Abstract：
BACKGROUND AND OBJECTIVES:Antibiotic resistance is a growing problem that complicates the treatment of various illnesses. This study analyzes Medicaid encounter data to (1) determine antibiotic prescribing rates for common respiratory tract infections in Oregon and (2) assess the effect of receiving an antibiotic at an index visit on whether there was a return visit within 30 days. METHODS:Subjects included in this study were Medicaid patients in Oregon between 2001--2003 who were enrolled in Medicaid for a full year and were diagnosed with an upper respiratory tract infection, including bronchitis, sinusitis, acute otitis media (AOM), pharyngitis, and upper respiratory infections (URIs). Claims data were analyzed to determine receipt of an antibiotic within 3 days of the initial visit and if there was a return visit within 30 days. RESULTS:During 2001--2003, the proportion of patients receiving antibiotics for bronchitis and sinusitis decreased, from 70% to 61%, and from 78% to 74%, respectively, while antibiotic prescribing for AOM, URI, and pharyngitis changed little. After controlling for age, gender, race/ethnicity, Medicaid plan type, and location, we determined that patients who had received antibiotics during the index visit for AOM, URI, and pharyngitis were more likely to return with a respiratory tract infection during the subsequent 30 days than patients who did not receive antibiotics. CONCLUSIONS:Antibiotic prescribing among Medicaid patients in Oregon has decreased. Receiving an antibiotic does not decrease the rate of subsequent return visits.
journal_name
Fam Medjournal_title
Family medicineauthors
Li J,De A,Ketchum K,Fagnan LJ,Haxby DG,Thomas Asubject
Has Abstractpub_date
2009-03-01 00:00:00pages
182-7issue
3eissn
0742-3225issn
1938-3800journal_volume
41pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全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：
更新日期：2017-01-01 00:00:00
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：
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:In 1993, the University of California, Los Angeles introduced an interdisciplinary course called ¿Doctoring¿ for all first-year medical students in which students visited family physicians' offices once a month for a total of four visits. The study's objectives were to ascertain preceptors' at...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The I3 POP Collaborative sought to improve health of patients attending North Carolina, South Carolina, and Virginia primary care teaching practices using the triple aim framework of better quality, appropriate utilization, and enhanced patient experience. We examined change in triple aim meas...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2018.885946
更新日期：2018-03-01 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：:This article is intended to inform STFM and NAPCRG members of current developments regarding this organizational process and the future of each organization. These preliminary discussions have provided a basis for determining how family medicine can be more effective as an academic discipline. The board of directors a...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
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：
更新日期：1988-05-01 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:Successful community-based medical education requires an ongoing relationship among the school, medical students, and community preceptors. The use of medical school faculty as "circuit riders" helps to develop and maintain these relationships. We studied the benefits, challenges, and barriers...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Family physicians, as primary care providers for reproductive-aged women, frequently initiate or refer patients for management of early pregnancy failure (EPF). Safe and effective options for EPF treatment include expectant management, medical management with misoprostol, and aspiration in the...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2013-03-01 00:00:00
abstract：:Routine neonatal circumcision has long been controversial. Presented here is a cost-effectiveness analysis of the consequences of the treatment choices (circumcision versus no circumcision) using a decision tree model. For a simulated 85-year life expectancy, routine neonatal circumcision had an expected lifetime cost...
journal_title：Family medicine
pub_type： 杂志文章,评审
doi：
更新日期：1991-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:There has been a growth in the demand for convenient, walk-in access in health care across the United States, resulting in primary care practices seeing a shift in services to urgent care centers (UCCs). In order to incorporate the flexibility of a UCC and improve primary care access and preve...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2020.933051
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Residents in difficulty are costly to programs in both time and resources, and encountering difficulty can be emotionally harmful to residents. Approximately 10% of residents will encounter difficulty at some point in training. While there have been several studies looking at common factors am...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2018.912108
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Physician workforce projections fuel interest in addressing the shortage of family physicians. Copious research has investigated personality as a variable influencing specialty intention. Medical school rural longitudinal integrated clerkships (LICs) nurture interest in family medicine. This s...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Our primary objective was to determine the percentage of recreational hockey players who do not wear face protection while playing hockey. METHODS:We randomly surveyed recreational hockey players at two indoor hockey rinks in Evandale, Ohio. Data were collected on face protection, injuries, d...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:The clinical relationship of academic family practice units to their parent tertiary care medical centers was studied. We surveyed the designated family practice contacts in all U.S. medical schools and achieved a response rate of 84%. We found wide variations in the degree to which academic family practice units prov...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1987-03-01 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 AND OBJECTIVES:More than two thirds of Americans are overweight or obese. Physician counseling may help patients lose weight; however, physicians perceive these discussions as somewhat futile and time-consuming. An effective and efficient tool for smoking cessation is the Five A's (Ask, Advise, Assess, Assis...
journal_title：Family medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：2011-03-01 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：BACKGROUND AND OBJECTIVES:Obstetrical practice by family physicians has been declining rapidly for many reasons over the past number of decades. One reason for this trend is family medicine residents not considering intrapartum care as part of their future careers. Decisions such as this may be related to experiences d...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:One-third of all medical students attend a community college (CC) on their path to medical school. The objective of this study was to examine the association between CC participation and initial specialty of interest among US allopathic medical students. METHODS:We performed a national cross-...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Family physicians are expected to provide culturally sensitive care. However, teaching about cultural diversity and measuring educational outcomes can be challenging. We describe a diversity curriculum based on the concept of cultural humility, which includes participatory didactic and structu...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2006-02-01 00:00:00
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：
更新日期：1990-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:As the use of esophagogastroduodenoscopy (EGD) by family physicians increases, a need exists to further demonstrate the procedure's clinical effectiveness and safety and the general experience of family physicians performing the procedure. This study examines the general experience of a group ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The University of Calgary's Rural Integrated Community Clerkship anchors final-year medical student education in 9 months of family medicine. The purpose of this pilot study was to evaluate the Family Medicine Preceptor Online Development (FM POD) program, designed to meet the faculty developm...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2014-05-01 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: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:Integrating family into family medicine has been recognized as important for the discipline, yet there is little known about how family-oriented care is taught in training environments. This paper presents results of a national survey assessing the status of teaching family concepts/skills in ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Pediatric literacy promotion programs carried out in the primary care setting, such as Reach Out and Read (ROR), have been associated with improved language skills for preschool children. Primary care physicians have frequent contact with young families and may be well situated for a literacy ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：:A model for research, aptitude x treatment interactions (ATI), is presented. This model has some specific utility for family medicine research. ATI can test the interaction between individual differences (aptitudes) and experimental interventions (treatments). Thus, in an applied setting one might choose an interventi...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
