The Annals of Family Medicine最新文献_第4页

THE CANADIAN/UNITED STATES PRIMARY CARE RESEARCH PARTNERSHIP 加拿大/美国初级保健研究伙伴关系

The Annals of Family Medicine Pub Date : 2022-05-01 DOI: 10.1370/afm.2838

D. Harper, V. Ramsden

引用次数: 1

Determining the Association Between Continuity of Primary Care and Acute Care Use in Chronic Kidney Disease: A Retrospective Cohort Study. 确定慢性肾脏病患者持续接受初级保健与使用急症护理之间的关系：一项回顾性队列研究。

The Annals of Family Medicine Pub Date : 2022-05-01 DOI: 10.1370/afm.2813

Christy Chong, David Campbell, Meghan Elliott, Fariba Aghajafari, Paul Ronksley

{"title":"Determining the Association Between Continuity of Primary Care and Acute Care Use in Chronic Kidney Disease: A Retrospective Cohort Study.","authors":"Christy Chong, David Campbell, Meghan Elliott, Fariba Aghajafari, Paul Ronksley","doi":"10.1370/afm.2813","DOIUrl":"10.1370/afm.2813","url":null,"abstract":"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.Methods: We conducted a population-based retrospective cohort study of adults with stage 3-4 CKD and ≥3 visits to a primary care clinician during the period April 1, 2011 to March 31, 2014 in Alberta, Canada. Continuity was calculated using the Usual Provider Continuity index. Descriptive statistics were used to summarize patient and acute care encounter characteristics. Adjusted rates and incidence rate ratios for all-cause and CKD-related ambulatory care-sensitive condition (ACSC) hospitalizations and emergency department (ED) visits were estimated using negative binomial regression. Adjusted odds ratios for prescription use were estimated by multivariable logistic regression.Results: Among 86,475 patients with CKD, 51.3%, 30.0%, and 18.7% had high, moderate, and poor continuity of care, respectively. There were 77,988 all-cause hospitalizations, 6,489 ACSC-related hospitalizations, 204,615 all-cause ED visits, and 8,461 ACSC-related ED visits during a median follow-up of 2.3 years. Rates of all-cause and ACSC hospitalization and ED use increased with poorer continuity of care in a stepwise fashion across CKD stages. Patients with poor continuity were less likely to be prescribed a statin.Conclusions: Poor continuity of care is associated with increased acute care use among patients with CKD. Targeted strategies that strengthen patient-physician relationships and guide physicians regarding guideline-recommended prescribing are needed.","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80994067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tribute to Annals of Family Medicine Associate Editor John Frey 向《家庭医学年鉴》副主编约翰·弗雷致敬

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2797

John Holkeboer

引用次数: 0

HIGH-STAKES KNOWLEDGE ASSESSMENT AT ABFM: WHAT WE HAVE LEARNED AND HOW IT IS USEFUL abfm的高风险知识评估:我们学到了什么以及它如何有用

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2811

W. Newton, T. O'neill, Ting Wang

引用次数: 0

FROM AAFP: AAFP ADVANCES ON LONG-TERM CLINICAL RECOMMENDATION PROJECT 来自aafp: aafp在长期临床推荐项目上的进展

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2806

引用次数: 0

Use of Telephone Interview for Cognitive Status (TICS) for the Detection of Dementia in Primary Care 在初级保健中使用认知状态电话访谈(TICS)检测痴呆

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2800

J. Ocampo, M. Johansen

引用次数: 0

Diagnostic Accuracy of the Telephone Interview for Cognitive Status for the Detection of Dementia in Primary Care 初级保健中认知状态电话访谈诊断痴呆的准确性

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2768

Herrer Abdulrahman, Eva Jansen, M. Hoevenaar-Blom, J. V. van Dalen, L. V. van Wanrooij, E. V. van Bussel, W. V. van Gool, E. Richard, E. P. Moll van Charante

{"title":"Diagnostic Accuracy of the Telephone Interview for Cognitive Status for the Detection of Dementia in Primary Care","authors":"Herrer Abdulrahman, Eva Jansen, M. Hoevenaar-Blom, J. V. van Dalen, L. V. van Wanrooij, E. V. van Bussel, W. V. van Gool, E. Richard, E. P. Moll van Charante","doi":"10.1370/afm.2768","DOIUrl":"https://doi.org/10.1370/afm.2768","url":null,"abstract":"PURPOSE Cognitive diagnostic work-up in primary care is not always physically feasible, owing to chronic disabilities and/or travel restrictions. The identification of dementia might be facilitated with diagnostic instruments that are time efficient and easy to perform, as well as useful in the remote setting. We assessed whether the Telephone Interview for Cognitive Status (TICS) might be a simple and accurate alternative for remote diagnostic cognitive screening in primary care. METHODS We administered the TICS (range, 0-41) for 810 of 1,473 older people aged 84.5 (SD, 2.4) years. We scrutinized electronic health records for participants with TICS scores ≤30 and for a random sample of participants with TICS scores >30 for a dementia diagnosis using all data from the Prevention of Dementia by Intensive Vascular Care (preDIVA) trial for 8-12 years of follow-up. We used multiple imputation to correct for verification bias. RESULTS Of the 810 participants, 155 (19.1%) had a TICS score ≤30, and 655 (80.9%) had a TICS score >30. Electronic health records yielded 8.4% (13/154) dementia diagnoses for participants with TICS ≤30 vs none with TICS >30. Multiple imputation for TICS >30 yielded a median of 7/655 (1.1%; interquartile range, 5-8) estimated dementia cases. After multiple imputation, the optimal cutoff score was ≤29, with mean sensitivity 65.4%, specificity 87.8%, positive predictive value 11.9%, negative predictive value 99.0%, and area under the curve 77.4% (95% CI, 56.3%-90.0%). CONCLUSIONS In the present older population, the TICS performed well as a diagnostic screening instrument for excluding dementia and might be particularly useful when face-to-face diagnostic screening is not feasible in family practice or research settings. The potential reach to large numbers of people at low cost could contribute to more efficient medical management in primary care.","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81033277","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: 2

Implementing High-Quality Primary Care: To What End? 实施高质量初级保健:目的是什么?

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2802

R. Phillips

引用次数: 1

Best Practices for COVID-19 Mass Vaccination Clinics COVID-19大规模疫苗接种诊所的最佳做法

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2773

Shima Shakory, Azza Eissa, T. Kiran, A. Pinto

{"title":"Best Practices for COVID-19 Mass Vaccination Clinics","authors":"Shima Shakory, Azza Eissa, T. Kiran, A. Pinto","doi":"10.1370/afm.2773","DOIUrl":"https://doi.org/10.1370/afm.2773","url":null,"abstract":"PURPOSE The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global public health crisis. Mass vaccination is the safest and fastest pandemic exit strategy. Mass vaccination clinics are a particularly important tool in quickly achieving herd immunity. Primary care physicians have played a crucial role in organizing and running vaccination clinics. In this special report, we synthesize existing guidelines and peer-reviewed studies to provide physicians with practical guidance on planning and implementing COVID-19 mass vaccination clinics. METHODS PubMed, Ovid MEDLINE and Embase were used to search for relevant literature using search terms that included COVID-19, mass vaccination, and best practice. We also identified and analyzed national and international guidelines. RESULTS Forty-six relevant articles, reports, and guidelines were identified and synthesized. Articles included mass vaccination clinic guidelines and studies before and during the COVID-19 pandemic. Key considerations for COVID-19 mass vaccination clinics include leadership and role designation, site selection, clinic layout and workflow, day-to-day operations, infection prevention, and communication strategies. CONCLUSIONS Planning and implementing a successful COVID-19 mass vaccination clinic requires several key considerations. Primary care plays an important role in organizing clinics and ensuring populations made vulnerable by social and economic policies are being reached. Ongoing data collection is required to evaluate and continuously improve COVID-19 mass vaccination efforts. As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine rollout occurs in various countries, research will be required to identify the main factors for success to inform future pandemic responses. VISUAL ABSTRACT","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84252755","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: 8

Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study 医师对委员会认证活动的选择不受基线护理质量的影响:TRADEMaRQ研究

The Annals of Family Medicine Pub Date : 2022-03-01 DOI: 10.1370/afm.2770

Lars E. Peterson, John Johannides, R. Phillips

{"title":"Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study","authors":"Lars E. Peterson, John Johannides, R. Phillips","doi":"10.1370/afm.2770","DOIUrl":"https://doi.org/10.1370/afm.2770","url":null,"abstract":"PURPOSE Physicians’ use of self-assessment to guide quality improvement or board certification activities often does not correlate with more objective measures, and they may spend valuable time on activities that support their strengths instead of addressing gaps. Our objective was to study whether viewing quality measures, with peer comparisons, would affect the selection of certification activities. METHODS We conducted a cluster-randomized controlled trial—the Trial of Data Exchange for Maintenance of certification and Raising Quality (TRADEMaRQ)—with 4 partner organizations during 2015-2017. Physicians were presented their quality data within their online certification portfolios before (intervention) vs after (control) they chose board certification activities. The primary outcome was whether the selected activity addressed a quality gap (a quality area in which the physician scored below the mean for the study population). RESULTS Of 2,570 invited physicians, 254 physicians completed the study: 130 in the intervention group and 124 in the control group. Nearly one-fifth of participating physicians did not complete any certification activities during the study. A sizable minority of those in the intervention group, 18.4%, never reviewed their quality dashboard. Overall, just 27.2% of completed certification activities addressed a quality gap, and there was no significant difference in this outcome in the intervention group vs the control group in either bivariate or adjusted analyses (odds ratio = 1.28; 95% CI, 0.90-1.82). CONCLUSIONS Physicians did not use quality performance data in choosing certification activities. Certification boards are being pressed to make their programs relevant to practice, less burdensome, and supportive of quality improvement in alignment with value-based payment models. Using practice data to drive certification choices would meet these goals.","PeriodicalId":22305,"journal":{"name":"The Annals of Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814897","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: 0