Annals of Family Medicine最新文献_第4页

Face-to-Face Relationships Still Matter in a Digital Age: A Call for a 5th C in the Core Tenets of Primary Care. 数字时代，面对面的关系依然重要：呼吁在初级保健的核心原则中加入第 5 个 C。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3144

Jennifer Y C Edgoose, Yohualli B Anaya, David Rakel

引用次数: 0

Impact of Health Equity Fellowships. 卫生公平奖学金的影响。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3189

Santina Wheat, Elizabeth Beiter, Erin Kavanaugh

引用次数: 0

Cross-Sectional Study of Cesarean Delivery and Safety Culture by Family Medicine Presence. 剖腹产和安全文化的横断面研究（按家庭医疗机构划分）。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3165

Allison K Hoynes, Michael E Johansen

引用次数: 0

Digital Innovation to Grow Quality Care Through an Interprofessional Care Team (DIG IT) Among Underserved Patients With Hypertension. 通过跨专业护理团队（DIG IT）进行数字化创新，提高未得到充分服务的高血压患者的护理质量。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3151

Joyce Y Lee, Jenny Nguyen, Vanessa Rodriguez, Allen Rodriguez, Nisa Patel, Alexandre Chan, Sarah McBane, José Mayorga

{"title":"Digital Innovation to Grow Quality Care Through an Interprofessional Care Team (DIG IT) Among Underserved Patients With Hypertension.","authors":"Joyce Y Lee, Jenny Nguyen, Vanessa Rodriguez, Allen Rodriguez, Nisa Patel, Alexandre Chan, Sarah McBane, José Mayorga","doi":"10.1370/afm.3151","DOIUrl":"10.1370/afm.3151","url":null,"abstract":"Purpose: The impact of digital health on medically underserved patients is unclear. This study aimed to determine the early impact of a digital innovation to grow quality care through an interprofessional care team (DIG IT) on the blood pressure (BP) and 10-year atherosclerotic cardiovascular disease (ASCVD) risk score of medically underserved patients.Methods: This was a 3-month, prospective intervention study that included patients aged 40 years or more with BP of 140/90 mmHg or higher who received care from DIG IT from August through December 2021. Sociodemographic and clinical outcomes of DIG IT were compared with historical controls (controls) whose data were randomly extracted by the University of California Data Warehouse and matched 1:1 based on age, ethnicity, and baseline BP of the DIG IT arm. Multiple linear regression was performed to adjust for potential confounding factors.Results: A total of 140 patients (70 DIG IT, 70 controls) were included. Both arms were similar with an average age (SD) of 62.8 (9.7) years. The population was dominated by Latinx (79.3%) persons, with baseline mean BP of 163/81 mmHg, and mean ASCVD risk score of 23.9%. The mean (SD) reduction in systolic BP at 3 months in the DIG IT arm was twice that of the controls (30.8 [17.3] mmHg vs 15.2 [21.2] mmHg; P <.001). The mean (SD) ASCVD risk score reduction in the DIG IT arm was also twice that of the controls (6.4% [7.4%] vs 3.1% [5.1%]; P = .003).Conclusions: The DIG IT was more effective than controls (receiving usual care). Twofold improvement in the BP readings and ASCVD scores in medically underserved patients were achieved with DIG IT.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 5","pages":"410-416"},"PeriodicalIF":4.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309035","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

The Day I Almost Walked Away: Trust, Gratitude, and the Power of Teamwork. 我差点离开的那一天》（The Day I Almost Walked Away：信任、感恩和团队合作的力量》。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3162

Colleen T Fogarty, Rebecca Schiano

引用次数: 0

The Changing Role of a Chair and DA: Follow-Up from the 2023 ADFM Annual Conference Session. 主席和检察官角色的转变：2023 年全美民主妇女协会年会的后续活动。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3186

Tochi Iroku-Malize, Anna Flattau, Anna Ramanathan, Samantha Elwood

引用次数: 0

Using the Electronic Health Record to Facilitate Patient-Physician Relationship While Establishing Care. 使用电子健康记录，在建立医疗服务的同时促进患者与医生之间的关系。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3142

Samantha Barbour, Elizabeth A Fleming

引用次数: 0

Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery. 家庭医学在分娩过程中的存在：对安全文化和剖宫产的影响。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3157

Emily White VanGompel, Lavisha Singh, Francesca Carlock, Claire Rittenhouse, Kelli K Ryckman, Stephanie Radke

{"title":"Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery.","authors":"Emily White VanGompel, Lavisha Singh, Francesca Carlock, Claire Rittenhouse, Kelli K Ryckman, Stephanie Radke","doi":"10.1370/afm.3157","DOIUrl":"10.1370/afm.3157","url":null,"abstract":"Purpose: Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units.Methods: Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines' presence on labor and delivery and hospital low-risk, primary cesarean delivery rate. Unit culture was compared by hospital type (FM-only, OB-only, or Both).Results: A total of 849 clinicians from 39 hospitals completed the survey; 13 FM-only, 11 OB-only, and 15 hospitals with both. FM-only hospitals were all rural, with <1,000 annual births. Among hospitals with <1,000 annual births, births at FM-only hospitals had an adjusted 34.3% lower risk of cesarean delivery (adjusted incident rate ratio = 0.66; 95% CI, 0.52-.0.98) compared with hospitals with both. Nurses endorsed unit norms more supportive of vaginal birth and stronger safety culture at FM-only hospitals (P <.05).Conclusions: Birthing hospitals staffed exclusively by FM physicians were more likely to have lower cesarean rates and stronger nursing-rated safety culture. Both access and quality of care provide strong arguments for reinforcing the pipeline of FM physicians training in intrapartum care.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 5","pages":"375-382"},"PeriodicalIF":4.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309039","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

A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries. 少数医生会为你们中的一些人看病：医学界代表不足（URiM）家庭医生在医疗补助受益人护理中的关键作用。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3140

Anushree Vichare, Mandar Bodas, Anuradha Jetty, Qian Eric Luo, Andrew Bazemore

{"title":"A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries.","authors":"Anushree Vichare, Mandar Bodas, Anuradha Jetty, Qian Eric Luo, Andrew Bazemore","doi":"10.1370/afm.3140","DOIUrl":"10.1370/afm.3140","url":null,"abstract":"Purpose: Despite being key to better health outcomes for patients from racial and ethnic minority groups, the proportion of underrepresented in medicine (URiM) physicians remains low in the US health care system. This study linked a nationally representative sample of family physicians (FPs) with Medicaid claims data to explore the relative contributions to care of Medicaid populations by FP race and ethnicity.Methods: This descriptive cross-sectional study used 2016 Medicaid claims data from the Transformed Medicaid Statistical Information System and from 2016-2017 American Board of Family Medicine certification questionnaire responses to examine the diversity and Medicaid participation of FPs. We explored the diversity of FP Medicaid patient panels and whether they saw ≥150 beneficiaries in 2016. Using logistic regression models, we controlled for FP demographics, practice characteristics, and characteristics of the communities in which they practiced.Results: Of 13,096 FPs, Latine, Hispanic, or of Spanish Origin (LHS) FPs and non-LHS Black FPs saw more Medicaid beneficiaries compared with non-LHS White and non-LHS Asian FPs. The patient panels of URiM FPs had a much greater proportion of Medicaid beneficiaries from racial and ethnic minority groups. Overall, non-LHS Black and LHS FPs had greater odds of seeing ≥150 Medicaid beneficiaries in 2016.Conclusions: These findings clearly show the critical role URiM FPs play in caring for Medicaid beneficiaries, suggesting physician race and ethnicity are correlated with Medicaid participation. Diversity in the health care workforce is essential for addressing racial health inequities. Policies need to address problems in pathways to medical education, including failures to recruit, nurture, and retain URiM students.","PeriodicalId":50973,"journal":{"name":"Annals of Family Medicine","volume":"22 5","pages":"383-391"},"PeriodicalIF":4.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309031","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

Evaluation of the Importance of Capsule Transparency in Dry Powder Inhalation Devices. 评估干粉吸入器中胶囊透明度的重要性。

IF 4.4 2区医学

Annals of Family Medicine Pub Date : 2024-09-01 DOI: 10.1370/afm.3147

Rocío Reinoso Arija, Rosario Ruiz-Serrano de la Espada, Mª Dolores Núñez Ollero, Laura Carrasco Hernandez, Esther Quintana Gallego, Jose Luis López-Campos

引用次数: 0