Canadian Family Physician最新文献

{"title":"Renforcer la communauté, pas seulement la capacité: Les diplômés internationaux en médecine et l’avenir de la médecine de famille.","authors":"Sarah Cook","doi":"10.46747/cfp.7204286","DOIUrl":"https://doi.org/10.46747/cfp.7204286","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"286"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.46747/cfp.7204225_1","DOIUrl":"10.46747/cfp.7204225_1","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"225"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693816","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":"Continuité culturelle: Le produit de soins socialement responsables, culturellement sécuritaires et inclusifs.","authors":"Alex Anawati, Nusha Ramsoondar, Erin Cameron","doi":"10.46747/cfp.7204e88","DOIUrl":"10.46747/cfp.7204e88","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e88-e92"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693777","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":"Preserve the distinction between passive and intensive skills training.","authors":"Greg Dubord","doi":"10.46747/cfp.7204225","DOIUrl":"10.46747/cfp.7204225","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"225"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693860","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":"Opportunities to improve the care of individuals with polycystic ovary syndrome in Canada: Systematic review.","authors":"Hayley Patrick, Liam McAlister, Ava Pourtousi, Jasmine Badesha, Selina L Liu, Suhaima Tunio, Kristin K Clemens","doi":"10.46747/cfp.7204e117","DOIUrl":"10.46747/cfp.7204e117","url":null,"abstract":"<p><strong>Objective: </strong>To examine gaps in the care of people with polycystic ovary syndrome (PCOS) in Canada from a patient perspective and identify opportunities for improvement.</p><p><strong>Data sources: </strong>PubMed, Embase, Web of Science, and Scopus databases.</p><p><strong>Study selection: </strong>Observational studies, randomized controlled trials, mixed-methods studies, cross-sectional studies, and qualitative studies were included that examined the experiences of patients with PCOS in Canada.</p><p><strong>Synthesis: </strong>Screening of titles and abstracts was performed independently by 2 reviewers, with conflicts resolved by a third blinded reviewer. Full-text screening was completed by 4 reviewers. A total of 2098 citations were identified using a broad search strategy and 9 studies met inclusion criteria. Information on the care experience of patients with PCOS was extracted and synthesized using a Knowledge-to-Action framework. Three main themes emerged: 1) there is opportunity to address delays in PCOS diagnosis and provide clearer treatment recommendations to patients; 2) there is a need to address the psychological impacts of PCOS; and 3) there may be opportunities to improve the clinical care experiences of people with PCOS.</p><p><strong>Conclusion: </strong>The authors propose that expedited diagnosis of PCOS, attending to patients' mental health needs, personalized lifestyle modifications and education, and strategies to promote positive patient experiences may help to improve PCOS care.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e117-e126"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693888","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":"Correction.","authors":"","doi":"10.46747/cfp.7204225_2","DOIUrl":"10.46747/cfp.7204225_2","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"225"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693780","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":"Exercise and pharmacologic management of fibromyalgia.","authors":"Jennifer Young, Lori Montgomery, Jessica E M Kirkwood","doi":"10.46747/cfp.7204254","DOIUrl":"10.46747/cfp.7204254","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"254-256"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693788","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":"Factors associated with patient use of primary care outside of their capitated primary care enrolment group: Multilevel analysis.","authors":"Lyn M Sibley, Shaun Shaikh, Sharada Weir, Nadia Alam, Silvy Mathew, Jasmin Kantarevic","doi":"10.46747/cfp.7204e108","DOIUrl":"10.46747/cfp.7204e108","url":null,"abstract":"<p><strong>Objective: </strong>To determine which patient, physician, physician-group, and geographic factors influence the likelihood of health care visits to family physicians (FPs) outside of patients' enrolling physician groups.</p><p><strong>Design: </strong>Cross-sectional analysis using administrative health data. A multilevel logistic regression model was used to determine the probability of outside use based on a set of observable factors at the patient and physician-group levels, accounting for the variation attributable to the patient, physician, physician-group, and geographic levels.</p><p><strong>Setting: </strong>Ontario.</p><p><strong>Participants: </strong>Patients enrolled in family health organizations (FHOs) during the study period from April 1, 2018, to March 31, 2019.</p><p><strong>Main outcome measures: </strong>Outside use, defined as an encounter with an FP outside of the patient's enrolling physician group who submitted an Ontario Health Insurance Plan fee code in the FHO core primary care services.</p><p><strong>Results: </strong>Patient-level factors explained 83.7% of the variation in outside use probability. Physician- and physician-group-level variations each explained less than 2% of outside use probability, while 14.2% was explained at the physician-group geographic level. Patient-level factors associated with outside use included age (oldest versus [vs] youngest cohort, odds ratio [OR]=0.44, 95% confidence interval [CI] 0.42 to 0.45); female sex (OR=1.21, 95% CI 1.19 to 1.23); expected relative health care costs (highest vs lowest complexity score quintile, OR=3.65, 95% CI 3.53 to 3.79); distance from enrolled physician group (longest vs shortest travel time, OR=2.10, 95% CI 2.01 to 2.19); and FP to population need ratio (highest vs lowest quintile, OR=1.71, 95% CI 1.62 to 1.80). Statistically significant physician-group-level variables (<i>P</i><.05) included Rurality Index for Ontario scores, group size, years of existence, proportion of female physicians, average age, and number of weekend and holiday days worked per patient.</p><p><strong>Conclusion: </strong>Physician- or physician-group-level policy options for effectively reducing outside use may include increasing group size to more than 5 and increasing weekend and holiday days worked per patient and after-hours care. However, because outside use is primarily explained by variations at the patient level, other innovative policy options may need to be implemented to improve care continuity.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e108-e116"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693807","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":"Bridging the mental health care gap in Canada.","authors":"Peter R MacKean","doi":"10.46747/cfp.7204224","DOIUrl":"10.46747/cfp.7204224","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"224"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693808","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":"Teaching point-of-care ultrasound in a rural family medicine residency.","authors":"Adam Jones-Delcorde, Sean D Higgins, Vikas Bhagirath, Paul Pageau, Michael Y Woo","doi":"10.46747/cfp.7204268","DOIUrl":"10.46747/cfp.7204268","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"268-271"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693915","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}