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Jaapa-Journal of the American Academy of Physician Assistants最新文献

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A qualitative study about the public's perception of primary care providers. 关于公众对初级保健提供者看法的定性研究。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000078
Chris Gillette, Jan Ostermann, Sarah Garvick, Christine M Everett, Jessica Valente, Aylin Aguilar Aguilar, Kandice Lacci-Reilly
{"title":"A qualitative study about the public's perception of primary care providers.","authors":"Chris Gillette, Jan Ostermann, Sarah Garvick, Christine M Everett, Jessica Valente, Aylin Aguilar Aguilar, Kandice Lacci-Reilly","doi":"10.1097/01.JAA.0000000000000078","DOIUrl":"10.1097/01.JAA.0000000000000078","url":null,"abstract":"<p><strong>Objective: </strong>With the growth of physician associates/assistants (PAs) and NPs providing primary care services, we sought to understand the public's perception of the different types of healthcare providers (HCPs) they might encounter in a clinical setting, such as primary care.</p><p><strong>Objectives: </strong>This study aimed to evaluate public perceptions about various types of primary care providers (PCPs), identify public preferences for PCPs in relation to experience and training, and examine public preferences for PCP credentials.</p><p><strong>Methods: </strong>We conducted semistructured interviews with adults, and used inductive and deductive coding and reflexive thematic analysis to analyze the data.</p><p><strong>Results: </strong>We reached thematic saturation after 12 completed interviews. Participants reported confusion about the types of HCPs they might encounter in a primary care setting (for example, physician, PA, NP). Participants who reported a preference for a physician valued more years in training and their role in the hierarchy of medicine; those who reported a preference for a PA or NP indicated that compassion, patience, and longer clinic visit times were most important to them.</p><p><strong>Conclusions: </strong>Previous reports suggested that the public might be confused by the different types of HCPs they might encounter during a primary care visit. Participants identified specific characteristics that are important when they are choosing their PCP. A direct, coordinated marketing campaign may be needed to educate the public and reduce confusion about different types of PCPs, how they contribute to safe and high-quality care, and ensure preference-concordant care.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"33-37"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erosive bilateral glenohumeral osteoarthritis caused by urosepsis-induced septic arthritis. 尿毒症引发的化脓性关节炎导致双侧盂肱骨骨关节炎。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000139
Kiet Le, Tessa Lilley, Daniel Swanson, Andrew Jawa
{"title":"Erosive bilateral glenohumeral osteoarthritis caused by urosepsis-induced septic arthritis.","authors":"Kiet Le, Tessa Lilley, Daniel Swanson, Andrew Jawa","doi":"10.1097/01.JAA.0000000000000139","DOIUrl":"10.1097/01.JAA.0000000000000139","url":null,"abstract":"<p><strong>Abstract: </strong>Staphylococcus aureus is a common cause of bacterial infections of the skin, soft tissues, bones, bloodstream, and respiratory system. When the infection spreads to the joints, it is known as septic arthritis. The shoulder is the third most common location for septic arthritis in adults. Treatment is arthroscopic or open irrigation and debridement, but even after eradicating the bacteria, cartilage and bone destruction can occur. This article describes a patient who developed bilateral septic arthritis of the shoulders shortly after a urinary tract infection, and was treated with a relatively rare reverse shoulder hemiarthroplasty procedure.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"25-28"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opsomyoclonus: A rare complication of West Nile virus. 肌阵挛：西尼罗河病毒的罕见并发症。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000122
Haley Ferralez, Vincent Cariati, Nicole Ferschke
{"title":"Opsomyoclonus: A rare complication of West Nile virus.","authors":"Haley Ferralez, Vincent Cariati, Nicole Ferschke","doi":"10.1097/01.JAA.0000000000000122","DOIUrl":"10.1097/01.JAA.0000000000000122","url":null,"abstract":"<p><strong>Abstract: </strong>West Nile virus is a mosquito-borne illness that usually presents as asymptomatic or with a viral syndrome, and normally is treated with supportive care or immunotherapy. However, some patients can develop neurologic symptoms of viral meningoencephalitis. This article describes a patient who developed opsomyoclonus, a rare complication of West Nile virus meningoencephalitis. She was treated with immunotherapy with no resolution of her symptoms. Symptom improvement occurred with subsequent treatment with clonazepam and dexamethasone.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"1-3"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fifteen seconds to grieve. 十五秒的悲伤
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000162
Anthony Carli
{"title":"Fifteen seconds to grieve.","authors":"Anthony Carli","doi":"10.1097/01.JAA.0000000000000162","DOIUrl":"10.1097/01.JAA.0000000000000162","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"1"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally invasive treatments for chronic low back pain. 慢性腰背痛的微创治疗。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000150
Chelsey M Hoffmann, Ryan Mattie, Samir J Sheth, Ryan S D'Souza
{"title":"Minimally invasive treatments for chronic low back pain.","authors":"Chelsey M Hoffmann, Ryan Mattie, Samir J Sheth, Ryan S D'Souza","doi":"10.1097/01.JAA.0000000000000150","DOIUrl":"10.1097/01.JAA.0000000000000150","url":null,"abstract":"<p><strong>Abstract: </strong>This article describes minimally invasive treatments for managing chronic low back pain (LBP) related to lumbar spinal stenosis, facetogenic LBP, vertebrogenic LBP, or discogenic LBP. We also propose a clinical decision-making tool to guide clinicians in appropriate patient selection for various treatments.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"18-23"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stigma and lack of access to quality healthcare in the transgender population. 变性人的耻辱感和无法获得优质医疗服务的问题。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000083
Kara Kelton
{"title":"Stigma and lack of access to quality healthcare in the transgender population.","authors":"Kara Kelton","doi":"10.1097/01.JAA.0000000000000083","DOIUrl":"10.1097/01.JAA.0000000000000083","url":null,"abstract":"<p><strong>Abstract: </strong>More than 1.6 million US adults identify as transgender (that is, a gender different than the one traditionally associated with the biologic sex assigned to them at birth). These patients suffer from healthcare inequity and lack of access to healthcare, causing a public health crisis. This article seeks to raise awareness of this issue and encourage clinicians and healthcare systems to make meaningful changes to reduce healthcare stigma for transgender patients.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"38-41"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating the PA title change. 引导 PA 标题的变化。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000164
Jason Prevelige
{"title":"Navigating the PA title change.","authors":"Jason Prevelige","doi":"10.1097/01.JAA.0000000000000164","DOIUrl":"10.1097/01.JAA.0000000000000164","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"9"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital readmissions reduction program penalizes safety net hospital clinicians. 降低再入院率计划惩罚了安全网医院的临床医生。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000161
Sarah Kirsch, Yousra Elsir, Katie Shelford, Janessa Vail, Anne Wildermuth
{"title":"Hospital readmissions reduction program penalizes safety net hospital clinicians.","authors":"Sarah Kirsch, Yousra Elsir, Katie Shelford, Janessa Vail, Anne Wildermuth","doi":"10.1097/01.JAA.0000000000000161","DOIUrl":"10.1097/01.JAA.0000000000000161","url":null,"abstract":"<p><strong>Objective: </strong>The Hospital Readmissions Reduction Program (HRRP), started under the Patient Protection and Affordable Care Act and administered by the Centers for Medicare and Medicaid Services, was created with the intention to improve healthcare quality and costs. However, research on disparities in healthcare demonstrates the HRRP's protocolized risk-adjustment calculations neglect social factors, which consequently harms disadvantaged patient populations and unfairly contributes to clinician and hospital penalties.</p><p><strong>Methods: </strong>A PRISMA literature review was conducted using PubMed and Cochrane Library to explore the inclusion of social factors such as socioeconomic status on risk-adjustment calculations, and their relation to healthcare disparities, penalties, and outcomes. Fifteen articles published in the past 10 years were reviewed.</p><p><strong>Results: </strong>Eleven (73%) of the 15 articles in this systematic review indicated that the HRRP potentiated healthcare disparities based on risk-adjustment calculation.</p><p><strong>Conclusions: </strong>This review strongly suggests modifying the HRRP risk-adjustment calculations to include social risk factors has the potential to equalize reimbursement for hospitals that serve the most vulnerable patients and reduce negative unintended consequences of the HRRP. Future studies are needed to produce more conclusive, consistent evidence on the effect of social risk factors in risk-adjustment calculations and associated outcomes and to determine how HRRP's risk-adjustment calculations can be modified to reduce disparities in healthcare.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"44-47"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CME POST-TEST. 芝加哥商品交易所测试后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000173
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000173","DOIUrl":"10.1097/01.JAA.0000000000000173","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"24"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thalassemias. 地中海贫血症
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-12-01 Epub Date: 2024-12-21 DOI: 10.1097/01.JAA.0000000000000159
Brittany Strelow
{"title":"Thalassemias.","authors":"Brittany Strelow","doi":"10.1097/01.JAA.0000000000000159","DOIUrl":"10.1097/01.JAA.0000000000000159","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"37 12","pages":"42-43"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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