Abstract:
BACKGROUND AND OBJECTIVES:The I3 POP Collaborative's goal is to improve care of populations served by primary care residencies in North Carolina, South Carolina, and Virginia by dramatically improving patients' experience, quality of care, and cost-effectiveness. We examine residency baseline triple aim measures, compare with national benchmarks, and identify practice characteristics associated with data reporting. METHODS:We used a cross-sectional design, with 27 primary care residency programs caring for over 300,000 patients. Outcome measures were obtained via data pulls from electronic health records and practice management system submitted by residencies; they include quality measure sets for chronic illness and prevention, patient experience (usual provder continuity and time to third available), and utilization (emergency visits, hospitalizations, referrals, high-end radiology). RESULTS:Thirteen practices (48%) reported all required baseline measures. We found associations between data reporting ability with registry use (59% versus 0%) and having a faculty member involved in data management (69% versus 29%). Reported measures varied widely; examples include colorectal cancer screening (median: 61%, range: 28%--80%), provider continuity (median: 52%, range: 1%--68%), subspecialty referral rate (median: 24%, range: 10%--51%). Seventy percent of patient-centered medical homes (PCMH) recognized practices had usual provider continuity (UPC) > or = collaborative median versus 0% of non-PCMH recognized practices. Median data were similar to national comparisons for chronic disease measures, lower for prevention and better for utilization. CONCLUSIONS:Baseline triple aim data are highly variable among residencies, but residency care is comparable to available national standards. Registry use and faculty leadership in data management are critical success factors for assessing practice performance.
journal_name
Fam Medjournal_title
Family medicineauthors
Donahue KE,Reid A,Lefebvre A,Stanek M,Newton WPsubject
Has Abstractpub_date
2015-02-01 00:00:00pages
91-7issue
2eissn
0742-3225issn
1938-3800journal_volume
47pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract:BACKGROUND AND OBJECTIVES:Physicians are sometimes poor at observing patient confidentiality. Medical students have access to patients and their medical records, but there is little known about how well students respect patients' confidentiality. Our objective was to study how medical students deal with confidential pa...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:This study was conducted to validate a shortened version of the Rapid Estimate of Adult Literacy in Medicine (REALM). This screening instrument is designed to be used in public health and primary care settings to identify patients with low reading levels. It provides reading grade estimates for patients who ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States, with African Americans having the highest incidence and mortality of all racial and ethnic groups. CRC screening is widely recommended but remains underused, especially in minority populations. This study's pur...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
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:
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Increasing patients' participation in health care is a commonly cited goal. While patient decision aids can promote participation, they remain underutilized. Theory-based models that assess barriers and facilitators to sustained decision aid use are needed. The ready, willing, and able model s...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Poor medication prescribing skills among residents have been widely reported. METHODS:We implemented a three-stage prescribing curriculum with eight interns in an urban family medicine residency. Clinical pharmacy faculty delivered two lectures, attended hospital rounds, and coprecepted in clinic. Evaluatio...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study evaluated the effectiveness of a clinical interviewing training program for third-year family practice trainees and determined which other factors influence residents' training in clinical communication. METHODS:This was a randomized, multicenter, educational trial involving 193 th...
journal_title:Family medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Family medicine predoctoral programs frequently have medical students record patient diagnoses in logbooks. Little is known about the accuracy of such logbooks. No studies have compared patient records dictated by students with cases recorded in logbooks. METHODS:Over 2 years, all patient encounters dictate...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::The inpatient setting is commonly used to teach residents various aspects of the practice of medicine. This paper describes how inpatient teaching rounds can be expanded to teach the biopsychosocial approach to patient care. The background and early development, the structure of the teaching, and specific case example...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Community-oriented primary care (COPC) is considered an attractive concept by many but has had limited implementation due to a lack of practical methodology. An important step in COPC is assessment of a community's health status, using health indicators as one means of assessment. Currently, t...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Today's family medicine educator occupies a position of increasing stature in medical education. The recognition of education as scholarship creates a framework for the evaluation of clinician-educators for promotion. A system is needed to document educational excellence, peer review, and public disseminatio...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Determining authorship for publications is often a difficult process, even more so when individuals from several disciplines collaborate with community organizations to conduct projects. Although multidisciplinary and community-academic partnerships provide fertile ground for publication effor...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Little is known about the effect of alcohol consumption on the quality of care among patients with diabetes. We evaluated the association between alcohol consumption and diabetes preventive practices. METHODS:We analyzed data from the 2001 Behavioral Risk Factor Surveillance System. Based on ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:There is concern regarding the number of US medical graduates choosing careers in primary care. To address this, the American Academy of Family Physicians (AAFP) Future of Family Medicine project has recommended increasing the length of family medicine residency from 3 to 4 years as one way to increase stude...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2011-10-01 00:00:00
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:
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study examined college students' perceptions of the over-the-counter (OTC) availability of vaginal antifungal preparations. METHODS:A cross-sectional survey of 258 college students participated in the study over a 3-month period. Students were surveyed about their use of OTC antifungal p...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There are multiple barriers that limit patients and primary care physicians (PCPs) from discussing sexual dysfunctions (SDs) during medical appointments. Exploring patient preferences in discussing SDs with PCPs may help address some barriers, which can improve doctor-patient communication abo...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The Society of Teachers of Family Medicine's (STFM) National Clerkship Curriculum (NCC) was created to standardize and improve teaching of a minimum core curriculum in family medicine clerkships, promoting the Triple Aim of better care and population health at lower cost. It includes competenc...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:Although the framework of the episode of care offers much promise in examining the process of primary health care, the development of episode-oriented, automated data sources has proceeded slowly. Experience with the International Classification of Primary Care (ICPC) in the European Community has confirme...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::Clinical laboratory are often provided as numerical values that are then interpreted as being positive or negative. While this approach might simplify interpretation, it also makes interpretation contingent on a standard test cutoff point. Alternatively, test results can be interpreted for a specific patient with refe...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND:Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::The maturation process of family practice intensifies the need for our educators to unify their material into concepts specific to our specialty. A method of teaching clinical topics is described in which integrative goals are combined with knowledge, skill, and attitudinal goals. The attitudinal goals are designed to...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract::A review of the records of patients attending a rural family practice clinic indicated that 13% had received "cold shots" (lincomycin with or without chlorpheniramine). The providers who assumed management of the clinic when the previous physician retired judged these injections inappropriate, but patients believed th...
journal_title:Family medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Time spent in the electronic health record (EHR), away from direct patient care, is associated with physician burnout. Yet there is a lack of evidence quantifying EHR use among family physicians. The purpose of the study was to describe a method for quantifying habits and duration of use withi...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2020.942762
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study was intended to assess the usefulness of standardized patients (SPs) in the evaluation of family medicine residents' clinical decision-making skills in ambulatory settings. METHODS:A pool of SPs was trained about the symptoms of one of three clinical conditions (depression, headach...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract::A national survey of all family practice residency directors was undertaken to assess programs' current efforts in the area of violence education. The survey also investigated directors' views about particular types of violence and beliefs about how involved family practice residency programs should be in educating ph...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND:Many patients are reluctant to talk to family physicians about certain health issues that affect quality of life. This research examines factors that influence a patient's willingness to discuss three aspects of health-related quality of life: overall well-being, physical health, and psychosocial health. ME...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::A growing number of Americans will soon have a Web-based personal medical home with connectedness to their chosen providers of care. The personal health record will become integrated with the electronic health record. Like other services on the Internet, patients will be able to direct much of their health care using ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract::The Duke Social Support and Stress Scale (DUSOCS) was validated in 249 adult family practice patients using the Family Strengths, the Family Inventory of Life Events, and the Duke Health Profile (DUKE) as comparison instruments. Validity was supported in that the DUSOCS family support measure had the clinically expect...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Interprofessional education (IPE) was investigated in the context of an evaluation of the Advanced Life Support in Obstetrics (ALSO) course in Australia. Our objectives were to examine doctors' and midwives' perceptions regarding interprofessional learning and measure changes in self-reported ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00