Journal of the American Board of Family Medicine最新文献

Safeguarding Compassion in Virtual Family Physician Care. 在虚拟家庭医生护理中维护同情心。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-10-06 DOI: 10.3122/jabfm.2024.240460R1

Bridget L Ryan, Judith Belle Brown, Thomas R Freeman, Madelyn DaSilva, Moira Stewart, Amanda L Terry

{"title":"Safeguarding Compassion in Virtual Family Physician Care.","authors":"Bridget L Ryan, Judith Belle Brown, Thomas R Freeman, Madelyn DaSilva, Moira Stewart, Amanda L Terry","doi":"10.3122/jabfm.2024.240460R1","DOIUrl":"https://doi.org/10.3122/jabfm.2024.240460R1","url":null,"abstract":"Introduction: Following the COVID-19 pandemic, the role of virtual family medicine care is evolving. It can be tempting to consider only the technological aspects of virtual care; we argue we must attend to compassion's essential role in virtual family medicine care. This research aimed to understand the components contributing to compassionate family medicine virtual care and how these were demonstrated.Methods: We conducted a qualitative Constructivist Grounded Theory study with 2 components; individual interviews with patients and family physicians (FP), and Collaborative Discussions, informed by the interviews, that brought patients and FPs together. Data collection and analysis were iterative using a constant comparative analysis.Results: We recruited nineteen patient and fourteen FP participants for the first component and 6 patient and 4 FP participants for the second. We identified 4 themes: Conveying virtual compassion through actions; External factors affecting virtual compassion; Virtual visits extending compassionate care; and Role of the patient-FP relationship. These themes can be characterized as a stance that FPs assume in their practice of virtual care.Discussion: We highlight 4 themes important to the delivery of compassionate virtual care. We provide specific actions FPs may consider in delivering virtual care. Offering virtual visits was viewed as a compassionate bridge between in-person visits.Conclusion: Our findings support that it is possible to convey compassion in virtual visits including telephone interactions. As virtual care evolves, our findings can support patients and family physicians to safeguard compassion so that it remains a hallmark of care for all modes of delivery.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Shared Decision Making in Colorectal Cancer Screening: A Scoping Review. 结直肠癌筛查中的共同决策：范围综述

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-10-06 DOI: 10.3122/jabfm.2024.240424R1

Sarina Schrager, Lashika Yogendran, Hunter Wakefield, Leslie Christensen

{"title":"Shared Decision Making in Colorectal Cancer Screening: A Scoping Review.","authors":"Sarina Schrager, Lashika Yogendran, Hunter Wakefield, Leslie Christensen","doi":"10.3122/jabfm.2024.240424R1","DOIUrl":"https://doi.org/10.3122/jabfm.2024.240424R1","url":null,"abstract":"Introduction: Colorectal cancer (CRC) is easily detectable with screening, but due to a variety of factors, over a third of eligible people do not get screened. One barrier to people getting adequate screening is confusion about what type of test to use. Shared decision making (SDM) is a way for the clinician to help the patient decide about whether to get screened for CRC and if so, which test to use. This scoping review examines literature about shared decision making in CRC screening to identify key factors affecting a patient's decision.Methods: We identified studies published from January 1, 2010 through May 18, 2024 through searching 4 databases. Studies were peer reviewed publications in English that investigated the role of shared decision making in colorectal cancer screening in average risk adults, aged 45 -75, in the United States and Canada. Two independent researchers screened all titles and abstracts for eligibility and reviewed all included full text articles. The included studies were examined for themes affecting a patient's choice of screening test.Results: Of the 5672 unique records identified, we included 28 studies in this scoping review. Four themes emerged as being important to the process of shared decision making in colon cancer screening: knowledge of specific aspects of each test, clinician recommendation, acknowledgment of strong emotions surrounding screening, and importance of external factors in decisions around screening. Patients relied on family members for information about screening and made decisions about screening using this information as well as logistics of the test chosen.Conclusion: Future work can focus on the importance of external factors in screening decisions and recognizing and addressing the real emotions about CRC screening.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

"Medicine Is Awesome": A Critical Look at the Factors That Shape Thinking About Depression and Its Treatment. “医学是了不起的”：对影响人们对抑郁症及其治疗的思考的因素的批判性观察。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240416R1

Allen F Shaughnessy, Joshua Passarelli, Sophie Pollack-Milgate, Lisa Cosgrove

{"title":"\"Medicine Is Awesome\": A Critical Look at the Factors That Shape Thinking About Depression and Its Treatment.","authors":"Allen F Shaughnessy, Joshua Passarelli, Sophie Pollack-Milgate, Lisa Cosgrove","doi":"10.3122/jabfm.2024.240416R1","DOIUrl":"10.3122/jabfm.2024.240416R1","url":null,"abstract":"No longer are prolonged sadness and despondency, with their effects on day-to-day functioning, conceived of as a response to someone's internal world or external environment. Instead, the syndrome has been elevated to a medical disorder-depression-explained as a chemical imbalance in the nervous system that requires medication to rebalance these chemicals. How did we arrive at this modern state of affairs? While the answer to this question is complex and has been hotly debated, one thing is certain: This relatively new explanation of depression as a neurochemical imbalance leads to the current privileging of pharmacotherapy over other approaches to treatment. However, the pharmacologic effect of these treatments is still speculative. Numerous studies have failed to show a benefit to active treatment greater than that seen with placebo, and most patients will not achieve remission of symptoms despite treatment. This overreliance on medication may reflect a \"medicine is awesome\" stance that biases clinicians toward medical interventions. A more expansive understanding of depressed mood, one that can and should be discussed with patients, is to understand it as a reaction to one's psychosocial, political, economic, and physical environment. This more expansive understanding includes the neurobiological basis of mood, but it also allows for discussions of non-pharmaceutical treatments, ones that can be aligned with each patient's agenda. Medications may be an eventual option after a thorough explanation of limited benefit and possible harms. However, this reframing of depression facilitates a valuable, satisfying means of developing trust and helping people with depressed mood.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"625-630"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Evaluating the Impact of an eConsult Platform on Specialty Care Access for Medicaid Patients. 评估咨询平台对医疗补助患者专科护理准入的影响。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240322R1

Birpartap S Thind, Moriah Maddalena, Waheed Baqai, Stanley K Frencher, William W Jih

{"title":"Evaluating the Impact of an eConsult Platform on Specialty Care Access for Medicaid Patients.","authors":"Birpartap S Thind, Moriah Maddalena, Waheed Baqai, Stanley K Frencher, William W Jih","doi":"10.3122/jabfm.2024.240322R1","DOIUrl":"10.3122/jabfm.2024.240322R1","url":null,"abstract":"Background: Healthcare access disparities persist, particularly among Medicaid patients in regions like the Inland Empire, California. These patients often face prolonged wait times for primary and specialty care, compounded by difficulties in scheduling with providers. Leveraging eConsult platforms offers a potential solution to improve specialist care accessibility. This study examines the impact of the Inland Empire Health Plan's (IEHP) eConsult services on enhancing interactions between primary care providers (PCPs) and specialists and improving patient care.Methods: We analyzed 2,505 eConsults conducted between January and June 2022 within the IEHP, focusing on dermatology, pulmonology, and urology. Each eConsult was categorized based on closure outcomes, advice provided, and authorization status. We cross-referenced eConsult data with claims and authorization records to determine encounter completion, particularly whether a face-to-face specialist visit occurred.Results: Only a fraction of eConsults (27% dermatology, 25% pulmonology, 37% urology) resulted in specialist advice. In cases where eConsults did not suffice, specialists recommended in-person follow-up; however, a significant portion of patients (57% dermatology, 71% pulmonology, 53% urology) did not receive in-person specialty care.Conclusion: This study highlights the potential of eConsults in improving specialty care access for Medicaid patients in underserved regions. While eConsults show promise in expediting specialist access, challenges such as varying PCP utilization and the need for in-person visits persist. Addressing these issues with standardized protocols and better triaging can significantly reduce healthcare disparities and improve patient outcomes.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"592-598"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

How Team Science Is Documented and Described in Published Family Medicine Research. 团队科学如何在已发表的家庭医学研究中被记录和描述。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240362R2

Julie S Armin, Jeffrey L Goodie, Melanie Steiner, Dean A Seehusen, Nathaniel E Miller

{"title":"How Team Science Is Documented and Described in Published Family Medicine Research.","authors":"Julie S Armin, Jeffrey L Goodie, Melanie Steiner, Dean A Seehusen, Nathaniel E Miller","doi":"10.3122/jabfm.2024.240362R2","DOIUrl":"10.3122/jabfm.2024.240362R2","url":null,"abstract":"Purpose: Increasingly emphasized by leaders in family medicine and primary care research, team science is an approach to research that requires clear documentation for replicability. Here, we report the approach to documenting team science in 2 US family medicine research journals.Methods: Our interdisciplinary team, composed of MDs and PhDs from family medicine and other disciplines, established a definition of the \"team science\" construct, which included the utilization of interdisciplinary partnerships and/or collaboration with community-based organizations. Two team members reviewed every original research article published in 2023 in the Annals of Family Medicine (AFM) and the Journal of the American Board of Family Medicine (JABFM). Data extraction identified the use of the term \"team science\" or the presence of elements of the construct as defined by the team, as well as the funding source(s).Results: Of the 107 articles reviewed, none explicitly mentioned the term \"team science.\" However, 19 (17.8%) described interdisciplinary partnerships. Seventeen (15.9%) described the disciplines of the contributors, and 5 (4.7%) described community collaborators. Most articles (80.4%) were funded studies, with 70.9% supported by national governmental or nongovernmental entities.Conclusions: In this sample of articles, team science was either not reported at all or it was described in a limited way. The authors recommend that editors encourage discussions of interdisciplinarity and team science research practices in manuscripts, including descriptions of the strengths each disciplinary representative brings to the team.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"619-624"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Leveraging Large Language Models to Advance Certification, Physician Learning, and Diagnostic Excellence. 利用大型语言模型来推进认证，医生学习和卓越诊断。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240385R1

Ting Wang, David W Price, Andrew W Bazemore

引用次数: 0

Balancing Access, Well-Being, and Collaboration When Considering Hybrid Care Delivery Models in Primary Care Practices with Team-Based Care. 当考虑初级保健实践与团队护理的混合护理交付模式时，平衡获取、福祉和协作。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240388R2

Tamar Wyte-Lake, Deborah J Cohen, Shannon Williams, Steffani R Bailey

{"title":"Balancing Access, Well-Being, and Collaboration When Considering Hybrid Care Delivery Models in Primary Care Practices with Team-Based Care.","authors":"Tamar Wyte-Lake, Deborah J Cohen, Shannon Williams, Steffani R Bailey","doi":"10.3122/jabfm.2024.240388R2","DOIUrl":"10.3122/jabfm.2024.240388R2","url":null,"abstract":"Background: Hybrid models of care (ie, telehealth and in-person care delivery options) have been incorporated into primary care clinics to increase patient access to care. We examine the effects of these approaches on the work experiences and wellness of primary care clinical team members providing team-based care to patients.Methods: In this qualitative study, we conducted semistructured interviews with clinical team members (primary care clinicians, behavioral health consultants, registered nurse) at 2 primary care practices at 2 time points (late 2021-mid 2022 (n = 14); midlate 2023 (n = 11)). We used an inductive approach to analyze data.Key results: Benefits of hybrid models of care included increased patient access and personal flexibility; however, it was noted that the fragmented in-clinic schedules that emerged from the hybrid model resulted in reduced in-clinic interactions. This led to less information sharing among team members and a degradation of informal support networks that could adversely impact patient care. To mitigate these challenges, many preferred that most of their clinical shifts occurred in-person, in the clinic, with 1 to 2 sessions per week for in-home (telework) shifts.Conclusions: In team-based primary care clinics, hybrid care models can impact interactions among clinical team members and shape the day-to-day environment in which clinical teams work. To optimize hybrid care approaches in the primary care setting, organization leaders must consider the impact of hybrid care models on clinic and team culture, and the well-being of clinical team members.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"475-489"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Lung Cancer Screening by Nativity Among Latino Community Health Center Patients. 拉丁裔社区健康中心患者的出生肺癌筛查

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240376R1

John Heintzman, Tahlia Hodes, Steffani R Bailey, Christopher G Slatore, Wyatt P Bensken, Jennifer A Lucas, Matthew P Banegas, Gretchen Mertes, Miguel Marino

{"title":"Lung Cancer Screening by Nativity Among Latino Community Health Center Patients.","authors":"John Heintzman, Tahlia Hodes, Steffani R Bailey, Christopher G Slatore, Wyatt P Bensken, Jennifer A Lucas, Matthew P Banegas, Gretchen Mertes, Miguel Marino","doi":"10.3122/jabfm.2024.240376R1","DOIUrl":"10.3122/jabfm.2024.240376R1","url":null,"abstract":"Introduction: United States Preventive Service Task Force guidelines recommend annual low-dose computed tomography for lung cancer screening (LCS) for people with significant history of cigarette use. While the national prevalence of lung cancer screening remains low, with known racial and ethnic disparities, studies have yet to examine LCS screening disparities by nativity among Latino patients.Methods: We evaluated the documentation and prevalence of LCS orders in the electronic health record in Latino patients, by place of birth, in a multistate network of community health centers, over a 10-year study period (2013 to 2022), adjusting for patient and clinical demographic factors.Results: Among patients who reported current or former cigarette use (n = 126,528), the prevalence of a LCS order was 7.3%. Among 62,483 patients with a documented 30+ year pack-history, US-born Latinos had equal odds as non-Latino Whites to have LCS ordered (OR = 0.71, 95% CI = 0.42-1.21), while odds were lower for both foreign-born Latinos (OR = 0.47, 95% CI = 0.29 to 0.75) and Latinos without a place of birth recorded (OR = 0.63, 95% CI = 0.54-0.73).Conclusion: The prevalence of LCS was low overall in a large sample of Latino and non-Hispanic White patients with cigarette smoking history. Foreign-born Latino and Latino patients without a country of birth noted in the record had significantly lower odds of having LCS ordered; this should be considered in clinical screening workflows. Nativity and pack-year history were not documented in most patients. More complete documentation of nativity and pack-year history is necessary to fully assess LCS need and equity in Latino patients of heterogeneous nativity.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"451-463"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Pitavastatin Reduces Major Atherosclerotic Cardiovascular Events in Adults with HIV. 匹伐他汀可降低成人HIV患者的主要动脉粥样硬化性心血管事件。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2025.250014R0

Kathryn K Garner, Chris Colvin, Brock Cardon

引用次数: 0

Prenatal Care Coordination and Well-Child Visit Receipt in Early Childhood. 幼儿期产前护理协调与访视收据。

IF 2.6 3区医学

Journal of the American Board of Family Medicine Pub Date : 2025-09-15 DOI: 10.3122/jabfm.2024.240302R2

David C Mallinson

{"title":"Prenatal Care Coordination and Well-Child Visit Receipt in Early Childhood.","authors":"David C Mallinson","doi":"10.3122/jabfm.2024.240302R2","DOIUrl":"10.3122/jabfm.2024.240302R2","url":null,"abstract":"Introduction: This study evaluates participation in Wisconsin Medicaid's Prenatal Care Coordination (PNCC) program and its association with children's well-child visit (WCV) receipt.Study design: Data came from linked Wisconsin birth records (2011 to 2015) and Medicaid claims and enrollment data (2010 to 2019). The sample comprised 113,347 children with Medicaid-paid births and continuous Medicaid enrollment ranging from 12 to 48 months post-birth. A sibling subsample comprised of 35,373 children. PNCC receipt in pregnancy was measured dichotomously (none; any) and categorically (none; assessment/care plan only; service uptake). Any WCV receipt and recommended WCV receipt (which varied by age) were measured during each year from age 0 up to 4 years old. Conventional logistic regressions and sibling fixed effects (FE) regressions estimated associations between PNCC receipt and WCV receipt.Results: Demographic-adjusted sibling FE regressions-which best control for unobserved confounding-indicated that any PNCC was positively associated with children receiving any WCVs at age 0 to <1 year-old (OR 1.48; 95% CI 1.05-2.08) and at age 1 to <2 years old (OR 1.24; 95% CI 1.03-1.50). In addition, adjusted sibling FE regressions found that PNCC service uptake was associated with children receiving the recommended number of WCVs at age 0 to <1 year-old (OR 1.35; 95% CI 1.18-1.55).Conclusions: PNCC may improve children's WCV attendance in the first 2 years of life. Findings underscore the potential for obstetric care coordination programs to enhance the continuity of preventive care for participating families.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"513-538"},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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