Collecting data to evaluate the effect of health policies on vulnerable populations.

Abstract:

:Public health policies often have disproportionate effects on the poor and other vulnerable groups. Standard survey techniques are often difficult to apply to these vulnerable populations, and many data bases systematically omit such individuals. The purpose of this paper is to review our experience in collecting primary survey data from public hospital, mentally ill, HIV-infected, and non-English-speaking patients. Important issues in conducting research on these populations include proper selection of subjects and comparison groups and difficulties involved in recruitment and enrollment of subjects. Maintaining longitudinal data on these populations is difficult and often requires tracking, secondary contacts, home visits and community outreach, and the use of organizations, institutions, and networks. Investigators must also pay careful attention to ethical issues involved in conducting research on vulnerable populations.

journal_name

Fam Med

journal_title

Family medicine

authors

Bindman AB,Grumbach K,Keane D,Lurie N

subject

Has Abstract

pub_date

1993-02-01 00:00:00

pages

114-9

issue

2

eissn

0742-3225

issn

1938-3800

journal_volume

25

pub_type

杂志文章
  • Teaching geriatric assessment: use of a hybrid method in a family medicine clerkship.

    abstract:BACKGROUND AND OBJECTIVES:We addressed a lack of geriatric content in our third-year family medicine clerkship. Adding this content posed a challenge in that students are dispersed to clinical sites across New England. Our goal was to promote student skill in functional assessment of elderly patients. METHODS:We used ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Goldman LN,Wiecha J,Hoffman M,Levine SA

    更新日期:2008-11-01 00:00:00

  • Disease management for diabetes among family physicians and general internists: opportunism or planned care?

    abstract:BACKGROUND AND OBJECTIVES:Diabetes requires substantial ongoing medical management and use of monitoring tests. However, physicians' performance of these tests is often suboptimal. This study explored primary care physicians' management of diabetes in the context of both planned diabetes visits and acute visits for con...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Kern DH,Mainous AG 3rd

    更新日期:2001-09-01 00:00:00

  • Pilot test of family medicine faculty development fellowship accreditation guidelines.

    abstract:BACKGROUND:We conducted a pilot test of accreditation guidelines for family medicine faculty development fellowship programs from September 1997 to March 1999. The accreditation guidelines included 8 application categories with 27 requirements and 5 self-study criteria. The process included completion of the accreditat...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Reznich CB,Mavis BE

    更新日期:2000-11-01 00:00:00

  • The impact of a health screening flow sheet on the performance and documentation of health screening procedures.

    abstract::We monitored physician performance of stool occult blood testing and breast exams during health maintenance visits of patients aged 50 or greater, to assess the impact of a physician education program and the use of a health screening flow sheet on performance of these health screening procedures. During the baseline ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Prislin MD,Vandenbark MS,Clarkson QD

    更新日期:1986-09-01 00:00:00

  • The epidemiologic basis for family medicine research.

    abstract::Epidemiology, historically the study of communicable disease, has evolved to include the use of certain epidemiologic precepts in more diverse studies of human health and disease. Most especially, epidemiology offers a distinctly useful mechanism for research involving clinical, cultural, and economic factors impingin...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: McKay DA

    更新日期:1988-05-01 00:00:00

  • The BELIEF Instrument: a preclinical teaching tool to elicit patients' health beliefs.

    abstract:PURPOSE:The BELIEF Instrument is a cultural interviewing tool for preclinical medical students that does not require diagnostic or therapeutic skills. METHODS:An expert panel developed and taught the instrument to 200 first-year medical students in (1) a didactic session, (2) standardized patient interviews, and (3) c...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Dobbie AE,Medrano M,Tysinger J,Olney C

    更新日期:2003-05-01 00:00:00

  • Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography.

    abstract:OBJECTIVES:This study evaluated different symptoms, signs, and blood tests in the diagnostic process of patients with a clinical diagnosis of acute sinusitis. METHODS:A total of 201 primary care patients in southern Norway aged 15 years or older with a clinical diagnosis of acute sinusitis were evaluated. Computed tom...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Lindbaek M,Hjortdahl P,Johnsen UL

    更新日期:1996-03-01 00:00:00

  • A maternal and child health curriculum for family practice residents: results of an intervention at the University of North Carolina.

    abstract:BACKGROUND AND OBJECTIVES:There has been a significant reduction in the number of family physicians who provide pregnancy care. This study examines the effects of an educational intervention at a university-based family practice residency. The intervention was designed to increase the number of graduates who include pr...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Helton M,Skinner B,Denniston C

    更新日期:2003-03-01 00:00:00

  • Determinants of adjustment for children of divorcing parents.

    abstract::Family physicians frequently see children and parents when they are adjusting to marital separation. This study examined how well child adjustment at school could be determined from an assessment of interspousal relations, maternal functioning, and child perception variables. Teachers evaluated adaptive functioning, s...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Oppenheimer K,Prinz RJ,Bella BS

    更新日期:1990-03-01 00:00:00

  • Attitudes, experience, and influence of family medicine predoctoral education directors.

    abstract:BACKGROUND AND OBJECTIVES:While debate surrounds the determinants of medical students' specialty choices, the presence of favorable role models is generally agreed upon as beneficial to students' selection of a specialty. This study assessed the influence of family medicine predoctoral education directors on students' ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Johnson VK,Michener JL

    更新日期:1994-05-01 00:00:00

  • Promoting Documentation of Suicidality in a Family Medicine Residency Clinic.

    abstract:BACKGROUND AND OBJECTIVES:Careful assessment of depression and suicidality are important given their prevalence and consequences for quality of life. Our study evaluated the impact of an educational intervention in a family medicine residency clinic on rates of provider documentation regarding suicidality. METHODS:We ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2018.158642

    authors: Sherman MD,Justesen K,Okocha EA

    更新日期:2018-02-01 00:00:00

  • Introducing a procedure using videotape instruction: the case of the lateral birth position.

    abstract:BACKGROUND:Videotapes have been variably successful in teaching physical examination skills, interviewing strategies, and clinically relevant didactic material to medical students, residents, and physicians. The literature does not include evaluations of their success in introducing procedural techniques into clinical ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Ventres WB,Senf JH

    更新日期:1994-07-01 00:00:00

  • Generalist courses in US medical schools and their relationship to career choice.

    abstract::We conducted a survey of required first-year generalist courses offered by US medical schools during 1980, 1985, and 1990 to see if significant growth had occurred in this curricular area and to determine if the presence of these courses was associated with an increase in the percent of graduates selecting family prac...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Mengel MB,Davis AB,Barton ED

    更新日期:1992-03-01 00:00:00

  • An evaluation of statewide strategies to reduce antibiotic overuse.

    abstract:BACKGROUND:The rapid increase of antibiotic resistance poses a significant threat to human health. Overuse of antibiotics has been linked to rates of antibiotic resistance. This study assessed the utility of two common interventions--1) practice profiling and feedback and 2) patient education materials--implemented to ...

    journal_title:Family medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Mainous AG 3rd,Hueston WJ,Love MM,Evans ME,Finger R

    更新日期:2000-01-01 00:00:00

  • Enhancing procedural training in a family practice residency.

    abstract:BACKGROUND AND OBJECTIVES:Teaching outpatient procedures is a major responsibility of family practice residencies. This requires equipment, faculty expertise, and curricula. This report documents one residency program's attempt to enhance the teaching of outpatient procedures. METHODS:We tabulated all office procedure...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Ackermann RJ,Ford VH

    更新日期:1997-09-01 00:00:00

  • Correlations of family medicine clerkship evaluations with scores on standard measures of academic achievement.

    abstract:BACKGROUND:The family medicine clerkship at the University of Arizona uses three methods to evaluate students. The purpose of this study is to 1) look for possible sources of bias in each method, 2) validate the evaluation methods by correlating with other measures of academic achievement, and 3) measure the amount of ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Campos-Outcalt D,Witzke DB,Fulginiti JV

    更新日期:1994-02-01 00:00:00

  • New medical school engages rural communities to conduct regional health assessment.

    abstract:BACKGROUND AND OBJECTIVES:Engaging communities in authentic partnerships is increasingly accepted as best practice in both medicine and public health, despite the many barriers to doing so. New medical schools have an opportunity to incorporate community engagement into their very foundation. In rural northeast Pennsyl...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Garretson M,Walline V,Heisler J,Townsend J

    更新日期:2010-11-01 00:00:00

  • Factors associated with a physician's recommendation for colorectal cancer screening in a diverse population.

    abstract:BACKGROUND AND OBJECTIVES:Colorectal cancer (CRC) screening is widely recommended but underused. A physician's recommendation for CRC screening has been consistently associated with patients undergoing CRC screening, but a better understanding of factors influencing a physician's recommendation for CRC screening is nee...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Shokar NK,Nguyen-Oghalai T,Wu H

    更新日期:2009-06-01 00:00:00

  • Cross-cultural communication with patients who use American Sign Language.

    abstract:BACKGROUND:Although American Sign Language (ASL) is the third most commonly used primary language in the United States, physicians are often not adequately prepared for the challenges of conducting an interview with a deafpatient who signs. METHODS:A search of MEDLINE and PsychINFO databases for research on physician-...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Barnett S

    更新日期:2002-05-01 00:00:00

  • Graduating Medical Student Perspectives on Factors Influencing Specialty Choice An AAFP National Survey.

    abstract:BACKGROUND AND OBJECTIVES:Fewer than 10% of US medical school graduates enter family medicine residencies each year. Little is known about the perceptions and attitudes of senior medical students as they make final decisions about specialty choice, especially those that support a decision to pursue family medicine. The...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2019.136973

    authors: Kost A,Bentley A,Phillips J,Kelly C,Prunuske J,Morley CP

    更新日期:2019-02-01 00:00:00

  • Ethnogeriatric assessment clinic in family medicine.

    abstract:BACKGROUND:The Department of Family Medicine at the University of California-Irvine needed a way to teach resident physicians care of ethnic elders and to provide specific training experiences in the use of geriatric assessment tools. The development of the ethnogeriatric assessment clinic presented the opportunity to ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Douglas KC,Lenahan P

    更新日期:1994-06-01 00:00:00

  • Building capacity for research in family medicine: is the blueprint faulty?

    abstract:BACKGROUND AND OBJECTIVES:This study compared the training programs and career paths of family medicine graduates in the National Research Service Award (NRSA) Program for Research in Primary Medical Care with general internal medicine and general pediatric peers. METHODS:We mailed a survey to NRSA fellows graduating ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Curtis P,Dickinson P,Steiner J,Lanphear B,Vu K

    更新日期:2003-02-01 00:00:00

  • Sudanese refugees in a Minnesota family practice clinic.

    abstract:BACKGROUND AND OBJECTIVES:During the 1990s, African refugees from the southern Sudan were resettled in Minnesota. This research characterizes the health care utilization of a small sample of these recently arrived refugees and describes their health histories. METHODS:Data were abstracted from the medical charts of al...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Power DV,Shandy DJ

    更新日期:1998-03-01 00:00:00

  • On the biopsychosocial model: the example of political economic causes of diabetes in the Marshall Islands.

    abstract::Biomedical reductionism, the unwritten theory underlying the practice of medicine, is being supplanted by the biopsychosocial model. The explanatory power of the biopsychosocial model, however, is hampered by an inadequate mechanism to account for the social production of disease. We examine diabetes in the Marshall I...

    journal_title:Family medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Yamada S,Palafox N

    更新日期:2001-10-01 00:00:00

  • Impact of the Introduction of the Clinical Science Mastery Series on Family Medicine NBME Subject Examination Performance.

    abstract:BACKGROUND AND OBJECTIVES:Many medical schools assess student clinical knowledge using the National Board of Medical Examiners (NBME) subject examinations. The Family Medicine Clinical Science Mastery Series (CSMS) self-assessments, which are made up of former Family Medicine NBME examination questions, became availabl...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2019.253577

    authors: Minor S,Stumbar SE,Bonnin R

    更新日期:2019-09-01 00:00:00

  • Student Interest in a Primary Care of Underserved Populations Course.

    abstract:BACKGROUND AND OBJECTIVES:Medical students often lack curricular offerings specific to the care of underserved populations. We surveyed first- and second-year students to inform the development of a 4-week course on the skills necessary to care and advocate for underserved populations within a primary care context. Thi...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2020.486784

    authors: Edwards-Johnson J,Phillips JP,Wendling A

    更新日期:2020-01-01 00:00:00

  • Participation by sedentary elderly persons in an exercise promotion session.

    abstract:BACKGROUND:Little is known regarding the dynamics of elderly persons' participation in health promotion programs. We studied factors influencing the participation of 337 sedentary elderly persons in an exercise promotion session. All study participants were members of a health maintenance organization. METHODS:Baselin...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Elward KS,Wagner EH,Larson EB

    更新日期:1992-11-01 00:00:00

  • Using Standardized Patient Assessments to Evaluate a Health Literacy Curriculum.

    abstract:BACKGROUND AND OBJECTIVES:Patients' health literacy is a growing concern as patients are expected to perform more self-care. While many US schools implement health literacy in their curricula, time spent on the topic ranges from 0 to 8 hours and is largely didactic. Evaluation of health literacy skills is not well defi...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2018.539107

    authors: Marion GS,Hairston JM,Davis SW,Kirk JK

    更新日期:2018-01-01 00:00:00

  • Terrorism preparedness: have office-based physicians been trained?

    abstract:BACKGROUND AND OBJECTIVES:Terrorism may have a severe impact on physicians' practices. We examined terrorism preparedness training of office-based physicians. METHODS:The National Ambulatory Medical Care Survey uses a nationally representative multi-stage sampling design. In 2003 and 2004, physicians were asked if the...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Niska RW,Burt CW

    更新日期:2007-05-01 00:00:00

  • Outcomes of Embedded Care Management in a Family Medicine Residency Patient-Centered Medical Home.

    abstract:BACKGROUND AND OBJECTIVES:Much attention is devoted nationally to preventing hospital readmissions and emergency department (ED) use, given the high cost of this care. There is a growing body of evidence from the Patient Centered Primary Care Collaborative that a patient-centered medical home (PCMH) model successfully ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Newman RJ,Bikowski R,Nakayama K,Cunningham T,Acker P,Bradshaw D

    更新日期:2017-01-01 00:00:00