Unexplained gastrointestinal symptoms after abuse in a prospective study of children at risk for abuse and neglect.

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：: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：: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: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:We undertook a study to evaluate the effectiveness of corticosteroid injections in primary care patients with greater trochanteric pain syndrome (GTPS). METHODS:We evaluated the effect of corticosteroid injections compared with expectant treatment (usual care) in a pragmatic, multicenter, open-label, randomize...

journal_title：Annals of family medicine

authors： Brinks A,van Rijn RM,Willemsen SP,Bohnen AM,Verhaar JA,Koes BW,Bierma-Zeinstra SM

更新日期：2011-05-01 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：: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: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: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：: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: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：: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: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: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

abstract：PURPOSE:Few studies have tested the hypothesis that children with sensory disabilities such as deafness may be at increased risk of injuries. To test this hypothesis, this study compared rates of emergency department or hospital treatment for injury among Medicaid-insured South Carolina children with and without a diag...

journal_title：Annals of family medicine

authors： Mann JR,Zhou L,McKee M,McDermott S

更新日期：2007-11-01 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:Knowledge about the ways patients perceive their vulnerability to disease is important for communication with patients about risk and preventive health measures. This interview study aimed to explore how patients with a diagnosis of heterozygous familial hypercholesterolemia understand and perceive their vulner...

journal_title：Annals of family medicine

authors： Frich JC,Ose L,Malterud K,Fugelli P

更新日期：2006-05-01 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：: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：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:Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS:We report a substudy of a large pragmatic trial of early PPD screenin...

journal_title：Annals of family medicine

authors： Yawn BP,Bertram S,Kurland M,Wollan PC

更新日期：2015-05-01 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: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：:Cultural values and beliefs about the primary care physician bolster the myth of the lone physician: a competent professional who is esteemed by colleagues and patients for his or her willingness to sacrifice self, accept complete responsibility for care, maintain continuity and accessibility, and assume the role of l...

journal_title：Annals of family medicine

authors： Saba GW,Villela TJ,Chen E,Hammer H,Bodenheimer T

更新日期：2012-03-01 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:There is currently too few endoscopists to enact a national colorectal cancer screening program with colonoscopy. Primary care physicians could play an important role in filling this shortage by offering screening colonoscopy in their practice. The purpose of this study was to examine the safety and effectivene...

journal_title：Annals of family medicine

authors： Wilkins T,LeClair B,Smolkin M,Davies K,Thomas A,Taylor ML,Strayer S

更新日期：2009-01-01 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：:Efforts to address the current fragmented US health care structure, including controversial federal reform, cannot succeed without a reinvigoration of community-centered health systems. A blueprint for systematic implementation of community services exists in the 1967 Folsom Report--calling for "communities of solutio...

journal_title：Annals of family medicine

authors： Folsom Group.

更新日期：2012-05-01 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: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