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Annals of Family Medicine

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https://www.readbyqxmd.com/read/27623606/return-for-good-this-time-to-practicing-in-the-context-of-families-and-communities
#1
EDITORIAL
Frank V deGruy, Larry A Green
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621173/informing-a-different-conversation-about-medication
#2
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621172/american-board-of-family-medicine-elects-new-officers-and-board-members
#3
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621171/proposed-macra-implementation-rule-misses-mark-aafp-tells-cms
#4
Sheri Porter
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621170/dissemination-and-implementation-research-in-primary-care-practice-based-research-networks
#5
Rowena Dolor, Lyle J Fagnan
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621169/in-pursuit-of-1-650
#6
Gretchen M Dickson, James W Jarvis, Lynn Pickeral
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621168/stepping-through-the-transition-from-department-chair
#7
Steven Zweig, Chris Matson, Mike Magill, Tom Campbell, Ardis Davis
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621167/stfm-launches-a-new-journal-focused-on-family-medicine-education-peer-reviewed-reports-in-medical-education-research-primer
#8
Christopher P Morley, Traci Nolte
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621166/hope
#9
Ruth Kannai, Aya Alon
A young woman in my care had 4 siblings diagnosed with mental illness. The story describes how, along normative family-cycle situations, she struggles to define and keep her sanity. I reflect on the shared anxiety of both the doctor and the patient of her losing her mind. As a family physician practicing in a small rural community, I believe that psychiatric, social, and family issues are also family medicine concerns.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621165/bipolar-disorder-a-daughter-s-experience
#10
Satya Rashi Khare
My father suffered from bipolar disorder. His illness placed an enormous strain on our relationship which, for the most part, was filled with turbulence. Although our family physician played an integral role in supporting my parents throughout the disease, I did not receive the same support and suffered as a consequence. In this essay, I describe my father's manic and major depressive episodes, as well as my emotions that resulted from the experience. Treating mental illness goes beyond just treating the patient but rather encompasses the family as a whole...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621164/effectiveness-of-psychological-interventions-for-postnatal-depression-in-primary-care-a-meta-analysis
#11
Sian Stephens, Elizabeth Ford, Priya Paudyal, Helen Smith
PURPOSE: Postnatal depression affects 10% to 15% of new mothers, and approximately 90% of cases are managed in primary care. Antidepressants are effective, but adherence is poor; therefore, psychological interventions must be investigated. In this systematic review, we assessed the efficacy of psychological therapies for postnatal depression in primary care. METHODS: We undertook a systematic search to identify articles published in English between 2000 and 2014 that reported studies meeting our eligibility criteria: (1) had a randomized controlled trial design; (2) assessed psychological interventions for postnatal depression against any other treatment or a wait-list control; (3) recruited patients in primary care; and (4) enrolled mothers with a diagnosed depressive episode or a score of at least 12 on the Edinburgh Postnatal Depression Scale or at least 10 on the Beck Depression Inventory at baseline who had a child younger than 12 months...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621163/family-physician-support-for-a-family-with-a-mentally-ill-member
#12
J LeBron McBride
Mentally ill family members can have a formidable impact on the families in which they reside. Family physicians can intervene in powerful ways when they are sensitive to those who are mentally ill and their families and can provide much needed compassionate support.
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621162/nifedipine-vs-placebo-for-treatment-of-chronic-chilblains-a-randomized-controlled-trial
#13
Ibo H Souwer, Jacobus H J Bor, Paul Smits, Antoine L M Lagro-Janssen
PURPOSE: Nifedipine is commonly prescribed for the treatment of chilblains (pernio, perniosis) on the basis of observational studies and a single small, older clinical trial. We aimed to confirm the proposed superiority of oral nifedipine 60 mg per day over placebo for treatment of chronic chilblains in primary care. METHODS: We performed a randomized, placebo-controlled, double-blind, crossover trial, closely following the design of the older trial. A total of 32 patients with chronic chilblains were randomly assigned to nifedipine (30 mg controlled release twice a day) or placebo...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621161/hostility-during-training-historical-roots-of-primary-care-disparagement
#14
Joanna Veazey Brooks
PURPOSE: The environment during medical school has been shown to dissuade students from choosing primary care careers. The purpose of this study was (1) to explore how long-standing this hostility toward primary care is historically and (2) to understand the mechanisms through which the environment conveys disparagement of primary care to students. METHODS: The study is based on a qualitative analysis of 52 primary care physician oral histories. The data are from the Primary Care Oral History Collection, created by Fitzhugh Mullan and deposited in the National Library of Medicine...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621160/diagnostic-accuracy-of-fecal-calprotectin-for-pediatric-inflammatory-bowel-disease-in-primary-care-a-prospective-cohort-study
#15
Gea A Holtman, Yvonne Lisman-van Leeuwen, Boudewijn J Kollen, Obbe F Norbruis, Johanna C Escher, Angelika Kindermann, Yolanda B de Rijke, Patrick F van Rheenen, Marjolein Y Berger
PURPOSE: In specialist care, fecal calprotectin (FCal) is a commonly used noninvasive diagnostic test for ruling out inflammatory bowel disease (IBD) in children with chronic gastrointestinal symptoms. The aim of this study was to evaluate the diagnostic accuracy of FCal for IBD in symptomatic children in primary care. METHODS: We studied 2 prospective cohorts of children with chronic diarrhea, recurrent abdominal pain, or both: children initially seen in primary care (primary care cohort) and children referred to specialist care (referred cohort)...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621159/primary-care-patient-experience-with-naloxone-prescription
#16
Emily Behar, Christopher Rowe, Glenn-Milo Santos, Sheigla Murphy, Phillip O Coffin
PURPOSE: Notwithstanding a paucity of data, prescription of the opioid antagonist naloxone to patients prescribed opioids is increasingly recommended in opioid stewardship guidelines. The aim of this study was to evaluate chronic pain patients' attitudes toward being offered a naloxone prescription and their experience with naloxone. METHODS: We interviewed 60 patients who received naloxone prescriptions across 6 safety-net primary care clinics (10 patients per clinic) from October 2013 to October 2015...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621158/recommending-oral-probiotics-to-reduce-winter-antibiotic-prescriptions-in-people-with-asthma-a-pragmatic-randomized-controlled-trial
#17
Timothy D H Smith, Hilary Watt, Laura Gunn, Josip Car, Robert J Boyle
PURPOSE: Evidence from studies mainly in children has shown that orally administered probiotics may prevent respiratory tract infections and associated antibiotic use. We evaluated whether advice to take daily probiotics can reduce antibiotic prescribing for winter respiratory tract infections in people with asthma. METHODS: We conducted a randomized controlled, parallel-group pragmatic study for participants aged 5 years and older with asthma in a UK primary care setting...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621157/discordance-between-drug-adherence-as-reported-by-patients-and-drug-importance-as-assessed-by-physicians
#18
Stéphanie Sidorkiewicz, Viet-Thi Tran, Cécile Cousyn, Elodie Perrodeau, Philippe Ravaud
PURPOSE: Among patients on long-term medical therapy, we compared (1) patient and physician assessments of drug adherence and of drug importance and (2) drug adherence reported by patients with drug importance as assessed by their physicians. METHODS: We recruited to the study patients receiving at least 1 long-term drug treatment from both hospital and ambulatory settings in France. We compared drug adherence reported by patients and drug importance assessed by physicians using Spearman correlation coefficients...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621156/effects-of-new-funding-models-for-patient-centered-medical-homes-on-primary-care-practice-finances-and-services-results-of-a-microsimulation-model
#19
Sanjay Basu, Russell S Phillips, Zirui Song, Bruce E Landon, Asaf Bitton
PURPOSE: We assess the financial implications for primary care practices of participating in patient-centered medical home (PCMH) funding initiatives. METHODS: We estimated practices' changes in net revenue under 3 PCMH funding initiatives: increased fee-for-service (FFS) payments, traditional FFS with additional per-member-per-month (PMPM) payments, or traditional FFS with PMPM and pay-for-performance (P4P) payments. Net revenue estimates were based on a validated microsimulation model utilizing national practice surveys...
September 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27621155/time-to-do-the-right-thing-end-fee-for-service-for-primary-care
#20
EDITORIAL
Michael K Magill
No abstract text is available yet for this article.
September 2016: Annals of Family Medicine
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