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Journal of Primary Care & Community Health

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https://www.readbyqxmd.com/read/28166701/aligning-yoga-with-its-evolving-role-in-health-care
#1
Avinash R Patwardhan
Evidence is accumulating that suggests that yoga has beneficial effects in mitigating the impact of certain diseases. As a result, efforts are being made to medicalize yoga and use it within integrative medicine as a therapy. However, there are substantial shortcomings in the practice, policy, and research of yoga that undermine its optimal use. Yoga as a modality functions within a context. Therefore, it is important to occasionally step back and examine the entirety of the context from a high vantage to assess whether the tactical and programmatic endeavors are aligned with the strategic intended purpose...
February 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28142356/iowa-dependent-adult-abuse-prosecutions-from-2006-through-2015
#2
Jeanette M Daly, Yinghui Xu, Gerald J Jogerst
BACKGROUND: In most states, health care providers are required to report abuse. Some states provide investigation feedback/findings to the reporter. The reporters rarely know if the perpetrator is convicted. The purposes of this study are to determine the incidence of Iowa dependent adult abuse prosecutions from 2006 through 2015, the incidence of convictions, and the association between dependent adult abuse prosecutions with county census and government characteristics. DESIGN AND METHODS: Through the Iowa Court Information Systems, dependent adult abuse prosecution data were purchased for a 10-year time period...
January 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28142316/what-factors-are-associated-with-medicaid-patients-use-of-health-centers
#3
Yihe N Gao, Robert S Nocon, Ravi Sharma, Elbert S Huang
OBJECTIVE: To identify patient and neighborhood factors associated with health center (HC) use. METHODS: A cross-sectional study of Medicaid fee-for-service claims in 2009 comparing HC users and nonusers. RESULTS: Dually eligible patients (odds ratio [OR] 95% CI = [0.60, 0.61]) and those with high chronic disease burden (OR 95% CI = [0.73, 0.74]) had lower odds of HC use. Temporary Assistance for Needy Families participants (OR 95% CI = [1...
January 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28093017/the-bone-health-team
#4
Phillip T Lawrence, Marissa P Grotzke, Yanina Rosenblum, Richard E Nelson, Joanne LaFleur, Karla L Miller, Junjie Ma, Grant W Cannon
BACKGROUND: Significant improvements in secondary prevention of osteoporotic fractures have been noted with fracture liaison services. However, similar models for the primary prevention of such fractures have not been reported. OBJECTIVE: To determine the impact of a Bone Health Team (BHT) on osteoporosis screening and treatment rates in U.S. veterans in primary care practices. DESIGN: Historical cohort study of a primary care-based intervention of a BHT from February 2013 to February 2015...
January 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28068854/breast-cancer-care-in-california-and-ontario-primary-care-protections-greatest-among-the-most-socioeconomically-vulnerable-women-living-in-the-most-underserved-places
#5
Kevin M Gorey, Caroline Hamm, Isaac N Luginaah, Guangyong Zou, Eric J Holowaty
BACKGROUND: Better health care among Canada's socioeconomically vulnerable versus America's has not been fully explained. We examined the effects of poverty, health insurance and the supply of primary care physicians on breast cancer care. METHODS: We analyzed breast cancer data in Ontario (n = 950) and California (n = 6300) between 1996 and 2000 and followed until 2014. We obtained socioeconomic data from censuses, oversampling the poor. We obtained data on the supply of physicians, primary care and specialists...
January 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27879455/diagnostic-care-pathways-in-dementia
#6
Christine E Wells, Sarah J Smith
OBJECTIVES: Increasing diagnostic rates of dementia is a national health priority; to meet this priority, improvement needs to be made to diagnostic services. It has been increasingly recognized that primary can play a significant role in the diagnostic journey for people with dementia, with some diagnostic services entirely located in primary care. This article reviews the extent of the involvement of primary care in diagnostic care pathways for people presenting with memory complaints within England, and presents examples of innovative approaches, which may be of interest to practitioners...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27856559/predicting-women-s-utilization-of-primary-care-mental-health-services-in-mexico-city
#7
Karla Mendoza, Arianna Ulloa, Nayelhi Saavedra, Jorge Galván, Shoshana Berenzon
OBJECTIVE: To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization. METHOD: We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27838621/evaluation-of-pcmh-model-adoption-on-teamwork-and-impact-on-patient-access-and-safety
#8
Niharika Khanna, Fadia T Shaya, Priyanka Gaitonde, Andrea Abiamiri, Ben Steffen, David Sharp
PURPOSE: Each of the participating patient-centered medical home (PCMH) received coaching and participated in learning collaborative for improving teamwork. The objective of the study was to assess the impact of trainings on patient-centered teamwork. METHODS: The Teamwork Perception Questionnaire (TPQ) was administered once in spring 2014 and then in fall 2015. The TPQ consists of 35 questions across 5 domains: mutual support, situation monitoring, communication, team structure, and leadership...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27799414/neighborhood-conditions-and-psychosocial-outcomes-among-middle-aged-african-americans
#9
Maya Tabet, Erin A Sanders, Mario Schootman, Jen Jen Chang, Fredric D Wolinsky, Theodore K Malmstrom, Douglas K Miller
OBJECTIVE: We examined associations between observed neighborhood conditions (good/adverse) and psychosocial outcomes (stress, depressive symptoms, resilience, and sense of control) among middle-aged and older African Americans. METHODS: The sample included 455 middle-aged and older African Americans examined in Wave 10 of the African American Health (AAH) study. Linear regression was adjusted for attrition, self-selection into neighborhoods, and potential confounders, and stratified by the duration at current address (<5 vs ≥5 years) because of its hypothesized role as an effect modifier...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27799413/factors-related-to-physical-activity-among-the-elderly-population-in-rural-thailand
#10
Plernta Ethisan, Ratana Somrongthong, Jamil Ahmed, Ramesh Kumar, Robert S Chapman
Physical activity in later years of life is not only essential to healthy aging and independent functioning, but it also helps prevent chronic diseases. We aimed this cross-sectional study to assess the prevalence of physical activity and associated factors among rural elderly Thais. We conducted this study on a sample of 300 elderly in 2 rural districts of Phranakornsiayutthaya province in Thailand. The mean age of participants were 67.5±6 years and 42% of them did not perform physical activity. Prevalence of vigorous and moderate intensity physical activity was 43...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27799412/the-effect-of-california-s-breast-density-notification-legislation-on-breast-cancer-screening
#11
Stephanie Lynn Chau, Amy Alabaster, Karin Luikart, Leslie Manace Brenman, Laurel A Habel
PURPOSE: Half of US states mandate women be notified if they have dense breasts on their mammogram, yet guidelines and data on supplemental screening modalities are limited. Breast density (BD) refers to the extent that breast tissue appears radiographically dense on mammograms. High BD reduces the sensitivity of screening mammography and increases breast cancer risk. The aim of this study was to determine the potential impact of California's 2013 BD notification legislation on breast cancer screening patterns...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27678243/racial-ethnic-differences-in-the-use-of-complementary-and-alternative-medicine-in-us-adults-with-moderate-mental-distress
#12
Taeho Greg Rhee, Roni L Evans, Donna D McAlpine, Pamela Jo Johnson
OBJECTIVES: To examine the prevalence of complementary and alternative medicine (CAM) use by race/ethnicity and to identify sociodemographic and health-related factors associated with CAM use among US adults with moderate mental distress (MMD). METHODS: We analyzed data from the 2012 National Health Interview Survey (NHIS). We used data for 6016 noninstitutionalized US adults with MMD (3492 non-Hispanic whites, 953 non-Hispanic blacks, 1078 Hispanics, 268 Asians, and 225 others consisted of American Indian, Alaska Native, and those reporting multiple races)...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27659962/-same-room-safe-place
#13
Nikki Keene Woods
There are many different professional stances on safe sleep and then there is the reality of caring for a newborn. There is a debate among professionals regarding safe sleep recommendations. The continum of recommendations vary from the American Academy of Pediatrics (AAP) Safe Sleep Guidelines to the bed-sharing recommendations from the Mother-Baby Behavioral Sleep Laboratory. The lack of consistent and uniform safe sleep recommendations from health professionals has been confusing for families but has more recently raised a real professional ethical dilemma...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27650036/electronic-cigarette-toxicity
#14
J Drew Payne, David Michaels, Menfil Orellana-Barrios, Kenneth Nugent
Electronic cigarettes (e-cigarettes) are often advertised as a healthier product when compared with traditional cigarettes. Currently, there are limited data to support this and only a threat of federal regulation from the US Food and Drug Administration. Calls to poison control centers about e-cigarette toxicity, especially in children, and case reports of toxic exposures have increased over the past 3 years. This research letter reports the frequency of hazardous exposures to e-cigarettes and characterizes the reported adverse health effects associated with e-cigarette toxicity...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27650035/burnout-in-female-faculty-members
#15
Lisa Cassidy-Vu, Keli Beck, Justin B Moore
Despite approximately equal numbers of male and female medical school graduates, women are entering academic medicine at a lower rate than their male colleagues. Of those who do assume a faculty position, female faculty members report higher levels of burnout, often attributable to gender-specific difficulties in clinical expectations and maintenance of work-life balance. Many of these struggles are attributable to issues that are amenable to supportive policies, but these policies are inconsistent in their availability and practice...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27638838/physician-satisfaction-with-integrated-behavioral-health-in-pediatric-primary-care
#16
Jeffrey F Hine, Allison Q Grennan, Kathryn M Menousek, Gail Robertson, Rachel J Valleley, Joseph H Evans
As the benefits of integrated behavioral health care services are becoming more widely recognized, this study investigated physician satisfaction with ongoing integrated psychology services in pediatric primary care clinics. Data were collected across 5 urban and 6 rural clinics and demonstrated the specific factors that physicians view as assets to having efficient access to a pediatric behavioral health practitioner. Results indicated significant satisfaction related to quality and continuity of care and improved access to services...
April 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28033737/evaluating-the-relationship-between-participation-in-student-run-free-clinics-and-changes-in-empathy-in-medical-students
#17
Anita Modi, Michele Fascelli, Zachary Daitch, Mohammadreza Hojat
PURPOSE: We explored differences in changes in medical student empathy in the third year of medical school between volunteers at JeffHOPE, a multisite medical student-run free clinic of Sidney Kimmel Medical College (SKMC), and nonvolunteers. METHOD: Volunteerism and leadership experience at JeffHOPE were documented for medical students in the Class of 2015 (n = 272) across their medical educations. Students completed the Jefferson Scale of Empathy at the beginning of medical school and at the end of the third year...
December 1, 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27903790/association-between-health-related-beliefs-and-oral-health-behaviors-among-uninsured-primary-care-patients
#18
Akiko Kamimura, Bethany Gull, Shannon Weaver, Lindsey Wright, Jeanie Ashby, Lea E Erickson
INTRODUCTION: The collaborations between dental care providers and other health care providers are especially needed for underserved populations. There is a deficit of research focused on underserved populations who utilize a safety net facility such as a free clinic in the United States. The purpose of this study is to examine the association between health-related beliefs and oral health behaviors among uninsured adults utilizing a primary care free clinic providing oral health care...
November 29, 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27456894/factors-associated-with-seeking-physician-care-by-medicare-beneficiaries-who-receive-all-their-primary-care-from-nurse-practitioners
#19
Michelle Y Raji, Nai-Wei Chen, Mukaila Raji, Yong-Fang Kuo
BACKGROUND: A shortage of primary care physicians has led to the alternative strategy of nurse practitioners (NPs) as primary care providers for the growing elderly population. Many states have implemented policies that allow NPs to practice independently with no physician oversight. Little is known about the continuity of primary care provided by NPs. OBJECTIVE: To examine rate and correlates of switching from exclusive NP primary care to receiving some or all primary care from physicians...
October 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27380923/overcoming-barriers-to-integrating-behavioral-health-and-primary-care-services
#20
Kyle L Grazier, Mary L Smiley, Kirsten S Bondalapati
OBJECTIVE: Despite barriers, organizations with varying characteristics have achieved full integration of primary care services with providers and services that identify, treat, and manage those with mental health and substance use disorders. What are the key factors and common themes in stories of this success? METHODS: A systematic literature review and snowball sampling technique was used to identify organizations. Site visits and key informant interviews were conducted with 6 organizations that had over time integrated behavioral health and primary care services...
October 2016: Journal of Primary Care & Community Health
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