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Annals of Family Medicine

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https://www.readbyqxmd.com/read/29760042/case-management-for-frequent-users-of-medical-care
#1
Emily C Giesler, Michael E Johansen
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760041/stfm-and-abfm-pilot-precepting-performance-improvement-program
#2
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760040/a-message-from-the-president
#3
James C Puffer
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760039/quick-approval-requested-for-aafp-s-new-payment-model
#4
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760038/first-international-conference-on-practice-facilitation-a-success
#5
Melinda M Davis, Zsolt Nagykaldi, Paula Darby Lipman, Jill Haught
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760037/measuring-and-improving-continuity-in-residency-primary-care-practice
#6
Steven R Brown, Gretchen Irwin
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760036/where-we-ve-been-where-we-want-to-go-adfm-s-40th-birthday-meeting
#7
Amanda Weidner, Chelley Alexander, Kevin Grumbach, Valerie Gilchrist, Ardis Davis, Priscilla Noland
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760035/the-patient-profile-improving-treatment-adherence
#8
Caitlin Barba, Stacey Hammond, R Scott Hammond
No abstract text is available yet for this article.
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760034/physician-burnout-resilience-training-is-only-part-of-the-solution
#9
Alan J Card
Physicians and physician trainees are among the highest-risk groups for burnout and suicide, and those in primary care are among the hardest hit. Many health systems have turned to resilience training as a solution, but there is an ongoing debate about whether that is the right approach. This article distinguishes between unavoidable occupational suffering (inherent in the physician's role) and avoidable occupational suffering (systems failures that can be prevented). Resilience training may be helpful in addressing unavoidable suffering, but it is the wrong treatment for the organizational pathologies that lead to avoidable suffering- and may even compound the harm doctors experience...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760033/the-mid-career-demon
#10
Timothy P Daaleman
For several months I have been trying to tag a greyness that has shaded my doctoring. I was not burned out but uncovered the desert experience of mind and soul known as acedia, which is called the noonday demon because it vexes those in the mid-stages of life. Grappling with the noonday demon has upended all of my assumptions about the workings of hope in the practice of medicine. For me, hope is no longer the anticipation of a positive outcome, or the warm feeling associated with the validation of a correct diagnosis, or the conclusion of successful treatment...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760032/white-privilege-in-a-white-coat-how-racism-shaped-my-medical-education
#11
Max J Romano
In this essay, I reflect on some of the ways racial privilege influenced my experience as a white physician in training. While white Americans often think of "racism" as a social construct primarily affecting people of color, "racism" is a system of both racial disadvantage as well as reciprocal racial advantage. Medical professionals are increasingly aware of how social determinants of health lead to important health disparities, however white physicians seldom ask how their own racial privilege reinforces a white supremacist culture and what effects this may have on our patients' health...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760031/creating-a-centralized-infrastructure-to-facilitate-medical-education-research
#12
Dean A Seehusen, Arch G Mainous, Alexander W Chessman
PURPOSE: Building research capacity and increasing scholarly productivity are identified needs of the specialty of family medicine. The Accreditation Council for Graduate Medical Education (ACGME) has increased the scholarly requirements for residency programs, placing even more pressure on faculty to be productive in the scholarly realm. The Council of Academic Family Medicine Educational Research Alliance (CERA) was created by volunteer members of the specialty with shared interests in overcoming barriers and increasing scholarly production...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760030/nurse-practitioner-physician-comanagement-a-theoretical-model-to-alleviate-primary-care-strain
#13
Allison A Norful, Krystyna de Jacq, Richard Carlino, Lusine Poghosyan
PURPOSE: Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physicians and specialists. Because nurse practitioners are increasingly managing patient care as independent clinicians, our study objective was to propose a model of nurse practitioner-physician comanagement...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760029/free-children-s-visits-and-general-practice-attendance
#14
Michael Edmund O'Callaghan, Lina Zgaga, Darach O'Ciardha, Thomas O'Dowd
PURPOSE: In July 2015, all children aged younger than 6 years gained free access to daytime and out-of-hours general practice services in the Republic of Ireland. Although 30% previously had free access, 70% did not. METHODS: To examine subsequent changes in service use, we retrospectively analyzed anonymized visitation data from 8 general practices in North Dublin providing daytime service and their local out-of-hours service, comparing the 1 year before and the 1 year after introduction of free care...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760028/roles-and-functions-of-community-health-workers-in-primary-care
#15
Andrea L Hartzler, Leah Tuzzio, Clarissa Hsu, Edward H Wagner
Community health workers have potential to enhance primary care access and quality, but remain underutilized. To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis. Analysis of 30 studies identified 12 functions (ie, care coordination, health coaching, social support, health assessment, resource linking, case management, medication management, remote care, follow-up, administration, health education, and literacy support) and 3 prominent roles representing clusters of functions: clinical services, community resource connections, and health education and coaching...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760027/case-management-in-primary-care-for-frequent-users-of-health-care-services-a-mixed-methods-study
#16
Catherine Hudon, Maud-Christine Chouinard, Marie-France Dubois, Pasquale Roberge, Christine Loignon, Éric Tchouaket, Mireille Lambert, Émilie Hudon, Fatoumata Diadiou, Danielle Bouliane
PURPOSE: This study aimed to evaluate the effects of the V1SAGES case management intervention (Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support) for frequent users of health care services with chronic disease and complex care needs on psychological distress and patient activation. METHODS: We used a 2-phase sequential mixed methods design. The first phase was a pragmatic randomized controlled trial with intention-to-treat analysis that measured the effects of the intervention compared with usual care on psychological distress and patient activation before and after 6 months...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760026/care-transitions-from-patient-and-caregiver-perspectives
#17
Suzanne E Mitchell, Vivian Laurens, Gabriela M Weigel, Karen B Hirschman, Allison M Scott, Huong Q Nguyen, Jessica Martin Howard, Lance Laird, Carol Levine, Terry C Davis, Brianna Gass, Elizabeth Shaid, Jing Li, Mark V Williams, Brian W Jack
PURPOSE: Despite concerted actions to streamline care transitions, the journey from hospital to home remains hazardous for patients and caregivers. Remarkably little is known about the patient and caregiver experience during care transitions, the services they need, or the outcomes they value. The aims of this study were to (1) describe patient and caregiver experiences during care transitions and (2) characterize patient and caregiver desired outcomes of care transitions and the health services associated with them...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760025/association-of-the-social-determinants-of-health-with-quality-of-primary-care
#18
Alan Katz, Dan Chateau, Jennifer E Enns, Jeff Valdivia, Carole Taylor, Randy Walld, Scott McCulloch
PURPOSE: In primary care, there is increasing recognition of the difficulty of treating patients' immediate health concerns when their overall well-being is shaped by underlying social determinants of health. We assessed the association of social complexity factors with the quality of care patients received in primary care settings. METHODS: Eleven social complexity factors were defined using administrative data on poverty, mental health, newcomer status, and justice system involvement from the Manitoba Population Research Data Repository...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760024/an-updated-analysis-of-direct-to-consumer-television-advertisements-for-prescription-drugs
#19
Janelle Applequist, Jennifer Gerard Ball
PURPOSE: In 2015, the American Medical Association called for a ban of direct-to-consumer advertising (DTCA) for prescription drugs. Yet, the pharmaceutical industry spends more than ever on broadcast advertisements, with national health care costs largely driven by drug spending. An evaluation of these ads is critical, as these advertisements can impact the frequency which patients ask their doctors about medications. METHODS: A content analysis of prime-time direct-to-consumer ads was conducted across 4 major cable television networks...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29760023/improving-prediction-of-dementia-in-primary-care
#20
Susan Jongstra, Willem A van Gool, Eric P Moll van Charante, Jan-Willem van Dalen, Lisa S M Eurelings, Edo Richard, Suzanne A Ligthart
PURPOSE: The Mini-Mental State Examination (MMSE) is one of the most widely used instruments to screen for cognitive deficits; however, this instrument alone is not sensitive enough to detect early symptoms of dementia. We aimed to investigate whether additionally using the Visual Association Test (VAT) improves the predictive value of the MMSE score for development of dementia. METHODS: Analyses were based on data from 2,690 primary care patients aged 70 to 78 years who participated in the Prevention of Dementia by Intensive Vascular Care (preDIVA) trial...
May 2018: Annals of Family Medicine
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