Effect of closure of a local safety-net hospital on primary care physicians' perceptions of their role in patient care.

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: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: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: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: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：: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：: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: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:Potentially inappropriate prescribing (PIP) is a common yet preventable medical error among older persons in primary care. It is uncertain whether PIP produces adverse outcomes in this population, however. We conducted a systematic review with meta-analysis to pool the adverse outcomes of PIP specific to primar...

journal_title：Annals of family medicine

authors： Liew TM,Lee CS,Goh Shawn KL,Chang ZY

更新日期：2019-05-01 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: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: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：: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：: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: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：: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：: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 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: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：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：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：: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：: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：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：PURPOSE:Because recognition and management of patients with somatoform disorders are difficult, we wanted to determine the specificity, sensitivity, and the test-retest reliability of the 15-symptom Patient Health Questionnaire (PHQ-15) for detection of somatoform disorders in a high-risk primary care population. METH...

journal_title：Annals of family medicine

authors： van Ravesteijn H,Wittkampf K,Lucassen P,van de Lisdonk E,van den Hoogen H,van Weert H,Huijser J,Schene A,van Weel C,Speckens A

更新日期：2009-05-01 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：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: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:We undertook a study to identify distinct functional trajectories in the year before hospice, to determine how patients with these trajectories differ according to demographic characteristics and hospice diagnosis, and to evaluate the association between these trajectories and subsequent outcomes. METHODS:From...

journal_title：Annals of family medicine

authors： Stabenau HF,Morrison LJ,Gahbauer EA,Leo-Summers L,Allore HG,Gill TM

更新日期：2015-01-01 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