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Journals Journal of the American Board ...

Journal of the American Board of Family Medicine : JABFM

https://read.qxmd.com/read/38365312/how-physicians-should-respond-to-climate-change
#21
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
#22
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
#23
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
#24
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
#25
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
https://read.qxmd.com/read/38272534/family-medicine-team-perspectives-on-screening-for-health-related-social-needs
#26
JOURNAL ARTICLE
Laura Porterfield, Quratulanne H Jan, Forrest Jones, Tran Cao, Lacy Davis, Shannon Guillot-Wright, Christen M Walcher
INTRODUCTION: Social drivers of health (SDH) strongly influence health outcomes and disparities. Although systemic level change is vital to address the disparities driven by SDH, it is also crucial that health care organizations develop the ability to care for patients in a manner that accounts for social factors and their influence on patient health. Although primary care is a natural fit for health-related social needs (HRSN) screening and intervention, significant barriers can impede primary care's effectiveness in this area...
January 25, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38182424/integrated-behavioral-health-adaptations-during-the-covid-19-pandemic
#27
JOURNAL ARTICLE
Melissa K Filippi, Andrea Nederveld, Mark D Williams, Elise Robertson, Chyke Doubeni, Jeanette A Waxmonsky, Christina M Hester
INTRODUCTION: COVID-19 pandemic lockdowns threatened standard components of integrated behavioral health (IBH) such as in-person communication across care teams, screening, and assessment. Restrictions also exacerbated pre-existing challenges to behavioral health (BH) access. METHODS: Semistructured interviews were completed with clinicians from family medicine residency programs on the impact of the pandemic on IBH care delivery along with adaptations employed by care teams to ameliorate disruption...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38182423/a-cluster-analysis-of-initial-primary-care-orders-for-patients-with-acute-low-back-pain
#28
JOURNAL ARTICLE
Christopher T Joyce, Eric J Roseen, Clair N Smith, Charity G Patterson, Christine M McDonough, Emily Hurstak, Natalia E Morone, Jason Beneciuk, Joel M Stevans, Anthony Delitto, Robert B Saper
PURPOSE: Primary care physicians (PCPs) often face a complex intersection of patient expectations, evidence, and policy that influences their care recommendations for acute low back pain (aLBP). The purpose of this study was to elucidate patterns of PCP orders for patients with aLBP, identify the most common patterns, and describe patient clinical and demographic characteristics associated with patterns of aLBP care. METHODS: This prospective cohort study included 9574 aLBP patients presenting to 1 of 77 primary care practices in 4 geographic locations in the United States...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38182422/association-of-early-childhood-wheeze-and-asthma-diagnosis-documentation-by-race-ethnicity-and-language-in-children
#29
JOURNAL ARTICLE
Jennifer A Lucas, Miguel Marino, Michelle Trivedi, Roopradha Datta, David Ezekiel-Herrera, Steffani R Bailey, Sophia Giebultowicz, John Heintzman
OBJECTIVE: To determine whether electronic health record (EHR) documentation of certain early childhood risk factors for asthma, such as wheeze differ by race, ethnicity, and language group, and whether these children have different subsequent asthma prevalences. METHODS: We used EHR data from the Accelerating Data Value Across a National Community Health Center (ADVANCE) Clinical Research Network from children receiving care in US community health centers (n = 71,259 children) across 21 states to examine the presence of ICD-coded documentation of early childhood wheeze and its association with subsequent asthma diagnosis documentation in the EHR by race/ethnicity/language...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38182421/lingering-impact-of-covid-19-preventive-care-considerations-and-us-health-system-challenges
#30
REVIEW
Marjorie A Bowman, Dean A Seehusen, Christy J W Ledford
This issue includes articles on the lingering impact of COVID-19, often negative but occasionally positive, on patients, treatment, practices, and health care personnel. Other articles inform on prevention, such as awareness of lung cancer screening among women undergoing screening mammography; failures on sports preparticipation physicals; advance care planning as prevention; and screening for social risk factors. Another article reports on patient experiences of legal recreational cannabis in Washington State...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38171583/advanced-practice-providers-in-departments-of-family-medicine-status-supervision-and-services
#31
JOURNAL ARTICLE
Maribeth Williams, Stephen M Carek, Arch G Mainous, John Malaty, Jihane Naous, Peter J Carek
BACKGROUND: Nurse practitioners (NP), physician assistants (PA), and other advanced practice providers (APP) are one solution to meet health care workforce shortage. Our study examined clinical workforce decisions and perceptions of APPs and family physicians (FPs) from the perspective of a national survey chairs of Departments of Family Medicine. METHODS: A survey was developed and distributed to family medicine department chairs as identified by the Association of Departments of Family Medicine (ADFM)...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38171580/physician-level-continuity-of-care-and-patient-outcomes-in-all-payer-claims-database
#32
JOURNAL ARTICLE
Mingliang Dai, Zachary J Morgan, Kyle Russel, Beth A Bortz, Lars E Peterson, Andrew W Bazemore
INTRODUCTION: Being one of the few existing measures of primary care functions, physician-level continuity of care (Phy-CoC) is measured by the weighted average of patient continuity scores. Compared with the well-researched patient-level continuity, Phy-CoC is a new instrument with limited evidence from Medicare beneficiaries. This study aimed to expand the patient sample to include patients of all ages and all types of insurance and reassess the associations between full panel-based Phy-CoC scores and patient outcomes...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38171579/pharmacy-benefit-managers-in-the-eye-of-the-storm-growing-multipartite-scrutiny
#33
JOURNAL ARTICLE
Eli Y Adashi, Daniel P O'Mahony, David S Guzick
The high cost of prescription drugs in the U.S. remains an ongoing national challenge. A recurring focal point in discussions over this distressing steady state is the role(s) played by Pharmacy Benefit Managers (PBMs) who negotiate drug prices with pharmaceutical manufacturers, conduct drug utilization reviews, engage in disease management, and see to formulary creation. At their inception, the multiple newly established PBMs were arguably intent on constraining the rise of prescription drug prices. At the time of this writing, however, the lion share of a far less competitive PBM market is controlled by CVS Caremark, Express Scripts, and OptumRx...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38092437/primary-care-providers-experiences-implementing-low-dose-computed-tomography-recommendations-for-lung-cancer-screening
#34
JOURNAL ARTICLE
Sara E Golden, Jessica J Currier, NithyaPriya Ramalingam, Mary Patzel, Jackilen Shannon, Melinda M Davis, Christopher G Slatore
PURPOSE: Describe primary care providers' (PCPs) barriers and facilitators to implementation of lung cancer screening programs in rural settings. METHODS: We conducted qualitative interviews with PCPs practicing in rural Oregon from November 2019 to September 2020. The interview questions and analytic framework were informed by the 2009 Consolidated Framework for Implementation Research. We used inductive and deductive approaches for analysis. RESULTS: We interviewed 15 key participants from 12 distinct health care systems...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38092433/increased-organizational-stress-in-primary-care-understanding-the-impact-of-the-covid-19-pandemic-medicaid-expansion-and-practice-ownership
#35
JOURNAL ARTICLE
Jacqueline B Britz, Alison N Huffstetler, E Marshall Brooks, Alicia Richards, Roy T Sabo, Ben K Webel, Neil McCray, Alex H Krist
BACKGROUND: Primary care is the foundation of health care, resulting in longer lives and improved equity. Primary care was the frontline of the COVID-19 pandemic public response and essential for access to care. Yet primary care faces substantial structural and systemic challenges. As part of a longitudinal analysis to track the capacity and health of primary care, we surveyed every primary care practice in Virginia in 2018 and again in 2022. METHODS: Surveys were emailed or mailed up to 6 times and nonresponders received a phone call...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38012012/re-an-estimate-of-severe-harms-due-to-screening-colonoscopy-a-systematic-review
#36
LETTER
Andrew W Swartz, Kade Klippenstein, Drake Lavender
No abstract text is available yet for this article.
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/37857441/why-do-physicians-depart-their-practice-a-qualitative-study-of-attrition-in-a-multispecialty-ambulatory-practice-network
#37
JOURNAL ARTICLE
Ryan O'Connell, Fatima Hosain, Leah Colucci, Bidisha Nath, Edward R Melnick
BACKGROUND: Physician departure causes considerable disruption for patients, colleagues, and staff. The cost of finding a new physician to replace the loss coupled with lost productivity as they build their practice can cost as much as $1 million per departure. Therefore, we sought to characterize drivers of departure from practice with the goal of informing retention efforts (with a special emphasis on the connection between electronic health record (EHR)-related stress and physician departure)...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/37704392/perinatal-depression-a-guide-to-detection-and-management-in-primary-care
#38
REVIEW
Manish H Dama, Ryan J Van Lieshout
INTRODUCTION: Existing guidelines for primary care clinicians (PCCs) on the detection and management of perinatal depression (PD) contain important gaps. This review aims to provide PCCs with a summary of clinically relevant evidence in the field. METHODS: A narrative literature review was conducted by searching PubMed and PsycINFO for articles published between 2010 to 2023. Guidelines, systematic reviews, clinical trials, and/or observational studies were all examined...
January 5, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38171584/re-integrating-a-systematic-comprehensive-e-cigarette-and-vaping-assessment-tool-into-the-electronic-health-record
#39
JOURNAL ARTICLE
Alan Blum, Edward Anselm
No abstract text is available yet for this article.
January 3, 2024: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/38171582/effects-of-academic-detailing-panel-management-and-mailed-multi-target-stool-dna-testing-on-colorectal-cancer-screening
#40
JOURNAL ARTICLE
Arturas Klugas, Sara Elsayed, Michael Rodriguez, Shourya Verma, Andre' Bateman, Matthew Stack
INTRODUCTION: Academic detailing, patient-panel management, and mailed, stool-based testing have each been utilized to increase colorectal cancer (CRC) screening in rural clinics. The effectiveness of combining these interventions to increase CRC screening during COVID-19 restrictions was unclear. METHODS: We explored the effects of a multi-component intervention including academic detailing, active patient panel management, and mailed MT-sDNA testing on colorectal cancer screening in our rural family medicine clinic...
January 3, 2024: Journal of the American Board of Family Medicine: JABFM
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