Journal of the American Board of Family Medicine最新文献_第5页

Family Medicine Team Perspectives on Screening for Health-Related Social Needs. 家庭医疗团队对健康相关社会需求筛查的看法。

IF 2.9 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-13 DOI: 10.3122/jabfm.2023.230167R3

Laura Porterfield, Quratulanne H Jan, Forrest Jones, Tran Cao, Lacy Davis, Shannon Guillot-Wright, Christen M Walcher

{"title":"Family Medicine Team Perspectives on Screening for Health-Related Social Needs.","authors":"Laura Porterfield, Quratulanne H Jan, Forrest Jones, Tran Cao, Lacy Davis, Shannon Guillot-Wright, Christen M Walcher","doi":"10.3122/jabfm.2023.230167R3","DOIUrl":"10.3122/jabfm.2023.230167R3","url":null,"abstract":"Introduction: Social drivers of health (SDH) strongly influence health outcomes and disparities. Although systemic level change is vital to address the disparities driven by SDH, it is also crucial that health care organizations develop the ability to care for patients in a manner that accounts for social factors and their influence on patient health. Although primary care is a natural fit for health-related social needs (HRSN) screening and intervention, significant barriers can impede primary care's effectiveness in this area.Methods: We conducted 3 focus groups with family medicine clinicians, clinical staff, and social care workers in an academic medical center using a semistructured discussion guide to explore current practices, perceived benefits, barriers, and potential opportunities and approaches for integrating routine HRSN screening in primary care.Results: 3 primary themes emerged from the focus groups. They included 1) the barriers to routine screening in primary care, including time, workload, emotional burden, patient factors, and team members' fear of inadequacy of resources or their own ability; 2) the importance and benefit of HRSN screening, including the opportunity to improve patient care through increased care team awareness of the patient's context, interventions to address HRSN, and improved relationships between the care team and the patient; and 3) recommendations for implementing routine screening in primary care, including opportunities to optimize workflow and technology, the importance of an electronic medical record (EMR)-integrated resource database, and the centrality of teamwork.Discussion: Family medicine health care teams embrace the importance of HRSN screening and the potential for positive impact. However, there are vital barriers and considerations to address for HRSN screening to be effectively integrated into primary care visits.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"180-186"},"PeriodicalIF":2.9,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565204","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

Addressing the Marketing Practices of Medicare Advantage Plans. 处理医疗保险优势计划的营销行为。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2023.230384R1

Forrest Bohler, Eli Y Adashi

引用次数: 0

Re: Early-Career Compensation Trends Among Family Physicians. Re：家庭医生早期职业补偿趋势。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2024.230402R0

Fareedat O Oluyadi, Arianne Cordon-Duran, Carl E Lambert

引用次数: 0

GLP-1 RAs and SGLT2-Is to Lower Glucose and Reduce the Risk of Cardiovascular and Diabetic Kidney Disease. GLP-1 RAs 和 SGLT2-Is 降低血糖并减少心血管疾病和糖尿病肾病的风险。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2023.230455R1

Leigh Morrison, Jonathan Gabison, Lauren Oshman

引用次数: 0

Re: Why Do Physicians Depart Their Practice? A Qualitative Study of Attrition in a Multispecialty Ambulatory Practice Network. 关于医生为何离职？一项关于多专科非住院医师执业网络中自然减员的定性研究。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2024.240055R0

Roshell Muir, Lauren D Feld, Monica Verduzco-Gutierrez

引用次数: 0

Telemedicine Adoption During COVID-19 Pandemic: Perspectives from Primary Care Clinicians in Safety-Net Settings. 在 COVID-19 大流行期间采用远程医疗：安全网环境中初级保健临床医生的观点。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2023.230339R1

Amelie Foumena Nkodo, Martha M Gonzalez, Sarah Reves, Rebecca S Etz

{"title":"Telemedicine Adoption During COVID-19 Pandemic: Perspectives from Primary Care Clinicians in Safety-Net Settings.","authors":"Amelie Foumena Nkodo, Martha M Gonzalez, Sarah Reves, Rebecca S Etz","doi":"10.3122/jabfm.2023.230339R1","DOIUrl":"https://doi.org/10.3122/jabfm.2023.230339R1","url":null,"abstract":"Objective: The objective of this study is to describe the facilitators and barriers of telemedicine during the COVID-19 pandemic for primary care clinicians in safety-net settings.Methods: We selected 5 surveys fielded between September 2020 and March 2023 from the national \"Quick COVID-19 Primary Care Survey\" by the Larry A. Green Center, with the Primary Care Collaborative. We used an explanatory sequential mixed method approach. We compared safety-net practices (free & charitable organization, federally qualified health center (FQHC), clinics with a 50% or greater Medicaid) to all other settings. We discuss: 1) telemedicine services provided; 2) clinician motivations; 3) and telemedicine access.Results: All clinicians were similarly motivated to implement telemedicine. Safety-net clinicians were more likely to report use of phone visits. These clinicians felt less \"confident in my use of telemedicine\" (covariate-adjusted OR = 0.611, 95% CI 0.43 - 0.87) and were more likely to report struggles with televisits in March 2023 (covariate-adjusted OR = 1.73, 95% CI 1.16 - 2.57), particularly with physical examinations. Safety-net clinicians were more likely to endorse reductions in no-shows (covariate-adjusted OR = 1.77, 95% CI 1.17 - 2.68). Telemedicine increased access and new patient-facing demands including portal communications.Conclusions: This study enhances our understanding of the use of telemedicine within the safety-net setting. Clinician perceptions are important for identifying barriers to telemedicine following the end of the Federal COVID-19 Public Health Emergency. Clinicians highlighted significant limitations to its use including clinical appropriateness, quality of physical examinations, and added patient-facing workload.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"37 3","pages":"409-417"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983750","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

Shoring Up Osteoporosis Management: A Fresh Start? 加强骨质疏松症管理：重新开始？

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2024.240060R0

Noah Furr, Ansley Ulmer, Brock Cardon

引用次数: 0

Why Opportunities for Tenure Matter for Minoritized Faculty in Academic Medicine. 为什么终身教职的机会对医学学术界的少数民族教师很重要？

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2023.230207R1

Claudia Alvarez, Deyanna M Boston, Lauren W Norman, Brett A Thomas, José E Rodríguez, Kendall M Campbell

{"title":"Why Opportunities for Tenure Matter for Minoritized Faculty in Academic Medicine.","authors":"Claudia Alvarez, Deyanna M Boston, Lauren W Norman, Brett A Thomas, José E Rodríguez, Kendall M Campbell","doi":"10.3122/jabfm.2023.230207R1","DOIUrl":"https://doi.org/10.3122/jabfm.2023.230207R1","url":null,"abstract":"Academic medicine continues to characterize the experiences of Black and other minoritized faculty in medicine to enhance their careers and promote their advancement. An issue of discussion is tenure and its role in the advancement and retention of this group. Tenure is a sign of national presence, command of an area of study, and can demonstrate support from the institution in terms of permanent employment, eligibility to apply for awards, sit or vote on certain committees or qualify for certain leadership opportunities. Anecdotally there have been reports that tenure is a thing of the past that has lost relevance prompting some to end tenure in their institutions. Reasons for this are complex, however the literature does not include minoritized faculty as a reason for the need to revise or eliminate tenure and tenure earning tracks. The authors discuss 3 reasons why Black and other minoritized faculty should be afforded the opportunity to achieve permanent status in their academic health centers. They include histories of being denied freedom, having information concealed or being giving false information, and being denied permanent academic employment status.","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"37 3","pages":"497-501"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983752","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

Person-Centered, Goal-Oriented Care Helped My Patients Improve Their Quality of Life. 以人为本、以目标为导向的护理帮助我的病人提高了生活质量。

IF 2.4 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2023.230394R1

Lee A Jennings, James W Mold

引用次数: 0

Peer Reviewers for the Journal of the American Board of Family Medicine in 2023 2023 年《美国全科医学委员会杂志》同行评审员

IF 2.9 3区医学

Journal of the American Board of Family Medicine Pub Date : 2024-05-01 DOI: 10.3122/jabfm.2024.240153r0

Marjorie A. Bowman, Dean A. Seehusen, Christy J. W. Ledford, Phillip Lupo

引用次数: 0