Abstract：
:Approximately 25,000 recorded visits between primary care physicians and adults aged 25 and older in the 1985 National Ambulatory Medical Care Survey were analyzed to study the relationship between patient age and selected process measures of the physician-patient encounter. Multiple presenting complaints and visit diagnoses both rose with age. In spite of this evidence of increased complexity of elderly patients, mean visit length for cough, dizziness, diabetes, and general medical examinations failed to rise, with longest visits tending to be among middle-aged patients. Performance of blood pressure examinations, rectal examinations, breast examinations, pelvic examinations, and Papanicolaou (Pap) smears on patients presenting for general medical examinations tended to decline beyond age 65. These results suggest that individual office visits for older patients may be less comprehensive than those for younger adults.
journal_name
Fam Medjournal_title
Family medicineauthors
Sloane PDsubject
Has Abstractpub_date
1991-01-01 00:00:00pages
40-3issue
1eissn
0742-3225issn
1938-3800journal_volume
23pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract：:This report describes the attitudes of women patients about the presence and role of a chaperone during pelvic exams and factors associated with these perceptions. A questionnaire was mailed to a systematic sample of all adult women patients of an academic-affiliated family practice (n = 939) in a rural southeastern U...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
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 prim...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:Research themes of interest to both clinical and social sciences have been proliferating in recent years. While the personal experiences of individuals who conduct interdisciplinary research probably vary widely, several general models of research and its conduct seem to be quite common. This is illustrated using the ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:The improvement of clinical teaching skills has consistently been an important focus of faculty development in family medicine. Successful faculty development programs depend on an understanding of the components of clinical teaching and a profile of the strengths and weaknesses of each faculty member with respect to ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:There is a national shortage of primary care physicians; many medical school departments of family medicine are searching for new ways to attract and retain students who may be interested in primary care. In 2004, our department began a "pipeline" program targeted at entering first-year studen...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The State Children's Health Insurance Program (SCHIP) has improved insurance coverage rates. However, children's enrollment status in SCHIP frequently changes, which can leave families with uncertainty about their children's coverage status. We examined whether insurance uncertainty was associ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2010-02-01 00:00:00
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：
更新日期：2003-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Family physicians lack data on how best to address the needs of adults with physical disabilities. We undertook this study to understand how consumers, educators, and other professionals perceive primary care for people with disabilities. METHODS:We conducted six focus groups, three with 27 h...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2008-10-01 00:00:00
abstract：:A major objective of epidemiologic investigation is to determine whether or not an association between an exposure and a condition exists in a human population. The presence of such an association cna be explored using three distinct strategies, the cohort, the case-control, and the cross-sectional approaches. This pa...
journal_title：Family medicine
pub_type： 杂志文章,评审
doi：
更新日期：1988-07-01 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：OBJECTIVE:This study describes an international acupuncture elective and its impact on medical students' development of cultural competence. METHODS:Collaborating with Chinese colleagues, we created a 4-week elective that teaches medical students about acupuncture in its native cultural environment. Three focus groups...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：:The Longitudinal Community-based Underserved Care Elective at the Virginia Commonwealth University-Hanover Family Practice Residency Program is, to our knowledge, the first report of a longitudinal 2-year elective in community-based clinics for underserved patients that supplements continuity patient care at a residen...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：:Residency faculty in all specialties will be required by the Accreditation Council for Graduate Medical Education (ACGME) to fully implement competencies into residency programs by 2006. Understanding the new requirements is complicated by having several sets of guiding documents from different sources, including the ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:This pilot study describes an Objective Structured Clinical Examination (OSCE) developed using Human Patient Simulation (HPS). METHODS:Eight residents completed two iterations of this HPS OSCE containing seven stations and utilizing checklists, global ratings, and scoring sheets. RESULTS:The first- and sec...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Previous findings regarding a possible association between beta-blocker use and depression are mixed. To our knowledge there have been no studies investigating the association of beta-blockers with depression in primary care hypertension patients without previous myocardial infarction. The aim...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2014-06-01 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:We evaluated the effect of an elective (the Global Multiculturalism Track), including international and domestic immersion experiences, on the cultural competence of preclinical medical students. METHODS:A self-assessment instrument was used to measure cultural competence, and it was administered to Track p...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：BACKGROUND:Involvement in service-education linkages by family practice residencies is increasing. In the late 1980s, Swedish Hospital Family Practice Residency in Seattle sought to expand into a new site. At the same time, the Seattle-King County Department of Public Health (SKCDPH) identified the Denny Regrade area o...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1993-05-01 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：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:Electronic prescribing is one of the components of the Patient-centered Medical Home and is one of the "meaningful use" criteria to qualify electronic medical records for financial incentives. While there are many potential benefits of electronic prescribing, documentation of these is currentl...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key ...
journal_title：Family medicine
pub_type： 历史文章,杂志文章
doi：
更新日期：2017-04-01 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
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：:A survey of members of the Society of Teachers of Family Medicine provided information about roles, relationships, and rewards for teachers involved in family medicine residency behavioral science education. Family physicians and behavioral scientists perceive their own roles in behavioral teaching and patient care as...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1985-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The evolution of managed care is creating a need for feasible methods for clinical practices to perform community assessments. Since some types of clinically useful data are best obtained through a qualitative community assessment, practical methods of carrying out this type of assessment are ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Rotations by American medical students in foreign countries have been common in US medical schools for nearly half a century. Although anecdotal literature makes claims for the significant educational value of these foreign rotations, neither the nature and educational consequences of these experiences, nor ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:We examined the use of inexpensive handheld computers in documenting resident procedures. With a handheld computer, data is entered at the time of the procedure, eliminating the problem of double entry. METHODS:Connectivity and ease of use were important factors considered when choosing a han...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2000-02-01 00:00:00
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：
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Repair of perineal birth trauma is one of the most common surgical techniques in pregnancy care. Because of the three-dimensional nature of the required repair, students and residents often have difficulty learning this procedure. METHODS:We developed a new method to teach learners the repair...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
