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Family Medicine and Community Health
Scopus
ISSN 2305-6983 · BMJ Publishing Group · 431 articles in the index
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Journal Article
Adoption of the Reference Framework for Preventive Care for Older Adults: a study of primary care physicians
Objective The Reference Framework (RF) for Preventive Care for Older Adults in Primary Care provides evidence-based guidelines to enhance preventive care in Hong Kong. However, its adoption and feasibility among primary care physicians (PCPs) remain unclear. This study evaluates PCPs’ awareness…
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Journal Article
Long-term risk of bowel resection and mortality associated with sleep behaviours and sleep pattern in patients with inflammatory bowel disease: a large-scale prospective cohort study
Objective To examine the association between sleep pattern, which integrates sleep duration, chronotype and quality, with risk of bowel resection and all-cause mortality in patients with inflammatory bowel disease (IBD) based on a long-term prospective cohort.Design Prevalent patients with IBD were…
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Journal Article
Development and psychometric properties of the ‘Assessment of Burden of Chronic Conditions (ABCC) tool’ for people with chronic heart failure (CHF): a mixed methods approach
Objective To develop a chronic heart failure (CHF) module for the Assessment of Burden of Chronic Conditions (ABCC) tool and evaluate its psychometric properties.Design Mixed methods study.Setting The study was conducted in the Netherlands.Participants Healthcare providers (ie, general…
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Journal Article
Primary care provider and clinic staff perspectives on the collection of demographic and social needs data in primary care clinics across five Canadian provinces
Objective This study reports on the barriers and facilitators experienced by primary care providers, clinic staff and clinic leadership when implementing the SPARK Tool to collect demographic and social needs data in primary care clinics across Canada.Design A qualitative process evaluation was…
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Journal Article
Risk factors for COPD exacerbations and mortality, and variation between primary care settings: the PRAXIS cohort study in Sweden
Objective We aimed to examine the variability of chronic obstructive pulmonary disease (COPD) exacerbations and mortality, between primary healthcare centres, and their associations with comorbid diseases and body mass index, during an 8-year follow-up.Design This was a cohort study using…
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Journal Article
How direct access to physiotherapy reshapes GP gatekeeping for musculoskeletal care in primary care: an exploratory organisational typology across health systems
Objective To characterise the organisational role configurations of physiotherapists in direct access (DA) models and describe how general practitioner (GP) gatekeeping for musculoskeletal (MSK) conditions is redistributed across health systems.Design Secondary qualitative content analysis of…
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Journal Article
Why family medicine requires a paradigm shift from linear guidelines to complexity science
Evidence-based medicine (EBM) has standardised care by reducing variance, yet its reliance on linear, reductionist models often fails the patient in primary care, especially the multimorbid patient. Current clinical guidelines assume that biological inputs lead to predictable outputs, effectively…
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Journal Article
Role of family medicine on health systems in the Americas: scoping review
Objective To synthesise the available evidence on the reported role of family physicians in health systems in the Americas.Design A scoping review was conducted following the methodology of the Joanna Briggs Institute. The results were grouped into thematic categories and reported in accordance…
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Journal Article
Integrating genomic medicine into primary care: a precision health model from Riyadh, Saudi Arabia
Objective To describe the design, structure and first-year operational data of the Precision Medicine Clinic (PMC) at King Faisal Specialist Hospital & Research Centre (KFSHRC), a primary-care-embedded genomic medicine service launched in Riyadh, Saudi Arabia, in January 2025.Design Descriptive…
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Journal Article
Translating evidence into primary care: Singapore’s 2025 national osteoporosis guideline and a multilevel framework for assessing guideline impact in mixed health systems
Objective Osteoporosis is a major contributor to morbidity and mortality worldwide, yet underdiagnosis and undertreatment remain pervasive across diverse health systems, including Singapore’s mixed public–private primary care landscape. In 2025, the Agency for Care Effectiveness (ACE), Ministry of…
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Journal Article
Peripheral artery disease in patients with persistent claudication after lumbar spine surgery: a primary care reassessment framework
Persistent claudication after lumbar spinal surgery may reflect unrecognised peripheral artery disease (PAD) and delayed implementation of secondary cardiovascular prevention. Despite effective guideline-directed therapy, diagnostic and treatment gaps persist in routine practice. Vascular…
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Journal Article
Impact of adverse childhood experiences, positive childhood experiences and adult protective and risk factors on health in a statewide representative sample
Objective Adverse childhood experiences (ACEs), positive childhood experiences (PCEs) and adult protective and risk factors have each been associated with health outcomes but have rarely been examined together. We examined associations among ACEs, PCEs, adult protective and risk factors, and adult…
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Journal Article
Implementation outcomes from delivering ‘acute-on-demand telehealth services’ in primary care: a retrospective observational study
Objectives The retrospective component of this mixed method study leveraged implementation science to assess the execution of an acute-on-demand telehealth (AODTH) service pioneered in a Singapore public primary care institution using video consultation (VC) targeting the local multiethnic…
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Journal Article
Managing headache in primary care: choosing therapies that treat the whole patient
To provide a practical, comorbidity-aligned approach to headache management in primary care, emphasising therapies that can address headache and coexisting chronic conditions while reducing polypharmacy and medication interaction risk. Narrative clinical review using targeted literature searches…