.’ Experiences and perspectives of people affected by hepatitis C regarding engagement with private general practitioners in South Australia: a qualitative study
Australians with chronic hepatitis C (HCV) can access affordable Direct Acting Antiviral (DAA) treatments with high cure rates (>90%), via General Practitioners (GPs). Benefits from this treatment will be maxi... (Source: BMC Family Practice)
Source: BMC Family Practice - November 29, 2017 Category: Primary Care Authors: Jane Scarborough, Emma Ruth Miller, Paul Aylward and Jaklin Eliott Tags: Research article Source Type: research

Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
Australian parents/carers of a person with a disability experience higher rates of depression, more financial stress, and are twice as likely to be in poor physical health than the general population. Aborigin... (Source: BMC Family Practice)
Source: BMC Family Practice - November 29, 2017 Category: Primary Care Authors: Michelle DiGiacomo, Anna Green, Patricia Delaney, John Delaney, Patrick Patradoon-Ho, Patricia Mary Davidson and Penelope Abbott Tags: Research article Source Type: research

Piloting electronic screening forms in primary care: findings from a mixed methods study to identify patients eligible for low dose CT lung cancer screening
Recent evidence suggests that screening with low dose computed tomography (LDCT) scans significantly reduces mortality from lung cancer. However, optimal methods to identify potentially eligible patients in pr... (Source: BMC Family Practice)
Source: BMC Family Practice - November 28, 2017 Category: Primary Care Authors: Mary Ann O ’Brien, Frank Sullivan, Andrea Carson, Rabiya Siddiqui, Saddaf Syed and Lawrence Paszat Tags: Research article Source Type: research

A qualitative evidence synthesis to explore healthcare professionals ’ experience of prescribing opioids to adults with chronic non-malignant pain
Despite recent guidelines suggesting that patients with chronic non-malignant pain might not benefit, there has been a significant rise in opioid prescription for chronic non-malignant pain. This topic is impo... (Source: BMC Family Practice)
Source: BMC Family Practice - November 25, 2017 Category: Primary Care Authors: Fran Toye, Kate Seers, Stephanie Tierney and Karen Louise Barker Tags: Research article Source Type: research

Experiences of adult patients using primary care services in Poland – a cross-sectional study in QUALICOPC study framework
Patients as real healthcare system users are important observers of primary care and are able to provide reliable information about the quality of care. The aim of this study was to explore the patients ’ exper... (Source: BMC Family Practice)
Source: BMC Family Practice - November 22, 2017 Category: Primary Care Authors: Marek Oleszczyk, Anna Krzto ń-Królewiecka, Willemijn L. A. Schäfer, Wienke G. W. Boerma and Adam Windak Tags: Research article Source Type: research

Migrants ’ motives and expectations for contacting out-of-hours primary care: a survey study
The objective of this study is to examine the m... (Source: BMC Family Practice)
Source: BMC Family Practice - November 21, 2017 Category: Primary Care Authors: Ellen Keizer, Peter Bakker, Paul Giesen, Michel Wensing, Femke Atsma, Marleen Smits and Maria van den Muijsenbergh Tags: Research article Source Type: research

“I can’t bend it and it hurts like mad”: direct observation of gout consultations in routine primary health care
Gout is the most common form of inflammatory arthritis and is associated with considerable co-morbidity. It is usually managed in the primary care setting with a combination of lifestyle modification and pharm... (Source: BMC Family Practice)
Source: BMC Family Practice - October 18, 2017 Category: Primary Care Authors: Anthony Dowell, Caroline Morris, Lindsay Macdonald and Maria Stubbe Tags: Research article Source Type: research

A qualitative study of employees ’ opinions on establishing a generic call-centre
To investigate opinions among employees at an Out-of-Hours general practitioner (OOH-GP) service and a safety alarm service about the establishment of a generic call-centre. (Source: BMC Family Practice)
Source: BMC Family Practice - October 17, 2017 Category: Primary Care Authors: Hilde Carin Storhaug, Sara Bjune Mead and Aslak Steinsbekk Tags: Research article Source Type: research

External validation study of a clinical decision aid to reduce unnecessary antibiotic prescriptions in women with acute cystitis
Empirical prescribing of antibiotics to women with symptoms of acute cystitis prior to culture results is common, but subsequent culture results are often negative. A clinical decision aid for prescribing deci... (Source: BMC Family Practice)
Source: BMC Family Practice - October 2, 2017 Category: Primary Care Authors: Warren J. McIsaac, Rahim Moineddin, Ildik ó Gágyor and Tony Mazzulli Tags: Research article Source Type: research

Family-centered depression treatment for older men in primary care: a qualitative study of stakeholder perspectives
Family members often play important roles in the lives of depressed older men and frequently attend primary care visits with their loved ones, yet surprisingly little is known about how to most effectively eng... (Source: BMC Family Practice)
Source: BMC Family Practice - September 29, 2017 Category: Primary Care Authors: Ladson Hinton, Andr és F. Sciolla, Jürgen Unützer, Edward Elizarraras, Richard L. Kravitz and Ester Carolina Apesoa-Varano Tags: Research article Source Type: research

Correlation between patients ’ reasons for encounters/health problems and population density in Japan: a systematic review of observational studies coded by the International Classification of Health Problems in Primary Care (ICHPPC) and the International Classification of Primary care (ICPC)
The Japanese health care system has yet to establish structured training for primary care physicians; therefore, physicians who received an internal medicine based training program continue to play a principal... (Source: BMC Family Practice)
Source: BMC Family Practice - September 13, 2017 Category: Primary Care Authors: Makoto Kaneko, Ryuichi Ohta, Naoki Nago, Motoharu Fukushi and Masato Matsushima Tags: Research article Source Type: research

An after hours gp clinic in regional Australia: appropriateness of presentations and impact on local emergency department presentations
After hours general practice clinics provide medical attention for clients with non-emergency situations but are seeking immediate treatment and unable to wait for a general practitioner during routine opening... (Source: BMC Family Practice)
Source: BMC Family Practice - September 11, 2017 Category: Primary Care Authors: Kristy Payne, Tegan Dutton, Kate Weal, Maree Earle, Ross Wilson and Jannine Bailey Tags: Research article Source Type: research

General practitioners ’ perspectives on a proposed new model of service delivery for primary care management of knee osteoarthritis: a qualitative study
This study used a qua... (Source: BMC Family Practice)
Source: BMC Family Practice - September 7, 2017 Category: Primary Care Authors: Thorlene Egerton, Rachel Nelligan, Jenny Setchell, Lou Atkins and Kim L. Bennell Tags: Research article Source Type: research

Telephone counselling by nurses in Norwegian primary care out-of-hours services: a cross-sectional study
The primary care out-of-hours (OOH) services in Norway are characterized by high contact rates by telephone. The telephone contacts are handled by local emergency medical communication centres (LEMCs), mainly ... (Source: BMC Family Practice)
Source: BMC Family Practice - September 6, 2017 Category: Primary Care Authors: Vivian Midtb ø, Guttorm Raknes and Steinar Hunskaar Tags: Research article Source Type: research

The diagnostic pathway of Parkinson ’s disease: a cross-sectional survey study of factors influencing patient dissatisfaction
The diagnostic pathway of Parkinson ’s disease (PD) is often complicated. Experiences during this pathway can affect patients’ satisfaction and their confidence and trust in healthcare providers. Although healt... (Source: BMC Family Practice)
Source: BMC Family Practice - August 25, 2017 Category: Primary Care Authors: Annette O. A. Plouvier, Tim C. Olde Hartman, Olga A. de Bont, Sjoerd Maandag, Bastiaan R. Bloem, Chris van Weel and Antoine L. M. Lagro-Janssen Tags: Research article Source Type: research

Reasons for missed appointments linked to a public-sector intervention targeting patients with stable chronic conditions in South Africa: results from in-depth interviews and a retrospective review of medical records
Missed appointments serve as a key indicator for adherence to therapy and as such, identifying patient reasons for this inconsistency could assist in developing programmes to improve health outcomes. In this a... (Source: BMC Family Practice)
Source: BMC Family Practice - August 24, 2017 Category: Primary Care Authors: Bvudzai P. Magadzire, Thubelihle Mathole and Kim Ward Tags: Research article Source Type: research

Primary care physician referral patterns in Ontario, Canada: a descriptive analysis of self-reported referral data
In many countries, the referral-consultation process faces a number of challenges from inefficiencies and rising demand, resulting in excessive wait times for many specialties. We collected referral data from ... (Source: BMC Family Practice)
Source: BMC Family Practice - August 22, 2017 Category: Primary Care Authors: Clare Liddy, Sadaf Arbab-Tafti, Isabella Moroz and Erin Keely Tags: Research article Source Type: research

Strengthening general practice/family medicine in Europe —advice from professionals from 30 European countries
Substantial variations are still to be found in the strength of general practice/family medicine (GP/FM) across Europe regarding governance, workforce competence and performance, as well as academic developmen... (Source: BMC Family Practice)
Source: BMC Family Practice - August 22, 2017 Category: Primary Care Authors: Natalia Zarbailov, Stefan Wilm, Howard Tandeter, Francesco Carelli and Mette Brekke Tags: Research article Source Type: research

Managing diagnostic uncertainty in primary care: a systematic critical review
Diagnostic uncertainty is one of the largest contributory factors to the occurrence of diagnostic errors across most specialties in medicine and arguably uncertainty is greatest in primary care due to the undi... (Source: BMC Family Practice)
Source: BMC Family Practice - August 7, 2017 Category: Primary Care Authors: Rahul Alam, Sudeh Cheraghi-Sohi, Maria Panagioti, Aneez Esmail, Stephen Campbell and Efharis Panagopoulou Tags: Research article Source Type: research

Prevalence of anal symptoms in general practice: a prospective study
Anal disorders are largely underestimated in general practice. Studies have shown patients conceal anal symptoms leading to late diagnosis and treatment. Management by general practitioners is poorly described... (Source: BMC Family Practice)
Source: BMC Family Practice - August 3, 2017 Category: Primary Care Authors: G éraldine Tournu, Laurent Abramowitz, Camille Couffignal, Frédéric Juguet, Agnès Sénéjoux, Stéphane Berger, Anne-Laure Wiart, Marc Bernard, Françoise Provost, Hélène Pillant-Le Moult, Dominique Bouchard and Jean-Pierre Aubert Tags: Research article Source Type: research

Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study
One-in-five people in the UK experience anxiety and/or depression in later life. However, anxiety and depression remain poorly detected in older people, particularly in those with chronic physical ill health. ... (Source: BMC Family Practice)
Source: BMC Family Practice - July 12, 2017 Category: Primary Care Authors: Tom Kingstone, Heather Burroughs, Bernadette Bartlam, Mo Ray, Janine Proctor, Thomas Shepherd, Peter Bullock and Carolyn Anne Chew-Graham Source Type: research

Blood transfusion in elderly patients with chronic anemia: a qualitative analysis of the general practitioners ’ attitudes
Blood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a ... (Source: BMC Family Practice)
Source: BMC Family Practice - July 11, 2017 Category: Primary Care Authors: Sylvain Le Calv é, Dominique Somme, Joaquim Prud’homm and Aline Corvol Source Type: research

Equitable resourcing of primary health care in remote communities in Australia ’s Northern Territory: a pilot study
Improved Primary Health Care (PHC) utilisation is central to reducing the unacceptable morbidity and mortality rates characterising populations living in remote communities. Despite poorer health, significant ... (Source: BMC Family Practice)
Source: BMC Family Practice - June 29, 2017 Category: Primary Care Authors: John Wakerman, Lisa Sparrow, Susan L Thomas, John S Humphreys and Mike Jones Source Type: research

Effectiveness of a motivational intervention on overweight/obese patients in the primary healthcare: a cluster randomized trial
Overweight and obesity are common health problems which increase the risk of developing several serious health conditions. The main difficulty in the management of weight-loss lies in its maintenance, once it ... (Source: BMC Family Practice)
Source: BMC Family Practice - June 20, 2017 Category: Primary Care Authors: Juan Jose Rodriguez-Cristobal, Carlos Alonso-Villaverde, Jose Ma Panisello, Pere Trav é-Mercade, Francisca Rodriguez-Cortés, Josep Ramon Marsal and Esther Peña Source Type: research

‘Doing the right thing’: factors influencing GP prescribing of antidepressants and prescribed doses
Antidepressant prescribing continues to increase, with 5-16% of adults receiving antidepressants annually. Total prescribing growth is due in part to increased long-term use, greater selective serotonin re-upt... (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2017 Category: Primary Care Authors: Chris F. Johnson, Brian Williams, Stephen A. MacGillivray, Nadine J. Dougall and Margaret Maxwell Source Type: research

Moderate mental illness as a predictor of chronic disease prevention and screening
Primary care plays a pivotal role in the provision of both mental health care and chronic disease prevention and screening (CDPS). Unfortunately, moderate mental illness (MMI) is associated with poorer general... (Source: BMC Family Practice)
Source: BMC Family Practice - June 17, 2017 Category: Primary Care Authors: Ginetta Salvalaggio, Christopher Meaney, Rahim Moineddin, Eva Grunfeld and Donna Manca Source Type: research

Factors associated with general practitioners ’ awareness of depression in primary care patients with heart failure: baseline-results from the observational RECODE-HF study
Depression is more prevalent in patients with heart failure (HF) than in those without, but its detection is complicated by the symptom overlap between the two diseases. General practitioners (GPs) are the fir... (Source: BMC Family Practice)
Source: BMC Family Practice - June 9, 2017 Category: Primary Care Authors: Marion Eisele, Anja Rakebrandt, Sigrid Boczor, Agata Kazek, Nadine Pohontsch, Magdalena Okolo-Kulak, Eva Blozik, Jens-Martin Tr äder, Stefan Störk, Christoph Herrmann-Lingen and Martin Scherer Source Type: research

Current and future perspectives on the management of polypharmacy
Because of ageing populations, the growth in the number of people with multi-morbidity and greater compliance with disease-specific guidelines, polypharmacy is becoming increasingly common. Although the correc... (Source: BMC Family Practice)
Source: BMC Family Practice - June 6, 2017 Category: Primary Care Authors: Mariam Molokhia and Azeem Majeed Source Type: research

Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents
The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the “patient-centered” use of ... (Source: BMC Family Practice)
Source: BMC Family Practice - May 26, 2017 Category: Primary Care Authors: C édric Lanier, Melissa Dominicé Dao, Patricia Hudelson, Bernard Cerutti and Noëlle Junod Perron Source Type: research

Regional variations of perceived problems in ambulatory care from the perspective of general practitioners and their patients - an exploratory focus group study in urban and rural regions of northern Germany
Patients from rural and urban regions should have equitable access to health care. In Germany, the physician-patient-ratio and the supply of medical services vary greatly between urban and rural areas. The aim... (Source: BMC Family Practice)
Source: BMC Family Practice - May 25, 2017 Category: Primary Care Authors: H. Hansen, N. J. Pohontsch, L. Bole, I. Sch äfer and M. Scherer Source Type: research

How do population, general practice and hospital factors influence ambulatory care sensitive admissions: a cross sectional study
Reducing unplanned hospital admissions is a key priority within the UK and other healthcare systems, however it remains uncertain how this can be achieved. This paper explores the relationship between unplanne... (Source: BMC Family Practice)
Source: BMC Family Practice - May 25, 2017 Category: Primary Care Authors: John Busby, Sarah Purdy and William Hollingworth Source Type: research

“We’re certainly not in our comfort zone”: a qualitative study of GPs’ dementia-care educational needs
Rising dementia prevalence rates rise combined with the policy objective of enabling people with dementia to remain living at home, means that there will be a growing demand for dementia care in the community ... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2017 Category: Primary Care Authors: Tony Foley, Siobh án Boyle, Aisling Jennings and W. Henry Smithson Source Type: research

Practices of Lyme disease diagnosis and treatment by general practitioners in Quebec, 2008 –2015
Lyme disease (LD), a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto (B. burgdorferi), is the most reported vector-borne disease in North America, and by 2020, 80% of the populat... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2017 Category: Primary Care Authors: Salima Gasmi, Nicholas H. Ogden, Patrick A. Leighton, Ariane Adam-Poupart, Fran çois Milord, L. Robbin Lindsay, Sapha Barkati and Karine Thivierge Source Type: research

Occupational burnout and empathy influence blood pressure control in primary care physicians
Good physician-patient communication can favor the adoption of healthy lifestyle habits, which is essential in high blood pressure (BP) management. More empathic physicians tend to have lower burnout and bette... (Source: BMC Family Practice)
Source: BMC Family Practice - May 12, 2017 Category: Primary Care Authors: Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda and Jorge Soler-Gonz ález Source Type: research

Patient and care characteristics of self-referrals treated by the general practitioner cooperative at emergency-care-access-points in the Netherlands
In the Netherlands, out-of-hours primary care is provided in general practitioner-cooperatives (GPCs). These are increasingly located on site and in collaboration with emergency departments of hospitals (ED). ... (Source: BMC Family Practice)
Source: BMC Family Practice - May 12, 2017 Category: Primary Care Authors: Martijn Rutten, Fieke Vrielink, Marleen Smits and Paul Giesen Source Type: research

Erratum to: Out of hours care in Germany - High utilization by adult patients with minor ailments?
(Source: BMC Family Practice)
Source: BMC Family Practice - May 12, 2017 Category: Primary Care Authors: R. Leutgeb, P. Engeser, S. Berger, J. Szecsenyi and G. Laux Source Type: research

Erratum to: Impact of medication adherence on renal function in comorbid patients with type 2 diabetes and depression: protocol for a cohort study
(Source: BMC Family Practice)
Source: BMC Family Practice - May 10, 2017 Category: Primary Care Authors: Hiroto Ito, Tosiya Sato, Noriko Satoh-Asahara and Mitsuhiko Noda Source Type: research

Health care resource use by patients before and after a diagnosis of chronic fatigue syndrome (CFS/ME): a clinical practice research datalink study
Our aim was to investigate patterns of health care resource use by patients before and after a diagnosis of CFS/ME, as recorded by Clinical Practice Research Datalink (CPRD) GP practices in the UK. (Source: BMC Family Practice)
Source: BMC Family Practice - May 5, 2017 Category: Primary Care Authors: Simon M. Collin, Inger J. Bakken, Irwin Nazareth, Esther Crawley and Peter D. White Source Type: research

The effects of family structure and function on mental health during China ’s transition: a cross-sectional analysis
Social change, intensified by industrialization and globalization, has not only changed people ’s work lives but also their personal lives, especially in developing countries. The aim of this study was to provi... (Source: BMC Family Practice)
Source: BMC Family Practice - May 5, 2017 Category: Primary Care Authors: Yao Cheng, Liuyi Zhang, Fang Wang, Ping Zhang, Beizhu Ye and Yuan Liang Source Type: research

Health care resource use by patients before and after a diagnosis of chronic fatigue syndrome (CFS/ME): a clinical practice research datalink study
Our aim was to investigate patterns of health care resource use by patients before and after a diagnosis of CFS/ME, as recorded by Clinical Practice Research Datalink (CPRD) GP practices in the UK. (Source: BMC Family Practice)
Source: BMC Family Practice - May 5, 2017 Category: Primary Care Authors: Simon M. Collin, Inger J. Bakken, Irwin Nazareth, Esther Crawley and Peter D. White Source Type: research

The effects of family structure and function on mental health during China ’s transition: a cross-sectional analysis
Social change, intensified by industrialization and globalization, has not only changed people ’s work lives but also their personal lives, especially in developing countries. The aim of this study was to provi... (Source: BMC Family Practice)
Source: BMC Family Practice - May 5, 2017 Category: Primary Care Authors: Yao Cheng, Liuyi Zhang, Fang Wang, Ping Zhang, Beizhu Ye and Yuan Liang Source Type: research

Erratum to: The 5As team patient study: patient perspectives on the role of primary care in obesity management
(Source: BMC Family Practice)
Source: BMC Family Practice - May 4, 2017 Category: Primary Care Authors: Jacqueline Torti, Thea Luig, Michelle Borowitz, Jeffrey A. Johnson, Arya M. Sharma and Denise L. Campbell-Scherer Source Type: research

Effectiveness of an individual, online e-learning program about sexually transmitted infections: a prospective cohort study
Primary health-care professionals play an important role in the treatment and prevention of Sexually Transmitted Infections (STI). Continuing Medical Education (CME)-courses can influence the knowledge and beh... (Source: BMC Family Practice)
Source: BMC Family Practice - April 24, 2017 Category: Primary Care Authors: Linda H. A. Bos-Bonnie, Jan E. A. M. van Bergen, Ellen te Pas, Michael A. Kijser and Nynke van Dijk Source Type: research

Recognition of depression by primary care clinicians in rural Ethiopia
Depression is a common health condition affecting up to a third of patients attending primary care, where most of the care for people with depression is provided. Adequate recognition of depression is the crit... (Source: BMC Family Practice)
Source: BMC Family Practice - April 21, 2017 Category: Primary Care Authors: Abebaw Fekadu, Girmay Medhin, Medhin Selamu, Tedla W. Giorgis, Crick Lund, Atalay Alem, Martin Prince and Charlotte Hanlon Source Type: research