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 2.5% over the study period (adjusted odds ratio [aOR] = 0.99 per panel, 95% CI, 0.98-0.99; P <.001). The number of contacts with a primary care physician decreased among individuals with any contact by 0.5 contacts over 2 years (aOR = -0.04 per panel, 95% CI, -0.04 to -0.03, P <.001). The decreases were observed across all age groups at varying rates. The results of this study suggest that the driver for the previously reported decreases in primary care visits is secondary to fewer contacts per patient.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Johansen ME,Niforatos JDdoi
10.1370/afm.2631subject
Has Abstractpub_date
2021-01-01 00:00:00pages
41-43issue
1eissn
1544-1709issn
1544-1717pii
19/1/41journal_volume
19pub_type
杂志文章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：PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1660
更新日期：2014-07-01 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
pub_type： 杂志文章
doi：10.1370/afm.1904
更新日期：2016-03-01 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
pub_type： 杂志文章
doi：10.1370/afm.1053
更新日期：2010-03-01 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
pub_type： 杂志文章
doi：10.1370/afm.2504
更新日期：2020-03-01 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
pub_type： 杂志文章
doi：10.1370/afm.313
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:To assess the effect of a primary care-based community-links practitioner (CLP) intervention on patients' quality of life and well-being. METHODS:Quasi-experimental cluster-randomized controlled trial in socioeconomically deprived areas of Glasgow, Scotland. Adult patients (aged 18 years or older) referred to ...
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.2429
更新日期：2019-11-01 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
pub_type： 杂志文章
doi：10.1370/afm.1299
更新日期：2011-09-01 00:00:00
abstract：:This narrative presents my personal reflections as a medical anthropology researcher, and my journey as a chronic patient suffering for 30 years from ulcerative colitis. My surgeon promised me "a new life" after recommending a total colectomy 20 years ago. Indeed, a new life did begin following surgery, but I find I m...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2181
更新日期：2018-03-01 00:00:00
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
更新日期：2017-03-01 00:00:00
abstract：PURPOSE:We wanted to explore the context of help seeking for reproductive and nonreproductive health concerns by urban adolescent girls. METHODS:We undertook a qualitative study using in-depth interviews of African American and Latina girls (n = 22) aged 13 to 19 years attending public high schools in the Bronx, NY. ...
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
abstract：PURPOSE:We undertook a study to examine the impact of experiences shared between patient and physician and the value patients place on continuity of care. METHODS:Data on 4,454 patients collected in The Direct Observation of Primary Care (DOPC) study conducted between October 1994 and August 1995 were analyzed to asse...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.84
更新日期：2004-09-01 00:00:00
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
更新日期：2006-07-01 00:00:00
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: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
pub_type： 杂志文章,meta分析
doi：10.1370/afm.2373
更新日期：2019-05-01 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: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
abstract：PURPOSE:Multimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity. METHODS:We u...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2271
更新日期：2018-07-01 00:00:00
abstract：PURPOSE:Although screening with fecal occult blood testing (FOBT) reduces colorectal cancer (CRC) mortality, its effectiveness may diminish if patients do not adhere with repeated screenings. Among patients who had previously engaged in FOBT screening, we assessed subsequent adherence with FOBT screening. METHODS:We a...
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：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
pub_type： 杂志文章
doi：10.1370/afm.740
更新日期：2007-11-01 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
pub_type： 杂志文章
doi：10.1370/afm.2536
更新日期：2020-07-01 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
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1370/afm.83
更新日期：2004-09-01 00:00:00
abstract：PURPOSE:In this study, we compared the rate of depression diagnoses in adults with and without diabetes mellitus, while carefully controlling for number of primary care visits. METHODS:We matched adults with incident diabetes (n = 2,932) or prevalent diabetes (n = 14,144) to nondiabetic control patients based on (1) a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.964
更新日期：2009-07-01 00:00:00
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
更新日期：2011-07-01 00:00:00
abstract：:Tobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Pan...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2363
更新日期：2019-03-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1370/afm.629
更新日期：2007-05-01 00:00:00
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
更新日期：2017-07-01 00:00:00
abstract：PURPOSE:We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS:We created recorded ...
journal_title：Annals of family medicine
pub_type： 杂志文章,随机对照试验
doi：10.1370/afm.1996
更新日期：2017-01-01 00:00:00
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
更新日期：2013-11-01 00:00:00
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
更新日期：2014-03-01 00:00:00
