Canadian Family Physician最新文献

{"title":"Une année sous le signe des liens, du courage et du terrain d’entente.","authors":"Sarah Cook","doi":"10.46747/cfp.7210654","DOIUrl":"10.46747/cfp.7210654","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"654"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185881","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":"Au-delà des soins en équipe: Repenser le leadership en médecine de famille.","authors":"Sarah Cook","doi":"10.46747/cfp.7209582","DOIUrl":"10.46747/cfp.7209582","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"582"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946081","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":"Troubles liés à l’usage d’opioïdes en milieu carcéral: Continuité du traitement par agonistes opioïdes à une étape cruciale du parcours clinique.","authors":"Ovie Martin Albert, Alexander Arthur, Fawzy Beshara","doi":"10.46747/cfp.7209e260","DOIUrl":"10.46747/cfp.7209e260","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"e260-e263"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946222","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":"Une notion expansionniste du domicile.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7209521","DOIUrl":"10.46747/cfp.7209521","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"521"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946164","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":"Deprescribing statins for adults 65 years of age and older: Evidence-based clinical practice guideline.","authors":"Wade Thompson, Arden R Barry, Lisa M McCarthy, Jeffrey Pan, Cayden Peixoto, Geneviève Lemay, Parag Goyal, Celeste Fung, Dar Dowlatshahi, Johanna Trimble, Ruth Martin-Misener, Rita K McCracken, Lise M Bjerre","doi":"10.46747/cfp.7209534","DOIUrl":"10.46747/cfp.7209534","url":null,"abstract":"<p><strong>Objective: </strong>To develop an evidence-based guideline to support clinicians in making decisions around continuation or discontinuation (deprescribing) of a statin for their older patients.</p><p><strong>Methods: </strong>The target audience was clinicians. The scope was patients 65 years and older taking statins. <i>Deprescribing</i> was defined as discontinuation. The guideline was developed according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. The guideline panel included 10 clinicians (family physicians, pharmacists, a geriatrician, a cardiologist, a neurologist, and a nurse practitioner) and 1 patient and public member. There was a patient and public consultant group of 5 people 65 years and older taking statins. Recommendations were informed by evidence reviews on the benefits and harms of deprescribing versus continuation of statins; benefits and harms of initiating statins in older adults; feasibility, acceptability, equity, and patient preferences related to statin deprescribing; and resource implications of statin deprescribing. The team refined recommendations through consensus and synthesized clinical considerations relevant to practice. The guideline was reviewed by clinicians and interest holders, and their feedback was incorporated into the guideline.</p><p><strong>Recommendations: </strong>All decisions should be tailored to the individual and include a conversation with patients and carers. Decisions may be informed by consideration of function, mobility, cognition, level of frailty, social circumstances, life expectancy, pill burden, and patient values, preferences, and health care goals. The guideline panel suggests deprescribing statins in older adults at the end of life; continuing statins for primary prevention in older adults who are not at the end of life; continuing statins for secondary prevention in older adults who are not at the end of life; and offering a conversation about continuing or discontinuing statins for select patients.</p><p><strong>Conclusion: </strong>This guideline supports patient-centred decision making around statin use for older adults. The recommendations are meant to be discussed together with patients and carers to reach decisions that reflect individual patient characteristics, values, preferences, and health care goals.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"534-545"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946116","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":"Beyond team-based care: Rethinking leadership in family medicine.","authors":"Sarah Cook","doi":"10.46747/cfp.7209581","DOIUrl":"10.46747/cfp.7209581","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"581"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946052","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":"Induction de buprénorphine dans l’usage du fentanyl: Stratégies pratiques à l’intention des médecins de famille.","authors":"Hussain Aboud, Ovie Martin Albert","doi":"10.46747/cfp.7209e271","DOIUrl":"10.46747/cfp.7209e271","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"e271-e276"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946197","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":"Perceptions and use of publicly funded episodic virtual care: Cross-sectional survey data from New Brunswick and Nova Scotia.","authors":"Emran Hasan, François Gallant, Rebecca H Correia, Stephanie Welton, Lauren Lapointe-Shaw, Tara Kiran, Lindsay Hedden, Julie Easley, Nichole Austin, Shelley Doucet, A Luke MacNeill, Alison Luke, Rachel Thelen, Colin Newman, M Ruth Lavergne","doi":"10.46747/cfp.7209555","DOIUrl":"10.46747/cfp.7209555","url":null,"abstract":"<p><strong>Objective: </strong>To explore public perceptions of episodic virtual care (EVC) and to identify patient characteristics associated with use of EVC services.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>New Brunswick and Nova Scotia.</p><p><strong>Participants: </strong>Individuals 18 years or older residing in New Brunswick and Nova Scotia.</p><p><strong>Main outcome measures: </strong>EVC perception was assessed by asking whether virtual visits with someone other than a personal family physician or nurse practitioner can meet the day-to-day health needs of patients (emergencies excepted). Usage was determined by asking whether EVC services were used in the past 12 months. Multivariable ordered and binary logistic regression models explored associations between patient characteristics, EVC perception, and EVC use. Agreement with a range of statements reflecting perception of EVC services was described.</p><p><strong>Results: </strong>Of the 3882 respondents, 56.3% agreed or strongly agreed that EVC could meet their day-to-day health needs, and 46.7% of a representative population panel (n=895) reported using EVC services in the past 12 months. EVC meeting the day-to-day needs of patients was associated with better comfort with technology (adjusted odds ratio [AOR]=1.92; 95% confidence interval [CI] 1.26 to 2.93), trust in the health care system (AOR=4.15, 95% CI 2.40 to 7.18), basic or routine medical needs (AOR=1.82, 95% CI 1.19 to 2.79), and no disability (AOR=1.45, 95% CI 1.00 to 2.11). EVC use was strongly associated with not having a regular family physician or nurse practitioner (AOR=3.41, 95% CI 1.56 to 7.46), and was negatively associated with being an older adult (45 to 54 years: AOR=0.32, 95% CI 0.12 to 0.85; 55 to 64 years: AOR=0.25, 95% CI 0.08 to 0.77) and a rural resident (AOR=0.29, 95% CI 0.15 to 0.59). More than 80% of respondents reported that EVC is suitable or completely suitable for minor short-term health concerns (eg, common cold), prescription renewals, and referrals, whereas less than 50% found it suitable or completely suitable for ongoing health conditions.</p><p><strong>Conclusion: </strong>Findings reflect perceptions that EVC can play a role in meeting primary care needs, particularly among those with less complex medical needs, but current use is most strongly associated with not having a regular primary care clinician.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"555-566"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946219","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":"Le rôle du bilan hormonal dans l’évaluation de l’infertilité.","authors":"Claire Jones, Leonor Separi","doi":"10.46747/cfp.7209e280","DOIUrl":"10.46747/cfp.7209e280","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"e280-e283"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946216","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":"Internationally trained physicians in family medicine leadership: Canadian cross-sectional study.","authors":"Mariana da Silva Jardim, Lanujan Kaneswaran, Joanne A Permaul, Melanie Henry","doi":"10.46747/cfp.7209e288","DOIUrl":"10.46747/cfp.7209e288","url":null,"abstract":"<p><strong>Objective: </strong>To assess the current representation of internationally trained physicians (ITPs) in family medicine (FM)-relevant medical leadership in Canada, compared to their representation in the Canadian FM workforce.</p><p><strong>Design: </strong>Cross-sectional study using publicly available data.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Medical leaders across Canadian organizations relevant to FM and family physicians in the Canadian workforce.</p><p><strong>Main outcome measures: </strong>Demographic data of FM leaders in Canadian organizations relevant to FM were collected between September 2023 and January 2024, along with demographic data of family physicians in the Canadian workforce made publicly available by the Canadian Institute for Health Information (CIHI). Representation of ITPs in leadership positions was compared with their representation in the Canadian FM workforce.</p><p><strong>Results: </strong>This study included data on 233 family medicine leaders from 33 medical organizations and 47,277 records from the CIHI workforce data. The results revealed that ITPs are significantly underrepresented in FM-relevant Canadian medical leadership, particularly in Ontario, Alberta, and Newfoundland and Labrador. The results also showed that in Manitoba, female physicians were more highly represented in leadership roles than in the general family physician population. Canada-wide, there were no significant differences in leadership representation based on years since medical school graduation.</p><p><strong>Conclusion: </strong>In a cross-sectional study of 233 family physician leaders in Canada, ITPs were underrepresented when compared with the Canadian FM workforce data. Future research should explore leadership trends, factors accounting for ITPs' underrepresentation, and strategies to overcome potential barriers.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 9","pages":"e288-e295"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13566684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946190","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}