Canadian Family Physician最新文献

{"title":"Family medicine meets participation science: Case for including patient groups in family practice.","authors":"Neil Andersson, Anne Cockcroft, Iván Sarmiento, Keith Jeffrey Todd, Roland Grad, Mark Karanofsky, Ariane Courville-Le Bouyonnec, Mark Yaffe, Charo Rodrigues","doi":"10.46747/cfp.7210597","DOIUrl":"10.46747/cfp.7210597","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"597-599"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186315","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}

{"title":"Benefits of patient group visits.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7210592","DOIUrl":"10.46747/cfp.7210592","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"592"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186313","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}

{"title":"Psychedelic-assisted psychotherapy: Emerging paradigm.","authors":"Daniel Shane, Sabrina Akhtar, Emma Hapke","doi":"10.46747/cfp.7210605","DOIUrl":"10.46747/cfp.7210605","url":null,"abstract":"<p><strong>Objective: </strong>To review psychedelic-assisted psychotherapy (PAP), including its principles, mechanisms of action, safety considerations, and current state of evidence relevant to Canadian primary care.</p><p><strong>Sources of information: </strong>The evidence of PAP is evolving and is primarily derived from phase 2 and 3 clinical trials in specialized research settings. Systematic reviews and meta-analyses suggest potential benefit for selected conditions, though heterogeneity is high, and long-term comparative effectiveness relative to standard treatments remains uncertain.</p><p><strong>Main message: </strong>PAP combines structured psychotherapy with supervised administration of psychedelic medicines in controlled settings. While not a first-line treatment or a primary care-delivered intervention, family physicians may encounter patients seeking information, referral, or guidance regarding PAP and should be familiar with basic evidence, contraindications, access pathways, and harm-reduction considerations.</p><p><strong>Conclusion: </strong>PAP represents an emerging intervention with potential clinical relevance for select patients. As research and regulatory frameworks continue to evolve in Canada, cautious, evidence-informed engagement by family physicians is warranted.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"605-609"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186410","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}

{"title":"Protocole de conversation sur les objectifs des soins: La technique du sandwich Permission, Information Telle qu’elle est et Admission.","authors":"Chris Frank, Frank Molnar","doi":"10.46747/cfp.7210e310","DOIUrl":"10.46747/cfp.7210e310","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e310-e311"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186250","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}

{"title":"Bâtir une relation plus solide: Partie 9 d’une série de 10, « Fondements de l’avenir ».","authors":"Amita Dayal","doi":"10.46747/cfp.7210e302","DOIUrl":"10.46747/cfp.7210e302","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e302-e303"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186266","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}

{"title":"Les bienfaits des visites de patients en groupe.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7210593","DOIUrl":"10.46747/cfp.7210593","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"593"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186259","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}

{"title":"Ontario family physician perspectives on whether and how to charge patients for uninsured services: Qualitative study.","authors":"Asiana Elma, Alison K Scholes, Katrina Shen, Danielle O'Toole, Boris Kralj, Arthur Sweetman, Andrea Carruthers, Meredith Vanstone","doi":"10.46747/cfp.7210e312","DOIUrl":"10.46747/cfp.7210e312","url":null,"abstract":"<p><strong>Objective: </strong>To explore family physicians' decision-making process regarding charging patients for uninsured services in Ontario.</p><p><strong>Design: </strong>A secondary analysis of 55 interviews from a constructivist grounded theory study on before-tax income differences among Ontario family physicians.</p><p><strong>Setting: </strong>Ontario.</p><p><strong>Participants: </strong>Independently practising family physicians.</p><p><strong>Methods: </strong>Interview transcripts were analyzed using inductive content analysis. Key patterns pertaining to charging decisions and processes were identified through iterative coding. Categorization matrices were developed, enabling comparison of key dimensions related to practice features and physicians' charging decisions.</p><p><strong>Main findings: </strong>Participants varied in their approaches to charging for uninsured services, describing decisions as shaped by value-laden negotiations between professional commitments and system-level inadequacies. Across remuneration models, rising financial costs and administrative burden influenced charging decisions. Some physicians viewed charging as necessary to support the costs of practice and manage administrative workload, while others described fees as misaligned with their commitment to delivering accessible, equitable care or as adding a new administrative burden. When deciding whether and how to enforce fees, physicians often made exceptions based on perceptions of patient financial circumstances.</p><p><strong>Conclusion: </strong>The findings suggest that while addressing financial shortfalls and reducing volume of unpaid administrative work are key motivators for charging for uninsured services, fees may simultaneously introduce new ethical and operational challenges. Addressing family physician remuneration for administrative and uninsured services is essential for reducing these tensions and sustaining core family medicine values.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e312-e322"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186300","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}

{"title":"La médecine familiale et la science de la participation: L’importance d’intégrer des groupes de patients à la pratique de la médecine familiale.","authors":"Neil Andersson, Anne Cockcroft, Iván Sarmiento, Keith Jeffrey Todd, Roland Grad, Mark Karanofsky, Ariane Courville-Le Bouyonnec, Mark Yaffe, Charo Rodrigues","doi":"10.46747/cfp.7210e296","DOIUrl":"10.46747/cfp.7210e296","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e296-e298"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186238","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}

{"title":"The political will to invest wisely.","authors":"Michael Allan","doi":"10.46747/cfp.7210656","DOIUrl":"10.46747/cfp.7210656","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"656"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185875","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}

{"title":"La nature comme thérapie: En faveur de la prescription de plein air.","authors":"Jean-Philippe Chaput, Mark S Tremblay","doi":"10.46747/cfp.7210e299","DOIUrl":"10.46747/cfp.7210e299","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e299-e301"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186262","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}