One cold autumn day.

abstract：BACKGROUND:We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS:This cohort study includes participants from 4 waves (1994-2000) of the He...

journal_title：Annals of family medicine

authors： Ostbye T,Greenberg GN,Taylor DH Jr,Lee AM

更新日期：2003-11-01 00:00:00

abstract：PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improv...

journal_title：Annals of family medicine

authors： Fernald DH,Duclos CW

更新日期：2005-07-01 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：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：: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：: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: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：: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: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：: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：: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：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:The aim of this study was to assess whether the quality of diabetes care differs among practices employing nurse-practitioners (NPs), physician's assistants (PAs), or neither, and which practice attributes contribute to any differences in care. METHODS:This cross-sectional study of 46 family medicine practices...

journal_title：Annals of family medicine

authors： Ohman-Strickland PA,Orzano AJ,Hudson SV,Solberg LI,DiCiccio-Bloom B,O'Malley D,Tallia AF,Balasubramanian BA,Crabtree BF

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Notions about the most common errors in medicine currently rest on conjecture and weak epidemiologic evidence. We sought to determine whether cascade analysis is of value in clarifying the epidemiology and causes of errors and whether physician reports are sensitive to the impact of errors on patients. METH...

journal_title：Annals of family medicine

authors： Woolf SH,Kuzel AJ,Dovey SM,Phillips RL Jr

更新日期：2004-07-01 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：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:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...

journal_title：Annals of family medicine

authors： Walsh TB,Seabrook RC,Tolman RM,Lee SJ,Singh V

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:The distinction between physiologic (innocent) and pathologic (organic) heart murmurs is not always easy in routine practice, leading too often to unnecessary cardiology referrals and expensive investigations. We aimed to test the hypothesis that the complete disappearance of murmur on standing can exclude card...

journal_title：Annals of family medicine

authors： Lefort B,Cheyssac E,Soulé N,Poinsot J,Vaillant MC,Nassimi A,Chantepie A

更新日期：2017-11-01 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：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: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：:Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this essay, the author shares his recent encounter with a life-threatening disease, emphasizi...

journal_title：Annals of family medicine

authors： Rosenblatt RA

更新日期：2004-03-01 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：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：: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：:Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...

journal_title：Annals of family medicine

authors： Margolius D,Gunzler D,Hopkins M,Teng K

更新日期：2018-11-01 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: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：: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：: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