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Annals of Family Medicine

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https://www.readbyqxmd.com/read/28893828/tethered-to-the-ehr-a-physician-workload-assessment
#1
Roma P Amin, Michael E Johansen
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893827/atrial-fibrillation-guideline-summary
#2
Jennifer L Frost, Doug Campos-Outcalt, David Hoelting, Michael LeFevre, Kenneth W Lin, William Vaughan, Melanie D Bird
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893826/2017-pbrn-conference-highlights-taking-practice-transformation-to-scale-with-quality-improvement
#3
Donald E Nease, Denise Campbell-Scherer, Jill Haught
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893825/meeting-scholarly-activity-requirements-in-a-family-medicine-residency-program
#4
Steven R Brown, W Fred Miser
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893824/adfm-is-turning-40
#5
Valerie Gilchrist, Ardis Davis, Chelley Alexander, Amanda Weidner, Priscilla Noland
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893823/committee-tackles-community-preceptor-shortage
#6
Annie Rutter, Mary Theobald
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893822/american-board-of-family-medicine-elects-new-officers-and-board-members
#7
Jane Ireland
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893821/fall-prevention-empowering-people-through-online-education
#8
James Frith
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893820/providing-office-based-treatment-of-opioid-use-disorder
#9
Courtenay Gilmore Wilson, E Blake Fagan
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893819/agriculture-and-health-sectors-collaborate-in-addressing-population-health
#10
Arthur Kaufman, Jon Boren, Sonja Koukel, Francisco Ronquillo, Cindy Davies, Carolina Nkouaga
PURPOSE: Population health is of growing importance in the changing health care environment. The Cooperative Extension Service, housed in each state's land grant university, has a major impact on population health through its many community-based efforts, including the Supplemental Nutrition Assistance Program - Education (SNAP-Ed) nutrition programs, 4-H youth engagement, health and wellness education, and community development. Can the agricultural and health sectors, which usually operate in parallel, mostly unknown to each other, collaborate to address population health? We set out to provide an overview of the collaboration between the Cooperative Extension Service and the health sector in various states and describe a case study of 1 model as it developed in New Mexico...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893818/health-care-disparities-of-ohioans-with-developmental-disabilities-across-the-lifespan
#11
Jessica A Prokup, Rebecca Andridge, Susan M Havercamp, Emily A Yang
We explored health care differences across the lifespan comparing people with developmental disabilities to people without developmental disabilities. Health care disparities are inequities occurring during the provision of and in access to health care that are experienced by socially disadvantaged populations. We discovered significant disparities between persons with and without developmental disabilities in health status, quality, utilization, access, and unmet health care needs. Our results highlight the need to educate health care clinicians on the care of patients with developmental disabilities of all ages...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893817/preventable-emergency-hospital-admissions-among-adults-with-intellectual-disability-in-england
#12
Fay J Hosking, Iain M Carey, Stephen DeWilde, Tess Harris, Carole Beighton, Derek G Cook
PURPOSE: Adults with intellectual disabilities experience poorer physical health and health care quality, but there is limited information on the potential for reducing emergency hospital admissions in this population. We describe overall and preventable emergency admissions for adults with vs without intellectual disabilities in England and assess differences in primary care management before admission for 2 common ambulatory care-sensitive conditions (ACSCs). METHODS: We used electronic records to study a cohort of 16,666 adults with intellectual disabilities and 113,562 age-, sex-, and practice-matched adults without intellectual disabilities from 343 English family practices...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893816/nature-of-blame-in-patient-safety-incident-reports-mixed-methods-analysis-of-a-national-database
#13
Jennifer Cooper, Adrian Edwards, Huw Williams, Aziz Sheikh, Gareth Parry, Peter Hibbert, Amy Butlin, Liam Donaldson, Andrew Carson-Stevens
PURPOSE: A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. The extent of blame attribution in safety incident reports, which may reflect the underlying safety culture of health care systems, is unknown. This study set out to explore the nature of blame in family practice safety incident reports. METHODS: We characterized a random sample of family practice patient safety incident reports from the England and Wales National Reporting and Learning System...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893815/risk-stratification-methods-and-provision-of-care-management-services-in-comprehensive-primary-care-initiative-practices
#14
Ashok Reddy, Laura Sessums, Reshma Gupta, Janel Jin, Tim Day, Bruce Finke, Asaf Bitton
PURPOSE: Risk-stratified care management is essential to improving population health in primary care settings, but evidence is limited on the type of risk stratification method and its association with care management services. METHODS: We describe risk stratification patterns and association with care management services for primary care practices in the Comprehensive Primary Care (CPC) initiative. We undertook a qualitative approach to categorize risk stratification methods being used by CPC practices and tested whether these stratification methods were associated with delivery of care management services...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893814/physician-support-of-smoking-cessation-after-diagnosis-of-lung-bladder-or-upper-aerodigestive-tract-cancer
#15
Amanda Farley, Constantinos Koshiaris, Jason Oke, Ronan Ryan, Lisa Szatkowski, Richard Stevens, Paul Aveyard
PURPOSE: Smoking cessation after a diagnosis of lung, bladder, and upper aerodigestive tract cancer appears to improve survival, and support to quit would improve cessation. The aims of this study were to assess how often general practitioners provide active smoking cessation support for these patients and whether physician behavior is influenced by incentive payments. METHODS: Using electronic primary care records from the UK Clinical Practice Research Datalink, 12,393 patients with incident cases of cancer diagnosed between 1999 and 2013 were matched 1 to 1 to patients with incident cases of coronary heart disease (CHD) diagnosed during the same time...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893813/uninsured-primary-care-visit-disparities-under-the-affordable-care-act
#16
Heather Angier, Megan Hoopes, Miguel Marino, Nathalie Huguet, Elizabeth A Jacobs, John Heintzman, Heather Holderness, Carlyn M Hood, Jennifer E DeVoe
PURPOSE: Health insurance coverage affects a patient's ability to access optimal care, the percentage of insured patients on a clinic's panel has an impact on the clinic's ability to provide needed health care services, and there are racial and ethnic disparities in coverage in the United States. Thus, we aimed to assess changes in insurance coverage at community health center (CHC) visits after the Patient Protection and Affordable Care Act (ACA) Medicaid expansion by race and ethnicity...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893812/impact-of-scribes-on-physician-satisfaction-patient-satisfaction-and-charting-efficiency-a-randomized-controlled-trial
#17
Risha Gidwani, Cathina Nguyen, Alexis Kofoed, Catherine Carragee, Tracy Rydel, Ian Nelligan, Amelia Sattler, Megan Mahoney, Steven Lin
PURPOSE: Scribes are increasingly being used in clinical practice despite a lack of high-quality evidence regarding their effects. Our objective was to evaluate the effect of medical scribes on physician satisfaction, patient satisfaction, and charting efficiency. METHODS: We conducted a randomized controlled trial in which physicians in an academic family medicine clinic were randomized to 1 week with a scribe then 1 week without a scribe for the course of 1 year...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893811/tethered-to-the-ehr-primary-care-physician-workload-assessment-using-ehr-event-log-data-and-time-motion-observations
#18
Brian G Arndt, John W Beasley, Michelle D Watkinson, Jonathan L Temte, Wen-Jan Tuan, Christine A Sinsky, Valerie J Gilchrist
PURPOSE: Primary care physicians spend nearly 2 hours on electronic health record (EHR) tasks per hour of direct patient care. Demand for non-face-to-face care, such as communication through a patient portal and administrative tasks, is increasing and contributing to burnout. The goal of this study was to assess time allocated by primary care physicians within the EHR as indicated by EHR user-event log data, both during clinic hours (defined as 8:00 am to 6:00 pm Monday through Friday) and outside clinic hours...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893810/developing-a-clinician-friendly-tool-to-identify-useful-clinical-practice-guidelines-g-trust
#19
Allen F Shaughnessy, Akansha Vaswani, Bonnie K Andrews, Deborah R Erlich, Frank D'Amico, Joel Lexchin, Lisa Cosgrove
BACKGROUND: Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful practice guidelines, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST). METHODS: A modified Delphi process was used to obtain consensus of experts and guideline developers regarding a checklist of items and their relative impact on guideline quality...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893809/from-authority-to-evidence-based-medicine-are-clinical-practice-guidelines-moving-us-forward-or-backward
#20
EDITORIAL
Michael LeFevre
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
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