Observational study (cohort, case-control)最新文献

Risk of overdose and mental health crisis associated with dose disruption in patients on long-term lower dose opioid therapy 长期低剂量阿片类药物治疗患者剂量中断相关的过量风险和精神健康危机

Observational study (cohort, case-control) Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2871

A. Agnoli, A. Jerant, Elizabeth M Magnan

引用次数: 0

Evaluation of durable medical equipment acquisition in a family medicine residency clinic 家庭医学住院医师诊所购置耐用医疗设备的评估

Observational study (cohort, case-control) Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.3165

Alexandrea Spindler, Daniela Uribe-Cano, Brianna Berti

{"title":"Evaluation of durable medical equipment acquisition in a family medicine residency clinic","authors":"Alexandrea Spindler, Daniela Uribe-Cano, Brianna Berti","doi":"10.1370/afm.20.s1.3165","DOIUrl":"https://doi.org/10.1370/afm.20.s1.3165","url":null,"abstract":"Context: Durable Medical Equipment (DME) is a collection of medical devices used to prevent injury, improve function or pain, or aid healing after injury or surgery. These assistive devices are commonly needed by patients in the primary care setting; however, many clinicians struggle to determine where to obtain such items and how to properly order them, leading to frustration and delay in patient care. Objectives: To evaluate the current avenues being used to obtain DME, such as via physical therapy departments and retailers in Milwaukee, WI and to evaluate the incorporation of a new instructive Epic SmartPhrase and its impact on DME prescription in clinical practices. Study Design: Cohort. Setting: Four residency clinics in a large healthcare system in Milwaukee, WI. Population Studied: Family practice providers including residents, attendings, and nurse practitioners. Intervention: An Epic SmartPhrase, which outlined recommendations on ordering DME for patients, was implemented in February 2021 and was available to providers at four primary care clinics for four months. Main and Secondary Outcome Measures: Prescribing practices measured included frequency of prescriptions, processes to obtain equipment, and barriers to successfully obtaining items for patients. Surveys were administered before and after study period. Surveys measured providers’ confidence levels when prescribing DME and if the shared Epic SmartPhrase changed their clinical practice. Results: Paired t-tests were used to compare confidence level before and after intervention of Epic SmartPhrase. The distribution of confidence level approached normal and was similar between the two groups. Conclusions: While data did not support statistically significant change in confidence level, the clinical relevance of improving DME prescribing practices is of importance. Future investigations could expand to more primary care clinics, and their avenues of DME acquisition, to possibly increase the value and sample size.","PeriodicalId":357922,"journal":{"name":"Observational study (cohort, case-control)","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114849886","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

Personal Continuity and Prescribing Correctly: a Perfect Couple in Primary Care 个人连续性和正确处方:初级保健的完美结合

Observational study (cohort, case-control) Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.3520

Marije T Te Winkel

引用次数: 0

Association between Opioid Overdose and Health Plan Disenrollment with Mitigating Impact of Buprenorphine Initiation 阿片类药物过量与健康计划退出与丁丙诺啡起始缓解影响的关系

Observational study (cohort, case-control) Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.4049

J. Fenton, Daniel J. Tancredi, A. Agnoli, Stephen Henry, I. E. Tseregounis, Elizabeth M Magnan

引用次数: 0