New knowledge for and about primary care: a view through the looking glass of the Annals of Family Medicine.

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：: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 wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS:We analyzed data from a nationally representative sample of 9,011 adults to identify characteristics of th...

journal_title：Annals of family medicine

authors： Viera AJ,Pathman DE,Garrett JM

更新日期：2006-07-01 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: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：: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：: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:Automated office blood pressure monitoring during 30 minutes (OBP30) may reduce overtreatment of patients with white-coat hypertension in primary health care. OBP30 results approximate those of ambulatory blood pressure monitoring, but OBP30 is much more convenient. In this study, we compared OBP30 with routine...

journal_title：Annals of family medicine

authors： Bos MJ,Buis S

更新日期：2017-03-01 00:00:00

abstract：PURPOSE:Recent national guidelines encourage a trial of labor after cesarean (TOLAC) as a means of increasing vaginal births after cesarean (VBACs) and decreasing the high US cesarean birth rate and its consequences (2010 National Institute of Health Consensus Statement and American College of Obstetricians and Gynecol...

journal_title：Annals of family medicine

authors： Deline J,Varnes-Epstein L,Dresang LT,Gideonsen M,Lynch L,Frey JJ 3rd

更新日期：2012-11-01 00:00:00

abstract：PURPOSE:Persons with multiple chronic diseases must integrate self-management tasks for potentially interacting conditions to attain desired clinical outcomes. Our goal was to identify barriers to self-management that were associated with lower perceived health status and, secondarily, with lower reported physical func...

journal_title：Annals of family medicine

authors： Bayliss EA,Ellis JL,Steiner JF

更新日期：2007-09-01 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:Hearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes. METHODS:A multiple baseline design was implemented to assess a screening paradigm for identifying and referring patien...

journal_title：Annals of family medicine

authors： Zazove P,Plegue MA,McKee MM,DeJonckheere M,Kileny PR,Schleicher LS,Green LA,Sen A,Rapai ME,Mulhem E

更新日期：2020-11-01 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:Although screening for unipolar depression is controversial, it is potentially an efficient way to find undetected cases and improve diagnostic acumen. Using a reference standard, we aimed to validate the 2- and 9-question Patient Health Questionnaires (PHQ-2 and PHQ-9) in primary care settings. The PHQ-2 compr...

journal_title：Annals of family medicine

authors： Arroll B,Goodyear-Smith F,Crengle S,Gunn J,Kerse N,Fishman T,Falloon K,Hatcher S

更新日期：2010-07-01 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：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:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...

journal_title：Annals of family medicine

authors： Stevens GD,Shi L,Cooper LA

更新日期：2003-07-01 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 understand the views of patients and clinicians on the central concept of healing and to identify major facilitators of and barriers to promoting healing in primary care. METHODS:We undertook a qualitative analysis of focus group discussions. Participants were drawn from primary care clinics of a ...

journal_title：Annals of family medicine

authors： Hsu C,Phillips WR,Sherman KJ,Hawkes R,Cherkin DC

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Recognizing fundamental flaws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family Medicine (FFM) project in 2002. The goal of the project was to develop a strategy to trans...

journal_title：Annals of family medicine

authors： Martin JC,Avant RF,Bowman MA,Bucholtz JR,Dickinson JR,Evans KL,Green LA,Henley DE,Jones WA,Matheny SC,Nevin JE,Panther SL,Puffer JC,Roberts RG,Rodgers DV,Sherwood RA,Stange KC,Weber CW,Future of Family Medicine Projec

更新日期：2004-03-01 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：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:Primary care practices in the United Kingdom have received substantial financial rewards for achieving standards set out in the Quality and Outcomes Framework since April 2004. This article reviews the growing evidence for the impact of the framework on the quality of primary medical care. METHODS:Five hundred...

journal_title：Annals of family medicine

authors： Gillam SJ,Siriwardena AN,Steel N

更新日期：2012-09-01 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

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：PURPOSE:In 30 small, independent primary care practices, we examined the association between clinician-reported use of elements of the Chronic Care Model (CCM) and diabetic patients' hemoglobin A(1c) (HbA(1c)) and lipid levels and self-reported receipt of care. METHODS:Ninety clinicians (60 physicians, 17 nurse-practi...

journal_title：Annals of family medicine

authors： Nutting PA,Dickinson WP,Dickinson LM,Nelson CC,King DK,Crabtree BF,Glasgow RE

更新日期：2007-01-01 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: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：:Patient-choice cesarean delivery is increasing in the United States. The American College of Obstetricians and Gynecologists supports this option, citing ethical premises of autonomy and informed consent, despite a lack of evidence for its safety. This increase in patient-choice cesarean delivery occurs during a time ...

journal_title：Annals of family medicine

authors： Leeman LM,Plante LA

更新日期：2006-05-01 00:00:00

abstract：PURPOSE:Despite growing calls for team-based care, the current staff composition of primary care practices is unknown. We describe staffing patterns for primary care practices in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Primary Care (CPC) initiative. METHODS:We undertook a descriptive analysi...

journal_title：Annals of family medicine

authors： Peikes DN,Reid RJ,Day TJ,Cornwell DD,Dale SB,Baron RJ,Brown RS,Shapiro RJ

更新日期：2014-03-01 00:00:00