Studies show that primary care physicians can safely and effectively perform colonoscopies, with quality and safety indicators comparable to those of gastroenterologist specialists. Having a personal health care provider is associated with a three times higher likelihood of colorectal cancer screening, highlighting the potential for po...
Studies examine racial and ethnic disparities in hypertension care and control, finding that racial disparities contribute to nearly 8,000 preventable deaths from heart disease and stroke annually. Researchers also investigate how medication prescribing and blood pressure control vary between ethnic groups in England, revealing signifi...
Federal funding cuts for physician training programs could lead to a shortage of physicians in community health centers, with potentially over 2,200 fewer staff members. Meanwhile, home blood pressure monitoring has been shown to be more effective than office measurements in predicting risk of death for patients with 'white coat hypert...
A North Carolina program, Community Care of North Carolina (CCNC), improves quality of care and reduces Medicaid costs by 23% in emergency departments, 25% in outpatient care, and 11% in pharmacy costs. The program also increases asthma control and decreases hospitalization rates for children with asthma.
A qualitative study of English family practice found that pay-for-performance programs reduce continuity of care and increase fragmentation. The programs also changed the nature of patient consultations, leaving physicians feeling less skilled and disconnected from patients.
Patients prioritize thorough examination ($40.87), followed by seeing a physician who knows them well, over other aspects of patient-centered care. Research suggests that local communities can develop tailored strategies to retain patients by improving services and customer service.
A study of 45 family medicine practices found that those with nurse-practitioners performed better in diabetes care measures compared to physician-only practices and those using physician assistants. Practices with NPs were more likely to measure hemoglobin A1c levels, lipid levels, and treat for high lipid levels.
The US is relying on medical graduates from low-income countries to fill primary care gaps, draining developing nations of needed physicians. Family physicians play a vital role in equity in healthcare, with disproportionately high rates of care for disadvantaged populations.
Patients seeking urgent health care have highest satisfaction with their own family physicians; new models of care can inform improved access and continuity. Treating anger and psychological stress may slow progression from prehypertension to hypertension and coronary heart disease, research suggests.
A four-year study of 1,869 women found that the Active Management of Risk in Pregnancy at Term approach resulted in lower cesarean delivery rates compared to traditional care. Preventive labor induction also appeared to lower adverse birth outcomes. The findings challenge current beliefs about labor induction and suggest a preventive a...
Research highlights the association between acanthosis nigricans and type 2 diabetes risk factors in children and adults. Additionally, a study suggests that electronic medical records do not necessarily ensure high-quality diabetes care, highlighting the need for workflow redesign to improve patient health.
A primary care health network in Fort Worth, Texas, took responsibility for 3,700 Hurricane Katrina evacuees, providing medical care for nearly half of them. The network prevented its emergency department from being overwhelmed by creating a triage center and referring evacuees to primary care clinics. The authors reflect on valuable l...
A content analysis of television direct-to-consumer advertising found that emotional appeals can influence consumer decisions, but may also lead to misinformed choices. Meanwhile, cost-effectiveness analyses suggest that treatment options for acute otitis media and venous thromboembolism should prioritize symptom relief and cost consid...
The American Academy of Family Physicians and American College of Physicians released new clinical practice guidelines for diagnosing and managing venous thromboembolism. The guidelines emphasize the use of clinical prediction rules, diagnostic tools like D-dimer and ultrasonography, and low-molecular weight heparin for patients with d...
The 2004 influenza vaccine shortage had a significant impact on continuity of care, with flu vaccination rates dropping by over 50% in some areas. Additionally, studies found that improper antibiotic use can exacerbate sinusitis symptoms and that patients with sore throats often seek pain relief rather than antibiotics.
A new study by the American Academy of Family Physicians recommends a 39% increase in family physicians to address the growing health care needs of Americans. The report asserts that without reform, millions will struggle to access high-quality primary care.
Studies highlight the impact of Medicaid program reductions, including increased coverage loss and unmet healthcare needs, as well as the influence of insurance status on physician decision-making. Undiagnosed diabetes is also found to have detrimental consequences, including increased rates of nephropathy and neuropathy.
The article discusses potential legislative reforms to the US medical liability system, finding that economic damage caps can lead to lower premiums. It also examines the decline of vaginal births after cesarean deliveries in California, contradicting initial expectations, and highlights the importance of preserving women's options for...
A study found that new mothers experience six common postpartum symptoms, including fatigue, breast discomfort, and decreased desire for sex. Women who had cesarean sections reported significantly worse physical health than those who gave birth vaginally. Breastfeeding was also linked to more symptoms.
Researchers found that timely diagnosis of diabetes improves blood pressure control, glucose management, and overall health outcomes. Studies also suggest that reengineering primary care practice through practice redesign may be necessary to substantially improve chronic illness care.
The article discusses the importance of finding a balance between investing in new technologies and improving existing systems of care. Studies show that physicians employed by large health organizations report lower job satisfaction, while independent practice is associated with better quality of work life.
Studies examine prevalence of primary HIV infection, effectiveness of antidepressants in primary care, and the impact of patient-centered communication on healthcare costs. Research also explores aggressive antibiotic treatment for nursing home patients and cost-effectiveness of expanded testing for primary HIV infection.
Studies reveal high users of primary care are often over-serviced but underserved, and electronic medical records have little impact on diabetes quality of care. In contrast, patients treated with dignity report higher satisfaction, treatment adherence, and receipt of preventive services.
Research found that primary care physicians have only 3.5 hours per day to provide care for common chronic diseases, increasing to over 10 hours per day when accounting for poorly controlled conditions. The authors suggest collaborative guideline development and team approaches to patient education to address this issue.
Researchers found that individuals with high transferrin saturation levels have a 2.24 times greater relative risk of cancer when consuming excessive iron intake, emphasizing the need for dietary restrictions to mitigate this risk. Additionally, a study analyzing over 35,000 participants revealed that family-level influences significan...
This article discusses the association between non-hazardous alcohol consumption and injury, as well as barriers to treating depression among young adults. Studies find that excessive drinking causes significant injuries, while negative attitudes towards treatment may prevent youth from accepting diagnosis and care.
A recent study found that ending racial disparities in healthcare could save up to 886,202 lives, compared to the 176,633 lives saved by technological advances. The authors argue that investing more in healthcare disparities correction could lead to significant cost savings and improved health outcomes.
The new model of care emphasizes patient-centered care, electronic health records, and primary care services to improve quality and reduce costs. Implementation could lead to significant reductions in healthcare expenditures and increased compensation for family physicians.
The article highlights three key findings: depression severity impacts functioning and quality of life more dramatically in elderly patients than other chronic medical conditions. Rural blacks have significantly worse diabetes and hypertension control, while 42% of clinic appointments are no-shows due to issues of disrespect by the hea...
A recent study found that nearly 14% of seniors change physicians in a single year, with most doing so involuntarily. Maintaining continuity of care with a primary care physician is associated with better health outcomes at lower costs.
The American Academy of Family Physicians presents award-winning research papers on key medical topics such as prenatal care, diabetes management, and pain assessment. Researchers will be available to discuss their findings between presentations.
A randomized clinical trial found that brief alcohol counseling resulted in long-term reductions in high-risk drinking behaviors and adverse events among young adults. Counseling led to a 40-50% decrease in alcohol use and a significant reduction in emergency department visits, auto accidents, and arrests.
A prospective cohort study found that patients with less than 12 years of education have a higher risk of dying from coronary heart disease, similar to other traditional risk factors. This suggests incorporating educational level into CHD treatment guidelines may facilitate individualized treatment and reduce socioeconomic disparities.
Researchers analyzed claims for over 1.2 million North Carolina Medicaid enrollees between 1998 and 2000, finding a 22.8% annual rise in prescription drug costs due to increased prescribing of six new medications. The study suggests improving cost-effective prescribing practices to control rising expenditures.
Researchers analyzed North Carolina Medicaid claims from 1998-2000 and found prescription drug coverage costs rose 22.8% annually, driven mainly by increased prescribing for six high-cost medications. Efforts to improve cost-effective prescribing are suggested to control rising expenditures.
A recent study found that Blacks and Hispanics were less likely than whites to receive care in outpatient settings, highlighting disparities in healthcare access. The researchers identified various factors contributing to these disparities, including mistrust of the medical system and unequal access to health insurance and providers.
A study of error reports from primary care offices found that two-thirds of treatment and diagnosis mistakes were caused by communication errors. Researchers suggest focusing on management systems to enhance information quality rather than improving clinical judgment.
The US Preventive Services Task Force recommends against routine ovarian cancer screening due to no evidence that it reduces mortality. In contrast, they support regular eye exams for children under 5 to detect amblyopia and other causes of visual impairment. Early detection can improve visual acuity and prevent long-term harm.
Research highlights the potential risks of high-protein diets, parental happiness impacting birth weight, and frequent medical errors in family physician offices. Simple dietary restrictions may reduce mortality risk associated with high transferrin saturation, while maternal report of partner happiness can predict birth weight.
The American Academy of Family Physicians proposes a palliative care model for elderly patients, focusing on proactive and team-oriented care. The TLC model aims to relieve physical and emotional suffering throughout the aging process.
The article discusses a study on women's experiences with cervical cancer screening and finds that most are reluctant to reduce the frequency of Pap tests. Meanwhile, another study analyzes exercise stress test results for predicting cardiac mortality in older adults.
This tip sheet explores the impact of continuity of care on patient outcomes and healthcare costs. Research suggests that provider continuity is associated with lower total healthcare costs, but not necessarily improved quality of care for patients with chronic conditions like diabetes.
The July/August 2003 Annals of Family Medicine issue addresses health care disparities and promotes evidence-based interventions to improve breastfeeding rates. The U.S. Preventive Services Task Force recommends structured educational classes and behavioral counseling to support breastfeeding, with programs combining these elements sho...