Abstract：
:During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was an unnecessary array of lengthy and costly testing that did not diagnose the problem. Although my symptoms disappeared on their own, I was left feeling mistrustful of my physician and ultimately stressed and anxious. Against the backdrop of my experience, I highlight the potential harms of Internet-based self-diagnoses and the importance of collaboration and trust in the patient-physician relationship.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Au Adoi
10.1370/afm.2414subject
Has Abstractpub_date
2019-09-01 00:00:00pages
462-464issue
5eissn
1544-1709issn
1544-1717pii
17/5/462journal_volume
17pub_type
杂志文章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
pub_type： 杂志文章
doi：10.1370/afm.643
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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
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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
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abstract：PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2382
更新日期：2019-08-12 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
pub_type： 杂志文章
doi：10.1370/afm.920
更新日期：2009-03-01 00:00:00
abstract：PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1210
更新日期：2011-03-01 00:00:00
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
pub_type： 杂志文章
doi：10.1370/afm.54
更新日期：2003-11-01 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
pub_type： 杂志文章
doi：10.1370/afm.1777
更新日期：2015-05-01 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
pub_type： 杂志文章
doi：10.1370/afm.758
更新日期：2008-01-01 00:00:00
abstract：PURPOSE:In screening for type 2 diabetes, guidelines recommend targeting high-risk individuals. Our objectives were to assess the yield of opportunistic targeted screening for type 2 diabetes in primary care and to assess the diagnostic value of various risk factors. METHODS:In 11 family practices (total practice popu...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.997
更新日期：2009-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1864
更新日期：2016-01-01 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
pub_type： 杂志文章
doi：10.1370/afm.312
更新日期：2005-07-01 00:00:00
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
更新日期：2016-05-01 00:00:00
abstract：:Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services d...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.191
更新日期：2004-05-26 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.243
更新日期：2005-01-01 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
pub_type： 杂志文章
doi：10.1370/afm.2590
更新日期：2020-11-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1133
更新日期：2010-09-01 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
pub_type： 杂志文章
doi：10.1370/afm.342
更新日期：2005-11-01 00:00:00
abstract：PURPOSE:In this study, we aimed to assess (1) the agreement between patient self-reports and general practitioner (GP) reports of the chronic conditions affecting the patients and (2) the agreement between patients and GPs on health priorities in a primary care setting. METHOD:Patients were recruited in the Parisian a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2444
更新日期：2019-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.124
更新日期：2004-11-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1541
更新日期：2013-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2041
更新日期：2017-03-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1403
更新日期：2012-11-01 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
pub_type： 杂志文章,多中心研究
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更新日期：2016-07-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1370/afm.1232
更新日期：2011-05-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 历史文章,杂志文章,评审
doi：10.1370/afm.2288
更新日期：2018-09-01 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
pub_type： 杂志文章
doi：10.1370/afm.290
更新日期：2005-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.1430
更新日期：2013-01-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.537
更新日期：2006-05-01 00:00:00
