Panel Size, Clinician Time in Clinic, and Access to Appointments.

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 association between panel size and days until third next available appointment, but larger panel size adjusted for clinician time in clinic was associated with worse access. Less clinician time in clinic was independently associated with longer backlogs for appointments. Our findings suggest that patients of part-time clinicians may be less likely to obtain timely appointments than patients of fulltime clinicians, regardless of panel size.

journal_name

Ann Fam Med

authors

Margolius D,Gunzler D,Hopkins M,Teng K

doi

10.1370/afm.2313

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

546-548

issue

6

eissn

1544-1709

issn

1544-1717

pii

16/6/546

journal_volume

16

pub_type

杂志文章
  • Tea and coffee consumption and MRSA nasal carriage.

    abstract:PURPOSE:Hot tea and coffee have been found to have antimicrobial properties. The purpose of this study was to determine whether the consumption of tea, coffee, or both is associated with less frequent nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA). METHODS:We performed a secondary analysis of dat...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1262

    authors: Matheson EM,Mainous AG 3rd,Everett CJ,King DE

    更新日期:2011-07-01 00:00:00

  • Chlamydia trachomatis testing sensitivity in midstream compared with first-void urine specimens.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1323

    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

  • Decreasing Use of Primary Care: A Repeated Cross-Sectional Study of MEPS 2007-2017.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.2631

    authors: Johansen ME,Niforatos JD

    更新日期:2021-01-01 00:00:00

  • Low primary cesarean rate and high VBAC rate with good outcomes in an Amish birthing center.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1403

    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

  • Disease Course of Lower Respiratory Tract Infection With a Bacterial Cause.

    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

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.1974

    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

  • Comparison between US Preventive Services Task Force recommendations and Medicare coverage.

    abstract:PURPOSE:The US Preventive Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before imp...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1194

    authors: Lesser LI,Krist AH,Kamerow DB,Bazemore AW

    更新日期:2011-01-01 00:00:00

  • Top 20 POEMs of the Past 20 Years: A Survey of Practice-Changing Research for Family Physicians.

    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

    pub_type: 历史文章,杂志文章,评审

    doi:10.1370/afm.2288

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

    更新日期:2018-09-01 00:00:00

  • Thirty-Minute Office Blood Pressure Monitoring in Primary Care.

    abstract:PURPOSE:Automated office blood pressure monitoring during 30 minutes (OBP30) may reduce overtreatment of patients with white-coat hypertension in primary health care. OBP30 results approximate those of ambulatory blood pressure monitoring, but OBP30 is much more convenient. In this study, we compared OBP30 with routine...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2041

    authors: Bos MJ,Buis S

    更新日期:2017-03-01 00:00:00

  • Getting the news.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.93

    authors: Rosenblatt RA

    更新日期:2004-03-01 00:00:00

  • Health care assistants in primary care depression management: role perception, burdening factors, and disease conception.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1037

    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

  • Premature Death Among Primary Care Patients With a History of Self-Harm.

    abstract:PURPOSE:Self-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves. METHODS:During 2001-2013, a total of 385 general practices in England contri...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2054

    authors: Carr MJ,Ashcroft DM,Kontopantelis E,While D,Awenat Y,Cooper J,Chew-Graham C,Kapur N,Webb RT

    更新日期:2017-05-01 00:00:00

  • Swimming Against the Tide: Primary Care Physicians' Views on Deprescribing in Everyday Practice.

    abstract:PURPOSE:Avoidable hospitalizations due to adverse drug events and high-risk prescribing are common in older people. Primary care physicians prescribe most on-going medicines. Deprescribing has long been essential to best prescribing practice. We sought to explore the views of primary care physicians on the barriers and...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2094

    authors: Wallis KA,Andrews A,Henderson M

    更新日期:2017-07-01 00:00:00

  • Operational definitions of attributes of primary health care: consensus among Canadian experts.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.682

    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

  • Patients' Survival Expectations With and Without Their Chosen Treatment for Prostate Cancer.

    abstract:PURPOSE:Overtreatment of screen-detected localized prostate cancer (LPC) is an important public health concern, since the survival benefit of aggressive treatment (surgery or radiation) has not been well established. We investigated the survival expectations of patients who had LPC with and without their chosen treatme...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1926

    authors: Xu J,Janisse J,Ruterbusch JJ,Ager J,Liu J,Holmes-Rovner M,Schwartz KL

    更新日期:2016-05-01 00:00:00

  • A Structured Approach to Detecting and Treating Depression in Primary Care: VitalSign6 Project.

    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

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.2418

    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

  • Perspectives on confidential care for adolescent girls.

    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

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.601

    authors: McKee MD,O'Sullivan LF,Weber CM

    更新日期:2006-11-01 00:00:00

  • Functional trajectories in the year before hospice.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1720

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

    更新日期:2015-01-01 00:00:00

  • Staffing patterns of primary care practices in the comprehensive primary care initiative.

    abstract:PURPOSE:Despite growing calls for team-based care, the current staff composition of primary care practices is unknown. We describe staffing patterns for primary care practices in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Primary Care (CPC) initiative. METHODS:We undertook a descriptive analysi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1626

    authors: Peikes DN,Reid RJ,Day TJ,Cornwell DD,Dale SB,Baron RJ,Brown RS,Shapiro RJ

    更新日期:2014-03-01 00:00:00

  • Home visiting for adolescent mothers: effects on parenting, maternal life course, and primary care linkage.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.629

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

    更新日期:2007-05-01 00:00:00

  • Adults' lack of a usual source of care: a matter of preference?

    abstract:PURPOSE:We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS:We analyzed data from a nationally representative sample of 9,011 adults to identify characteristics of th...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.557

    authors: Viera AJ,Pathman DE,Garrett JM

    更新日期:2006-07-01 00:00:00

  • Characteristics of Family Medicine Residency Graduates, 1994-2017: An Update.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.2535

    authors: Dai M,Peterson LE

    更新日期:2020-07-01 00:00:00

  • Hatpins.

    abstract::Hatpins is a first-person narrative that delves into a physician's experience of a patient death during the early years of residency. The essay reflects on the conflicted physician-patient relationships that can develop even over the short tenure of residency. While residency seeks to create medically prepared and com...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2135

    authors: Koplinka-Loehr I

    更新日期:2017-11-01 00:00:00

  • The myth of the lone physician: toward a collaborative alternative.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1353

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

    更新日期:2012-03-01 00:00:00

  • The dark bridal canopy.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.372

    authors: Borkan J

    更新日期:2006-01-01 00:00:00

  • System-based participatory research in health care: an approach for sustainable translational research and quality improvement.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1117

    authors: Schmittdiel JA,Grumbach K,Selby JV

    更新日期:2010-05-01 00:00:00

  • Overcoming challenges in the changing environment of practice-based research.

    abstract:PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strate...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.1809

    authors: Finch SA,Wasserman R,Nabi-Burza E,Hipple B,Oldendick R,Winickoff JP

    更新日期:2015-09-01 00:00:00

  • Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching?

    abstract:PURPOSE:A randomized controlled trial found that patients with diabetes had lower HbA1c levels after 6 months of peer health coaching than patients who did not receive coaching. This paper explores whether the peer coaches in that trial, all low-income patients with diabetes, mastered and utilized an evidence-based hea...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.1756

    authors: Goldman ML,Ghorob A,Hessler D,Yamamoto R,Thom DH,Bodenheimer T

    更新日期:2015-08-01 00:00:00

  • Developing a Clinician Friendly Tool to Identify Useful Clinical Practice Guidelines: G-TRUST.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.2119

    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

  • Diabetic patients who smoke: are they different?

    abstract:BACKGROUND:We wanted to identify differences between diabetic patients who smoke and those who do not smoke to design more effective strategies to improve their diabetes care and encourage smoking cessation. METHODS:A random sample of adult health plan members with diabetes were mailed a survey questionnaire, with tel...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.36

    authors: Solberg LI,Desai JR,O'Connor PJ,Bishop DB,Devlin HM

    更新日期:2004-01-01 00:00:00

  • Number needed to benefit from information (NNBI): proposal from a mixed methods research study with practicing family physicians.

    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

    pub_type: 杂志文章

    doi:10.1370/afm.1565

    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