Patient-choice vaginal delivery?

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：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

abstract：:As a result of a large and compelling body of evidence documenting the impacts of social determinants, such as income and education, on health outcomes, health care systems are beginning to incorporate social and economic risk data into health care delivery decisions. But there is a risk that some of these efforts cou...

journal_title：Annals of family medicine

authors： Gottlieb LM,Alderwick H

更新日期：2019-01-01 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: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：:Provider continuity is in need of an expanded definition that is not exclusively clinician centered. Currently, provider continuity is defined by visits over time to the same clinician. Many patients and informal caregivers, however, are co-providers of health care, not merely consumers. As a result, provider continui...

journal_title：Annals of family medicine

authors： Buetow SA

更新日期：2004-09-01 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：: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:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...

journal_title：Annals of family medicine

authors： Do BT,Hootman JM,Helmick CG,Brady TJ

更新日期：2011-03-01 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:The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today's multicultural societies poses many challenges, however. This article presents 2 t...

journal_title：Annals of family medicine

authors： Anandarajah G

更新日期：2008-09-01 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：BACKGROUND:Chronic hepatitis C, a treatable condition caused by the hepatitis C virus (HCV), can be found in almost all primary care and community practices. The rate of hepatitis C treatment is low, however. This study explores the frequency of hepatitis C treatment, documented discussions of treatment consideration, ...

journal_title：Annals of family medicine

authors： Rocca LG,Yawn BP,Wollan P,Kim WR

更新日期：2004-03-01 00:00:00

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: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：: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:Postpartum depression is common but inadequately recognized and undertreated. Continuing depressive symptoms are associated with adverse outcomes for the woman, her infant, and family. We wanted to determine the effect of a practice-based training program for screening, diagnosis, and management of depression i...

journal_title：Annals of family medicine

authors： Yawn BP,Dietrich AJ,Wollan P,Bertram S,Graham D,Huff J,Kurland M,Madison S,Pace WD,TRIPPD practices.

更新日期：2012-07-01 00:00:00

abstract：PURPOSE:In screening for type 2 diabetes, guidelines recommend targeting high-risk individuals. Our objectives were to assess the yield of opportunistic targeted screening for type 2 diabetes in primary care and to assess the diagnostic value of various risk factors. METHODS:In 11 family practices (total practice popu...

journal_title：Annals of family medicine

authors： Klein Woolthuis EP,de Grauw WJ,van Gerwen WH,van den Hoogen HJ,van de Lisdonk EH,Metsemakers JF,van Weel C

更新日期：2009-09-01 00:00:00

abstract：PURPOSE:To assess the effect of a primary care-based community-links practitioner (CLP) intervention on patients' quality of life and well-being. METHODS:Quasi-experimental cluster-randomized controlled trial in socioeconomically deprived areas of Glasgow, Scotland. Adult patients (aged 18 years or older) referred to ...

journal_title：Annals of family medicine

authors： Mercer SW,Fitzpatrick B,Grant L,Chng NR,McConnachie A,Bakhshi A,James-Rae G,O'Donnell CA,Wyke S

更新日期：2019-11-01 00:00:00

abstract：PURPOSE:We wanted develop a reliable and valid objective measure of patient-physician collaborative decision making, the Rochester Participatory Decision-Making Scale (RPAD). METHODS:Based on an informed decision-making model, the RPAD assesses physician behavior that encourages patient participation in decision makin...

journal_title：Annals of family medicine

authors： Shields CG,Franks P,Fiscella K,Meldrum S,Epstein RM

更新日期：2005-09-01 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：: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:In 2004, we undertook a consultation with Canadian primary health care experts to define the attributes that should be evaluated in predominant and proposed models of primary health care in the Canadian context. METHOD:Twenty persons considered to be experts in primary health care or recommended by at least 2 ...

journal_title：Annals of family medicine

authors： Haggerty J,Burge F,Lévesque JF,Gass D,Pineault R,Beaulieu MD,Santor D

更新日期：2007-07-01 00:00:00

abstract：:We sought to describe the proportion of patients in contact with a primary care physician, as well as the total number of primary care contacts over a 2-year period, using the 2002-2017 Medical Expenditure Panel Survey. The rate of any contact with a primary care physician for patients in the population decreased by 2...

journal_title：Annals of family medicine

authors： Johansen ME,Niforatos JD

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:The 5As (ask, advise, assess, assist, arrange) are recommended as a strategy for brief physical activity counseling in primary care. There is no reference standard for measurement, however, and patient participation is not well understood. This study's objectives were to (1) develop a coding scheme to measur...

journal_title：Annals of family medicine

authors： Carroll JK,Antognoli E,Flocke SA

更新日期：2011-09-01 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：PURPOSE:The risk of an injury increases exponentially with alcohol consumption on a given occasion, but the conclusion that alcohol-related injuries are attributable primarily to heavy drinking may or may not be correct. The prevention paradox states that a large number of people at small risk may contribute more cases...

journal_title：Annals of family medicine

authors： Spurling MC,Vinson DC

更新日期：2005-01-01 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：: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: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