Abstract:
BACKGROUND:Medication adherence is a complex phenomenon, influenced by a variety of factors. Most adherence research focuses on one medicine and does not represent the realities of clinical family medicine. This analysis examined factors associated with medication knowledge and adherence in family medicine patients with chronic conditions. METHODS:The Residency Research Network of South Texas (RRNeST) enrolled 150 patients with chronic disease who "sometimes have trouble taking medicines." Seventy-five percent were Latinos. This cross-sectional analysis used baseline survey data from an intervention study. Investigators correlated medication knowledge and adherence with known predictors--patient, health, medication, economic, and physician factors. New variables related to patients' motivation to change treatment behaviors ("importance" and "confidence") were also included. RESULTS:Linear regression analysis demonstrated that patient satisfaction, education level, and confidence were associated with better medication knowledge. Higher confidence, Spanish language, better functional and health status, and more prescription medicines were correlated with medication adherence. CONCLUSIONS:We recommend that family physicians enhance medication adherence by providing good information about treatment and counseling strategies to build patients' confidence. Our findings suggest that poor health status can be a barrier to, rather than a motivator for, treatment adherence.
journal_name
Fam Medjournal_title
Family medicineauthors
Burge S,White D,Bajorek E,Bazaldua O,Trevino J,Albright T,Wright F,Cigarroa Lsubject
Has Abstractpub_date
2005-11-01 00:00:00pages
712-8issue
10eissn
0742-3225issn
1938-3800journal_volume
37pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全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:Primary care physicians (PCPs) can play a critical role in addressing unintended pregnancy through high-quality options counseling and referrals. METHODS:We surveyed a nationally representative sample of 3,000 PCPs in general, family, and internal medicine on practices and opinions related to...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-07-01 00:00:00
abstract::To investigate factors influencing a resident's decision to participate in obstetrical care, a survey was undertaken of program directors and third-year residents from the 16 Michigan family practice residency programs. Responses indicated that the majority of third-year residents (55%) intended to practice obstetrics...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::This is the 26th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. Approximately 8.5% of the 16,110 graduates of US medical schools between July 2005 and June 2006 were first-year family medicine resi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:More effective diabetes care is desperately needed, especially for ethnic minority populations. Provider cultural competence promises to be an important means for reducing disparities in outcomes for patients with diabetes. The objectives of this study were to understand the role of cultural c...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 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:OBJECTIVE:This study measured the prevalence of service in federally designated medically underserved communities (FD-MUC) by Title VII-funded, full-time faculty development fellowship alumni. METHODS:A two-stage survey of alumni of full-time, family medicine faculty development fellowships was completed. Alumni were ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2001-02-01 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: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: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
abstract::After 3 decades in private practice, I joined the faculty of a nearby residency program. Like most family medicine residencies, it follows a curriculum that my physician father would have recognized: heavy emphasis on inpatient medicine; short shrift to continuity care. Despite a changing marketplace, there is still a...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.633317
更新日期:2019-07-01 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: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::Admission of first-year residents to a hospital enables them to experience the process from the patient's point of view and fosters physician empathy for the frustrations, loneliness, and uncertainty that patients go through when hospitalized. However, experiential learning programs of this type are complex and resour...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 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:Residents find it difficult to access medical care. Some seek care within their own program. Our objectives were to (1) determine whether family medicine program directors see their own resident physicians as patients, (2) describe whether they perceive the residency culture as actively encour...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:To judge the effectiveness of a new required third-year family practice (FP) clerkship, we designed a 20-item FP comfort assessment (FPCA) to measure students' self-reported comfort with a wide range of FP skills. This report examines the behavior and characteristics of the FPCA. METHODS:During the 1990-91 ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
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
更新日期:2018-01-01 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:BACKGROUND AND OBJECTIVES:Partnering between families and their children's providers is the cornerstone of family-centered care. The aims of this study are to (1) identify factors associated with family-provider partnership and (2) determine the association between partnership and other outcome measures for children wi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract::Emerging infections and bioterrorism pose increasing threats to the health of our communities. To protect patients, frontline providers like family physicians must learn and use core public health skills such as disease detection, surveillance, and response activities. This paper describes a unique approach to teachin...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The study's aim was to determine migraine prevalence, severity, and educational impact in medical students. METHODS:A 23-item survey of all medical students of one US medical school addressed migraine frequency, triggers, pattern and severity of symptoms, medication use, impact on educational...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
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:
更新日期:1992-03-01 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:Despite 30 years of policy initiatives and rural-focused programs, the number of physicians in rural practice remains unchanged and insufficient for the needs of rural communities. The practice characteristics of graduates of a rural family medicine residency program are identified, including ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-02-01 00:00:00
abstract::Data regarding waiting times and times with nurses and physicians were recorded for 656 patients visiting a large family practice unit. Patients also provided estimates of their own waiting times and ratings of the acceptability of these waits. The data were analyzed to assess whether any differences exist in terms of...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::This study examines the use and results of a multichannel chemistry test (SMAC) in asymptomatic patients attending a family practice center. Of 288 patients, 71 (25%) presenting for complete physical examinations had apparently "routine" or baseline SMACs. Forty-three (61%) had at least one abnormal value in their che...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract:BACKGROUND:The risk of mortality from cardiovascular disease (CVD) is much higher in those with preexisting CVD than in those without it. Risk factor modification can reduce these risks. This study was designed to determine whether physicians manage risk factors differently in patients with and without overt CVD. METH...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract:PURPOSE:For more than 25 years, family medicine residencies (FMRs) have worked with community health centers (CHCs) to train family physicians. Despite the long history of this affiliation, little research has been done to understand the effects of training residents in this underserved community setting. This study co...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2008-04-01 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