journal
https://read.qxmd.com/read/33707190/primary-care-s-historic-role-in-vaccination-and-potential-role-in-covid-19-immunization-programs
#1
Elizabeth Wilkinson, Anuradha Jetty, Stephen Petterson, Yalda Jabbarpour, John M Westfall
PURPOSE: Coronavirus disease 2019 (COVID-19) pandemic recovery will require a broad and coordinated effort for infection testing, immunity determination, and vaccination. With the advent of several COVID-19 vaccines, the dissemination and delivery of COVID-19 immunization across the nation is of concern. Previous immunization delivery patterns may reveal important components of a comprehensive and sustainable effort to immunize everyone in the nation. METHODS: The delivery of vaccinations were enumerated by provider type using 2017 Medicare Part B Fee-For-Service data and the 2013-2017 Medical Expenditure Panel Survey...
March 11, 2021: Annals of Family Medicine
https://read.qxmd.com/read/33589431/covid-19-personal-protective-equipment-in-the-home-navigating-the-complexity-of-donning-and-doffing
#2
Brian Kerley, Lana Tan, Denise Marshall, Cindy O'Neill, Anne Bialachowski, José Pereira
PURPOSE: The safety of care professionals and patients is paramount while caring for people with infectious diseases, including those with confirmed or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and coronavirus disease 2019 (COVID-19). Existing policies and protocols for donning and doffing personal protective equipment (PPE) are primarily for institutional settings such as hospitals, not for home visits for patient care. We describe a protocol for donning and doffing PPE in home settings...
February 15, 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685886/employment-opportunities
#3
(no author information available yet)
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685885/aafp-to-develop-value-based-payment-model-for-primary-care
#4
(no author information available yet)
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685884/the-future-of-family-medicine-residency-education-the-specialty-has-spoken
#5
Warren P Newton, Karen B Mitchell, Michael K Magill
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685883/cafm-leadership-demographics
#6
Amanda Weidner, Deborah S Clements
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685882/combination-of-home-based-hormonal-and-mobile-technology-for-virtual-monitoring-of-menstrual-cycles
#7
Rene Leiva, Lucas DiRienzo
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685881/the-impact-of-covid-19-proactive-outreach-with-somali-seniors
#8
Katie Reget, Samia Ali, Rebekah Pratt, Peter G Harper
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685880/medical-school-affiliation-accelerates-the-development-of-community-health-centers-in-china
#9
Xiaoting Sun, Xinxin Zhao, Han Zhang, Jue Li, Chenghua Jiang, Yihan Chen, Jialin C Zheng
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685879/standardization-vs-customization-finding-the-right-balance
#10
Christine A Sinsky, Hessam Bavafa, Richard G Roberts, John W Beasley
There is an inherent tension between standardization and customization of care delivery processes. The challenge for health care systems is to achieve the right balance. At its best, standardized work can create efficiencies that generate the additional time needed for personalized care. Similarly, at its best, customization allows the people within a system to accommodate the needs, preferences, and circumstances of the unique individuals and local communities they serve. We provide examples and offer principles to decide when standardization offers the most successful path and when customization may be preferred...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685878/it-s-time-to-expand-chlamydia-treatment-for-gay-and-bisexual-men
#11
Hannan M Braun, Jessica L Taylor
Expedited partner therapy involves prescribing sexually transmitted infection (STI) treatment for a patient's partner(s) without seeing the partner. It is approved for heterosexual partners of patients with chlamydia in most states. However, the Centers for Disease Control and Prevention recommends against expedited partner therapy in men-who-have-sex-with-men (MSM), citing limited data in this population and concerns that expedited partner therapy could discourage comprehensive STI testing, thereby driving increased HIV transmission...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685877/self-management-for-men-with-lower-urinary-tract-symptoms-a-systematic-review-and-meta-analysis
#12
Loai Albarqouni, Sharon Sanders, Justin Clark, Kari A O Tikkinen, Paul Glasziou
PURPOSE: Lower urinary tract symptoms are very common in older men. We conducted a systematic review and meta-analysis to evaluate the effects of self-management interventions on these symptoms. METHODS: We included randomized controlled trials comparing the effect of self-management interventions (alone or combined with drug therapy) with usual care or drug therapy alone in men with lower urinary tract symptoms. Two independent reviewers screened retrieved articles, extracted data, and assessed the risk of bias of included studies...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685876/addressing-common-challenges-in-the-implementation-of-collaborative-care-for-mental-health-the-penn-integrated-care-program
#13
Courtney Benjamin Wolk, Briana S Last, Cecilia Livesey, Maria A Oquendo, Matthew J Press, David S Mandell, Erin Ingram, Anne C Futterer, Grace P Kinkler, David W Oslin
PURPOSE: We developed and implemented a new model of collaborative care that includes a triage and referral management system. We present initial implementation metrics using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. METHODS: Primary care clinicians in 8 practices referred patients with any unmet mental health needs to the Penn Integrated Care program. Assessments were conducted using validated measures. Patients were primarily triaged to collaborative care (26%) or specialty mental health care with active referral management (70%)...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685875/the-use-of-primary-care-big-data-in-understanding-the-pharmacoepidemiology-of-covid-19-a-consensus-statement-from-the-covid-19-primary-care-database-consortium
#14
Hajira Dambha-Miller, Simon J Griffin, Duncan Young, Peter Watkinson, Pui San Tan, Ashley K Clift, Rupert A Payne, Carol Coupland, Jemma C Hopewell, Jonathan Mant, Richard M Martin, Julia Hippisley-Cox
The use of big data containing millions of primary care medical records provides an opportunity for rapid research to help inform patient care and policy decisions during the first and subsequent waves of the coronavirus disease 2019 (COVID-19) pandemic. Routinely collected primary care data have previously been used for national pandemic surveillance, quantifying associations between exposures and outcomes, identifying high risk populations, and examining the effects of interventions at scale, but there is no consensus on how to effectively conduct or report these data for COVID-19 research...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685874/scaling-up-patient-centered-interdisciplinary-care-for-multimorbidity-a-pragmatic-mixed-methods-randomized-controlled-trial
#15
Martin Fortin, Moira Stewart, Patrice Ngangue, José Almirall, Mathieu Bélanger, Judith Belle Brown, Martine Couture, Frances Gallagher, Alan Katz, Christine Loignon, Bridget L Ryan, Tara Sampalli, Sabrina T Wong, Merrick Zwarenstein
PURPOSE: To measure the effectiveness of a 4-month interdisciplinary multifaceted intervention based on a change in care delivery for patients with multimorbidity in primary care practices. METHODS: A pragmatic randomized controlled trial with a mixed-methods design in patients aged 18 to 80 years with 3 or more chronic conditions from 7 family medicine groups (FMGs) in Quebec, Canada. Health care professionals (nurses, nutritionists, kinesiologists) from the FMGs were trained to deliver the patient-centered intervention based on a motivational approach and self-management support...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685873/continuity-of-cancer-care-and-collaboration-between-family-physicians-and-oncologists-results-of-a-randomized-clinical-trial
#16
Michèle Aubin, Lucie Vézina, René Verreault, Sébastien Simard, Éveline Hudon, Jean-François Desbiens, Lise Fillion, Serge Dumont, André Tourigny, Serge Daneault
PURPOSE: Collaboration between family physicians (FPs) and oncologists can be challenging. We present the results of a randomized clinical trial of an intervention designed to improve continuity of care and interprofessional collaboration, as perceived by patients with lung cancer and their FPs. METHODS: The intervention included (1) supplying FPs with standardized summaries related to each patient, (2) recommending that patients see their FP after receiving the cancer diagnosis, (3) supplying the oncology team with patient information resulting from FP visits, and (4) providing patients with priority access to FPs as needed...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685872/strategies-and-factors-associated-with-top-performance-in-primary-care-for-diabetes-insights-from-a-mixed-methods-study
#17
Leif I Solberg, Kevin A Peterson, Helen Fu, Milton Eder, Rachel Jacobsen, Caroline S Carlin
PURPOSE: The aim of this study was to determine what strategies and factors are most important for high performance in the primary care of patients with diabetes. METHODS: We performed a mixed-methods, cross-sectional, observational analysis of interviews and characteristics of primary care clinics in Minnesota and bordering areas. We compared strategies, facilitators, and barriers identified by 31 leaders of 17 clinics in high-, middle-, and low-performance quartiles on a standardized composite measure of diabetes outcomes for 416 of 586 primary care clinics...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685871/app-based-treatment-in-primary-care-for-urinary-incontinence-a-pragmatic-randomized-controlled-trial
#18
Anne M M Loohuis, Nienke J Wessels, Janny H Dekker, Nadine A M van Merode, Marijke C Ph Slieker-Ten Hove, Boudewijn J Kollen, Marjolein Y Berger, Henk van der Worp, Marco H Blanker
PURPOSE: Electronic application (app)-based treatment is promising for common diseases with good conservative management options, such as urinary incontinence (UI) in women, but its effectiveness compared with usual care is unclear. This study set out to determine if app-based treatment for women with stress, urgency, or mixed UI was noninferior to usual care in the primary care setting. METHODS: The URinControl trial is a pragmatic, noninferiority randomized controlled trial in Dutch primary care including adult women with 2 episodes of UI per week...
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685870/self-directed-technology-to-improve-urinary-symptoms
#19
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
https://read.qxmd.com/read/33685869/thank-you-reviewers-and-e-letter-contributors
#20
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
March 2021: Annals of Family Medicine
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