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Annals of Family Medicine

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https://read.qxmd.com/read/30858272/antihypertensive-treatment-low-systolic-blood-pressure-and-cognitive-decline
#1
Kathryn Rooney, Michael E Johansen
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858271/napcrg-s-patient-engagement-program-debuts-consultation-service
#2
Jessica Sand
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858270/preparing-for-the-2019-acgme-common-program-requirements-what-s-new
#3
W Fred Miser, James Haynes
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858269/what-s-in-a-name-departments-of-family-medicine-and-%C3%A2
#4
Amanda Weidner, Kevin Grumbach, Valerie Gilchrist, Steven Zweig, Ardis Davis
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858268/preliminary-results-of-the-abfm-stfm-precepting-performance-improvement-pilot
#5
Juliette Bradley, Mary Theobald
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858267/asking-hard-questions-the-role-of-annals-of-family-medicine-in-advancing-our-discipline
#6
(no author information available yet)
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858266/aafp-outlines-quality-measurement-strategy-for-primary-care
#7
Sheri Porter
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858265/increasing-naloxone-availability-in-rural-communities
#8
Nicholas B West, Nicolas Powers, Will Hockett, Rebecca E Cantone, Mike Farley
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858264/embedding-an-immigration-legal-navigator-in-a-primary-care-clinic
#9
Sarah Kimball, Mehar Maju, Nausheen Singh, Lily Sonis
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858263/empowering-community-health-workers-with-mobile-technology-to-treat-diabetes
#10
Sean Duffy, Jim Svenson, Alejandro Chavez, Mark Kelly, Paul Wise
No abstract text is available yet for this article.
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858262/sharing-my-diagnosis-how-much-is-too-much
#11
Heather A Thompson Buum
I am a primary care physician diagnosed with breast cancer in 2016. After my diagnosis, I began to wonder, is it ever appropriate to disclose my situation, my diagnosis, any details about my cancer journey to my patients? On the one hand, physicians go to great lengths to protect privacy; on the other hand, patients appreciate the ability to share and connect, including knowing that their doctor has been through something similar. In this essay, I explore the nuances of over-sharing versus making a personal connection and how the two elements of this dual role might ultimately benefit each other...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858261/accuracy-of-signs-and-symptoms-for-the-diagnosis-of-acute-rhinosinusitis-and-acute-bacterial-rhinosinusitis
#12
REVIEW
Mark H Ebell, Brian McKay, Ariella Dale, Ryan Guilbault, Yokabed Ermias
PURPOSE: To evaluate the accuracy of signs and symptoms for the diagnosis of acute rhinosinusitis (ARS). METHODS: We searched Medline to identify studies of outpatients with clinically suspected ARS and sufficient data reported to calculate the sensitivity and specificity. Of 1,649 studies initially identified, 17 met our inclusion criteria. Acute rhinosinusitis was diagnosed by any valid reference standard, whereas acute bacterial rhinosinusitis (ABRS) was diagnosed by purulence on antral puncture or positive bacterial culture...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858260/the-practice-gap-national-estimates-of-screening-and-counseling-for-alcohol-tobacco-and-obesity
#13
Paul R Shafer, Amanda Borsky, Quyen Ngo-Metzger, Therese Miller, David Meyers
Tobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Panel Survey. Receipt of the recommended level of services ranged from nearly two-thirds (64.2% for obesity, 61.9% for tobacco use) to less than one-half (41.0% for alcohol misuse). There is significant room for improving care delivery, but primary care practices probably also need additional resources to raise screening and counseling rates...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858259/geographic-characteristics-of-loneliness-in-primary-care
#14
Sebastian Tong, Rebecca A Mullen, Camille J Hochheimer, Roy T Sabo, Winston R Liaw, Donald E Nease, Alex H Krist, John J Frey
Loneliness is associated with poor health outcomes, and there is growing attention on loneliness as a social determinant of health. Our study sought to determine the associations between community factors and loneliness. The Three-Item Loneliness Scale and zip codes of residence were collected in primary care practices in Colorado and Virginia. Living in zip codes with higher unemployment, poor access to health care, lower income, higher proportions of blacks, and poor transportation was associated with higher mean loneliness scores...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858258/primary-care-clinician-adherence-to-specialist-advice-in-electronic-consultation
#15
Gwen de Man, Isabella Moroz, Jay Mercer, Erin Keely, Clare Liddy
PURPOSE: Electronic consultation (eConsult) services can improve access to specialist advice. Little is known, however, about whether and how often primary care clinicians adhere to the advice they receive. We evaluated how primary care clinicians use recommendations conveyed by specialists via the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service and how eConsult affects clinical management of patients in primary care. METHODS: This is a descriptive analysis based on a retrospective chart audit of 291 eConsults done between January 20, 2017 and August 31, 2017 at the Bruyère Family Health Team, located in Ottawa, Canada...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858257/visit-planning-using-a-waiting-room-health-it-tool-the-aligning-patients-and-providers-randomized-controlled-trial
#16
Richard W Grant, Courtney Lyles, Connie S Uratsu, Michelle T Vo, Elizabeth A Bayliss, Michele Heisler
PURPOSE: Time during primary care visits is limited. We tested the hypothesis that a waiting room health information technology (IT) tool to help patients identify and voice their top visit priorities would lead to better visit interactions and improved quality of care. METHODS: We designed a waiting room tool, the Visit Planner, to guide adult patients through the process of identifying their top priorities for their visit and effectively expressing these priorities to their clinician...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858256/identifying-adverse-drug-events-in-older-community-dwelling-patients
#17
Caitriona Cahir, Emma Wallace, Anthony Cummins, Conor Teljeur, Catherine Byrne, Kathleen Bennett, Tom Fahey
PURPOSE: To evaluate a patient-report instrument for identifying adverse drug events (ADEs) in older populations with multimorbidity in the community setting. METHODS: This was a retrospective cohort study of 859 community-dwelling patients aged ≥70 years treated at 15 primary care practices. Patients were asked if they had experienced any of a list of 74 symptoms classified by physiologic system in the previous 6 months and if (1) they believed the symptom to be related to their medication, (2) the symptom had bothered them, (3) they had discussed it with their family physician, and (4) they required hospital care due to the symptom...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858255/antibiotic-prescribing-for-acute-respiratory-tract-infections-12-months-after-communication-and-crp-training-a-randomized-trial
#18
Paul Little, Beth Stuart, Nick Francis, Elaine Douglas, Sarah Tonkin-Crine, Sibyl Anthierens, Jochen W L Cals, Hasse Melbye, Miriam Santer, Michael Moore, Samuel Coenen, Chris C Butler, Kerenza Hood, Mark Kelson, Maciek Godycki-Cwirko, Artur Mierzecki, Antoni Torres, Carl Llor, Melanie Davies, Mark Mullee, Gilly O'Reilly, Alike van der Velden, Adam W A Geraghty, Herman Goossens, Theo Verheij, Lucy Yardley
PURPOSE: C-reactive-protein (CRP) is useful for diagnosis of lower respiratory tract infections (RTIs). A large international trial documented that Internet-based training in CRP point-of-care testing, in enhanced communication skills, or both reduced antibiotic prescribing at 3 months, with risk ratios (RRs) of 0.68, 0.53, 0.38, respectively. We report the longer-term impact in this trial. METHODS: A total of 246 general practices in 6 countries were cluster-randomized to usual care, Internet-based training on CRP point-of-care testing, Internet-based training on enhanced communication skills and interactive booklet, or both interventions combined...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858254/trends-in-providing-out-of-office-urgent-after-hours-and-on-call-care-in-british-columbia
#19
Lindsay Hedden, M Ruth Lavergne, Kimberlyn M McGrail, Michael R Law, Ivy L Bourgeault, Rita McCracken, Morris L Barer
PURPOSE: Providing care in alternative (non-office) locations and outside office hours are important elements of access and comprehensiveness of primary care. We examined the trends in and determinants of the services provided in a cohort of primary care physicians in British Columbia, Canada. METHODS: We used physician-level payments for all primary care physicians practicing in British Columbia from 2006-2007 through 2011-2012. We examined the association between physician demographics and practice characteristics and payment for care in alternative locations and after hours across rural, urban, and metropolitan areas using longitudinal mixed-effects models...
March 2019: Annals of Family Medicine
https://read.qxmd.com/read/30858253/loneliness-in-primary-care-patients-a-prevalence-study
#20
Rebecca A Mullen, Sebastian Tong, Roy T Sabo, Winston R Liaw, John Marshall, Donald E Nease, Alex H Krist, John J Frey
PURPOSE: Loneliness has important health consequences. Little is known, however, about loneliness in primary care patient populations. This study describes the prevalence of loneliness in patients presenting for primary care and associations with self-reported demographic factors, health care utilization, and health-related quality of life. METHODS: We conducted cross-sectional surveys of adults presenting for routine care to outpatient primary care practices in 2 diverse practice-based research networks...
March 2019: Annals of Family Medicine
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