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BMC Primary Care
Scopus
ISSN 2731-4553 · BMC · 1,696 articles in the index
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Journal Article
The value of advanced practice nursing in Danish primary care: a case study of communicative and integrative mechanisms in community-based care
Abstract Background The growing prevalence of multimorbidity and complex care needs places increasing demands on primary healthcare systems. In Denmark, Advanced Practice Nurses (APNs) have been introduced in municipal community-based healthcare to strengthen continuity, coordination, and…
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Journal Article
A practical approach for health system leaders to implement early detection of mild cognitive impairment and dementia in primary care
Abstract Primary care offers an important pathway for timely diagnosis and treatment of mild cognitive impairment and dementia. Transformative changes require a structured approach to implementation of early diagnosis workflows. Planning, designing, implementing, and sustaining are important…
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Journal Article
Act in time: primary health care professionals’, internal facilitators’, and managers’ experiences of working health-promotively after a 12-month implementation intervention: a qualitative study using normalization process theory
Abstract Background Healthy-lifestyle-promoting practices are recommended to reduce the prevalence of non-communicable diseases and increase health, but are underutilized in Swedish primary health care (PHC). As part of the Act in Time project, a 12-month multifaceted implementation intervention to…
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Journal Article
General practitioners and management control through guidelines: a qualitative study of its effects on their practice
Abstract Background Changes in healthcare governance and the rise of evidence-based medicine (EBM) have over the last decades contributed to an increase in guideline-driven management of general practice. There is a lack of recent studies investigating how this continuous development affects the…
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Journal Article
Factors associated with higher cardiovascular disease risk awareness among patients with cardiovascular risk factors in primary care
Abstract Background Cardiovascular diseases (CVD) remain a leading cause of morbidity and mortality due to the increasing prevalence of major CVD risk factors, including type 2 diabetes mellitus, hypertension, dyslipidaemia and obesity. Lifestyle intervention is crucial for tackling these risk…
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Journal Article
From ‘quarterback’ to ‘coach’: the policy implications of family physicians’ evolving role in team-based care
Abstract Background Project Colourful, an innovative model for delivering team-based care and improving access to family physicians at a specific Canadian clinic, provided a window on how physician-led primary care teams are evolving. Colourful allowed an action research team to draw out broadly…
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Journal Article
Conceptual validation of a family-centered intervention for adults with type 1 and type 2 diabetes mellitus: insights from focus groups with healthcare professionals, patients, and families
Abstract Background Diabetes mellitus is a global health challenge requiring sustained self-management. Evidence highlights the role of families in supporting adults with diabetes mellitus, yet many interventions fail to adopt structured, theory-informed, and family-centred approaches. To address…
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Journal Article
The predictive value of complete blood count and the systemic immune-inflammation index (SII) for diagnosing malignancy in patients undergoing colonoscopy
Abstract Background Colorectal cancer (CRC) is one of the leading causes of cancer-related mortality worldwide. Delays in diagnosis remain common, and there is ongoing interest in whether routinely available laboratory parameters may provide early signals of increased risk. Systemic inflammatory…
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Journal Article
Patient navigation activities in a large community -based colorectal cancer screening program
Abstract Introduction Colorectal cancer (CRC) screening is recommended for average-risk individuals aged 45–75 years old; however, screening rates are suboptimal. An evidence-based strategy found to be effective at increasing screening uptake is patient navigation. The purpose of this paper is to…
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Journal Article
Screening for undiagnosed atrial fibrillation in community pharmacies using mobile electrocardiogram technology: a quasi-experimental cross-sectional study (PREVENIM ICTUS)
Abstract Background Atrial fibrillation (AF) is a common, often silent, arrhythmia that markedly increases stroke risk yet remains undiagnosed in many high-risk adults. Mobile electrocardiogram technology in community pharmacies has detected 1–5% new AF internationally, but real-world…
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Journal Article
Accessing providers for co-occurring health and mental health disorders for children and youth in Ontario: an analysis of linked survey and administrative health data
Abstract Background Children (aged 4 to 11) and youth (aged 12 to 17) with chronic health conditions (CHC; e.g., asthma, diabetes) are at an increased risk of developing mental health (MH) problems relative to those without CHC. We examined how patterns of visits received for CHC influenced receipt…
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Journal Article
Development and validation of a machine learning based suitability assessment model for primary healthcare facilities in metropolitan China
Abstract Background Primary healthcare (PHC) facilities play a critical role in preventive care and general medical services. Current urban PHC site selection, typically a manual process at the community level, suffers from insufficient consideration of surrounding neighborhoods, resulting in…
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Journal Article
Systematic review of direct access physiotherapy for musculoskeletal conditions in primary care: consequences for general practitioner workload, resource use, and organisation of care
Abstract Background Musculoskeletal disorders (MSDs) are frequent and disabling conditions in primary care and contribute substantially to general practitioners’ (GPs) workload. Direct access (DA) to physiotherapy, allowing patients to consult physiotherapists without prior medical referral, has…
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Journal Article
Supporting depression care: antidepressant prescribing patterns among adults in Alberta, Canada
Abstract Background Depression is a psychiatric disorder associated with emotional, physical and cognitive symptoms that impact an individual’s functioning. Antidepressants play a significant role in treatment because of their demonstrated efficacy. In the Canadian context, there is a paucity of…
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Journal Article
A learning health system approach to improving chronic kidney disease management in primary care
Abstract Background One in seven U.S. adults has chronic kidney disease (CKD). Early diagnosis and management in primary care can prevent disease progression and cardiovascular complications. Objective The aim was to increase primary care capacity to diagnose and treat patients with early CKD. This…
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Journal Article
Joint consultations with general practitioners and geriatric psychiatrists for older adults with depression: a focus group study
Abstract Background Depression in older adults is common in general practice, but the optimal approach for identification and treatment is not entirely clear. Aim To explore physicians’ experiences with a structured collaborative model involving joint consultations between patients, general…
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Journal Article
Evaluating the impact of capitation funding top-up payments in primary care
Abstract Background Capitation payments account for approximately half of core funding for General Practitioner (GP) practices in England, allocated via the Global Sum Allocation (‘Carr-Hill’) formula. The formula has not been updated since 2004 and lacks adjustments for clinical diagnoses, patient…
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Journal Article
Putting “what matters to you?” into practice: a focused team-based ethnographic study on goal-oriented care
Abstract Background As healthcare systems transition toward person-centred integrated care (PC-IC), goal-oriented care (GOC) has gained prominence as a conceptual approach to aligning care with what matters most to patients. However, there is limited empirical insight of how GOC is enacted in daily…
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Journal Article
Does living alone reshape healthcare use? Longitudinal evidence from older adults in China
Abstract Background China’s rapid population aging and shrinking family structures challenge healthcare access for older adults, especially those living alone. While the link between solitary living and poor health is well-documented, its underlying mechanisms remain unclear. This study examines…
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