journal
https://read.qxmd.com/read/36228079/supporting-the-primary-care-research-infrastructure-through-advocacy-a-reflection-from-the-napcrg-research-advocacy-committee
#1
JOURNAL ARTICLE
Winston Liaw, Sabrina T Wong
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228078/community-health-workers-as-trust-builders-and-healers-a-cohort-study-in-primary-care
#2
JOURNAL ARTICLE
Robert L Ferrer, Carolina Gonzalez Schlenker, Inez Cruz, Polly Hitchcock Noël, Raymond F Palmer, Ramin Poursani, Carlos Roberto Jaén
PURPOSE: Improving patients' self-care for chronic disease is often elusive in the context of social deprivation. We evaluated whether a practice-integrated community health worker (CHW) intervention could encourage effective long-term self-management of type 2 diabetes mellitus (T2DM). METHODS: This cohort study, in a safety-net primary care practice, enrolled patients with uncontrolled T2DM and psychosocial risk factors. Patients were identified through a practice diabetes registry or by clinicians' referrals...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228077/residency-learning-networks-why-and-how
#3
JOURNAL ARTICLE
Warren Newton, Gerald Fetter, Grant S Hoekzema, Lauren Hughes, Michael Magill
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228076/racial-and-ethnic-inequities-in-use-of-preventive-services-among-privately-insured-adults-with-a-pediatric-onset-disability
#4
JOURNAL ARTICLE
Lauren Groskaufmanis, Paul Lin, Neil Kamdar, Anam Khan, Mark D Peterson, Michelle Meade, Elham Mahmoudi
PURPOSE: Cerebral palsy (CP) and spina bifida (SB) are pediatric-onset disabilities. Adults living with CP/SB are in a greater need of preventive care than the general population due to their increased risk for chronic diseases. Our objective was to compare White/Black and White/Hispanic inequities in the use of preventive services. METHODS: Using 2007-2017 private claims data, we identified a total of 11,635 adults with CP/BS. Of these, 8,935 were White, 1,457 Black, and 1,243 Hispanic...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228075/using-state-all-payer-claims-data-to-identify-the-active-primary-care-workforce-a-novel-study-in-virginia
#5
JOURNAL ARTICLE
Alison N Huffstetler, Roy T Sabo, Martin Lavallee, Ben Webel, Paulette Lail Kashiri, Jacquelyn Britz, Mark Carrozza, Michael Topmiller, Elizabeth R Wolf, Beth A Bortz, Ashley M Edwards, Alex H Krist
PURPOSE: Primary care is the foundation of the health care workforce and the only part that extends life and improves health equity. Previous research on the geographic and specialty distribution of physicians has relied on the American Medical Association's Masterfile, but these data have limitations that overestimate the workforce. METHODS: We present a pragmatic, systematic, and more accurate method for identifying primary care physicians using the National Plan and Provider Enumeration System (NPPES) and the Virginia All-Payer Claims Database (VA-APCD)...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228074/stfm-wraps-up-health-systems-initiative-with-launch-of-faculty-development-modules
#6
JOURNAL ARTICLE
Mary Theobald
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228073/caregiving-in-a-pandemic-health-related-socioeconomic-vulnerabilities-among-women-caregivers-early-in-the-covid-19-pandemic
#7
JOURNAL ARTICLE
Kelly Boyd, Victoria Winslow, Soo Borson, Stacy Tessler Lindau, Jennifer A Makelarski
PURPOSE: Family and friends who provide regular care for a sick or dependent individual ("caregivers") are at increased risk of health-related socioeconomic vulnerabilities (HRSVs). This study examined pre-pandemic prevalence of and early pandemic changes in HRSVs among women caregivers compared with non-caregivers. METHODS: A cross-sectional survey was conducted in April 2020 (early pandemic) with 3,200 English-speaking US women aged 18 years or older, 30% of whom identified as caregivers...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228072/it-will-take-a-million-primary-care-team-members
#8
EDITORIAL
John M Westfall, Alison N Huffstetler
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228071/advancing-antiracism-in-family-medicine
#9
JOURNAL ARTICLE
Margot Savoy, Viannella Halsall
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228070/employment-opportunities
#10
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228069/the-joy-and-grief-of-knowing-your-patient
#11
JOURNAL ARTICLE
Saba Fatima
During medical school and residency, we are taught to always keep boundaries with our patients. I took this lesson to heart and considered my patients merely as "diseases" during training. As I transitioned into the role of an early career attending physician, I realized my lack of meaningful patient relationships, and the concomitant burnout that it had caused. I hence changed my perspective and started listening to patient stories. These stories give me a purpose and gratitude in medicine that I had never felt before...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228068/family-physicians-stopping-practice-during-the-covid-19-pandemic-in-ontario-canada
#12
JOURNAL ARTICLE
Tara Kiran, Michael E Green, C Fangyun Wu, Alexander Kopp, Lidija Latifovic, Eliot Frymire, Rahim Moineddin, Richard H Glazier
We conducted 2 analyses using administrative data to understand whether more family physicians in Ontario, Canada stopped working during the COVID-19 pandemic compared with previous years. First, we found 3.1% of physicians working in 2019 (n = 385/12,247) reported no billings in the first 6 months of the pandemic; compared with other family physicians, a higher portion were aged 75 years or older (13.0% vs 3.4%, P <0.001), had fee-for-service reimbursement (37.7% vs 24.9%, P <0.001), and had a panel size under 500 patients (40...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228067/facing-the-digital-divide-increasing-video-visits-among-veterans-experiencing-homelessness
#13
JOURNAL ARTICLE
Alyson Prince, Ynez Sabio, Leah Effron, Maren Abromowitz, Liesl Reyes, Phillip Chen, Christine Willinger, Damond Ng, Julia Darnell, Kristin Kopelson, Peter Capone-Newton, Brianna Cowan, Katharine Borthwick, Cleo Penamon, Lillian Gelberg
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228066/physicians-and-patients-interruptions-in-clinical-practice-a-quantitative-analysis
#14
JOURNAL ARTICLE
Ilona Plug, Sandra van Dulmen, Wyke Stommel, Tim C Olde Hartman, Enny Das
PURPOSE: Physicians' interruptions have long been considered intrusive, masculine actions that inhibit patient participation, but a systematic analysis of interruptions in clinical interaction is lacking. This study aimed to examine when and how primary care physicians and patients interrupt each other during consultations. METHODS: We coded and quantitatively analyzed interruption type (cooperative vs intrusive) in 84 natural interactions between 17 primary care physicians and 84 patients with common somatic symptoms...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228065/revitalizing-primary-care-part-1-root-causes-of-primary-care-s-problems
#15
JOURNAL ARTICLE
Thomas Bodenheimer
This 2-part essay offers a discussion of the health of primary care in the United States. Part 1 argues that the root causes of primary care's problems are (1) the low percent of national health expenditures dedicated to primary care (primary care spending) and (2) overly large patient panels that clinicians without a team are unable to manage, leading to widespread burnout and poor patient access.Information used in this essay comes from my personal clinical and policy experience bolstered by summaries of evidence...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228064/clock-drawing-test-as-a-screening-tool-for-cognitive-impairment-associated-with-fecal-immunochemical-test-collection-errors
#16
JOURNAL ARTICLE
Jeanette M Daly, Yinghui Xu, Seth D Crockett, Megan E Schmidt, Peter Kim, Barcey T Levy
PURPOSE: The purposes of this study were to determine if (1) certain demographic characteristics (potential predictors) of participants, and (2) clock-drawing test results (as a screening test for cognitive impairment) were associated with fecal immunochemical test (FIT) sample collection errors. METHODS: Patients scheduled for an upcoming colonoscopy were asked to collect stool samples using 5 different FITs. Patients completed a questionnaire that included the clock-drawing test...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228063/do-i-return-to-the-community-that-traumatized-me
#17
JOURNAL ARTICLE
Minna Wybrecht
I grew up on food stamps, unlike many of my medical school classmates. Prostitution and drug deals were regular occurrences in my neighborhood. A man was shot to death in front of my childhood home. After I left my hometown, I was finally able to heal from those devastating circumstances and build a safer life for myself. Difficult questions surfaced as I considered where I wanted to work as a physician. To gain more clarity, I chose to return to my hometown as part of a monthlong clinical elective. This experience facilitated vulnerable introspection...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228062/a-one-health-clinic-for-people-experiencing-homelessness-and-their-animals-treating-the-human-animal-unit
#18
JOURNAL ARTICLE
Alice H Tin, Kathryn Kuehl, Anina Terry, Julianne Meisner, Vickie Ramirez, Erin Tabor, Peter Rabinowitz
No abstract text is available yet for this article.
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228061/the-face-of-god-revealed
#19
JOURNAL ARTICLE
Timothy P Daaleman
Many years have passed since I visited Donny in the hospital, where he was admitted with a newly diagnosed and terminal lung cancer. Despite years of separation, his wife Rose took him back into her home and cared for Donny at the end of his life. In the months after his death, I learned more about their relationship; Donny's drinking and infidelities, the emotional and verbal abuse that Rose put up with. At the end of one office visit, I was incredulous in silent amazement and asked her, "Why did you do it?" Rose looked at me and simply said, "Because he was one of us; because he was family...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36228060/effective-facilitator-strategies-for-supporting-primary-care-practice-change-a-mixed-methods-study
#20
JOURNAL ARTICLE
Shannon M Sweeney, Andrea Baron, Jennifer D Hall, David Ezekiel-Herrera, Rachel Springer, Rikki L Ward, Miguel Marino, Bijal A Balasubramanian, Deborah J Cohen
PURPOSE: Practice facilitation is an evidence-informed implementation strategy to support quality improvement (QI) and aid practices in aligning with best evidence. Few studies, particularly of this size and scope, identify strategies that contribute to facilitator effectiveness. METHODS: We conducted a sequential mixed methods study, analyzing data from EvidenceNOW, a large-scale QI initiative. Seven regional cooperatives employed 162 facilitators to work with 1,630 small or medium-sized primary care practices...
September 2022: Annals of Family Medicine
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