Ratings of physician communication by real and standardized patients.

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: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：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：: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: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：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

abstract：PURPOSE:Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS:We de...

journal_title：Annals of family medicine

authors： Alexander JA,Paustian M,Wise CG,Green LA,Fetters MD,Mason M,El Reda DK

更新日期：2013-05-01 00:00:00

abstract：PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

journal_title：Annals of family medicine

authors： Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

更新日期：2013-07-01 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: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

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: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：:POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify PO...

journal_title：Annals of family medicine

authors： Ebell MH,Barry HC,Shaughnessy AF,Slawson DC,Kulkarni N,Speer L

更新日期：2018-09-01 00:00:00

abstract：PURPOSE:Results of case management designed for patients with dementia and their caregivers in community-based primary health care (CBPHC) were inconsistent. Our objective was to identify the relationships between key outcomes of case management and barriers to implementation. METHODS:We conducted a systematic mixed s...

journal_title：Annals of family medicine

authors： Khanassov V,Vedel I,Pluye P

更新日期：2014-09-01 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：:Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services d...

journal_title：Annals of family medicine

authors： Lam CL

更新日期：2004-05-26 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: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：:This narrative presents my personal reflections as a medical anthropology researcher, and my journey as a chronic patient suffering for 30 years from ulcerative colitis. My surgeon promised me "a new life" after recommending a total colectomy 20 years ago. Indeed, a new life did begin following surgery, but I find I m...

journal_title：Annals of family medicine

authors： Finkelstein A

更新日期：2018-03-01 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: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：: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:Multimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity. METHODS:We u...

journal_title：Annals of family medicine

authors： Mounce LTA,Campbell JL,Henley WE,Tejerina Arreal MC,Porter I,Valderas JM

更新日期：2018-07-01 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：PURPOSE:Adolescent mothers are at risk for rapidly becoming pregnant again and for depression, school dropout, and poor parenting. We evaluated the impact of a community-based home-visiting program on these outcomes and on linking the adolescents with primary care. METHODS:Pregnant adolescents aged 12 to 18 years, pre...

journal_title：Annals of family medicine

authors： Barnet B,Liu J,DeVoe M,Alperovitz-Bichell K,Duggan AK

更新日期：2007-05-01 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：: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：: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：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：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