Primary health care research & development最新文献

{"title":"Patient experience with early pregnancy loss in the primary care setting: a qualitative study.","authors":"Lauren E Harriett, Sumiko Maristany, Lorna Sanchez, Catherine Hennessey, Julie Chor, Debra B Stulberg","doi":"10.1017/S1463423626101984","DOIUrl":"https://doi.org/10.1017/S1463423626101984","url":null,"abstract":"<p><strong>Aim: </strong>This qualitative study describes patient perspectives on early pregnancy loss (EPL), the medical term for miscarriage, care in one federally qualified health centre (FQHC) that initiated provision of a mifepristone plus misoprostol regimen.</p><p><strong>Background: </strong>EPL is a common pregnancy complication that can generally be treated by primary care providers (PCPs), yet many PCPs report barriers to providing the most effective medication regimen: mifepristone plus misoprostol. Limited data exist on patient experiences with EPL in the primary care setting.</p><p><strong>Methods: </strong>Researchers conducted semi-structured interviews with a sample of patients who received EPL care from one Illinois FQHC between 2021 and 2022. Interview transcripts were coded and analysed to identify themes regarding how primary care can address patients' needs when experiencing pregnancy loss.</p><p><strong>Results: </strong>Participants (<i>n</i> = 16) expressed satisfaction with EPL management at the FQHC, specifically that the option of medication management eased concerns about potential complications and provided clear expectations of the passage of the pregnancy. Medication management became a more accessible option for patients after the clinic began stocking mifepristone. Participant suggestions to improve EPL management in primary care included stronger and/or more timely analgesia, increased education, and mental health support. Participants identified barriers to EPL care including difficulty scheduling visits and perceived lack of urgency when triaged by clinic staff.</p><p><strong>Conclusion: </strong>Patients report comfort with and interest in the option of medication management for EPL in the community-based primary care setting. Barriers in primary care clinic infrastructure and logistics must be considered and optimized to provide timely and safe EPL care.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e126"},"PeriodicalIF":1.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of immediate mother-newborn skin-to-skin contact and missed contact in health facilities in Malawi: a multilevel analysis of the Malawi Demographic and Health Survey-2024.","authors":"Redson Mwandama, John Kadzandira, Ben Kalukuni Lwanja, Sydney Nkhoma, Margubur Rahaman","doi":"10.1017/S1463423626101972","DOIUrl":"10.1017/S1463423626101972","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the prevalence and predictors of immediate mother-newborn skin-to-skin contact (SSC) in Malawi and factors associated with missed SSC despite being delivered in health facilities.</p><p><strong>Background: </strong>SSC immediately after birth is an evidence-based essential newborn care intervention associated with improved thermoregulation, early breastfeeding initiation, maternal-infant bonding, and neonatal survival. Although facility delivery is expected to promote SSC, a substantial proportion of newborns in low- and middle-income countries still do not receive this recommended practice.</p><p><strong>Methods: </strong>We analysed data from the Malawi Demographic and Health Survey 2024. After restricting to the most recent live birth per woman and applying a complete-case approach across the outcome and all explanatory variables, the final analytic sample comprised 6,065 mother-newborn pairs (weighted sample: 6,142). The outcome was maternal report of immediate SSC after birth. Weighted descriptive statistics, chi-square tests, and multilevel logistic regression were used to identify factors associated with SSC. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) are reported.</p><p><strong>Findings: </strong>Overall, 77.3% of newborns experienced SSC. In the fully adjusted model, caesarean delivery (aOR = 0.13, 95% CI: 0.10-0.17) and multiple births (aOR = 0.47, 95% CI: 0.26-0.86) were associated with lower adjusted odds of receiving SSC. Institutional delivery (aOR = 5.20, 95% CI: 1.86-14.56) and antenatal care attendance were associated with higher adjusted odds of receiving SSC. Among institutional deliveries, caesarean delivery and multiple births (aOR = 0.44, 95% CI: 0.24-0.80) remained associated with lower odds of receiving SSC. Cluster-level variation was substantial (ICC = 0.172-0.173).</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e125"},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Registered nurse prescriber role in Ontario: barriers and facilitators of role implementation.","authors":"Gina Pittman, Sherry Morrell, Jane Simanovski, William M Bannon, Ava Mammarella, Hala Abu Rashid, Ibrahim Abdulmoula, Edona Ahmeti, Adelia Scofield, Debbie Sheppard-Lemoine","doi":"10.1017/S1463423626101893","DOIUrl":"10.1017/S1463423626101893","url":null,"abstract":"<p><strong>Aim: </strong>This study explored registered nurse (RN) prescribers' perspectives on educational preparation and identified barriers and facilitators to successful role adoption.</p><p><strong>Background: </strong>Registered nurse (RN) prescribing was introduced in Ontario in 2023 to improve access to care and optimize the nursing scope of practice. While educational programmes were developed rapidly, little is known about RN prescribers' experiences with role implementation and workplace integration.</p><p><strong>Purpose: </strong>This study explored RN prescribers' perspectives on educational preparation and identified barriers and facilitators to successful role adoption.</p><p><strong>Methods: </strong>A mixed-methods design was used. A cross-sectional survey of 52 RN prescribers who completed a College of Nurses of Ontario-approved prescribing programme captured demographic data and employment experiences. Quantitative analysis included descriptive statistics, bivariate tests, and hierarchical regression. Fifteen participants completed semi-structured interviews, which were analysed thematically.</p><p><strong>Results: </strong>Quantitative findings indicated generally positive employment experiences, with higher satisfaction associated with supportive colleagues and management. Unrealistic employer expectations and lack of familiarity with RN prescribing scope were identified as barriers. Qualitative analysis revealed four themes: (1) value of prior RN experience, with most participants recommending 2-5 years before prescribing; (2) mentorship as a catalyst for role transition, and physician mentorship was most common; (3) colleague support and organizational culture as critical facilitators; and (4) role clarity and system-level barriers. Participants emphasized that although education prepared them to prescribe, workplace readiness and clear role expectations were essential for building confidence and ensuring safe practice.</p><p><strong>Conclusion: </strong>Successful implementation of RN prescribing requires more than education; structured mentorship, supportive organizational culture, and standardized policies are vital. These findings inform strategies to strengthen RN prescribing integration and improve access to care.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e124"},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing respiratory integrated care models in Ireland: insights from PCP feedback on the early days of integrated chronic disease management pathways.","authors":"Helen O'Brien, Jack McCarthy, Jayleigh Lim, Orla O'Carroll, Deirdre Fitzgerald, Sinead M Walsh, Alessandro N Franciosi","doi":"10.1017/S1463423626101807","DOIUrl":"10.1017/S1463423626101807","url":null,"abstract":"<p><strong>Background: </strong>In 2020 the Irish Health Service Executive (HSE) shifted chronic disease management (CDM), including COPD and asthma, into primary care via a funded CDM programme. An Enhanced Community Care (ECC) initiative established local clinical specialist teams (CSTs) providing spirometry, nurse-led clinics and pulmonary rehabilitation to support primary care practitioners (PCPs). We explored early PCP experience, diagnostic access, and confidence, to identify improvement priorities.</p><p><strong>Aim: </strong>We sought to evaluate PCPs experiences with the implementation of Ireland's CDM and ECC programmes for COPD and asthma, focusing on diagnostic access, clinical confidence and priorities for service improvement and professional development.</p><p><strong>Methods: </strong>A semi-structured survey was distributed nationally through PCP faculty meetings, mailing lists and messaging groups. Single- and multi-choice items, Likert scales (1-10) reported as median and interquartile range (IQR), and ranked options quantified satisfaction, access and educational needs; free-text responses underwent thematic analysis.</p><p><strong>Findings: </strong>One-hundred-12 PCPs responded (62% urban; 65% >10 years in practice). Most practices (97%) had adopted CDM and 87% perceived better patient outcomes arising from this, yet only 33% reported a major change in their own practice. Integrated-care hubs were rated good-excellent by 87% and superior to hospital outpatient care by 84%, but limited diagnostics (52%), delayed two-way communication (45%) and inadequate specialist support (50%) persisted. Self-reported confidence in guideline knowledge was modest (asthma 7 (IQR 6-7); COPD 7 (IQR 6-7)) and very low for interpreting pulmonary-function tests and prescribing pulmonary rehabilitation (3 (IQR 2-5) and 5 (IQR 4-6) respectively). Priority topics for continuing-professional-development were: differentiating asthma from COPD, inhaler device choice and PFT interpretation.Irish PCPs value the CDM/ECC model but highlight implementation gaps. Targeted CPD, faster digital feedback and decision-support tools are needed, alongside longitudinal evaluation against health-service benchmarks and sustainability frameworks.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e123"},"PeriodicalIF":1.7,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population-based trends in antidiabetic medication utilization during the COVID-19 pandemic: results from the PANDUTI-TR study.","authors":"Caner Vizdiklar, Volkan Aydin, Gokhan Tazegul, Ahmet Akici","doi":"10.1017/S1463423626101868","DOIUrl":"10.1017/S1463423626101868","url":null,"abstract":"<p><strong>Aim: </strong>We aimed to examine changes in antidiabetic drug utilization associated with implementation and subsequent easing of pandemic-related restrictions.</p><p><strong>Background: </strong>The COVID-19 pandemic and associated restrictions disrupted healthcare access and glycemic regulation, affecting diabetes management.</p><p><strong>Methods: </strong>We collected nationwide outpatient antidiabetic drug sales and projected prescribing data from IQVIA Turkey between 01.03.2018 and 31.12.2022. We assessed average monthly consumption, expenditure, and quarterly prescribing trends across 'before restrictions' (BfR, 01.03.2018-31.03.2020), 'during restrictions' (DuR, 01.04.2020-31.03.2022), and 'after restrictions' (AfR, 01.04.2022-31.12.2022) periods. Consumption and prescribing levels were expressed as 'defined daily doses/1,000 inhabitants/day' (DID).</p><p><strong>Results: </strong>Antidiabetic consumption increased from 123.6 ± 12.2 DID in BfR to 156.3 ± 25.4 DID in DuR and remained elevated in AfR (151.2 ± 28.9 DID), paralleled by expenditure (€63.6 m ± 8.4 m, €85.1 m ± 14.8 m, and €83.9 m ± 19.1 m, respectively). Prescribing levels declined from BfR to DuR (56.4 ± 3.5 to 29.9 ± 3.6 DID, <i>p</i> < 0.001) and slightly recovered in AfR (46.0 ± 10.9 DID, <i>p</i> > 0.05 vs. earlier periods). Oral antidiabetic consumption rose from 71.2 ± 6.8 DID in BfR to 90.6 ± 17.2 DID in DuR (<i>p</i> < 0.001) and further to 96.9 ± 19.4 DID in AfR (<i>p</i> < 0.001 vs. BfR), while sodium-glucose cotransporter-2 inhibitor use increased across periods (<i>p</i> < 0.001). Injectable antidiabetic consumption, mainly insulins, increased from BfR to DuR (<i>p</i> < 0.001), and decreased in AfR (<i>p</i> < 0.01 vs. DuR).</p><p><strong>Conclusion: </strong>We demonstrated a sustained increase in antidiabetic consumption following implementation of COVID-19-related restrictions, persisting beyond easing of most measures. Medication-access policies, panic stockpiling, improved glycemic adherence, and newer therapies might have contributed. These findings may inform strategies to strengthen family physician-community pharmacist coordination while maintaining treatment continuity and optimizing medication access during future public health emergencies.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e120"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between diabetes self-management skills and cognitive function in individuals with type 2 diabetes.","authors":"Ayşegül Akca, Tuğba Bilgehan","doi":"10.1017/S1463423626101911","DOIUrl":"10.1017/S1463423626101911","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) is associated with an increased risk of cognitive function through multiple metabolic and vascular mechanisms. Evidence on the association between diabetes self-management skills and cognitive function in individuals with T2DM remains limited.</p><p><strong>Aim: </strong>This study aimed to investigate the relationship between diabetes self-management and cognitive function among individuals with T2DM and to identify factors associated with cognitive function.</p><p><strong>Methods: </strong>A cross-sectional, correlational study was conducted with 170 adults with T2DM at a public hospital in Ankara, Türkiye. Data were collected between June 2024 and January 2025 using a Participant Information Form, the Type 2 Diabetes Self-Management Scale (T2DM-SMS), and the Mini-Mental State Examination (MMSE) to assess cognitive function. Data were analysed using descriptive statistics, correlation analysis, and multiple linear regression.</p><p><strong>Results: </strong>The mean T2DM-SMS score was 58.84 ± 12.58, and the mean MMSE score was 17.77 ± 5.13. Diabetes self-management was positively correlated with cognitive function (r = 0.50, p < 0.05). Multiple linear regression analysis demonstrated that diabetes self-management remained independently associated with MMSE scores after adjustment for age, gender, and diabetes-related complications (β = 0.12, p < 0.001). Older age was independently associated with lower MMSE scores (β = -0.17, p < 0.001), whereas male participants had significantly higher MMSE scores than female participants (β = 1.59, p = 0.006).</p><p><strong>Conclusion: </strong>Better diabetes self-management was independently associated with better cognitive function among individuals with T2DM. Integrating cognitive assessment and individualised self-management education into diabetes care may support early identification and help preserve cognitive function and improve long-term outcomes.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e122"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of cancer frequency and characteristics in patients with type 2 diabetes mellitus in primary health care: a descriptive cross-sectional study.","authors":"Ülkü Sur Ünal, Yüksel Duygu Altıparmak, Mahmud Esad Dindar, Melisa Karabulut, Arzu Kaya, Özge Dilay Önder, Beyza Özdemir","doi":"10.1017/S1463423626101935","DOIUrl":"10.1017/S1463423626101935","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the prevalence, types, and duration of diagnosed cancers among adult type 2 diabetes mellitus (T2DM) patients in a primary care setting in Türkiye and to examine associated clinical and demographic factors according to T2DM duration.</p><p><strong>Background: </strong>T2DM is a growing global health concern linked to increased risks of various cancers. Epidemiological data suggest a complex relationship involving shared risk factors and pathophysiological mechanisms such as hyperinsulinemia, inflammation, and obesity.</p><p><strong>Methods: </strong>This descriptive, cross-sectional study was conducted at an education-family health centre (EFHC), analysing medical records and patient interviews. The sample included 442 patients with T2DM registered at Marmara University Tuzla EFHC, of whom 152 had a diagnosed cancer. Data collected encompassed cancer prevalence, types, sociodemographic characteristics, clinical features (including body mass index, T2DM duration, comorbidities), and cancer duration.</p><p><strong>Findings: </strong>The prevalence of cancer among T2DM patients was 34.4%. The most common cancers were prostate in men and breast in women. No significant correlation was observed between T2DM duration and cancer duration; however, breast cancer was less frequent among women with longer T2DM duration compared to their cancer duration. A high rate of obesity and comorbidities was noted in the cohort. Cancer prevalence among Turkish T2DM patients in primary care is notably high, highlighting the importance of integrated screening and risk factor management. These findings underscore the need for targeted preventive strategies and personalized patient care to reduce cancer-related morbidity and mortality in diabetic populations.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e119"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioners' views and experiences of providing services in Adelaide residential aged care homes.","authors":"Jolyn Johal, Heather Block, Alison Dymmott, Helen Exley, Stacey George","doi":"10.1017/S1463423626101844","DOIUrl":"10.1017/S1463423626101844","url":null,"abstract":"<p><strong>Aim: </strong>To explore general practitioners' (GPs') views and experiences of providing services in Adelaide residential aged care homes (RACHs) and identify barriers, enablers, and suitable models of care (MoC).</p><p><strong>Background: </strong>National reports describe persistent challenges with GP access in RACHs. Residents often have limited choice of visiting GPs, and fee-for-service payments incentivise episodic rather than proactive care.</p><p><strong>Methods: </strong>A qualitative study comprising semi-structured interviews was conducted with Adelaide-based GPs. Interviews were audio-recorded, transcribed, and analysed using reflexive thematic analysis. The i-PARIHS framework informed interview questions and interpretation.</p><p><strong>Results: </strong>Twelve GPs participated, with a median interview time of 24 minutes (range, 18-49 minutes). Five themes were generated: 1. Poor remuneration and work-life balance, 2. Growing demands, operational inefficiencies and limited support, 3. Regulatory and administrative burdens detracting from care, 4. Small and diminishing cohort of GPs, and 5. Strengths and limitations across MoC. To improve care coverage, some GPs proposed a shared roster, with GPs rotating on-site to see their own residents and provide interim reviews for others.</p><p><strong>Conclusions: </strong>GP engagement in Adelaide RACHs remains constrained by inadequate remuneration, growing demands, system inefficiencies, and limited support. Addressing these challenges requires improved remuneration reflecting care complexity, more streamlined information systems, and adjustments to prescribing and administrative requirements. Regular scheduled in-hours visits and strong relationships with staff and residents were key facilitators. A shared GP roster may improve access, continuity, and coordination while reducing on-call burden and inefficiencies in RACH work, thereby supporting more proactive, timely care. This warrants future implementation research.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e118"},"PeriodicalIF":1.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting and inhibiting factors influencing general practitioners' referral of overweight patients to combined lifestyle interventions. A qualitative study in Dutch primary healthcare.","authors":"Bente van Aken, Geerke Duijzer, Ellen J I van Dongen, Gerrit Jan Hiddink, Annemien Haveman-Nies","doi":"10.1017/S146342362610156X","DOIUrl":"10.1017/S146342362610156X","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the barriers and facilitators experienced by general practitioners (GPs) as primary referrers of patients to combined lifestyle interventions (CLIs).</p><p><strong>Background: </strong>In the Netherlands, evidence-based CLIs are implemented as a possible strategy to tackle overweight and obesity, with GPs authorized as the primary referrer. However, certain target groups are underrepresented in CLI participation and dropout remains a challenge, highlighting the opportunity to strengthen referral practices. Insight into factors influencing GP referral is needed to improve implementation of CLIs.</p><p><strong>Methods: </strong>This qualitative study was conducted within general practices in Dutch primary healthcare, using semi-structured interviews. Interviews were conducted with GPs (<i>n</i> = 16) who had at least one year of experience with referral to CLIs. The interview guide and analyses were guided by the COM-B model and the Theoretical Domains Framework. Interviews were audio recorded and transcribed verbatim. A reflexive thematic analysis was performed by two independent coders, combining deductive and inductive coding.</p><p><strong>Findings: </strong>Three referral behaviours to CLIs were identified: 1) extensive, 2) critical, and 3) limited. GPs' referral behaviour to CLIs was influenced by an interaction between their capability, opportunity, and motivation to refer. Perceived facilitators were GPs' awareness and knowledge of CLIs, beliefs about effectiveness, beliefs about capabilities, and ease of use of referral systems. Perceived barriers were GPs' doubts about effectiveness, habits, role identity, lack of knowledge, limited collaboration and communication with CLI providers, and unmotivated patients. These insights may optimize referral and thereby intervention reach and equitable access to CLIs, with potential public health benefits.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e117"},"PeriodicalIF":1.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stakeholder's experience on financial incentive-based regulatory instruments for public-private partnership in developing countries: a study from Iran's primary health care delivery system - CORRIGENDUM.","authors":"Iman Keliddar, Amin Torabipour, SeyedMehdi EmamianFard","doi":"10.1017/S1463423626101881","DOIUrl":"https://doi.org/10.1017/S1463423626101881","url":null,"abstract":"","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"27 ","pages":"e115"},"PeriodicalIF":1.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}