BMC primary care最新文献

{"title":"Scaling up the task-sharing of an evidence-based psychological treatment for depression in rural India: an implementation study.","authors":"Ravindra Narayan Agrawal, Mohit Sood, Anushka Patel, Tanushri Sharma, Harshita Yadav, Jigyasa Kaur, Smita Kumari, Prashant Sharma, Vandana Shukla, Balkrishan Tripathi, Namdeo Dongare, Nityasri Sankha Narasimhamurti, Anant Bhan, Sharad Tiwari, Shailesh Sakalle, Vikram Patel","doi":"10.1186/s12875-025-02943-6","DOIUrl":"https://doi.org/10.1186/s12875-025-02943-6","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"267"},"PeriodicalIF":2.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term effects of face-to-face supervision versus telephone supervision during a community-based pulmonary rehabilitation programme in people with COPD using minimal equipment: a randomized controlled trial.","authors":"Cristina Sacristán-Galisteo, Tamara Del Corral, Carmen Gómez-Pesquera, Ricardo Rodríguez-Barrientos, María Fontana-Campos, Ane Arbillaga-Etxarri, Ibai López-de-Uralde-Villanueva, José Miguel Rodríguez-Gónzález-Moro, Patricia Martín-Casas","doi":"10.1186/s12875-025-02962-3","DOIUrl":"https://doi.org/10.1186/s12875-025-02962-3","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"268"},"PeriodicalIF":2.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Her hospital card is missing\": a qualitative investigation into the facilitators of and barriers to formal healthcare use among sickle cell patients in Ghana.","authors":"Naana Abena Ohemeng-Tinyase, Mohammed Gazali Hambali, Williams Agyemang-Duah","doi":"10.1186/s12875-025-02791-4","DOIUrl":"https://doi.org/10.1186/s12875-025-02791-4","url":null,"abstract":"<p><strong>Background: </strong>Access to and use of healthcare is a crucial aspect of sickle cell disease (SCD) management. However, healthcare utilisation is often challenging, particularly among sickle cell patients. Adequate utilisation of healthcare services for people with SCD could improve their life expectancy. As no previous empirical work has been available, this study explores the facilitators of and barriers to formal healthcare use among SCD patients in Ghana.</p><p><strong>Methods: </strong>This study was conducted using a phenomenological approach in the Ashanti Region of Ghana. A convenience sampling technique was used to recruit 27 parents of children with SCD and adults with SCD. Data were collected from October 2022 to November 2022. Interview guides were used to collect data on demographic and socio-economic factors, as well as facilitators of and barriers to formal healthcare utilisation. Data were analysed using thematic analytical frameworks.</p><p><strong>Results: </strong>The mean age of the participants was approximately 22 years [8-56 years], and most were females (n = 16). Also, 6 of them had no formal education. The results showed that fear of health consequences for not using formal healthcare, experience of severe pain and crisis, and trust in the services offered by formal healthcare providers serve as facilitators of formal healthcare use among the participants. The results further demonstrated that barriers to formal healthcare use were financial barriers, location and transportation problems, workload and time constraints, use of alternative healthcare services (herbal medicine, faith-based healing, and self-medication) and poor health systems, such as long waiting time at the health facilities and poor patient-centred care and ineffective communication.</p><p><strong>Conclusion: </strong>This is the first known study to examine the facilitators of and barriers to formal healthcare use among sickle cell patients in Ghana. The findings demonstrate several facilitators of and barriers to formal healthcare utilisation among the participants. The findings provide much evidence and information for developing policies and interventions that promote formal healthcare use among sickle cell patients in Ghana.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"266"},"PeriodicalIF":2.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Person-centred medicine in the care home setting: feasibility testing of a complex intervention.","authors":"Line Due Christensen, Hilary L Bekker, Flemming Bro, Anne Estrup Olesen, Jette Kolding Kristensen, Kirsten Høj","doi":"10.1186/s12875-025-02925-8","DOIUrl":"https://doi.org/10.1186/s12875-025-02925-8","url":null,"abstract":"<p><strong>Background: </strong>Person-centred medicine in older patients requires medication decisions to be aligned with individual preferences, needs, and values. However, involvement of care home residents and their relatives in such decisions remains limited due to professional preferences and perceived barriers. This study investigates the feasibility of a newly developed intervention aiming to facilitate person-centred medicine through resident and relative involvement and interprofessional communication support.</p><p><strong>Methods: </strong>The feasibility testing was conducted in two care homes from April to October 2022 in an urban Danish Municipality. The intervention consisted of two components: the PREparation of Patients for Active Involvement in medication Review for Care Home (PREPAIR-CH) and a medication communication template for healthcare professionals. A flexible three-stage workflow and a multifaceted implementation strategy facilitated implementation. Data was collected through observations and interviews with healthcare professionals (care home staff, GPs), residents, and relatives. Data analysis was guided by Normalization Process Theory.</p><p><strong>Results: </strong>Ten residents participated in the intervention (four in the presence of relatives) and were subsequently interviewed. Additionally, five interviews with healthcare professionals were conducted. The intervention purpose was deemed relevant by residents, relatives, and healthcare professionals and aligned with individual values. The implementation strategy followed the intended delivery. Flexibility, coordination, and collaboration within the local team were key to facilitating intervention implementation. Challenges included selection of residents, involvement of relatives, and management of competing priorities. The intervention offered a structure for involvement and provided valuable insights for healthcare professionals into the patient perspective, thereby fostering reflection and dialogue and enhancing the residents' and relatives' perceived involvement. The medication communication template was considered relevant by staff, whereas GPs found it unnecessary.</p><p><strong>Conclusions: </strong>The PREPAIR-CH was found acceptable and feasible by residents, relatives, and healthcare professionals, but care home staff and GPs disagreed on the relevance of the medication communication template. The findings suggest that the intervention may enhance resident and relative involvement to support person-centred medicine. Some uncertainties must be explored before a large-scale evaluation, including the applicability to different types of residents and how to support interprofessional communication about medicines, as the needs appear to differ between care home staff and GPs.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"265"},"PeriodicalIF":2.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioners' experience about synchronous teleconsultation in primary care: a mixed-method systematic review.","authors":"Alphonse Sowanou, Gabin F Morillon, Marlène Guillon, Thomas G Poder, Maude Laberge","doi":"10.1186/s12875-025-02975-y","DOIUrl":"https://doi.org/10.1186/s12875-025-02975-y","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"264"},"PeriodicalIF":2.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening family medicine through coaching-informed peer support: a pilot program evaluation.","authors":"Jennifer Shuldiner, Olivia Varkul, Thineesha Gnaneswaran, Atiya Iqbal, Kirsten Szymanski, Erin Plenert, Navsheer Gill, Sarah J Smith, Noor Ramji, Susie Kim, Denis Tsang, Tara Kiran, Noah Ivers","doi":"10.1186/s12875-025-02969-w","DOIUrl":"https://doi.org/10.1186/s12875-025-02969-w","url":null,"abstract":"<p><strong>Background: </strong>Primary care physicians are facing elevated levels of burnout and often struggle to find joy in their work, with fewer physicians choosing primary care as a career. Peer coaching offers a way to enhance professional fulfillment and job satisfaction by fostering connection and support among physicians. In this study, we evaluated a pilot coaching-informed peer support program for family physicians in Ontario. Our evaluation explored whether the program helped increase joy in practice, strengthen professional well-being, and reduce burnout.</p><p><strong>Methods: </strong>In the Peers for Joy program, physicians are trained to be \"Guides\" and support fellow physician \"Learners\" across 3 meetings to identify their goals and find ways to create joy in their work. To evaluate this pilot program, we used a multi-methods approach including surveys, interviews, and focus groups to explore whether the program increased joy in practice and reduced burnout, as well as its potential impacts on the guides. The primary outcome focused on satisfaction and joy in practice, assessed through the survey question: \"How likely are you to recommend this job as a family physician?\". Surveys were analyzed with Anova for continuous variables, Fisher's exact tests for categorical variables and the weekly one question surveys were analyzed with the Mann Kendall trend tests. Interviews were transcribed and analyzed using thematic analysis.</p><p><strong>Results: </strong>32 peer learners and 27 peer guides participated in the pilot from January-April 2024. After participation, both peer learners and peer guides were more likely to recommend their job as a family physician to a friend or colleague (learners increased from 5.5/10 to 7.0, P = 0.004 and guides from 6.4/10 to 7.5, P = 0.003). Peer learners reported they joined the program due to burnout and because they wanted to find joy and connection. Peer guides wanted to help their colleagues regain their passion for family medicine. Peer learners described various benefits from participating in the program, including feeling validated, receiving advice on workflow improvements, and encouragement to shift their perspective on their role as a family physician. Peer guides also felt that the experience was fulfilling, that it helped shift their perspective on their role as a family physician, and that they learned valuable coaching techniques that could be applied in their clinical encounters.</p><p><strong>Conclusion: </strong>The pilot demonstrated an acceptable and potentially helpful approach to improve family physician resiliency from burnout, promote togetherness, and improve joy in work. As such, the program could be a sustainable approach to peer support for family physicians.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"263"},"PeriodicalIF":2.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus-based framework for assessing social prescribing schemes in primary healthcare.","authors":"A M Carrera-Noguero, M Guilabert Mora, V Pérez-Jover, M Pola-Garcia, J J Mira Solves, M P Astier-Peña","doi":"10.1186/s12875-025-02954-3","DOIUrl":"https://doi.org/10.1186/s12875-025-02954-3","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"262"},"PeriodicalIF":2.6,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the utilization of preventive health services for non-communicable diseases: a qualitative study with community members and family physicians.","authors":"Şükran Peker, Ahmet Topuzoğlu, Seyhan Hıdıroğlu, Özlem Tanrıöver","doi":"10.1186/s12875-025-02958-z","DOIUrl":"https://doi.org/10.1186/s12875-025-02958-z","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs) remain a significant global public health concern. This study aims to comprehensively explore the perspectives of both potential users of preventive health services and family physicians, with the goal of identifying key factors that influence the utilization of these services.</p><p><strong>Methods: </strong>This qualitative study involved in-depth, face-to-face interviews with 29 participants selected through criterion sampling. Criterion sampling is a purposive sampling method in which participants are selected based on predefined criteria relevant to the research question. Data was analyzed thematically. After familiarization with the transcribed data, initial codes were generated independently by two researchers. These codes were reviewed collaboratively and grouped into broader themes that reflected patterns across the data set. Ethical approval and institutional permissions were obtained for the study.</p><p><strong>Results: </strong>Of the 29 participants, five were family physicians (FPs), and 24 were community members aged 28-63, residing in a district of Istanbul. Barriers to accessing preventive health services among community members included insufficient information, misconceptions, and the dynamics of patient-physician relationships. Most community members had limited awareness of preventive services within the healthcare system, often associating 'routine health check-up examinations' with paid services in private healthcare institutions. Some participants with a family history of cancer or heart disease reported seeking follow-up care in private hospitals and expressed that healthcare staff were reluctant to perform check-ups without an existing disease. FPs varied in their approach; while some integrated preventive care into routine visits, others were demotivated by systemic challenges such as workload, weak referrals, and lack of feedback. Feelings of inadequacy and frustration were also noted among FPs. Preventive services were often limited to patients who proactively sought care, and FPs expressed concern about unnecessary patient visits stemming from low health literacy.</p><p><strong>Conclusions: </strong>This study highlights context-specific factors that influence the use of preventive health services, as reported by both community members and family physicians in a district of Istanbul. Based on participants lived experiences, the findings suggest that increasing public awareness of available preventive services, improving communication between patients and providers, and strengthening institutional support mechanisms could facilitate greater engagement with preventive care.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"261"},"PeriodicalIF":2.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' perspective about synchronous teleconsultation with a general practitioner: a mixed-method systematic literature review.","authors":"Gabin F Morillon, Marlène Guillon, Maude Laberge, Alphonse Sowanou, Thomas G Poder","doi":"10.1186/s12875-025-02931-w","DOIUrl":"https://doi.org/10.1186/s12875-025-02931-w","url":null,"abstract":"<p><strong>Background: </strong>Synchronous teleconsultations using video or phone have become an increasingly popular method for delivering healthcare, especially in primary care. This modality enhances access to care, particularly for individuals in remote or underserved areas, and was especially significant during disruptions like the COVID-19 pandemic. Despite these benefits, patient perspectives on teleconsultations with general practitioners (GPs) remain underexplored. Factors such as consultation type, convenience, and technology influence patient satisfaction and acceptance, but concerns persist about the effectiveness of remote consultations for complex cases. This systematic review explores patients' use, attitudes, experiences, satisfaction, and preferences regarding synchronous teleconsultations with GPs, aiming to identify factors influencing the choice of teleconsultation over face-to-face consultations.</p><p><strong>Methods: </strong>The review included 46 studies published until March 2023, sourced from PubMed, Web of Science, EBSCO, and Cochrane Library, following PRISMA guidelines. Quantitative, qualitative, and mixed-method studies were analyzed, representing diverse contexts.</p><p><strong>Results: </strong>Findings reveal that patient satisfaction with teleconsultation is influenced by consultation purpose, convenience, technological capabilities, and continuity of care. Video consultations are preferred over phone consultations, particularly for follow-ups and routine issues. Teleconsultation is seen as less effective for complex consultations requiring physical exams. Patient characteristics, including age, socioeconomic status, and technology familiarity, impact acceptance. Privacy concerns, data security, and diagnostic accuracy remain significant barriers. Continuity of care is better maintained when teleconsultation involves established patient-GP relationships.</p><p><strong>Conclusions: </strong>The review emphasizes the need for hybrid care models and policies aligned with patient preferences, focusing on accessibility, technology, and privacy safeguards. Future research should address barriers for vulnerable populations and equitable access.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"259"},"PeriodicalIF":2.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family physicians' attitudes and practice on screening and prevention of fragility fractures, and shared decision-making with postmenopausal women: a qualitative study in Spain.","authors":"Montserrat León-García, Esther Cánovas Martínez, Yolanda Álvarez Pérez, María Antonia Pou, Alberto López García-Franco, Ana Sanz Bas, Sara Rodriguez-Moreno, Claudia Erika Delgado Espinoza, Pablo Roca, Aránzazu González Osuna, Diana Fernández Valverde, Betzabeth Marín Nanco, Melixa Medina-Aedo, Lilisbeth Perestelo-Pérez, Pablo Alonso-Coello","doi":"10.1186/s12875-025-02966-z","DOIUrl":"https://doi.org/10.1186/s12875-025-02966-z","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"260"},"PeriodicalIF":2.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}