Getting the news.

abstract：PURPOSE:There is currently too few endoscopists to enact a national colorectal cancer screening program with colonoscopy. Primary care physicians could play an important role in filling this shortage by offering screening colonoscopy in their practice. The purpose of this study was to examine the safety and effectivene...

journal_title：Annals of family medicine

authors： Wilkins T,LeClair B,Smolkin M,Davies K,Thomas A,Taylor ML,Strayer S

更新日期：2009-01-01 00:00:00

abstract：PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strate...

journal_title：Annals of family medicine

authors： Finch SA,Wasserman R,Nabi-Burza E,Hipple B,Oldendick R,Winickoff JP

更新日期：2015-09-01 00:00:00

abstract：PURPOSE:We wanted to compare 2 screening instruments for problem drinking, the CAGE and a single question, assessing frequency of use, patient and clinician comfort, and patient engagement in change. METHODS:The study was a crossover, cluster-randomized clinical trial with 31 clinicians in Missouri and 13 in the Ameri...

journal_title：Annals of family medicine

authors： Vinson DC,Galliher JM,Reidinger C,Kappus JA

更新日期：2004-09-01 00:00:00

abstract：PURPOSE:The distinction between physiologic (innocent) and pathologic (organic) heart murmurs is not always easy in routine practice, leading too often to unnecessary cardiology referrals and expensive investigations. We aimed to test the hypothesis that the complete disappearance of murmur on standing can exclude card...

journal_title：Annals of family medicine

authors： Lefort B,Cheyssac E,Soulé N,Poinsot J,Vaillant MC,Nassimi A,Chantepie A

更新日期：2017-11-01 00:00:00

abstract：:Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...

journal_title：Annals of family medicine

authors： Margolius D,Gunzler D,Hopkins M,Teng K

更新日期：2018-11-01 00:00:00

abstract：:PURPOSE We examined how the closure of a large safety-net hospital in Los Angeles County, California, affected local primary care physicians. METHODS We conducted semistructured interviews with 42 primary care physicians who practiced in both underserved and nonunderserved settings in Los Angeles County. Two investiga...

journal_title：Annals of family medicine

authors： Walker KO,Clarke R,Ryan G,Brown AF

更新日期：2011-11-01 00:00:00

abstract：PURPOSE:We wanted to obtain perspectives of mothers and daughters on facilitators of and barriers to with adolescent girls' timely access to risk-appropriate reproductive care. METHODS:We conducted 5 separate focus groups with Latina and black mothers and their adolescent daughters. All participants resided in impover...

journal_title：Annals of family medicine

authors： McKee MD,O'Sullivan LF,Weber CM

更新日期：2006-11-01 00:00:00

abstract：PURPOSE:In specialist care, fecal calprotectin (FCal) is a commonly used noninvasive diagnostic test for ruling out inflammatory bowel disease (IBD) in children with chronic gastrointestinal symptoms. The aim of this study was to evaluate the diagnostic accuracy of FCal for IBD in symptomatic children in primary care. ...

journal_title：Annals of family medicine

authors： Holtman GA,Lisman-van Leeuwen Y,Kollen BJ,Norbruis OF,Escher JC,Kindermann A,de Rijke YB,van Rheenen PF,Berger MY

更新日期：2016-09-01 00:00:00

abstract：PURPOSE:We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS:We created recorded ...

journal_title：Annals of family medicine

authors： Saver BG,Mazor KM,Luckmann R,Cutrona SL,Hayes M,Gorodetsky T,Esparza N,Bacigalupe G

更新日期：2017-01-01 00:00:00

abstract：PURPOSE:Targeted interventions to reduce the risk and increase the early detection of melanoma have the potential to save lives. We aimed to assess the effect of such an intervention on patient prevention behavior. METHODS:We conducted a pilot clustered randomized controlled trial, comparing a targeted screening and e...

journal_title：Annals of family medicine

authors： Rat C,Quereux G,Riviere C,Clouet S,Senand R,Volteau C,Dreno B,Nguyen JM

更新日期：2014-01-01 00:00:00

abstract：:As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the crumbling foundation. The current delivery system and financing structures are unsustainable. ...

journal_title：Annals of family medicine

authors： DeVoe J

更新日期：2008-05-01 00:00:00

abstract：:Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services d...

journal_title：Annals of family medicine

authors： Lam CL

更新日期：2004-05-26 00:00:00

abstract：PURPOSE:Peer health coaches offer a potential model for extending the capacity of primary care practices to provide self-management support for patients with diabetes. We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for lo...

journal_title：Annals of family medicine

authors： Thom DH,Ghorob A,Hessler D,De Vore D,Chen E,Bodenheimer TA

更新日期：2013-03-01 00:00:00

abstract：:Efforts to address the current fragmented US health care structure, including controversial federal reform, cannot succeed without a reinvigoration of community-centered health systems. A blueprint for systematic implementation of community services exists in the 1967 Folsom Report--calling for "communities of solutio...

journal_title：Annals of family medicine

authors： Folsom Group.

更新日期：2012-05-01 00:00:00

abstract：:Although primary care, including family medicine, recognizes different types of clinician-patient interaction, I argue that only interactions characterized by coprovision define care. By coprovision I mean that clinicians and patients each provide the expertise in health care that they have the capacity to contribute ...

journal_title：Annals of family medicine

authors： Buetow SA

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care office. METHODS:Thirty-two mothers in IPV shelters or support groups in southwestern Ohio were interviewed to explore their abuse experien...

journal_title：Annals of family medicine

authors： Zink T,Elder N,Jacobson J,Klostermann B

更新日期：2004-05-01 00:00:00

abstract：PURPOSE:Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS:We de...

journal_title：Annals of family medicine

authors： Alexander JA,Paustian M,Wise CG,Green LA,Fetters MD,Mason M,El Reda DK

更新日期：2013-05-01 00:00:00

abstract：:I had intended to spend our spring break week in Montana with my kids and my dad, going to parks and museums together. Instead, I spent the week in the hospital, helping my dad make end-of-life choices and learning more about the importance of communication in health care settings and the preciousness of close relatio...

journal_title：Annals of family medicine

authors： DeVoe JE

更新日期：2016-05-01 00:00:00

abstract：PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...

journal_title：Annals of family medicine

authors： Khanna N,Gritzer L,Klyushnenkova E,Montgomery R,Dark M,Shah S,Shaya F

更新日期：2019-08-12 00:00:00

abstract：PURPOSE:Little is known about the impact of pay-for-performance incentives on health care disparities. We examined ethnic disparities in the management of hypertension among patients with and without cardiovascular comorbidities after the implementation of a major pay-for-performance incentive scheme in UK primary care...

journal_title：Annals of family medicine

authors： Millett C,Gray J,Bottle A,Majeed A

更新日期：2008-11-01 00:00:00

abstract：PURPOSE:Medicine is traditionally considered a healing profession, but it has neither an operational definition of healing nor an explanation of its mechanisms beyond the physiological processes related to curing. The objective of this study was to determine a definition of healing that operationalizes its mechanisms a...

journal_title：Annals of family medicine

authors： Egnew TR

更新日期：2005-05-01 00:00:00

abstract：PURPOSE:Traditionally first-void urine specimens are used to test for Chlamydia trachomatis. In contrast, midstream urine specimens are traditionally recommended for microscopy and culture of presumptive bacterial urinary tract infections. The ability to test for both C trachomatis and urinary tract infection on a sing...

journal_title：Annals of family medicine

authors： Mangin D,Murdoch D,Wells JE,Coughlan E,Bagshaw S,Corwin P,Chambers S,Toop L

更新日期：2012-01-01 00:00:00

abstract：PURPOSE:We wanted to estimate excess risk of in-hospital mortality associated with medical injuries identified using an injury surveillance system, after controlling for risk of death resulting from comorbidities. METHODS:The Wisconsin Medical Injuries Prevention Program (WMIPP) screening criteria were used to identif...

journal_title：Annals of family medicine

authors： Meurer LN,Yang H,Guse CE,Russo C,Brasel KJ,Layde PM

更新日期：2006-09-01 00:00:00

abstract：PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...

journal_title：Annals of family medicine

authors： Miller WL,Phillips WR,Acheson LS,Crabtree BF,Zyzanski SJ,Nutting PS,Gotler RS,McLellan LA,Stange KC

更新日期：2005-05-01 00:00:00

abstract：PURPOSE:The health care system in the United States is inherently hierarchical. Patients are "nested" within physicians who in turn are "nested" within practices. Much of the research data gathered in practice-based research networks (PBRNs) also have similar patterns of nesting (clustering). When research data are nes...

journal_title：Annals of family medicine

authors： Dickinson LM,Basu A

更新日期：2005-05-01 00:00:00

abstract：PURPOSE:Practice transformation is the cornerstone of the future of family medicine and health care reform, but little is known about how the process occurs. We sought to develop and test a model of the natural history of practice transformation. METHODS:We developed an outcomes-based model of how a practice moves thr...

journal_title：Annals of family medicine

authors： Donahue KE,Newton WP,Lefebvre A,Plescia M

更新日期：2013-05-01 00:00:00

abstract：PURPOSE:The aim of this study was to assess whether the quality of diabetes care differs among practices employing nurse-practitioners (NPs), physician's assistants (PAs), or neither, and which practice attributes contribute to any differences in care. METHODS:This cross-sectional study of 46 family medicine practices...

journal_title：Annals of family medicine

authors： Ohman-Strickland PA,Orzano AJ,Hudson SV,Solberg LI,DiCiccio-Bloom B,O'Malley D,Tallia AF,Balasubramanian BA,Crabtree BF

更新日期：2008-01-01 00:00:00

abstract：:Two voices tell the story of an evolving doctor-patient relationship. Seizures are the first indication of squamous cell lung cancer metastatic to the brain. Both doctor and patient describe the course of the illness, treatment, and remarkable recovery, each from his own perspective. The patient describes how the canc...

journal_title：Annals of family medicine

authors： Scott JG,Crommet P

更新日期：2003-05-01 00:00:00

abstract：PURPOSE:We wanted to explore the context of help seeking for reproductive and nonreproductive health concerns by urban adolescent girls. METHODS:We undertook a qualitative study using in-depth interviews of African American and Latina girls (n = 22) aged 13 to 19 years attending public high schools in the Bronx, NY. ...

journal_title：Annals of family medicine

authors： McKee MD,Karasz A,Weber CM

更新日期：2004-11-01 00:00:00

abstract：:During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was...

journal_title：Annals of family medicine

authors： Au A

更新日期：2019-09-01 00:00:00