A UK study found that older patients experiencing more discontinuity of care in general practice are at a higher risk of emergency hospital admissions. Patients with the least continuity had a risk of admission twice as high as those with complete continuity.
A new diagnostic test found that disappearing of heart murmur while standing reliably rules out pathologic heart murmurs in children. The test showed a high predictive positive value and specificity, but poor sensitivity, making it a valuable tool for primary care docs to exclude costly cardiologist referrals.
A new study found that disappearance of heart murmur while standing reliably rules out pathologic heart murmurs. The test, using an acoustic-based stethoscope, has a high predictive positive value and specificity, but poor sensitivity.
The study found that scribes significantly improved physician satisfaction in terms of overall satisfaction, time spent charting, and chart quality. Physicians were more satisfied with scribed charts than their own, suggesting a potential solution to the clerical burden associated with documentation.
The Affordable Care Act has expanded Medicaid coverage, leading to significant decreases in medical visits among uninsured patients across all racial and ethnic groups. However, disparities persist, with Hispanic patients experiencing smaller declines in uninsured visit rates compared to non-Hispanic whites and blacks.
Primary care physicians spend an average of 355 minutes (5.9 hours) per day in the EHR, including 269 minutes during clinic hours and 86 minutes after hours. This excessive time spent on clerical tasks can lead to burnout and decreased productivity. The study suggests that solutions like proactive planned care, team-based care, and sha...
A regional health center established an office-based opioid treatment program after a patient's overdose death, treating patients on-site. A massive open online course is also available for free, educating participants about falls and fall prevention strategies.
A new scoring tool, G-TRUST, evaluates guideline trustworthiness and identifies useful practice guidelines. The tool's reliability needs to be researched, especially when used with technology like smartphone applications.
Primary care physicians dedicate half of their workday to EHR activities, with significant time spent on clerical tasks and inbox management. The authors suggest that solutions, such as proactive planned care and sharing of clerical tasks, can improve EHR system applications.
Four primary methods are used by primary care practices to risk stratify patient populations: practice-developed algorithm, AAFP clinical algorithm, payer claims/electronic health record, and clinical intuition. Practices that developed their own algorithm identify more high-risk patients than those using other methods.
Primary care staff often attribute blame to individuals rather than system failures in patient safety incident reports. This may reflect a healthcare culture that prioritizes individual accountability over system improvement.
A study of British general practitioners found that physicians are more likely to support smoking cessation in primary care patients with coronary heart disease. Cancer patients are less likely to stop smoking due to lack of recording and advice from their doctors.
Adults with intellectual disabilities have a nearly threefold higher rate of emergency hospitalizations and five times more preventable admissions than their matched controls. The most common ACSCs resulting in admission are convulsions/epilepsy, lower respiratory tract infection, and urinary tract infection.
Children and older adults with developmental disabilities experience the greatest disparities in unmet healthcare needs. Medical schools are urged to incorporate specific training in developmental disabilities into their curricula to reduce these disparities.
In at least 18 states, academic health centers partner with cooperative extension systems to improve local community health. These collaborations focus on nutrition education, healthy cooking demonstrations, and health and nutrition education for seniors.
Medical expenditures in the US have increased by 47% between 1996-1997 and 2011-2012, mainly due to higher prescription drug use. However, primary care physician visits and home health care costs remained relatively stable.
A cluster randomized factorial trial found that training and support have a lasting impact on primary care clinicians' delivery of screening and advice to heavy drinkers. The study suggests that repeated training and support can lead to an increase in the volume of brief interventions delivered to heavy drinking patients.
A new clinical decision rule uses point scores and C-reactive protein to diagnose acute rhinosinusitis with good accuracy. The rule successfully identifies patients at low risk for bacterial infection, leading to more conservative use of antibiotics.
Residents reflect on patient struggles, joys, and future goals to cultivate inner lives and balance professional and personal selves. Writing reflections helps physicians integrate their emotions, spirituality, and clinical expertise.
A national survey of rural physicians found significant barriers to prescribing buprenorphine for opioid use disorder, including time constraints and lack of mental health support services. The study calls for tailored strategies to address these barriers and support physicians in providing Buprenorphine Maintenance Treatment.
Primary care physicians identify barriers to deprescribing, including patient expectations and organizational constraints. Less experienced physicians face additional challenges, highlighting the need for supportive interventions to promote safer prescribing practices.
A study of rural primary care physicians found that younger physicians experience higher turnover rates than older counterparts, with 17% biennial turnover among younger physicians. Rural practice is particularly challenging, with non-retention worse in counties without a hospital or smaller population.
Research reveals that insured patients struggle to secure appointments with psychiatrists, highlighting the challenges of accessing behavioral health care. The study estimates that a patient may need to call seven to ten psychiatrists to find an available appointment, underscoring the need for improved access to mental health services.
A family physician shares her experience with patient denial and anger towards opioid prescription limits, but finds healing through medication-assisted treatment training. She urges healthcare professionals to recognize opioid addiction and support one another in providing treatment.
A change in cervical cancer screening guidelines led to a decrease in Pap testing and chlamydia testing among young women. Chlamydia testing declined by 26% in females aged 15-19, resulting in lower reported incidence rates for this age group.
US medical expenditures increased by 47% between 1996-1997 and 2011-2012, driven largely by prescription drug use. Expenditures rose in most categories except primary care physicians and home health care, with the largest increases seen in specialty physicians, emergency department visits, and prescribed medications.
A widespread telehealth project in Brazil has reduced wait times for specialty consultations, while solo practices use patient-entered data to supercharge self-management. These innovations expand primary care access and enhance patient engagement.
Patients with opioid use disorder on buprenorphine are at significantly higher risk of death when in and out of treatment. The study found a 2.6 times increased risk of mortality compared to individuals without addiction issues during the same time period.
A proposed solution to disrupt healthcare disruptions is the creation of a chief primary care medical officer. This position would lead hospital efforts to create systems ensuring a complete primary care continuum, even for complex patients, resulting in improved value, reduced costs, and better health outcomes.
Ambiguous losses in physicians' roles can cause stress and grief, which contributes to burnout if not acknowledged. A proposed solution is supporting physicians in addressing their grief, rather than focusing on resilience training.
Family physicians are well-qualified to treat addiction due to their focus on relationships, communities, and team-based care. Primary care physicians must be responsible for the initial and longitudinal care of patients with substance use disorders, and specialized services must be widely available and accessible.
Researchers found that Canadian primary care practices scored an average of 5.36 out of 10 on the Patient Medical Home (PMH) model, with Ontario being the only province to score higher than the national average. Despite efforts to implement the PMH model, provinces showed little variation in achieving key objectives.
A study published in the Annals of Family Medicine found that in-office automated blood pressure monitoring over 30 minutes significantly reduced the number of patients who met criteria for antihypertensive medication regimes. The technique, known as OBP30, yielded lower blood pressure readings than routine office blood pressure readings.
Poor primary care coordination affects 1 in 3 patients globally, with the US having the highest rate. The study found that US patients reported similar levels of poor care regardless of insurance status or health conditions.
New research finds automated blood pressure monitoring over 30 minutes significantly reduces the number of patients meeting criteria for antihypertensive medication. This technique yields lower blood pressure readings than routine office measurements, helping to avoid overtreatment.
A recent study published in Annals of Family Medicine found that oral and topical antibiotics have no meaningful benefit for milder clinically infected eczema in children. Topical corticosteroids and emollient treatment led to rapid resolution of symptoms.
Researchers found no decline in primary care availability despite the millions of newly insured individuals. Appointment rates and wait times remained stable or increased slightly in some states, supporting the possibility that primary care capacity was sufficient to absorb the new patients.
The National Commission on Prevention Priorities has released updated rankings for clinical preventive services, highlighting the most effective and cost-effective options. The top three services include immunizing children, tobacco-use screening, and alcohol misuse screening, with scores of 10 out of a possible 10.
The National Commission on Prevention Priorities releases updated rankings of clinical preventive services, identifying high-impact services for improving population health. The top three services are immunizing children, tobacco-use screening and brief intervention, and alcohol misuse screening with brief intervention.
Greater primary care physician involvement at the end of life is associated with less costly and less intensive care. Regions with more primary care involvement have lower Medicare spending in the last two years of life and fewer ICU days in the last six months.
A study found that only 55% of breastfed infants received the recommended daily vitamin D supplementation. Mothers preferred to supplement themselves, citing safety as their top concern. Higher doses of vitamin D could be incorporated into maternal supplementation routines to enrich breast milk and improve intakes in breastfed infants.
A recent study by European researchers found that patients with acute bacterial lower respiratory tract infections (LRTIs) had only slightly worse symptoms and returned more often to their physician than those without bacterial LRTIs. The authors conclude that these infections are generally mild and self-limiting, allowing physicians t...
A randomized trial involving 1,302 asthmatic patients found no evidence to support the effectiveness of orally administered probiotics in reducing respiratory tract infections and antibiotic use. In contrast, a review of psychological interventions for postnatal depression found that community-based therapies were effective treatment o...
This study reveals a significant increase in prediabetes prevalence among healthy-weight adults over 18 years, highlighting the need for revised screening recommendations. Additionally, inadequate hydration is linked to higher BMI and obesity rates, suggesting drinking more water could be an effective tool against the obesity epidemic.
Researchers found that men with localized prostate cancer often underestimate their life expectancy without treatment and overestimate the benefits of surgery or radiation. This can lead to overtreatment, decisional regret, and decreased post-treatment quality of life. A recent study published in the Annals of Family Medicine suggests ...
A randomized controlled trial found that electronic consultations improved access to cardiac care, with nearly two-thirds of patients not requiring a face-to-face visit. Additionally, e-consultations were completed on average almost a month sooner than traditional consultations.
Research studies examine the viability of small, solo family practices in rural areas, finding they often provide vital care. Large independent primary care groups are also shown to be attractive options for physicians and patients, offering resources and autonomy while reducing costs.
Researchers tested intensive multifaceted interventions to reduce Potentially Inappropriate Prescribing (PIP) in older patients, finding significant reductions in PIP. A systematic review also found transitional care interventions for congestive heart failure patients reduced readmission and emergency department visits. Additionally, m...
Researchers find PCMH costs per physician FTE were $7,691 in Utah and $9,658 in Colorado. Family physicians with high HIV experience are more likely to adhere to antiretroviral therapy protocols. Adequate compensation is critical for practices to sustain medical home services.
Erectile dysfunction is linked to a higher risk of undiagnosed diabetes. Additionally, a study found that ACA Medicaid expansion increased demand for primary care services. Furthermore, sleep apnea may increase the risk of developing panic disorder, while changes in cervical cancer screening guidelines resulted in decreased chlamydia s...