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Annals of Family Medicine

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https://read.qxmd.com/read/31085541/predicting-adverse-outcomes-in-lower-respiratory-tract-infections
#1
Spencer S Conte, Michael E Johansen
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085540/rebuilding-after-the-flood-highlights-from-the-2019-adfm-winter-meeting
#2
Amanda Weidner, Steven Zweig, Tochi Iroku-Malize, Christine Arenson, Ardis Davis
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085539/stfm-foundation-gives-grants-to-3-stfm-collaboratives
#3
Traci Brazelton
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085538/numbers-matter
#4
Warren P Newton, Elizabeth Baxley
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085537/2019-nrmp-match-marks-decade-of-growth-for-family-medicine
#5
Sheri Porter
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085536/25-x-2030-anticipating-the-impact
#6
Curtis Galke, Deborah S Clements
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085535/second-international-conference-on-practice-facilitation-icpf-focuses-on-building-capacity
#7
Zsolt Nagykaldi, Melinda M Davis, Paula Darby Lipman, Leanora Dluzak, Jill Haught
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085534/screening-for-depression-in-pregnancy-there-s-an-app-for-that
#8
Sarah Ricketts, Tram N B Nguyen, Varsha Narasimhan
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085533/a-60-second-survey-to-identify-patients-unmet-social-needs
#9
Sarah R Reves, Jonathan P O'Neal, Martha M Gonzalez, Chantal McHenry, Molly Favour, Rebecca S Etz
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085532/humanwide-a-comprehensive-data-base-for-precision-health-in-primary-care
#10
Megan R Mahoney, Steven M Asch
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085531/contributions-of-health-care-to-longevity-a-review-of-4-estimation-methods
#11
Robert M Kaplan, Arnold Milstein
PURPOSE: Health care expenditures and biomedical research funding are often justified by the belief that modern health care powerfully improves life expectancy in wealthy countries. We examined 4 different methods of estimating the effect of health care on health outcomes. METHODS: We reviewed the contributions of medical care to health outcomes using 4 methods: (1) analyses by McGinnis and Schroeder, (2) Wennberg and colleagues' studies of small area variation, (3) Park and colleagues' analysis of County Health Rankings and Roadmaps, and (4) the RAND Health Insurance Experiment...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085530/potentially-inappropriate-prescribing-among-older-persons-a-meta-analysis-of-observational-studies
#12
REVIEW
Tau Ming Liew, Cia Sin Lee, Kuan Liang Goh Shawn, Zi Ying Chang
PURPOSE: Potentially inappropriate prescribing (PIP) is a common yet preventable medical error among older persons in primary care. It is uncertain whether PIP produces adverse outcomes in this population, however. We conducted a systematic review with meta-analysis to pool the adverse outcomes of PIP specific to primary care. METHOD: We searched PubMed, Embase, CINAHL, Web of Science, Scopus, PsycINFO, and previous review articles for studies related to "older persons," "primary care," and "inappropriate prescribing...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085529/shifting-implementation-science-theory-to-empower-primary-care-practices
#13
William L Miller, Ellen B Rubinstein, Jenna Howard, Benjamin F Crabtree
Observers of the past 10 to 15 years have witnessed the simultaneous growth of dramatic changes in the practice of primary care and the emergence of a new field of dissemination and implementation science (D&I). Most current implementation science research in primary care assumes practices are not meeting externally derived standards and need external support to meet these demands. After a decade of initiatives, many stakeholders now question the return on their investments. Overall improvements in quality metrics, utilization cost savings, and patient experience have been less than anticipated...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085528/reducing-primary-care-attendance-intentions-for-pediatric-respiratory-tract-infections
#14
Annegret Schneider, Christie Cabral, Natalie Herd, Alastair Hay, Joanna May Kesten, Emma Anderson, Isabel Lane, Charles Beck, Susan Michie
PURPOSE: The aim of this study was to evaluate a theory and evidence-based, parent-targeted online intervention, combining microbiological local syndromic surveillance data, symptom information, and home-care advice, to reduce primary care attendance for self-limiting, low-risk pediatric respiratory tract infections (RTIs). METHODS: The effect of this novel intervention on primary care attendance intentions was evaluated in an online experimental study. A representative sample of mothers (n = 806) was randomly assigned to receive the intervention material before (intervention) or after (control) answering questions concerning attendance intentions for an RTI illness scenario and mediating factors...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085527/predictors-of-adverse-outcomes-in-uncomplicated-lower-respiratory-tract-infections
#15
Michael Moore, Beth Stuart, Mark Lown, Ann Van den Bruel, Sue Smith, Kyle Knox, Matthew J Thompson, Paul Little
PURPOSE: Presentation with acute lower respiratory tract infection (LRTI) in primary care is common. The aim of this study was to help clinicians treat patients presenting with LRTI in primary care by identifying those at risk of serious adverse outcomes (death, admission, late-onset pneumonia). METHODS: In a prospective cohort study of patients presenting with LRTI symptoms, patient characteristics and clinical findings were recorded and adverse events identified over 30 days by chart review...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085526/a-new-comprehensive-measure-of-high-value-aspects-of-primary-care
#16
Rebecca S Etz, Stephen J Zyzanski, Martha M Gonzalez, Sarah R Reves, Jonathan P O'Neal, Kurt C Stange
PURPOSE: To develop and evaluate a concise measure of primary care that is grounded in the experience of patients, clinicians, and health care payers. METHODS: We asked crowd-sourced samples of 412 patients, 525 primary care clinicians, and 85 health care payers to describe what provides value in primary care, then asked 70 primary care and health services experts in a 2½ day international conference to provide additional insights. A multidisciplinary team conducted a qualitative analysis of the combined data to develop a parsimonious set of patient-reported items...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085525/comparing-buprenorphine-prescribing-physicians-across-nonmetropolitan-and-metropolitan-areas-in-the-united-states
#17
Lewei Allison Lin, Hannah K Knudsen
PURPOSE: Although there is a tremendous need to increase the use of buprenorphine for the treatment of opioid use disorder in rural areas, little is known about current rural/urban differences in treatment practices. We aimed to examine physician characteristics, treatment practices, and concordance with treatment guidelines among buprenorphine prescribers across different locations of practice. METHODS: A national random sample of buprenorphine physician prescribers was surveyed (n = 1,174, response rate = 33%) from July 2014 to January 2017...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085524/opioid-and-substance-use-disorder-and-receipt-of-treatment-among-parents-living-with-children-in-the-united-states-2015-2017
#18
Lisa Clemans-Cope, Victoria Lynch, Marni Epstein, Genevieve M Kenney
PURPOSE: Little is known about the prevalence of opioid use disorder (OUD) among parents who are living with children and their receipt of treatment, which could reduce the harmful effects of OUD on families. METHODS: We used 2015-2017 cross-sectional national survey data to estimate prevalence and treatment of opioid use disorder and other substance use disorders (SUD) among parents living with children. RESULTS: An estimated 623,000 parents with opioid use disorder are living with children, and less than one-third of these parents received treatment for illicit drug or alcohol use at a specialty facility or doctor's office...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085523/chronic-opioid-prescribing-in-primary-care-factors-and-perspectives
#19
Sebastian T Tong, Camille J Hochheimer, E Marshall Brooks, Roy T Sabo, Vivian Jiang, Teresa Day, Julia S Rozman, Paulette Lail Kashiri, Alex H Krist
BACKGROUND: Primary care clinicians write 45% of all opioid prescriptions in the United States, but little is known about the characteristics of patients who receive them and the clinicians who prescribe opioids in primary care settings. Our study aimed to describe the patient and clinician characteristics and clinicians' perspectives of chronic opioid prescribing in primary care. METHODS: Using a mixed methods approach, we completed an analysis of 2016 electronic health records from 21 primary care practices to identify patients who had received chronic opioids, which we defined as in receipt of an opioid prescription for at least 3 consecutive months...
May 2019: Annals of Family Medicine
https://read.qxmd.com/read/31085522/necessary-but-not-sufficient-why-health-care-alone-cannot-improve-population-health-and-reduce-health-inequities
#20
EDITORIAL
Steven H Woolf
No abstract text is available yet for this article.
May 2019: Annals of Family Medicine
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