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Journals Journal of the American Board ...

Journal of the American Board of Family Medicine : JABFM

https://read.qxmd.com/read/38467430/racial-inequities-in-female-family-physicians-providing-women-s-health-procedures
#1
JOURNAL ARTICLE
Grace Walter, Radhika Laddha, Anuradha Jetty, Yalda Jabbarpour, Alison Huffstetler
Patient-physician race concordant dyads have been shown to improve patient outcomes; the race and ethnicity of family physicians providing women's health procedures has not been described. Using self-reported data, this analysis highlights the racial disparities in scope of practice; underrepresented in medicine (URiM) females are less likely to perform women's health procedures which may lead to disparities in care received by minority women.
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38467429/drug-deactivation-pouches-for-primary-prevention-of-opioid-overdose-perceptions-and-attitudes-of-community-members
#2
JOURNAL ARTICLE
Ayodeji Otufowora, Kathleen L Egan, Piyush V Chaudhari, Aderonke A Okusanya, Afeez O Ogidan, Linda B Cottler
IMPORTANCE: A substantial number of opioid analgesics dispensed into communities will go unused and be susceptible to diversion for misuse. Convenient, efficient, and environmentally safe mechanisms for disposal are needed to prevent the diversion of unused opioid analgesics. OBJECTIVE: This initiative piloted the feasibility of distributing drug deactivation pouches in a community setting and examined community members' acceptance, intention to use drug deactivation pouches, and their current disposal practices of unused opioid analgesics...
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38467428/the-impact-of-the-medicaid-reimbursement-bump-on-influenza-vaccination-rates-among-us-teens-evidence-from-the-national-immunization-survey-teen-2011-2020
#3
JOURNAL ARTICLE
Felippe O Marcondes, Mary Price, Alex McDowell, Joseph P Newhouse, John Hsu, Vicki Fung
BACKGROUND: Many adolescents do not receive basic preventive care such as influenza vaccinations. The Affordable Care Act (ACA) temporarily increased Medicaid reimbursements for primary care services, including vaccine administration, in 2013 to 2014. The objective of this study is to assess the impact of reimbursement increases on influenza vaccination rates among adolescents with Medicaid. METHODS: This repeated cross-sectional study used a difference-in-difference approach to compare changes in annual influenza vaccination rates for 20,884 adolescents 13 to 17 years old covered by Medicaid with adequate provider-reported data in 18 states with larger extended (>$5, 2013 to 2019) versus larger temporary (2013 to 2014 only) versus smaller reimbursement changes...
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448242/smoking-cessation-support-in-the-context-of-other-social-and-behavioral-needs-in-community-health-centers
#4
RANDOMIZED CONTROLLED TRIAL
Michael B Potter, Janice Y Tsoh, Kara Lugtu, Jose Parra, Vicky Bowyer, Danielle Hessler
BACKGROUND: Cigarette smoking rates remain disproportionately high among low income populations with unmet social and behavioral health needs. To address this problem, we sought to develop and evaluate the feasibility, acceptability, and preliminary effectiveness of a novel smoking cessation program for community health centers that serve these populations. METHODS: We implemented a randomized pilot trial of two smoking cessation programs in three county operated community health center (CHC) sites: (1) a systematic assessment of smoking habits and standard tools to assist with smoking cessation counseling ("Enhanced Standard Program" or ESP), and (2) another that added a structured assessment of social and behavioral barriers to smoking cessation, ("Connection to Health for Smokers" or CTHS)...
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38272536/disparities-in-screening-for-adverse-childhood-experiences
#5
JOURNAL ARTICLE
Héctor E Alcalá, Amanda E Ng, Nicholas Tkach, Dahai Yue, Mienah Sharif
INTRODUCTION: Screening for adverse childhood experiences (ACEs) in the clinical setting is set to become more commonplace with continued efforts to reimburse clinicians for screening. However, an examination of disparities in ACEs screening and related attitudes and beliefs is needed. METHODS: Using the 2021 California Health Interview Survey (CHIS), this study examined if several measures of socioeconomic status, access to care and identities were associated with 3 outcomes: 1) getting screened for ACEs by a clinician; 2) beliefs about the importance of screening and 3) satisfaction with efforts to address the impacts of ACEs...
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38092436/effectiveness-of-long-term-opioid-therapy-for-chronic-low-back-pain
#6
JOURNAL ARTICLE
John C Licciardone, Kush Rama, Antoine Nguyen, Cynthia Ramirez Prado, Chandler Stanteen, Subhash Aryal
PURPOSE: Clinical trials generally have not assessed efficacy of long-term opioid therapy (LTOT) beyond 6 months because of methodological barriers and ethical concerns. We aimed to measure the effectiveness of LTOT for up to 12 months. METHODS: We conducted a retrospective cohort study among adults with chronic low back pain (CLBP) from April 2016 through August 2022. Participants reporting LTOT (>90 days) were matched to opioid nonusers with propensity scores...
March 11, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448241/lack-of-diversity-in-female-family-physicians-performing-women-s-health-procedures
#7
JOURNAL ARTICLE
Kendall Hancock
No abstract text is available yet for this article.
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448240/climate-change-psychological-distress-an-underdiagnosed-cause-of-mental-health-disturbances
#8
JOURNAL ARTICLE
Jessica de Jarnette
The majority of climate change research and policy centers around the physical health effects of planetary degradation. The mental health impacts of climate change are just now starting to be elucidated and discussed more commonly among mental health providers and policymakers. There is a huge area of opportunity in primary care to discuss and address climate anxiety in patients, many of whom may not be forthcoming in discussing how climate anxiety is contributing to their mental health.
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448239/the-effect-of-veteran-status-and-chronic-pain-on-past-30-day-sedative-use-among-community-dwelling-adult-males
#9
JOURNAL ARTICLE
Ayodeji Otufowora, Yiyang Liu, Aderonke Okusanya, Afeez Ogidan, Adedoyin Okusanya, Linda B Cottler
INTRODUCTION: Given the high sedative prescription rate, the sedative-associated morbidity, and mortality nationally (especially among veterans), we aimed to test the hypothesis that veteran status in the presence of chronic pain would be associated with greater sedative use when compared with nonveteran status. METHODS: The study participants were recruited by Community Health Workers (CHWs) through the ongoing community engagement program (HealthStreet) at the University of Florida...
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448238/physician-and-advanced-practice-clinician-burnout-in-rural-and-urban-settings
#10
JOURNAL ARTICLE
Melissa L Harry, Nancy L Sudak, Mary J Engels, Karly K Horn, Kate Dean, Sara Poplau, Martin J Stillman, Mark Linzer
INTRODUCTION: Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system. METHODS: The Mini Z burnout reduction measure was administered by anonymous electronic survey in March 2022. We conducted bivariate analyses of study variables, then assessed relationships of study variables to burnout with multivariate binary logistic regression...
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448237/just-pop-it-early-arom-after-cervical-ripening-reduces-the-time-to-delivery
#11
JOURNAL ARTICLE
Paige K Macky, Haroon Samar, Stephen J Conner, Ashley L Urick, Catherine A Yeager, Derrick J Tiel, J Scott Earwood, Bob Marshall
In pregnant patients at term undergoing induction of labor, early time-based artificial rupture of membranes (AROM) within 1 hour of Foley bulb expulsion results in a shorter duration of labor by nearly 9 hours with no significant difference in cesarean delivery rates or maternal or neonatal adverse outcomes.1 .
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448236/climate-change-and-policy-reforms-a-view-from-the-primary-care-clinic
#12
JOURNAL ARTICLE
Daniel Wolk, Rebecca Porter
No abstract text is available yet for this article.
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448235/considering-the-environmental-impact-of-practice-based-research
#13
JOURNAL ARTICLE
Ben Webel, Gabriela Villalobos, Michelle S Rockwell, Alison Huffstetler, Jacqueline B Britz, E Marshall Brooks, Alex H Krist
INTRODUCTION: Practice-based research networks (PBRNs) improve primary care by addressing issues that matter to clinicians. Building trust between researchers and care teams is essential to this process, which often requires visiting practices to cultivate relationships and perform research activities. However, in a recent study using practice facilitation to improve the delivery of a preventive service, the COVID-19 pandemic prompted us to convert all planned facilitation from an in-person to virtual format...
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38448234/less-is-more-backing-off-sliding-scale-insulin-for-hospitalized-patients
#14
JOURNAL ARTICLE
Lakshmi Karra, Roxanne Radi, Corey Lyon
In hospitalized patients with type 2 diabetes (T2DM), a less aggressive supplemental insulin regimen is noninferior to a standard, more aggressive, supplemental regimen.
March 6, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38365313/re-becoming-a-phronimos-evidence-based-medicine-clinical-decision-making-and-the-role-of-practical-wisdom-in-primary-care
#15
LETTER
Steven D Stovitz
No abstract text is available yet for this article.
February 16, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38365312/how-physicians-should-respond-to-climate-change
#16
JOURNAL ARTICLE
Mona Sarfaty
Urgent warnings about the existential threat of climate change are coming from leaders in nearly every sector of society, including virtually all climate scientists, notable heads of civil governments around the globe, the world's top religious leaders, prestigious medical journals, as well as principals of the largest financial firms. Surveys show that the majority of U.S. physicians in several specialties are caring for patients who are experiencing direct health harms due to climate change. In public platforms, physicians are expressing their awareness that this public health crisis places everyone at risk, but many people are at greater risk, including children, pregnant women, people with chronic health conditions, elders, and those who experience environmental injustice or live in harm's way...
February 16, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38365311/priority-updates-to-the-research-literature-purls-series-now-featured-in-the-jabfm
#17
JOURNAL ARTICLE
Gregory Castelli
No abstract text is available yet for this article.
February 16, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38365310/kratom-facts-fiction-and-the-unknown
#18
LETTER
Andrew Hatch, Eduardo Gonzalez, Karim Hanna
No abstract text is available yet for this article.
February 16, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38365309/climate-change-how-will-family-physicians-rise-to-the-challenge
#19
JOURNAL ARTICLE
Audrey Hertenstein Perez
No abstract text is available yet for this article.
February 16, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38272535/changes-in-metabolic-parameters-of-hemoglobin-a1c-weight-and-blood-pressure-during-and-after-covid-19-stay-at-home-orders
#20
JOURNAL ARTICLE
Elizabeth M Bickenbach, Caroline L Keegan, Makenzie C Brockel, Olivia G Mast, Adithya Ghantae, Andrew Y Hwang, Christina H Sherrill
BACKGROUND: Due to the COVID-19 pandemic, a "state of emergency" was declared in North Carolina on March 10, 2020. Subsequent "stay-at-home" (SAH) orders restricted activities including use of fitness facilities, and teleworking was encouraged. This study investigates metabolic effects of these changes in activity level. METHODS: This retrospective prepost study included adults diagnosed with type 2 diabetes mellitus and hypertension with hemoglobin A1c (HbA1c), weight, and blood pressure (BP) measurements for 3 time periods: 3/10/2019-9/9/2019 ("pre-SAH"), 3/10/2020-9/9/2020 ("during SAH"), and 3/10/2021-9/9/2021 ("post-SAH")...
January 25, 2024: Journal of the American Board of Family Medicine: JABFM
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