Annals of Family Medicine最新文献_第10页

Program Director Wellness Taskforce Updates - Fostering the Well-Being of Residency Program Directors: A Call for Awareness and Action. 项目主任健康工作组更新 - 促进住院医师项目主任的健康：呼吁提高认识并采取行动。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-03-01 DOI: 10.1370/afm.3111

Nguyet-Cam Lam, Afsha Rais Kaisani, Parastou Farhadian

引用次数: 0

What AHRQ Learned While Working to Transform Primary Care. AHRQ 在改革初级保健时学到了什么。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-03-01 DOI: 10.1370/afm.3090

David Meyers, Therese Miller, Jan De La Mare, Jessie S Gerteis, Gail Makulowich, Gabrielle H Weber, Chunliu Zhan, Janice Genevro

{"title":"What AHRQ Learned While Working to Transform Primary Care.","authors":"David Meyers, Therese Miller, Jan De La Mare, Jessie S Gerteis, Gail Makulowich, Gabrielle H Weber, Chunliu Zhan, Janice Genevro","doi":"10.1370/afm.3090","DOIUrl":"10.1370/afm.3090","url":null,"abstract":"Building on previous efforts to transform primary care, the Agency for Healthcare Research and Quality (AHRQ) launched EvidenceNOW: Advancing Heart Health in 2015. This 3-year initiative provided external quality improvement support to small and medium-size primary care practices to implement evidence-based cardiovascular care. Despite challenges, results from an independent national evaluation demonstrated that the EvidenceNOW model successfully boosted the capacity of primary care practices to improve quality of care, while helping to advance heart health. Reflecting on AHRQ's own learnings as the funder of this work, 3 key lessons emerged: (1) there will always be surprises that will require flexibility and real-time adaptation; (2) primary care transformation is about more than technology; and (3) it takes time and experience to improve care delivery and health outcomes. EvidenceNOW taught us that lasting practice transformation efforts need to be responsive to anticipated and unanticipated changes, relationship-oriented, and not tied to a specific disease or initiative. We believe these lessons argue for a national primary care extension service that provides ongoing support for practice transformation.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 2","pages":"161-166"},"PeriodicalIF":4.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Qualitative Study of Black Birthing People Experiencing Preterm Birth. 对早产黑人的定性研究。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3074

Michael E Johansen

引用次数: 0

Communication and Birth Experiences Among Black Birthing People Who Experienced Preterm Birth. 经历过早产的黑人分娩者的沟通和分娩经历。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3048

Emily F Gregory, Geminesse T Johnson, Alejandra Barreto, Arthurine K Zakama, Adya I Maddox, Lisa D Levine, Scott A Lorch, Alexander G Fiks, Peter F Cronholm

{"title":"Communication and Birth Experiences Among Black Birthing People Who Experienced Preterm Birth.","authors":"Emily F Gregory, Geminesse T Johnson, Alejandra Barreto, Arthurine K Zakama, Adya I Maddox, Lisa D Levine, Scott A Lorch, Alexander G Fiks, Peter F Cronholm","doi":"10.1370/afm.3048","DOIUrl":"10.1370/afm.3048","url":null,"abstract":"Purpose: Physically or psychologically distressing birth experiences can influence postpartum health, parenting efficacy, and future pregnancy plans. Communication deficits contribute to negative birth experiences. This qualitative analysis explored themes related to communication and negative birth experiences among Black birthing people who experienced preterm birth.Methods: We conducted qualitative interviews with non-Hispanic Black, English language-proficient birthing people with Medicaid-insured preterm infants. Interviews were designed to explore experiences with health care access and well-being after birth. Interviews were audio recorded, transcribed, and coded following an integrated approach where we applied a priori codes and captured emergent themes from the data.Results: We interviewed 30 participants from October 2018 to July 2021. Median gestational age at birth was 30 weeks (range 22-36 weeks). Interviews occurred a median of 7 months postpartum (range 2-34 months). Themes emerged related to negative birth experiences and communication: (1) communication gaps during urgent or emergent intrapartum procedures contributed to negative birth experiences; (2) postpartum opportunities to share birth experiences, particularly with peers, sometimes mitigated the psychological consequences of negative birth experiences; (3) participants did not consistently discuss concerns about future pregnancy risk related to negative birth experiences with clinical teams.Conclusions: Themes from this sample of Black birthing people who experienced preterm birth suggest 3 ways health systems might intervene to improve communication to mitigate the consequences of negative birth experiences. Improvement efforts in these areas may improve postpartum health, future pregnancy outcomes, and long-term health.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 1","pages":"31-36"},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

STFM Offers Support and Resources to New and Transitioning Residency Learning Networks. STFM 为新建和转型中的驻校学习网络提供支持和资源。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3089

Mary Theobald

引用次数: 0

From Cradle to Grave: Health During Pregnancy and Over a Lifetime. 从摇篮到坟墓：孕期和一生的健康。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3084

Carolyn F Pearce, Mary Beth Sutter

引用次数: 0

New AAFP President Calls on Family Physicians to be "Servant Leaders". 全美家庭医生协会新任主席呼吁家庭医生成为 "服务型领导者"。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3085

引用次数: 0

A Brief Tool to Screen Patients for Precarious Employment: A Validation Study. 筛查患者就业不稳定情况的简易工具：验证研究。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3053

Julia W Ho, Emily Bellicoso, Madeleine Bondy, Dorothy Linn Holness, Carles Muntaner, Rosane Nisenbaum, Arlinda Ruco, Nadha Hassen, Andrew Hanna, Andrew D Pinto

{"title":"A Brief Tool to Screen Patients for Precarious Employment: A Validation Study.","authors":"Julia W Ho, Emily Bellicoso, Madeleine Bondy, Dorothy Linn Holness, Carles Muntaner, Rosane Nisenbaum, Arlinda Ruco, Nadha Hassen, Andrew Hanna, Andrew D Pinto","doi":"10.1370/afm.3053","DOIUrl":"10.1370/afm.3053","url":null,"abstract":"Purpose: Precarious employment, defined by temporary contracts, unstable employment, or job insecurity, is increasingly common and is associated with inconsistent access to benefits, lower income, and greater exposure to physical and psycholosocial hazards. Clinicians can benefit from a simple approach to screen for precarious employment to improve their understanding of a patient's social context, help with diagnoses, and inform treatment plans and intersectional interventions. Our objective was to validate a screening tool for precarious employment.Methods: We used a 3-item screening tool that covered key aspects of precarious employment: non-standard employment, variable income, and violations of occupational health and safety rights and protections. Answers were compared with classification using the Poverty and Employment Precarity in Southern Ontario Employment Index. Participants were aged 18 years and older, fluent in English, and employed. They were recruited in 7 primary care clinic waiting rooms in Toronto, Canada over 12 months.Results: A total of 204 people aged 18-72 years (mean 38 [SD 11.3]) participated, of which 93 (45.6%) identified as men and 119 (58.3%) self-reported as White. Participants who reported 2 or more of the 3 items as positive were almost 4 times more likely to be precariously employed (positive likelihood ratio = 3.84 [95% CI, 2.15-6.80]).Conclusions: A 3-item screening tool can help identify precarious employment. Our tool is useful for starting a conversation about employment precarity and work conditions in clinical settings. Implementation of this screening tool in health settings could enable better targeting of resources for managing care and connecting patients to legal and employment support services.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 1","pages":"26-30"},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Celebrating the Election of Dr Gerardo Moreno to the National Academy of Medicine. 庆祝杰拉尔多-莫雷诺博士当选美国国家医学科学院院士。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01 DOI: 10.1370/afm.3082

José E Rodríguez

引用次数: 0

Employment Opportunities. 就业机会。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-01-01

引用次数: 0