Canadian Family Physician最新文献

{"title":"Paratonia in advanced dementia: Challenges and evidence-based interventions.","authors":"Giulia-Anna Perri, Jessica Cuppage, Galit Kleiner","doi":"10.46747/cfp.7206391","DOIUrl":"10.46747/cfp.7206391","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"391-393"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240703","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":"Impact of virtual case conferences between primary care clinicians and an interdisciplinary chronic pain clinic.","authors":"Derek J Jorgenson, Katelyn Halpape, Radhika Marwah, Michael Siton","doi":"10.46747/cfp.7206e208","DOIUrl":"10.46747/cfp.7206e208","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of virtual case conferences on referring primary care clinician knowledge, prescribing, and patient care practices.</p><p><strong>Design: </strong>Paper-based postal survey.</p><p><strong>Setting: </strong>The USask Chronic Pain Clinic (UCPC) in Saskatoon, Sask.</p><p><strong>Participants: </strong>All referring health professionals who participated in a USask Chronic Pain Clinic case conference between July 2023 and December 2024 were included. Participants included family physicians (87.3%, n=48 of 55) and nurse practitioners (12.7%, n=7 of 55).</p><p><strong>Main outcomes measures: </strong>The questionnaire collected data regarding participant demographic characteristics and various aspects of participants' chronic pain management knowledge, prescribing, and chronic pain care practices.</p><p><strong>Results: </strong>A total of 168 questionnaires were mailed and the response rate was 32.7% (n=55 of 168). Most participants found case conferences to be a useful resource to their practices (94.5%) and reported that the service helped them with the management of their patients (92.7%). Many respondents reported improved knowledge about safe opioid prescribing (70.9%) and the process for opioid tapering (49.1%). Most agreed the knowledge they acquired from the case conference had been applied to additional patients in their practice (74.5%). Many respondents also felt more confident managing chronic pain (74.5%), more confident prescribing buprenorphine-naloxone for chronic pain (41.8%), and more willing to prescribe buprenorphine-naloxone for chronic pain (36.4%). Some had even prescribed buprenorphine-naloxone for chronic pain for the first time because of the case conference (30.9%).</p><p><strong>Conclusion: </strong>Case conferences between UCPC interdisciplinary chronic pain team members and referring primary care clinicians may be a valuable service to support referring providers in the care of their patients and to increase the capacity of the primary care system to manage chronic pain.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"e208-e213"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240680","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":"What is given.","authors":"Michael Allan","doi":"10.46747/cfp.7206432","DOIUrl":"10.46747/cfp.7206432","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"432"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240807","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 many meanings of community.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7206368","DOIUrl":"10.46747/cfp.7206368","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"368"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240757","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":"Predictors of high-performing family medicine clinics: Prospective cohort study in Alberta.","authors":"Nicole Kain, Nigel Ashworth, Nancy Hernandez-Ceron, Homeira Hamayeli-Mehrabani, Iryna Hurava, Kushagr Kumar","doi":"10.46747/cfp.7206400","DOIUrl":"10.46747/cfp.7206400","url":null,"abstract":"<p><strong>Objective: </strong>To identify potential risk and protective factors associated with family medicine (FM) and general practitioner (GP) group performance.</p><p><strong>Design: </strong>Prospective cohort study of FM and GP clinics in Alberta, using a Group Practice Review (GPR) framework.</p><p><strong>Setting: </strong>FM and GP clinics operating in Alberta between 2017 and 2019.</p><p><strong>Participants: </strong>Seventy randomly selected FM and GP clinics.</p><p><strong>Interventions: </strong>Clinics were observed and assessed as part of the GPR. Group performance was assessed based on compliance with applicable College of Physicians & Surgeons of Alberta (CPSA) standards of practice (SOPs). Data on physicians' demographic characteristics, practice characteristics, chart scores, and prescribing information were collected from CPSA databases and self-reports.</p><p><strong>Main outcome measures: </strong>Predictors of high-performing clinics, defined as meeting 90% or more of applicable SOPs, were identified using logistic regression.</p><p><strong>Results: </strong>Four key predictors of group performance (SOP compliance) were identified: prescribing practices, number of workdays per week, number of physicians, and chart scores. Clinics with higher rates of risky prescribing and heavier workloads were less likely to comply with SOPs, while clinics with more physicians and higher chart scores were more likely to be classified as high performing.</p><p><strong>Conclusion: </strong>This study is among the first to examine predictors of group performance in FM and GP group practices. Findings highlight the importance of monitoring prescribing behaviour, workload, and chart scores at the clinic level to support physicians and protect patients.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"400-407"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240730","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":"Prise en charge de l’odontalgie aiguë chez l’adulte.","authors":"Susan Sutherland, Jennifer Young","doi":"10.46747/cfp.7206e204","DOIUrl":"https://doi.org/10.46747/cfp.7206e204","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"e204-e207"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240640","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":"Tales from the 2SLGBTQ+ family medicine community and supporters.","authors":"Jessica Wilson, A J Hennenfent, Rainbow Elizabeth Negus, Sam Moore","doi":"10.46747/cfp.7206411","DOIUrl":"10.46747/cfp.7206411","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"411-415"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240701","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":"Approche du counseling en contraception dans le sport pour les athlètes.","authors":"Stephanie Ryall, Heidi Ohrling, Jane Thornton","doi":"10.46747/cfp.7206e197","DOIUrl":"10.46747/cfp.7206e197","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"e197-e203"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240708","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":"Réimaginer la relation médecin de famille-spécialiste au milieu de la crise en soins primaires: Mettre le pouvoir à contribution pour une meilleure collaboration.","authors":"René Wong, Erin Keely, Pauline Pariser","doi":"10.46747/cfp.7206e190","DOIUrl":"https://doi.org/10.46747/cfp.7206e190","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"e190-e193"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240666","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":"Entre la personne et la communauté : le rôle du médecin de famille: Partie 6 d’une série de 10, « Fondements de l’avenir ».","authors":"Sœur Monique Bourget, Samuel Soares Filho, Martim Elviro de Medeiros","doi":"10.46747/cfp.7206e194","DOIUrl":"https://doi.org/10.46747/cfp.7206e194","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 6","pages":"e194-e196"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240697","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}