Articles tagged with Family Medicine
A large clinical trial found that an AI support tool improved the quality of clinical documentation and treatment planning, but did not significantly change short-term patient outcomes. The study involved over 9,600 patients in Kenya and used a randomized controlled design to test the effectiveness of the AI tool.
Scientists have identified a unique chimeric RNA called UBA1-CDK16 that plays important roles in women's blood cell development and disease severity. The findings suggest the chimeric RNA may serve as a natural brake to protect women from excessive autoimmune activity.
A new survey by the Annenberg Public Policy Center finds Americans sharply divided over the use of fluoride in public drinking water. Supporters of the Make America Healthy Again movement are notably more skeptical about fluoridation's health effects, while a majority trust the American Dental Association's stance on its safety.
A growing addiction crisis in Australia requires a larger workforce, with only around 300 doctors specializing in addiction medicine. Researchers suggest early exposure and clearer career paths can quickly grow the workforce. The study found that many doctors discover addiction medicine by chance, limiting recruitment.
A new study found that an intervention increasing colorectal cancer screening had similar effects across Hispanic, non-Hispanic Black, and non-Hispanic White patients. Overall completion rates remained lower for Black patients despite the intervention.
Research analyzed over 35.8 million emergency department visits to compare fall-related injury risks among adults with and without intellectual and/or developmental disabilities or cerebral palsy. Adults with these conditions were more likely to visit the emergency department due to falls, especially at younger ages.
A new Epic EHR alert improved hepatitis B monitoring rates at a primary care clinic, increasing timely testing from 34% to 51%. The intervention boosted overall monitoring rates above the national average of 11-21%, highlighting the potential for automation in addressing care gaps.
In a low-cost, two-hour educational intervention, Brazilian medical students addressed common misconceptions about vaccines and increased confidence among parents and caregivers. The session was notably receptive to information from medical students, suggesting a promising approach to building vaccine confidence in primary care.
Research reveals low completion rates of Medicare's free annual wellness visits among Black and Hispanic patients due to barriers such as long hold times and transportation costs. Participants expressed confusion about the service and historical racial discrimination in medicine.
Researchers in China used AI-enhanced point-of-care ultrasound to train general practitioners in detecting carotid artery plaque. They found that the GPs accurately identified plaque 87% of the time and cleared patients correctly when no plaque existed.
Patients who received five minutes of in-person prayer experienced greater relief from both pain and anxiety compared to those who listened to music. The study found significant improvements in pain reduction at two weeks, with black participants showing larger improvements.
A systematic review of 29 studies found that advanced access models in primary care lead to shorter wait times and stronger patient-physician relationships. Implementation of advanced access resulted in improved patient satisfaction and reduced emergency department visits.
A study analyzing Canadian family physicians' electronic health records found a substantial increase in patient contacts and unique patients over the 11-year period, with referral rates rising by 57% and laboratory tests increasing by 29%. The average number of chronic conditions per medical encounter remained stable.
A nine-session weekly group program in rural Spain improved caregiver burden, quality of life, and self-efficacy. Key factors associated with greater burden include personal health problems and extended caregiving hours.
Researchers found that patients who received five minutes of Christian in-person prayer reported greater relief from both pain and anxiety compared to those who listened to music. Additionally, black participants showed larger improvements in both pain and anxiety than other participants.
A Mayo Clinic study analyzed records of 571 adults with ME/CFS and found that family medicine physicians often prescribed common pain-relievers and sleep aids before specialist consultation. The study suggests that these medications may be underutilized for treating core symptoms of ME/CFS, such as fatigue and brain fog.
The PERCS initiative aims to develop and test interventions promoting comprehensive survivorship care for adult cancer survivors. Four randomized controlled trials will improve how primary care clinicians deliver survivorship care to over 18 million US cancer survivors.
Researchers found that shrouding blankets increase dignity for parents who lose a child, offering a tangible way to cope with grief. The blankets provide comfort and stability, allowing parents to hold their child without feeling overwhelmed.
A new study published in Eye and Vision finds that one drop of low-dose atropine can produce daylong effects in managing myopia. The researchers found that the drop showed clear changes in pupil size and focusing ability, but no short-term structural effects on the eye.
The HKU Centre for the Humanities and Medicine has launched initiatives to address women's health, particularly menopause, in Hong Kong. Director Professor Olga Zayts-Spence emphasized the need for robust community support and institutional backing as women spend nearly a third of their lives in this stage.
A team-based buprenorphine clinic incorporated a trained chaplain into patient care, providing a psychologically safe space for conversation and supporting patients in identifying recovery capital. The clinic reported successful outcomes, with eight patients achieving at least 12 months of sobriety.
Research found that lonely patients reported worse healthcare experiences, including feeling unheard and unsupported. Patients who felt lonely were also less confident in managing their own health.
Researchers found that clinicians assess patients in context, developing management plans collaboratively with patients and caregivers. Clinicians also reported growing skills to focus on overall well-being and priorities, suggesting tailored care benefits from team continuity, flexibility, and strong collaboration.
Researchers examined how practice-based research and learning networks approach data governance, identifying the importance of building knowledge of Indigenous data sovereignty. Existing Indigenous governance frameworks provide guidance on incorporating Indigenous data sovereignty principles into PBRLNs.
A new study published in JAMA Network Open reveals that fathers' mental health declines over time after the birth of their child, with increased risk of anxiety and substance abuse diagnoses returning to pre-pregnancy levels. However, depression and stress-related disorders continue to rise by over 30% one year after childbirth.
A family medicine practice in upstate New York revised its patient dismissal process, shifting from expedited dismissals to a structured review process that prioritizes patient engagement and collaborative planning. This redesign led to a significant decline in behavior-concern referrals and eliminated racial disproportionality.
A cluster randomized controlled trial found integrating social risk alerts improved blood pressure control by increasing screenings for social risks. Intervention clinics showed a modest increase in odds of blood pressure control over time.
A randomized clinical trial found that patients who received community paramedic home care had higher satisfaction rates and preferred future care in a home setting compared to usual care pathways. The study did not show a significant reduction in hospital use or acute care needs, but improved patient outcomes.
Researchers found that community health centers sustained strong patient-clinician relationships during the pandemic, with higher continuity rates among older adults and those with above-average income. Lower continuity rates were associated with female gender, Hispanic ethnicity, and telehealth use.
A retrospective cohort study in primary care found that patients presenting with floaters or flashes have different risks of retinal detachment. Researchers analyzed data from seven family practices in the Netherlands and discovered a higher absolute risk among episodes with new or recently changed acute floaters, more than 10 floaters...
Researchers developed a joint display method to analyze patient survey ratings and open-text comments together, revealing patterns between satisfaction scores and patient experiences. This approach provided a fuller view of patient experience than scores alone, with implications for long COVID program evaluations.
A study found that cancer patients during the last phase of life experienced more bleeding events than thromboembolic events. Most patients continued their antithrombotic therapy despite increased bleeding risk, with over 28% experiencing at least one bleeding episode.
A retrospective cohort study in primary care found that patients with floaters or flashes have a higher risk of retinal detachment. The study, published in the Annals of Family Medicine, analyzed data from 1,181 episodes and found that new or recently changed acute floaters were associated with a higher relative risk.
A study of 281,582 adults found that those experiencing social and physical isolation were less likely to receive preventive health services. Financial hardship was a significant factor contributing to these findings, with 82.1% of physically isolated individuals experiencing material deprivation.
Geisinger Health System uses CCHA and NBS tools to manage complex patient panels, reducing variability in care and prioritizing resource allocation. By focusing on clinical complexity, the system shifted from age-based scheduling to more targeted visit frequency and appointment lengths.
A new platform, Build Better Bones, offers evidence-based guidance and practical resources for osteoporosis management. The platform, developed by the International Osteoporosis Foundation, provides a trusted place for people with osteoporosis to start their journey, with a focus on exercise, nutrition, and home safety.
A new clinical trial will investigate whether adding the oral medication vorasidenib to standard chemotherapy improves progression-free survival for people with newly-diagnosed, grade 3 IDH-mutant astrocytoma. The study aims to recruit 400 individuals with this type of brain cancer and evaluate the safety and side-effect profile of the...
The Alliance for Clinical Trials in Oncology is spotlighting new trials for colorectal cancer in March, focusing on early detection methods and treatments for treatment delays and loss of appetite. The trials aim to improve patient outcomes, with several enrolling patients with newly diagnosed colon or rectal cancer.
Researchers at Goethe University are developing non-hormonal contraceptives to address declining pill use and side effects. The PREVENT project aims to create safe and effective alternatives, focusing on small molecules that block proteins in sperm or egg cells.
A new clinical study aims to improve communication between patients and families about genetic risks of colorectal cancer. The trial will compare two methods of sharing genetic test results with close relatives, with the goal of learning which approach helps more family members get necessary genetic testing.
Researchers at the University of Toronto found that higher ultra-processed food consumption is associated with increased anxiety, fearfulness, aggression and hyperactivity in preschoolers. Replacing ultra-processed foods with minimally processed options may support healthier development and lower behavioural difficulties.
A survey by the Annenberg Public Policy Center found that a strong majority of Americans view the MMR vaccine as safe relative to other vaccines. However, the number of people holding this view is below the threshold required for community immunity, which is worrisome.
A new online tool provides information and tools for clinicians to respond to emerging patient care needs, enhancing trauma-informed healthcare for individuals with C-PTSD. The resource was co-developed by researchers and survivors, aligning with best practices and patient-centered research.
Lifestyle medicine certified clinicians apply therapeutic lifestyle interventions to treat and prevent chronic conditions. This approach emphasizes whole-person health and is being integrated into clinical care nationwide.
A family medicine interdisciplinary team improved hepatitis C virus treatment outcomes by streamlining medication access and reducing administrative burdens. The team's strategy, implemented at an urban clinic in Ohio, resulted in a significant reduction of treatment delays from over 6 months to under 2 months.
Adult patients in an academic family medicine clinic preferred portal messages from their own primary care physician within three days. When not choosing portal messaging, they prioritized faster video visits with another physician over longer wait times.
A qualitative study found that family physicians in Ontario left comprehensive care due to unsustainable finances, heavy workloads and lack of support. Policymakers must address these concerns to retain practicing family physicians and improve access to primary care.
In Ontario, primary care home visits for adults aged 65 years and older decreased by nearly 30% after a 2019 policy change and the COVID-19 pandemic. Nonpalliative visits declined more than palliative ones, which showed growth after 2020.
A new produce prescription program improved nutrition security and household food security for Medicaid patients with diabetes or prediabetes. Meanwhile, contingent discounts on medication expenses were found to support better glycemic control in socioeconomically disadvantaged patients with uncontrolled type 2 diabetes.
The CRISP Translation Guide enables the translation of research-reporting guidelines to support global application of primary care study results. The five-step process ensures clarity, usability, and accuracy in translated documents.
Researchers analyzed electronic health record data from 1,207 patients in Barcelona, Spain, and found that those with higher continuity of care had fewer emergency department visits and hospital admissions. Patients who saw their assigned clinician more often were less likely to use home ambulance services.
A study compared four approaches to supporting opioid deprescribing in primary care clinics, finding that clinics with both clinic workflow support and prescriber coaching had the largest reduction in average opioid dose. Clinics that received education alone showed significant increases in urine drug testing and treatment agreements.
Alcohol screening increased from 61% to 81%, and intervention among positive screens rose from 22% to 67%. Practices improved documentation of pregnancy intention, using the AUDIT-C tool more frequently. This approach empowers local staff to lead care improvement efforts.
The Japanese version of the rPATD questionnaire has been validated to assess attitudes towards medication reductions among older adults and their caregivers in Japan. The tool is reliable, valid, and easily understood, facilitating shared decision-making between healthcare providers and patients.
Primary care clinicians are testing AI-assisted patient messaging to reduce burnout, with mixed results. The study found that careful prompt design is crucial for effective AI-generated responses, varying by specialty, message type, and patient population.
A produce prescription program improved nutrition security among Medicaid patients with diabetes, increasing it from 23.2% to 38.7%. The program also improved food security, with 42.9% of participants reporting secure access to healthy foods after completion.
A randomized controlled trial found that contingent discount financial incentives on medication expenses can improve glycemic control and encourage engagement with ongoing monitoring among patients with poorly controlled type 2 diabetes. After six months, the intervention group showed greater improvements in long-term blood sugar level...
A recent study from University Hospitals Cleveland Medical Center found that diagnostic abnormalities were no more likely to occur among adults with unintentional weight loss than among comparison patients. In most cases, the weight loss was not linked to a serious underlying condition, with only a .7% overall rate of cancer.
The CDC recommends RSV vaccination for pregnant women to protect their newborns, while a monoclonal antibody injection is also available for high-risk infants. Most experts agree that RSV immunizations should be recommended for these groups due to the severity of the illness they can cause.
Researchers identify circulating extracellular vesicles produced in diseased kidneys as the culprit behind toxicity in the heart. The discovery could lead to the development of a blood test to identify patients at high risk for serious heart problems and novel treatments to prevent and treat heart failure.