The 21st century: the age of family medicine research?

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:We undertook a study to identify distinct functional trajectories in the year before hospice, to determine how patients with these trajectories differ according to demographic characteristics and hospice diagnosis, and to evaluate the association between these trajectories and subsequent outcomes. METHODS:From...

journal_title：Annals of family medicine

authors： Stabenau HF,Morrison LJ,Gahbauer EA,Leo-Summers L,Allore HG,Gill TM

更新日期：2015-01-01 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：: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：PURPOSE:In primary care, the involvement of health care assistants (HCAs) in clinical depression management is an innovative approach. Little is known, however, about how HCAs experience their new tasks. We wanted to describe the perceptions and experiences of HCAs who provided case management to patients with depressi...

journal_title：Annals of family medicine

authors： Gensichen J,Jaeger C,Peitz M,Torge M,Güthlin C,Mergenthal K,Kleppel V,Gerlach FM,Petersen JJ

更新日期：2009-11-01 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：:Efforts to redesign primary care require multiple supports. Two potential members of the primary care team-practice facilitator and care manager-can play important but distinct roles in redesigning and improving care delivery. Facilitators, also known as quality improvement coaches, assist practices with coordinating ...

journal_title：Annals of family medicine

authors： Taylor EF,Machta RM,Meyers DS,Genevro J,Peikes DN

更新日期：2013-01-01 00:00:00

abstract：PURPOSE:Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care. METHODS:Using telephone survey data from a national sample of 1,479 whites, 1,189 African Americans, and 983 Latinos, we explored patients' beliefs about racism, their prefe...

journal_title：Annals of family medicine

authors： Chen FM,Fryer GE Jr,Phillips RL Jr,Wilson E,Pathman DE

更新日期：2005-03-01 00:00:00

abstract：:When I began experiencing chest pain that was different from my usual heartburn symptoms, I denied I could possibly be having a heart attack, but chewed 4 baby aspirin just in case. Despite years of community education about the need to call 911 and seek immediate emergency care when experiencing signs and symptoms of...

journal_title：Annals of family medicine

authors： Stausmire JM,Greenbaum MG,Morelli-Greenbaum M

更新日期：2018-01-01 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: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：PURPOSE:Bacterial pathogens are assumed to cause an illness course different from that of nonbacterial causes of acute cough, but evidence is lacking. We evaluated the disease course of lower respiratory tract infection (LRTI) with a bacterial cause in adults with acute cough. METHODS:We conducted a secondary analysis...

journal_title：Annals of family medicine

authors： Teepe J,Broekhuizen BD,Loens K,Lammens C,Ieven M,Goossens H,Little P,Butler CC,Coenen S,Godycki-Cwirko M,Verheij T,GRACE Consortium.

更新日期：2016-11-01 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:A randomized controlled trial found that patients with diabetes had lower HbA1c levels after 6 months of peer health coaching than patients who did not receive coaching. This paper explores whether the peer coaches in that trial, all low-income patients with diabetes, mastered and utilized an evidence-based hea...

journal_title：Annals of family medicine

authors： Goldman ML,Ghorob A,Hessler D,Yamamoto R,Thom DH,Bodenheimer T

更新日期：2015-08-01 00:00:00

abstract：:Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this essay, the author shares his recent encounter with a life-threatening disease, emphasizi...

journal_title：Annals of family medicine

authors： Rosenblatt RA

更新日期：2004-03-01 00:00:00

abstract：PURPOSE:Unexplained gastrointestinal symptoms are more common in adults who recall abuse as a child; however, data available on children are limited. The aim of this study was to investigate the association of childhood maltreatment and early development of gastrointestinal symptoms and whether this relation was mediat...

journal_title：Annals of family medicine

authors： van Tilburg MA,Runyan DK,Zolotor AJ,Graham JC,Dubowitz H,Litrownik AJ,Flaherty E,Chitkara DK,Whitehead WE

更新日期：2010-03-01 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

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:Self-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves. METHODS:During 2001-2013, a total of 385 general practices in England contri...

journal_title：Annals of family medicine

authors： Carr MJ,Ashcroft DM,Kontopantelis E,While D,Awenat Y,Cooper J,Chew-Graham C,Kapur N,Webb RT

更新日期：2017-05-01 00:00:00

abstract：:Hatpins is a first-person narrative that delves into a physician's experience of a patient death during the early years of residency. The essay reflects on the conflicted physician-patient relationships that can develop even over the short tenure of residency. While residency seeks to create medically prepared and com...

journal_title：Annals of family medicine

authors： Koplinka-Loehr I

更新日期：2017-11-01 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：:Physician narratives in family medicine have the potential to convey the vibrant spirit of our field and provide meaningful insights into disease, illness, suffering, and the nature of healing. They may also complement empirical research, education, and practice through their integrative, expressive nature. This true ...

journal_title：Annals of family medicine

authors： Borkan J

更新日期：2006-01-01 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：: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：:Translational research seeks to improve health care by promoting action and change in real-world health care settings. Although translational research advocates a break from the traditional researcher-initiated approach to science, strategies to successfully engage clinicians and leaders of health care delivery organi...

journal_title：Annals of family medicine

authors： Schmittdiel JA,Grumbach K,Selby JV

更新日期：2010-05-01 00:00:00

abstract：PURPOSE:The purpose of this study was to assess patient and practice outcomes after introducing the Asthma APGAR (Activities, Persistent, triGGers, Asthma medications, Response to therapy) tools into primary care practices. METHODS:We used a pragmatic cluster-randomized controlled design in 18 US family medicine and p...

journal_title：Annals of family medicine

authors： Yawn BP,Wollan PC,Rank MA,Bertram SL,Juhn Y,Pace W

更新日期：2018-03-01 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：:Tobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Pan...

journal_title：Annals of family medicine

authors： Shafer PR,Borsky A,Ngo-Metzger Q,Miller T,Meyers D

更新日期：2019-03-01 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：PURPOSE:To address doubts regarding National Lung Screening Trial (NLST) generalizability, we analyzed over 6,000 lung cancer screenings (LCSs) within a community health system. METHODS:Our LCS program included 10 sites, 7 hospitals (2 non-university tertiary care, 5 community) and 3 free-standing imaging centers. Pri...

journal_title：Annals of family medicine

authors： Handy JR Jr,Skokan M,Rauch E,Zinck S,Sanborn RE,Kotova S,Wang M

更新日期：2020-05-01 00:00:00