The unsustainable US health care system: a blueprint for change.

abstract：PURPOSE:We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS:We created recorded ...

journal_title：Annals of family medicine

authors： Saver BG,Mazor KM,Luckmann R,Cutrona SL,Hayes M,Gorodetsky T,Esparza N,Bacigalupe G

更新日期：2017-01-01 00:00:00

abstract：PURPOSE:Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook...

journal_title：Annals of family medicine

authors： Rogers EA,Manser ST,Cleary J,Joseph AM,Harwood EM,Call KT

更新日期：2018-01-01 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：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: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：PURPOSE:This report describes outcomes of an ongoing quality-improvement project (VitalSign6) in a large US metropolitan area to improve recognition, treatment, and outcomes of depressed patients in 16 primary care clinics (6 charity clinics, 6 federally qualified health care centers, 2 private clinics serving low-inco...

journal_title：Annals of family medicine

authors： Jha MK,Grannemann BD,Trombello JM,Clark EW,Eidelman SL,Lawson T,Greer TL,Rush AJ,Trivedi MH

更新日期：2019-07-01 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:The Seventh Report of the Joint National Commission (JNC 7) on High Blood Pressure established prehypertension (120 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic) as a new risk category. We aim to determine the risk of major cardiovascular events associated with blood pressure in the prehypertensive range i...

journal_title：Annals of family medicine

authors： Liszka HA,Mainous AG 3rd,King DE,Everett CJ,Egan BM

更新日期：2005-07-01 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:Describe the duration of symptoms, proportion of parents seeking primary care consultations, and costs for respiratory tract infections (RTIs) of children in the community. METHODS:Community-based, online, prospective inception cohort study. General practitioners from socioeconomically diverse practices posted...

journal_title：Annals of family medicine

authors： Hay AD,Anderson E,Ingle S,Beck C,Hollingworth W

更新日期：2019-01-01 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：: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：: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：BACKGROUND:We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care office. METHODS:Thirty-two mothers in IPV shelters or support groups in southwestern Ohio were interviewed to explore their abuse experien...

journal_title：Annals of family medicine

authors： Zink T,Elder N,Jacobson J,Klostermann B

更新日期：2004-05-01 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: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：: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: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: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：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:Peer health coaches offer a potential model for extending the capacity of primary care practices to provide self-management support for patients with diabetes. We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for lo...

journal_title：Annals of family medicine

authors： Thom DH,Ghorob A,Hessler D,De Vore D,Chen E,Bodenheimer TA

更新日期：2013-03-01 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：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...

journal_title：Annals of family medicine

authors： Pluye P,Grad RM,Johnson-Lafleur J,Granikov V,Shulha M,Marlow B,Ricarte IL

更新日期：2013-11-01 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: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: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：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：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：: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:Medicine is traditionally considered a healing profession, but it has neither an operational definition of healing nor an explanation of its mechanisms beyond the physiological processes related to curing. The objective of this study was to determine a definition of healing that operationalizes its mechanisms a...

journal_title：Annals of family medicine

authors： Egnew TR

更新日期：2005-05-01 00:00:00