Perspectives on confidential care for adolescent girls.

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：: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: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：: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：: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：: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：: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：: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:Little is known regarding the effects of psychological factors on data collection in research studies. We examined whether Five Factor Model (FFM) personality factors-Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness-predicted missing data in a randomized controlled trial (RCT). METHODS...

journal_title：Annals of family medicine

authors： Jerant A,Chapman BP,Duberstein P,Franks P

更新日期：2009-03-01 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：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：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:The US Preventive Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before imp...

journal_title：Annals of family medicine

authors： Lesser LI,Krist AH,Kamerow DB,Bazemore AW

更新日期：2011-01-01 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：: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 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：: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 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：:The American Board of Family Medicine routinely surveys its Diplomates in each national graduating cohort 3 years out of training. These data were used to characterize early career family physicians whose services include management of pregnancy and prescribing buprenorphine. A total of 261 (5.1%) respondents both pro...

journal_title：Annals of family medicine

authors： Louis JS,Eden AR,Morgan ZJ,Barreto TW,Peterson LE,Phillips RL Jr

更新日期：2020-03-01 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: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：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：PURPOSE:This review summarizes the evidence regarding the efficacy of adjuvant steroids for pain reduction in acute pharyngitis. METHODS:We searched for randomized controlled trials, using MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews, published between 1966 and December 2008. Two reviewers assessed...

journal_title：Annals of family medicine

authors： Korb K,Scherer M,Chenot JF

更新日期：2010-01-01 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：: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：: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:Targeted interventions to reduce the risk and increase the early detection of melanoma have the potential to save lives. We aimed to assess the effect of such an intervention on patient prevention behavior. METHODS:We conducted a pilot clustered randomized controlled trial, comparing a targeted screening and e...

journal_title：Annals of family medicine

authors： Rat C,Quereux G,Riviere C,Clouet S,Senand R,Volteau C,Dreno B,Nguyen JM

更新日期：2014-01-01 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: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