2,097 results match your criteria Annals Of Family Medicine[Journal]


A Virtual Community of Practice to Improve Primary Health Care Professionals' Attitudes Toward Patient Empowerment (e-MPODERA): A Cluster Randomized Trial.

Ann Fam Med 2022 May-Jun;20(3):204-210

Universitat Autònoma de Barcelona, Barcelona, Spain.

Purpose: We aimed to evaluate the effectiveness of a virtual community of practice (vCoP) in improving primary health care professionals' (HCPs') attitudes toward empowering patients with chronic disease.

Methods: We conducted a cluster randomized controlled trial. Practices were units of randomization, and primary HCPs and patients were units of analysis. Read More

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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies.

Ann Fam Med 2022 May-Jun;20(3):266-272

Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, Minnesota.

Purpose: Access to health care is a long-standing concern for rural patients; however, administrative measures fail to capture the subjective patient experience of accessing health care. The purpose of this review was to synthesize the qualitative literature on patient and caregiver experiences of accessing health care services for chronic disease management among US residents of rural areas.

Methods: We searched Embase, MEDLINE, PsycInfo, CINAHL, and Scopus to identify qualitative studies published during 2010-2019. Read More

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Reducing Readmission of Hospitalized Patients With Depressive Symptoms: A Randomized Trial.

Ann Fam Med 2022 May-Jun;20(3):246-254

Department of Family Medicine, Boston University School of Medicine, Boston, Massachusetts.

Purpose: To determine if hospitalized patients with depressive symptoms will benefit from post-discharge depression treatment with care transition support.

Methods: This is a randomized controlled trial of hospitalized patients with patient health questionnaire-9 score of 10 or more. We delivered the Re-Engineered Discharge (RED) and randomized participants to groups receiving RED-only or RED for Depression (RED-D), a 12-week post-discharge telehealth intervention including cognitive behavioral therapy, self-management support, and patient navigation. Read More

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Correction.

Authors:

Ann Fam Med 2022 May-Jun;20(3):203

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Considerations Before Selecting a Stepped-Wedge Cluster Randomized Trial Design for a Practice Improvement Study.

Ann Fam Med 2022 May-Jun;20(3):255-261

Northwestern University, Feinberg School of Medicine, Chicago, Illinois.

Purpose: Despite the growing popularity of stepped-wedge cluster randomized trials (SW-CRTs) for practice-based research, the design's advantages and challenges are not well documented. The objective of this study was to identify the advantages and challenges of the SW-CRT design for large-scale intervention implementations in primary care settings.

Methods: The EvidenceNOW: Advancing Heart Health initiative, funded by the Agency for Healthcare Research and Quality, included a large collection of SW-CRTs. Read More

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EMPLOYMENT OPPORTUNITIES.

Authors:

Ann Fam Med 2022 May-Jun;20(3):292-299

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The Provincial Spread and Scale of the Ontario eConsult Service: Evaluation of the First 2 Years.

Ann Fam Med 2022 May-Jun;20(3):262-265

eConsult Centre of Excellence, The Ottawa Hospital, Ottawa, Ontario, Canada.

This paper reports on a multimethod cross-sectional study of the Ontario electronic consultation (eConsult) service. Utilization and closeout survey data from July 2018 through June 2020 were analyzed using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. Requesting clinicians submitted 60,474 eConsults, and monthly cases increased from 1,487 in July 2018 to 4,179 in June 2020. Read More

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Evaluation of an Electronic Consultation Service for COVID-19 Care.

Ann Fam Med 2022 May-Jun;20(3):220-226

Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Purpose: COVID-19 has increased the need for innovative virtual care solutions. Electronic consultation (eConsult) services allow primary care practitioners to pose clinical questions to specialists using a secure remote application. We examined eConsult cases submitted to a COVID-19 specialist group in order to assess usage patterns, impact on response times and referrals, and the content of clinical questions being asked. Read More

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Randomized Trials in Primary Care: Becoming Pragmatic.

Ann Fam Med 2022 May-Jun;20(3):201-202

Department of Family Medicine, Oregon Health & Science University, Portland, Oregon.

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THE CANADIAN/UNITED STATES PRIMARY CARE RESEARCH PARTNERSHIP.

Ann Fam Med 2022 May-Jun;20(3):283-284

College of Family Physicians of Canada.

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BUILDING PRIORITIES IN HEALTH & HEALTH CARE INTO ABFM'S KNOWLEDGE ASSESSMENTS.

Ann Fam Med 2022 May-Jun;20(3):287-289

American Board of Family Medicine, University of Utah, Department of Family & Preventive Medicine.

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Gifts From Unexpected Places.

Ann Fam Med 2022 May-Jun;20(3):279-280

Northwell/NuHealth, East Meadow, New York

When I was a new social worker, a series of events changed my clinical practice. I believed academic pursuits and scholarly work were the key components to cultivating my clinical skills. My education had elucidated the importance of taking the time to listen to the patient's narrative to optimize their care. Read More

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Determining the Association Between Continuity of Primary Care and Acute Care Use in Chronic Kidney Disease: A Retrospective Cohort Study.

Ann Fam Med 2022 May-Jun;20(3):237-245

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

Purpose: Acute care use is high among individuals with chronic kidney disease (CKD). It is unclear how relational continuity of primary care influences downstream acute care use. We aimed to determine if poor continuity of care is associated with greater rates of acute care use and decreased prescriptions for guideline-recommended drugs. Read More

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Correction.

Authors:

Ann Fam Med 2022 May-Jun;20(3):203

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Integrating General Practice Into the Australian COVID-19 Response: A Description of the General Practitioner Respiratory Clinic Program in Australia.

Ann Fam Med 2022 May-Jun;20(3):273-276

Australian National University, Canberra, Acton, Australia.

Integrating primary care with the health response is key to managing pandemics and other health emergencies. In recognition of this, the Australian Government established a network of respiratory clinics led by general practitioners in response to the coronavirus disease 2019 (COVID-19) pandemic as part of broader measures aimed at supporting primary care. General practitioner (GP) respiratory clinics provide holistic face-to-face assessment and treatment to those with respiratory symptoms in an environment with strict protocols for infection prevention and control. Read More

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General Practitioners' Perspectives on Appropriate Use of Ultrasonography in Primary Care in Denmark: A Multistage Mixed Methods Study.

Ann Fam Med 2022 May-Jun;20(3):211-219

Center for General Practice at Aalborg University, Aalborg, Denmark.

Purpose: Researchers aimed to describe general practitioners' understanding of appropriate ultrasound use, to record actual scanning practices of early adopters in general practice, and to identify differences between attitudes and actual practice via a mixed methods analysis.

Methods: This study was part of a larger multistage mixed methods research framework exploring the use of ultrasound in general practice in Denmark. We used an exploratory sequential approach in the data collection with initial qualitative findings from an interview study applied to building a quantitative questionnaire utilized in a cohort study. Read More

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Lung Ultrasound Performed by Primary Care Physicians for Clinically Suspected Community-Acquired Pneumonia: A Multicenter Prospective Study.

Ann Fam Med 2022 May-Jun;20(3):227-236

Purpose: We investigated whether lung ultrasound (US) performed in primary care is useful and feasible for diagnosing community-acquired pneumonia (CAP) compared with chest radiography, as most previous research has been conducted in hospital settings.

Methods: We undertook a prospective observational cohort study of lung US performed in 12 primary care centers. Patients aged 5 years and older with symptoms suggesting CAP were examined with lung US (by 21 family physicians and 7 primary care pediatricians) and chest radiograph on the same day. Read More

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A DESCRIPTION OF THE 2021 AFMRD SALARY SURVEY AND NEXT STEPS.

Ann Fam Med 2022 May-Jun;20(3):284-285

Lawrence Family Medicine Residency, Greater Lawrence Family Health Center, MA and Tufts University School of Medicine, Department of Family Medicine, Boston, MA.

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When Words Fail: Love's Rightful Place in Medicine.

Authors:
Marvin So

Ann Fam Med 2022 May-Jun;20(3):277-278

University of Minnesota Medical School, Minneapolis, Minnesota

Early in my medical training, I shared an intimate connection with a patient that took me by surprise. How was it that I could come to feel so strongly about someone I had only just met? The experience prompted me to contemplate the transcendent, curious relationship entwining patients and clinicians, and reflect on how such a relationship squared with my own conceptions of love and caregiving. Though it is sometimes argued that transferring our emotions onto patients beyond direct clinical concerns can bias or tarnish the medicine we provide, I contend these emotions can be cherished and prudently explored rather than swept away. Read More

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Long COVID Shared Medical Appointments: Lifestyle and Mind-Body Medicine With Peer Support.

Ann Fam Med 2022 Apr 20. Epub 2022 Apr 20.

Wellness and Preventive Medicine Department, Cleveland Clinic Community Care Institute, Cleveland, Ohio

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Improving Conversations With COVID-19 Vaccine Hesitant Patients: Action Research to Support Family Physicians.

Ann Fam Med 2022 Apr 20. Epub 2022 Apr 20.

School of Public Policy, University of Calgary, Calgary, Alberta, Canada.

Vaccination delivery and efforts to counter vaccine hesitancy have become focal issues for family medicine teams as the COVID-19 pandemic has evolved. Conducting action research, our team developed an interactive web-based guide to improve clinical conversations around a broad range of vaccine hesitancies presented by patients. The paper presents a step-by-step account of the guide being codesigned with family physicians-its targeted end users-in a process that included validation interviews; role-play interviews; and user-tested design. Read More

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EMPLOYMENT OPPORTUNITIES.

Authors:

Ann Fam Med 2022 Mar-Apr;20(2):193-201

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FROM NAPCRG: NAPCRG 50 ANNIVERSARY - A YEAR-LONG CELEBRATION.

Ann Fam Med 2022 Mar-Apr;20(2):191-192

Epperson Zorn Chair for Innovation in Family Medicine and Primary Care, University of Colorado.

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FROM ADFM: KNOWLEDGE, ATTITUDES, AND SKILLS FOR FAMILY MEDICINE LEADERS: COMPETENCIES FOR SUCCESS.

Ann Fam Med 2022 Mar-Apr;20(2):189-191

on behalf of the Leader Development Committee Association of Departments of Family Medicine (ADFM).

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