{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:00:18Z","timestamp":1785420018036,"version":"3.56.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423625100704_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of this study is to investigate family physicians\u2019 approaches to hoarseness (dysphonia), clinical decision-making, patients\u2019 perceptions, and structural barriers in the healthcare system using qualitative methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100704_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Qualitative design was used. Research was reported in line with COREQ (32 items) and EQUATOR (SRQR) guidelines. Semi-structured telephone\/internet interviews were conducted with 17 family physicians working primary care in T\u00fcrkiye. Participants purposively sampled interviews were audio-recorded, transcribed, coded using thematic analysis, and developed themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100704_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The analysis revealed four main themes: clinical assessment and differential diagnosis, referral criteria and specialist referrals, patient perception and knowledge level, health system and structural barriers. Demographic analysis determined that veteran doctors were more sensitive to malignancy, junior doctors highlighted systemic deficits, female doctors highlighted patient behavior, while doctors who practiced in rural areas highlighted structural issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100704_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Family physicians\u2019 handling of hoarseness is not only dependent on clinical data but also on patient opinion and the health system\u2019s conditions. For productive primary care management of hoarseness, it is recommended to (i) design guidelines and training for family physicians, (ii) increase patient education on voice hygiene and voice health, and (iii) establish health policies enhancing specialist accessibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423625100704","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T05:32:21Z","timestamp":1766986341000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Family physicians\u2019 approach to hoarseness: a qualitative study"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5374-0377","authenticated-orcid":false,"given":"Esin \u00d6zlem","family":"Atm\u0131\u015f","sequence":"first","affiliation":[{"name":"Faculty of Health Science, Department of Audiology, Bah\u00e7e\u015fehir University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9848-8697","authenticated-orcid":false,"given":"\u0130zzet","family":"Fidanc\u0131","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04kwvgz42","id-type":"ROR","asserted-by":"publisher"}],"name":"Faculty of Medicine, Department of Family Medicine, Hacettepe University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"key":"S1463423625100704_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4180-5"},{"key":"S1463423625100704_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"S1463423625100704_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2010.04.008"},{"key":"S1463423625100704_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"S1463423625100704_ref3","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S1463423625100704_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.12.009"},{"key":"S1463423625100704_ref4","first-page":"53","article-title":"Knowledge of primary care doctors about laryngopharyngeal reflux disease","volume":"9","author":"Chorti","year":"2013","journal-title":"B-ENT"},{"key":"S1463423625100704_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2006.02418.x"},{"key":"S1463423625100704_ref8","doi-asserted-by":"publisher","DOI":"10.1038\/bdj.2008.192"},{"key":"S1463423625100704_ref1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/026)"},{"key":"S1463423625100704_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24740"},{"key":"S1463423625100704_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13031"},{"key":"S1463423625100704_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"S1463423625100704_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.06.744"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625100704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T05:32:22Z","timestamp":1766986342000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625100704\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,29]]},"references-count":14,"alternative-id":["S1463423625100704"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625100704","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,29]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e4"}}