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Annals of Family Medicine

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https://www.readbyqxmd.com/read/30420383/legacy-drug-prescribing-patterns-in-primary-care-a-cohort-study
#1
Paula P Amin, Michael E Johansen
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420382/pisacano-leadership-foundation-names-2018-pisacano-scholars
#2
Jane Ireland
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420381/aafp-adds-5-new-choosing-wisely-recommendations
#3
Chris Crawford
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420380/napcrg-annual-meeting-distinguished-papers
#4
Jill Haught
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420379/advocacy-in-family-medicine-family-medicine-advocacy-summit
#5
Steven R Brown, Tuhin K Roy, Wendy B Barr
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420378/alternative-payment-models-in-departments-of-family-medicine-our-journey-toward-the-quadruple-aim
#6
George D Harris, Michael Jeremiah, Ardis Davis, Grant Greenberg, Amanda K H Weidner
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420377/stfm-begins-update-of-its-strategic-plan
#7
Traci Nolte
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420376/a-health-systems-genogram-for-improving-hospital-transitions-to-primary-care
#8
Max Zubatsky, Jay Brieler
No abstract text is available yet for this article.
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420375/the-gift-of-empanelment-in-a-clinic-first-residency
#9
Kumara Raja Sundar
Empanelment in a "clinic first" residency has helped me develop competency in medicine and understand the value of primary care. Taking care of a panel of patients longitudinally aligns with education research on how we best learn; we learn best when learning sessions are longitudinal, spaced in time and interleaved with diverse topics. By caring for patients longitudinally, I have developed competency and proficiency in providing comprehensive care to my patients. Empanelment has also allowed me, as a resident, to build relationships with my patients and realize the value of primary care...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420374/communicating-with-patients-who-have-nonbinary-gender-identities
#10
Hilary Goldhammer, Sula Malina, Alex S Keuroghlian
The increasing visibility of transgender people and others who do not conform to traditional gender norms challenges us to think about gender in new ways, and to use new terminology when communicating with patients. People who describe themselves as nonbinary have a gender identity that is not exclusively girl/woman or boy/man. A small but growing body of research indicates they experience high levels of societal victimization and discrimination, and are misunderstood by health care clinicians. Using language that is inclusive of all gender identities can reduce these burdens and barriers...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420373/primary-care-clinicians-willingness-to-care-for-transgender-patients
#11
Deirdre A Shires, Daphna Stroumsa, Kim D Jaffee, Michael R Woodford
Transgender patients report negative experiences in health care settings, but little is known about clinicians' willingness to see transgender patients. We surveyed 308 primary care clinicians in an integrated Midwest health system and 53% responded. Most respondents were willing to provide routine care to transgender patients (85.7%) and Papanicolaou (Pap) tests (78.6%) to transgender men. Willingness to provide routine care decreased with age; willingness to provide Pap tests was higher among family physicians, those who had met a transgender person, and those with lower transphobia...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420372/clinical-interpretation-of-peripheral-pulse-oximeters-labeled-not-for-medical-use
#12
Arlene J Hudson, John Benjamin, Timothy Jardeleza, Curt Bergstrom, William Cronin, Mario Mendoza, Lex Schultheis
The purpose of our study was to clarify limitations of off-label use for low cost nonmedical use (NMU) pulse oximeters by primary care providers. These devices are widely marketed over the Internet and in drugstores but are not intended for medical use or reviewed by the Food and Drug Administration (FDA). Our study compared oxygen saturation (SpO2 ) in patients from 1 medical use (MU) pulse oximeter to 8 NMU pulse oximeters. Measured arterial oxygenation (SaO2 ) was compared with SpO2 when available. In patients who were normoxic (SpO2 ≥90%), all oximeters exhibited similar readings...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420371/access-to-primary-care-for-persons-recently-released-from-prison
#13
Nahla Fahmy, Fiona G Kouyoumdjian, Jonathan Berkowitz, Sharif Fahmy, Carlos Magno Neves, Stephen W Hwang, Ruth Elwood Martin
We aimed to determine if a history of recent imprisonment affects access to primary care. Using patient roles, we telephoned to request an initial appointment with all family physicians (n = 339) who were accepting new patients in British Columbia, Canada. We sequentially assigned patient scenarios: male or female recently released from prison; male or female control. Controls were 1.98 (95% CI, 1.59-2.46) times as likely to be offered an appointment compared with persons recently released from prison, with an absolute risk difference of 41...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420370/panel-size-clinician-time-in-clinic-and-access-to-appointments
#14
David Margolius, Douglas Gunzler, Michael Hopkins, Kathryn Teng
Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent association between panel size and days until third next available appointment, but larger panel size adjusted for clinician time in clinic was associated with worse access. Less clinician time in clinic was independently associated with longer backlogs for appointments...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420369/factors-associated-with-loss-of-usual-source-of-care-among-older-adults
#15
Stephanie K Nothelle, Cynthia Boyd, Orla Sheehan, Jennifer L Wolff
PURPOSE: Access to a usual source of care (USC) is associated with better preventive health and chronic disease treatment. Although most older adults have a USC, loss of USC, and factors associated with loss of USC, have not previously been examined. METHODS: We followed 7,609 participants of the National Health and Aging Trends Study annually for up to 6 years (2011-2016). Discrete time-to-event techniques and pooled logistic regression were used to identify demographic, clinical, and social factors associated with loss of USC...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420368/older-adults-preferences-for-discussing-long-term-life-expectancy-results-from-a-national-survey
#16
Nancy L Schoenborn, Ellen M Janssen, Cynthia Boyd, John F P Bridges, Antonio C Wolff, Qian-Li Xue, Craig E Pollack
PURPOSE: Clinical practice guidelines recommend incorporating long-term life expectancy to inform a number of decisions in primary care. We aimed to examine older adults' preferences for discussing life expectancy in a national sample. METHODS: We invited 1,272 older adults (aged 65 or older) from a national, probability-based online panel to participate in 2016. We presented a hypothetical patient with limited life expectancy who was not imminently dying. We asked participants if they were that patient, whether they would like to talk with the doctor about how long they may live, whether it was acceptable for the doctor to offer this discussion, whether they want the doctor to discuss life expectancy with family or friends, and when it should be discussed...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420367/clinic-based-patellar-mobilization-therapy-for-knee-osteoarthritis-a-randomized-clinical-trial
#17
Regina Wing Shan Sit, Keith Kwok Wai Chan, Dan Zou, Dicken Cheong Chun Chan, Benjamin Hon Kei Yip, Daisy Dexing Zhang, Ying Ho Chan, Vincent Chi Ho Chung, Kenneth Dean Reeves, Samuel Yeung Shan Wong
PURPOSE: We performed a phase 2 randomized clinical trial to evaluate the preliminary effectiveness of a clinic-based patellar mobilization therapy (PMT) in patients with knee osteoarthritis. METHODS: We recruited 208 patients with knee osteoarthritis at primary care clinics in Hong Kong. Patients were randomly assigned (1:1) to the intervention group or the control group. The intervention group received 3 PMT treatment sessions from primary care physicians at 2-month intervals, with concomitant prescription of a home-based vastus medialis oblique muscle exercise...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420366/legacy-drug-prescribing-patterns-in-primary-care
#18
Dee Mangin, Jennifer Lawson, Jessica Cuppage, Elizabeth Shaw, Katalin Ivanyi, Amie Davis, Cathy Risdon
PURPOSE: Polypharmacy is a key clinical challenge for primary care. Drugs that should be prescribed for an intermediate term (longer than 3 months, but not indefinitely) that are not appropriately discontinued could contribute to polypharmacy. We named this type of prescribing legacy prescribing . Commonly prescribed drugs with legacy prescribing potential include antidepressants, bisphosphonates, and proton pump inhibitors (PPIs). We evaluated the proportion of legacy prescribing within these drug classes...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420365/prenatal-point-of-care-tobacco-screening-and-clinical-relationships
#19
Aisha A Bobb-Semple, Alexandria F Williams, Martha E Boggs, Katherine J Gold
PURPOSE: Up to one-third of female smokers with Medicaid deny tobacco use during pregnancy. Point-of-care urine tests for cotinine, a tobacco metabolite, can help to identify women who may benefit from cessation counseling. We sought to evaluate patient and clinician perspectives about using such tests during prenatal care to identify smokers, with particular focus on the impact of testing on clinical relationships and the potential for tobacco cessation. METHODS: We conducted 19 individual interviews and 4 focus groups with 40 pregnant or postpartum women covered by Medicaid who smoked before or during pregnancy...
November 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/30420364/from-good-to-great-the-role-of-performance-coaching-in-enhancing-tobacco-dependence-treatment-rates
#20
Sophia Papadakis, Adam G Cole, Robert D Reid, Roxane Assi, Marie Gharib, Heather E Tulloch, Kerri-Anne Mullen, George Wells, Andrew L Pipe
PURPOSE: The purpose of this study was to examine the incremental effect of performance coaching, delivered as part of a multicomponent intervention (Ottawa Model for Smoking Cessation [OMSC]), in increasing rates of tobacco-dependence treatment by primary care clinicians. METHODS: In a cluster-randomized controlled trial, 15 primary care practices were randomly assigned to 1 of the following active-treatment conditions: OMSC or OMSC plus performance coaching (OMSC+)...
November 2018: Annals of Family Medicine
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