Comfortably engaging: which approach to alcohol screening should we use?

abstract：PURPOSE:There is a shortage of rural primary care personnel with expertise in team care for patients with common mental disorders. Building the workforce for this population is a national priority. We investigated the feasibility of regular systematic case reviews through telepsychiatric consultation, within collaborat...

journal_title：Annals of family medicine

authors： Al Achkar M,Bennett IM,Chwastiak L,Hoeft T,Normoyle T,Vredevoogd M,Patterson DG

更新日期：2020-09-01 00:00:00

abstract：:The exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavi...

journal_title：Annals of family medicine

authors： de Oliveira Vidal EI,Silva Vdos S,Santos MF,Jacinto AF,Boas PJ,Fukushima FB

更新日期：2015-03-01 00:00:00

abstract：PURPOSE:The purpose of this study was to characterize graduates of family medicine (FM) residencies from 1994 to 2017 and determine whether they continue to practice family medicine after residency. METHOD:We sampled physicians who completed FM residency training from 1994-2017 using 2017 American Medical Association ...

journal_title：Annals of family medicine

authors： Dai M,Peterson LE

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

journal_title：Annals of family medicine

authors： Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

更新日期：2013-07-01 00:00:00

abstract：PURPOSE:We aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation. METHODS:This mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the chang...

journal_title：Annals of family medicine

authors： Greene J,Hibbard JH,Alvarez C,Overton V

更新日期：2016-03-01 00:00:00

abstract：PURPOSE:The Seventh Report of the Joint National Commission (JNC 7) on High Blood Pressure established prehypertension (120 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic) as a new risk category. We aim to determine the risk of major cardiovascular events associated with blood pressure in the prehypertensive range i...

journal_title：Annals of family medicine

authors： Liszka HA,Mainous AG 3rd,King DE,Everett CJ,Egan BM

更新日期：2005-07-01 00:00:00

abstract：PURPOSE:Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physician...

journal_title：Annals of family medicine

authors： Norful AA,de Jacq K,Carlino R,Poghosyan L

更新日期：2018-05-01 00:00:00

abstract：PURPOSE:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...

journal_title：Annals of family medicine

authors： Walsh TB,Seabrook RC,Tolman RM,Lee SJ,Singh V

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:Potentially inappropriate prescribing (PIP) is a common yet preventable medical error among older persons in primary care. It is uncertain whether PIP produces adverse outcomes in this population, however. We conducted a systematic review with meta-analysis to pool the adverse outcomes of PIP specific to primar...

journal_title：Annals of family medicine

authors： Liew TM,Lee CS,Goh Shawn KL,Chang ZY

更新日期：2019-05-01 00:00:00

abstract：PURPOSE:Because recognition and management of patients with somatoform disorders are difficult, we wanted to determine the specificity, sensitivity, and the test-retest reliability of the 15-symptom Patient Health Questionnaire (PHQ-15) for detection of somatoform disorders in a high-risk primary care population. METH...

journal_title：Annals of family medicine

authors： van Ravesteijn H,Wittkampf K,Lucassen P,van de Lisdonk E,van den Hoogen H,van Weert H,Huijser J,Schene A,van Weel C,Speckens A

更新日期：2009-05-01 00:00:00

abstract：:In the United States, stable health insurance coverage is associated with improved health outcomes. A lack of insurance is associated with premature death from preventable causes. Although primary care clinicians are often in a position to see firsthand the impact that being uninsured has on patients, most ambulatory ...

journal_title：Annals of family medicine

authors： Devoe JE

更新日期：2013-09-01 00:00:00

abstract：PURPOSE:Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS:We report a substudy of a large pragmatic trial of early PPD screenin...

journal_title：Annals of family medicine

authors： Yawn BP,Bertram S,Kurland M,Wollan PC

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS:This cohort study includes participants from 4 waves (1994-2000) of the He...

journal_title：Annals of family medicine

authors： Ostbye T,Greenberg GN,Taylor DH Jr,Lee AM

更新日期：2003-11-01 00:00:00

abstract：:William Osler is quoted as saying, "Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the commonplace, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their griefs."(1) A fami...

journal_title：Annals of family medicine

authors： Colgan R

更新日期：2014-05-01 00:00:00

abstract：PURPOSE:Previous studies suggest that the highest-risk patients value accessible, coordinated primary care that they perceive to be of high technical quality. We have limited understanding, however, of how low-income, chronically ill patients and the staff who care for them experience each individual step in the primar...

journal_title：Annals of family medicine

authors： Brown EJ,Kangovi S,Sha C,Johnson S,Chanton C,Carter T,Grande DT

更新日期：2015-07-01 00:00:00

abstract：PURPOSE:Describe the duration of symptoms, proportion of parents seeking primary care consultations, and costs for respiratory tract infections (RTIs) of children in the community. METHODS:Community-based, online, prospective inception cohort study. General practitioners from socioeconomically diverse practices posted...

journal_title：Annals of family medicine

authors： Hay AD,Anderson E,Ingle S,Beck C,Hollingworth W

更新日期：2019-01-01 00:00:00

abstract：PURPOSE:The purpose of this study was to determine the relationship between the number of patients under a primary care physician's care (panel size) and primary care quality indicators. METHODS:We conducted a cross-sectional, population-based study of fee-for-service and capitated interprofessional and non-interprofe...

journal_title：Annals of family medicine

authors： Dahrouge S,Hogg W,Younger J,Muggah E,Russell G,Glazier RH

更新日期：2016-01-01 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：PURPOSE:We aimed to advance the internal and external validity of research by sharing our empirical experience and recommendations for systematically reporting contextual factors. METHODS:Fourteen teams conducting research on primary care practice transformation retrospectively considered contextual factors important ...

journal_title：Annals of family medicine

authors： Tomoaia-Cotisel A,Scammon DL,Waitzman NJ,Cronholm PF,Halladay JR,Driscoll DL,Solberg LI,Hsu C,Tai-Seale M,Hiratsuka V,Shih SC,Fetters MD,Wise CG,Alexander JA,Hauser D,McMullen CK,Scholle SH,Tirodkar MA,Schmidt L,Don

更新日期：2013-05-01 00:00:00

abstract：:We propose a new set of priorities for quality management in primary care, acknowledging that payers and regulators likely will continue to insist on reporting numerical quality metrics. Primary care practices have been described as complex adaptive systems. Traditional quality improvement processes applied to linear ...

journal_title：Annals of family medicine

authors： Young RA,Roberts RG,Holden RJ

更新日期：2017-03-01 00:00:00

abstract：PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improv...

journal_title：Annals of family medicine

authors： Fernald DH,Duclos CW

更新日期：2005-07-01 00:00:00

abstract：PURPOSE:The purpose of this study was to examine the association between the prevalence of both diabetes-concordant and diabetes-discordant conditions and the quality of diabetes care at the family practice level in England. We hypothesized that the prevalence of concordant (or discordant) conditions would be associate...

journal_title：Annals of family medicine

authors： Ricci-Cabello I,Stevens S,Kontopantelis E,Dalton AR,Griffiths RI,Campbell JL,Doran T,Valderas JM

更新日期：2015-11-01 00:00:00

abstract：PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...

journal_title：Annals of family medicine

authors： Heyworth L,Rozenblum R,Burgess JF Jr,Baker E,Meterko M,Prescott D,Neuwirth Z,Simon SR

更新日期：2014-07-01 00:00:00

abstract：PURPOSE:In this study, we compared the rate of depression diagnoses in adults with and without diabetes mellitus, while carefully controlling for number of primary care visits. METHODS:We matched adults with incident diabetes (n = 2,932) or prevalent diabetes (n = 14,144) to nondiabetic control patients based on (1) a...

journal_title：Annals of family medicine

authors： O'Connor PJ,Crain AL,Rush WA,Hanson AM,Fischer LR,Kluznik JC

更新日期：2009-07-01 00:00:00

abstract：PURPOSE:Few studies have tested the hypothesis that children with sensory disabilities such as deafness may be at increased risk of injuries. To test this hypothesis, this study compared rates of emergency department or hospital treatment for injury among Medicaid-insured South Carolina children with and without a diag...

journal_title：Annals of family medicine

authors： Mann JR,Zhou L,McKee M,McDermott S

更新日期：2007-11-01 00:00:00

abstract：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...

journal_title：Annals of family medicine

authors： Pluye P,Grad RM,Johnson-Lafleur J,Granikov V,Shulha M,Marlow B,Ricarte IL

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:We wanted to identify differences between diabetic patients who smoke and those who do not smoke to design more effective strategies to improve their diabetes care and encourage smoking cessation. METHODS:A random sample of adult health plan members with diabetes were mailed a survey questionnaire, with tel...

journal_title：Annals of family medicine

authors： Solberg LI,Desai JR,O'Connor PJ,Bishop DB,Devlin HM

更新日期：2004-01-01 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:Despite the benefits of well-child care visits, up to one-half of these visits are missed. Little is known about why children miss them, so we undertook a qualitative study to elucidate these factors. METHODS:We interviewed 17 caregivers whose children had missed well-child visits and 6 clinicians, focusing on...

journal_title：Annals of family medicine

authors： Wolf ER,O'Neil J,Pecsok J,Etz RS,Opel DJ,Wasserman R,Krist AH

更新日期：2020-01-01 00:00:00

abstract：:Behavioral change is at the heart of effective primary care, but when patients don't change, how do we account for our days? In this personal essay, I relate an encounter with a patient who wants to quit smoking, lose weight, and control her diabetes. I am discouraged when she deflects my recommendations, but a collea...

journal_title：Annals of family medicine

authors： de Schweinitz P

更新日期：2015-05-01 00:00:00