Capturing medical students' idealism.

abstract：PURPOSE:We undertook a study to examine the impact of experiences shared between patient and physician and the value patients place on continuity of care. METHODS:Data on 4,454 patients collected in The Direct Observation of Primary Care (DOPC) study conducted between October 1994 and August 1995 were analyzed to asse...

journal_title：Annals of family medicine

authors： Mainous AG 3rd,Goodwin MA,Stange KC

更新日期：2004-09-01 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：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：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：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:Most new mothers return to work soon after childbirth. A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding. METHODS:Using a prospective cohort design, we recruited Minnesota wom...

journal_title：Annals of family medicine

authors： McGovern P,Dowd B,Gjerdingen D,Gross CR,Kenney S,Ukestad L,McCaffrey D,Lundberg U

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:Notions about the most common errors in medicine currently rest on conjecture and weak epidemiologic evidence. We sought to determine whether cascade analysis is of value in clarifying the epidemiology and causes of errors and whether physician reports are sensitive to the impact of errors on patients. METH...

journal_title：Annals of family medicine

authors： Woolf SH,Kuzel AJ,Dovey SM,Phillips RL Jr

更新日期：2004-07-01 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: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：: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: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：: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: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: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:In a primary care context favoring group practices, we assessed the validity of 2 new continuity measures (both versions of known provider continuity, KPC) that capture the concentration of care over time from multiple physicians (multiple provider continuity, KPC-MP) or from the physician seen most often (pers...

journal_title：Annals of family medicine

authors： Tousignant P,Diop M,Fournier M,Roy Y,Haggerty J,Hogg W,Beaulieu MD

更新日期：2014-11-01 00:00:00

abstract：PURPOSE:Overtreatment of screen-detected localized prostate cancer (LPC) is an important public health concern, since the survival benefit of aggressive treatment (surgery or radiation) has not been well established. We investigated the survival expectations of patients who had LPC with and without their chosen treatme...

journal_title：Annals of family medicine

authors： Xu J,Janisse J,Ruterbusch JJ,Ager J,Liu J,Holmes-Rovner M,Schwartz KL

更新日期：2016-05-01 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：: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：: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: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:Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection;...

journal_title：Annals of family medicine

authors： Hay AD,Sterne JA,Hood K,Little P,Delaney B,Hollingworth W,Wootton M,Howe R,MacGowan A,Lawton M,Busby J,Pickles T,Birnie K,O'Brien K,Waldron CA,Dudley J,Van Der Voort J,Downing H,Thomas-Jones E,Harman K,Lisles C,

更新日期：2016-07-01 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：: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：: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：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：: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: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:Patient ratings of physician's patient-centered communication are used by various specialty credentialing organizations and managed care organizations as a measure of physician communication skills. We wanted to compare ratings by real patients with ratings by standardized patients of physician communication. ...

journal_title：Annals of family medicine

authors： Fiscella K,Franks P,Srinivasan M,Kravitz RL,Epstein R

更新日期：2007-03-01 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：BACKGROUND:Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful...

journal_title：Annals of family medicine

authors： Shaughnessy AF,Vaswani A,Andrews BK,Erlich DR,D'Amico F,Lexchin J,Cosgrove L

更新日期：2017-09-01 00:00:00