The Annals of Family Medicine最新文献_第10页

THE SOCIAL CONTRACT, PROFESSIONALISM, AND ITS ASSESSMENT: THE STRATEGY OF THE ABFM GOING FORWARD 社会契约、专业精神及其评估:国际广播电视网的发展策略

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2506

W. Newton, Coleen Conry, Beth A. Bortz, E. Baxley

引用次数: 1

ADFM: FROM PAPER CLIPS TO PERFORMANCE—THE LAST 15 YEARS Adfm:从回形针到表演，过去15年

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2509

A. Davis, J. Borkan

引用次数: 0

FEE SCHEDULE SUMMARY: AAFP ADVICE VISIBLE IN CMS FINAL RULE 费用表摘要:在CMS最终规则中可见的afp建议

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2508

引用次数: 1

Peer-Delivered Cognitive Behavioral Training and Reduced Pain 同伴传递的认知行为训练和减轻疼痛

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2514

M. Johansen, Alexandra Blood, J. Boateng

引用次数: 0

ON COMING HOME AFTER THE FIRES 在火灾后回家

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2510

T. Scott, Sara Martin

引用次数: 0

BUILDING A DIVERSE ACADEMIC FAMILY MEDICINE WORKFORCE: URM INITIATIVE FOCUSES ON FOUR STRATEGIC AREAS 建立多元化的学术家庭医学工作队伍:urm倡议侧重于四个战略领域

The Annals of Family Medicine Pub Date : 2020-01-01 DOI: 10.1370/afm.2511

E. Walters

引用次数: 3

WHAT DOES POPULATION HEALTH MEAN TO YOU IN YOUR INSTITUTION? 在你的机构里，人口健康对你意味着什么?

The Annals of Family Medicine Pub Date : 2019-11-01 DOI: 10.1370/afm.2481

Amanda Weidner, A. Perkins, V. Gilchrist

引用次数: 0

Blue-Light Therapy for Acne Vulgaris: A Systematic Review and Meta-Analysis 蓝光治疗寻常痤疮:系统回顾和荟萃分析

The Annals of Family Medicine Pub Date : 2019-11-01 DOI: 10.1370/afm.2445

A. Scott, Paulina Stehlik, J. Clark, Dexing Zhang, Zuyao Yang, T. Hoffmann, C. Mar, P. Glasziou

{"title":"Blue-Light Therapy for Acne Vulgaris: A Systematic Review and Meta-Analysis","authors":"A. Scott, Paulina Stehlik, J. Clark, Dexing Zhang, Zuyao Yang, T. Hoffmann, C. Mar, P. Glasziou","doi":"10.1370/afm.2445","DOIUrl":"https://doi.org/10.1370/afm.2445","url":null,"abstract":"PURPOSE Antibiotic use in acne treatment raises concerns about increased resistance, necessitating alternatives. We assessed the effectiveness of blue-light therapy for acne. METHODS We analyzed randomized controlled trials comparing blue light with nonlight interventions. Studies included people of any age, sex, and acne severity, in any setting, and reported on investigator-assessed change in acne severity, patients’ assessment of improvement, change in inflammatory or noninflammatory lesions, and adverse events. Where data were sufficient, mean differences were calculated. RESULTS Eighteen references (14 trials) including 698 participants were included. Most of the trials were small and short (<12 weeks) and had high risk of bias. Investigator-assessed improvement was quantitatively reported in 5 trials, of which 3 reported significantly greater improvement in blue light than comparator, and 2 reported improvement. Patients’ assessments of improvement were quantitatively reported by 2 trials, favoring blue light. Mean difference in the mean number of noninflammatory lesions was nonsignificant between groups at weeks 4, 8, and 10-12 and overall (mean difference [MD] = 3.47; 95% CI, -0.76 to 7.71; P = 0.11). Mean difference in the mean number of inflammatory lesions was likewise nonsignificant between groups at any of the time points and overall (MD = 0.16; 95% CI, -0.99 to 1.31; P = 0.78). Adverse events were generally mild and favored blue light or did not significantly differ between groups. CONCLUSION Methodological and reporting limitations of existing evidence limit conclusions about the effectiveness of blue light for acne. Clinicians and patients should therefore consider the balance between its benefits and adverse events, as well as costs.","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":"14 1","pages":"545 - 553"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74722296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

The Ecology of Medical Care Before and After the Affordable Care Act: Trends From 2002 to 2016 《平价医疗法案》前后的医疗生态:2002 - 2016年的趋势

The Annals of Family Medicine Pub Date : 2019-11-01 DOI: 10.1370/afm.2462

M. Johansen, C. Richardson

{"title":"The Ecology of Medical Care Before and After the Affordable Care Act: Trends From 2002 to 2016","authors":"M. Johansen, C. Richardson","doi":"10.1370/afm.2462","DOIUrl":"https://doi.org/10.1370/afm.2462","url":null,"abstract":"BACKGROUND The initial ecology of medical care study was published in 1961, offering a framework by which to investigate individuals’ contact with the medical system. We studied changes in the framework around the implementation of the Patient Protection and Affordable Care Act (ACA) within longer-term trends. METHODS The 2002-2016 Medical Expenditure Panel Survey was used to determine rates of visit/contact per 1,000 individuals per month for physicians, primary care physicians, specialty physicians, emergency departments, inpatient hospitalizations, dental visits, and home health visits for the overall population and by age group, poverty category, health status, and race/ethnicity. Adjusted Wald tests were used to investigate differences between the pre-ACA (2012-2013) and post-ACA (2014-2015) periods. Multivariable linear regression was used to determine trends over the study period (2002-2016). RESULTS The survey included 525,804 person-years. The uninsured rate decreased from 12.8% (95% CI, 12.0%-13.7%) in 2013 to 7.6% (95% CI, 7.0%-8.3%) in 2016. From 2002 to 2016, the numbers of individuals in a month who had contact with primary care physicians, dental care, and inpatient hospitalizations decreased. Primary care physician contact decreased most among the elderly and those reporting fair/poor health. After ACA implementation, few significant changes were identified in the overall population or by age, poverty category, race/ethnicity, or health status. CONCLUSIONS The medical ecology framework was not notably altered 2 years after implementation of the ACA. The long-term decrease in primary care contact does not appear to have been interrupted after implementation of the ACA, was observed across income and age categories, and was most evident among the elderly and individuals reporting fair/poor health.","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":"216 2 1","pages":"526 - 537"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73658997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

CREATING A NEW BLUEPRINT FOR ABFM EXAMINATIONS 创建abfm考试的新蓝图

The Annals of Family Medicine Pub Date : 2019-11-01 DOI: 10.1370/afm.2480

R. Fain, W. Newton, T. O'neill

引用次数: 1