Articles tagged with Family Medicine
Comprehensive exploration of living organisms, biological systems, and life processes across all scales from molecules to ecosystems. Encompasses cutting-edge research in biology, genetics, molecular biology, ecology, biochemistry, microbiology, botany, zoology, evolutionary biology, genomics, and biotechnology. Investigates cellular mechanisms, organism development, genetic inheritance, biodiversity conservation, metabolic processes, protein synthesis, DNA sequencing, CRISPR gene editing, stem cell research, and the fundamental principles governing all forms of life on Earth.
Comprehensive medical research, clinical studies, and healthcare sciences focused on disease prevention, diagnosis, and treatment. Encompasses clinical medicine, public health, pharmacology, epidemiology, medical specialties, disease mechanisms, therapeutic interventions, healthcare innovation, precision medicine, telemedicine, medical devices, drug development, clinical trials, patient care, mental health, nutrition science, health policy, and the application of medical science to improve human health, wellbeing, and quality of life across diverse populations.
Comprehensive investigation of human society, behavior, relationships, and social structures through systematic research and analysis. Encompasses psychology, sociology, anthropology, economics, political science, linguistics, education, demography, communications, and social research methodologies. Examines human cognition, social interactions, cultural phenomena, economic systems, political institutions, language and communication, educational processes, population dynamics, and the complex social, cultural, economic, and political forces shaping human societies, communities, and civilizations throughout history and across the contemporary world.
Fundamental study of the non-living natural world, matter, energy, and physical phenomena governing the universe. Encompasses physics, chemistry, earth sciences, atmospheric sciences, oceanography, materials science, and the investigation of physical laws, chemical reactions, geological processes, climate systems, and planetary dynamics. Explores everything from subatomic particles and quantum mechanics to planetary systems and cosmic phenomena, including energy transformations, molecular interactions, elemental properties, weather patterns, tectonic activity, and the fundamental forces and principles underlying the physical nature of reality.
Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.
Study of the practice, culture, infrastructure, and social dimensions of science itself. Addresses how science is conducted, organized, communicated, and integrated into society. Encompasses research funding mechanisms, scientific publishing systems, peer review processes, academic ethics, science policy, research institutions, scientific collaboration networks, science education, career development, research programs, scientific methods, science communication, and the sociology of scientific discovery. Examines the human, institutional, and cultural aspects of scientific enterprise, knowledge production, and the translation of research into societal benefit.
Comprehensive study of the universe beyond Earth, encompassing celestial objects, cosmic phenomena, and space exploration. Includes astronomy, astrophysics, planetary science, cosmology, space physics, astrobiology, and space technology. Investigates stars, galaxies, planets, moons, asteroids, comets, black holes, nebulae, exoplanets, dark matter, dark energy, cosmic microwave background, stellar evolution, planetary formation, space weather, solar system dynamics, the search for extraterrestrial life, and humanity's efforts to explore, understand, and unlock the mysteries of the cosmos through observation, theory, and space missions.
Comprehensive examination of tools, techniques, methodologies, and approaches used across scientific disciplines to conduct research, collect data, and analyze results. Encompasses experimental procedures, analytical methods, measurement techniques, instrumentation, imaging technologies, spectroscopic methods, laboratory protocols, observational studies, statistical analysis, computational methods, data visualization, quality control, and methodological innovations. Addresses the practical techniques and theoretical frameworks enabling scientists to investigate phenomena, test hypotheses, gather evidence, ensure reproducibility, and generate reliable knowledge through systematic, rigorous investigation across all areas of scientific inquiry.
Study of abstract structures, patterns, quantities, relationships, and logical reasoning through pure and applied mathematical disciplines. Encompasses algebra, calculus, geometry, topology, number theory, analysis, discrete mathematics, mathematical logic, set theory, probability, statistics, and computational mathematics. Investigates mathematical structures, theorems, proofs, algorithms, functions, equations, and the rigorous logical frameworks underlying quantitative reasoning. Provides the foundational language and tools for all scientific fields, enabling precise description of natural phenomena, modeling of complex systems, and the development of technologies across physics, engineering, computer science, economics, and all quantitative sciences.
A family-based approach to lifestyle interventions significantly improved weight management and obesity-related health outcomes among individuals with a family history of premature coronary heart disease. The study found that participants experienced an average reduction of 2.61 kg in weight, 1.06 kg/m² in BMI, and 4.17 cm in waist cir...
Patients prioritize continuity of care over rapid access to clinicians, with over half preferring their own primary care physician. The study's findings suggest that health systems may need to balance convenience with patient preferences for trust and continuity in primary care.
A study found that only 75.3% of chlamydia cases and 69.6% of gonorrhea cases were treated within 30 days of diagnosis, with disparities observed among certain patient groups.
A qualitative study identified key teamwork strategies that high-performing clinics use to promote regular follow-up visits for adults with chronic conditions. These strategies include close working relationships between staff members, structured follow-up systems, and proactive patient outreach.
Long-term inhaled corticosteroid use increases risk of type 2 diabetes, cataracts, pneumonia, osteoporosis, and fractures in individuals with chronic obstructive pulmonary disease (COPD). Long-term ICS users are nearly three times as likely to develop recurrent cases of pneumonia and fractures.
A longitudinal study of primary care physicians found that performance-based reimbursement increases illegitimate work tasks, moral distress, and lowers perceived individual and organizational quality of care. The study suggests that reducing irrelevant tasks could support physician well-being and healthcare delivery.
Current pay-for-performance initiatives are often costly and ineffective, leading to moral distress for primary care physicians. The authors recommend refocusing incentives on time-limited, low-cost targets that are physician-controlled to support better care.
A survey of 1,135 adults found that respondents believed 51.8% of overall health care spending goes to primary care, exceeding the actual share of 4.7%. This disparity highlights chronic underinvestment in primary care, resulting in workforce shortages and reduced access to high-quality care.
A recent MSU study highlights the challenges of diagnosing episodic disabilities like epilepsy, where symptoms fluctuate and can be unpredictable. The research found that 52% of participants experienced delayed diagnoses, while others faced quick confirmations within days of their first seizure.
A new study from the University of Texas at Arlington found that Americans aged 65 and older who experienced parental divorce as children were more likely to suffer a stroke compared to their peers. The study analyzed data from over 13,000 older Americans and found that about 14% had experienced parental divorce during childhood.
A new survey finds that nearly three-quarters of US adults support requiring children to be vaccinated against preventable diseases, while over half support prohibiting unvaccinated children from attending school. However, support for this prohibition has dropped significantly since the Covid-19 pandemic, and there is growing support f...
A study analyzed over 14,000 voice samples from adults to evaluate an AI-based machine learning biomarker tool detecting depression through speech cadence and acoustic features. The tool demonstrated a sensitivity of 71%, correctly identifying depression in 71% of people who had it.
A support program increased rural primary care clinics' buprenorphine prescribing by fivefold, with clinic completion rates for treatment milestones also showing significant improvements.
Despite financial incentives and small faculty sizes, family medicine departments struggle to produce scholarly work due to institutional budget constraints. Larger faculty sizes are linked to higher presentation rates, highlighting the importance of investing in research staff.
Researchers identified regional differences in how ICD codes were applied, with some codes being used interchangeably for different conditions. The study highlights the need to address variation in physician coding practices to ensure accurate comparisons and avoid false conclusions.
The American Academy of Family Physicians recommends guiding principles for AI use in research and publishing, emphasizing full disclosure, accountability, and understanding of AI limitations. AI can improve efficiency and accessibility but risks perpetuating bias and generating inaccurate information.
The article proposes innovative strategies for preserving diversity in higher education and professional fields, including medicine. Institutions must expand STEM enrichment programs, strengthen K-16 recruitment efforts, and maintain holistic admissions processes to address declining enrollment of underrepresented minority students.
The AHRQ EvidenceNOW initiative reduces stigma by training primary care practices in universal screening, brief interventions, and medication-assisted therapy. Motivational interviewing techniques help clinicians address unhealthy alcohol use, promoting person-centered communication and empathetic interactions.
Primary care physicians report significant knowledge gaps and training deficiencies in addressing adoption-related issues. They often rely on guidance for preventative screening and genetic testing, highlighting the need to improve their understanding of mental health and trauma.
A peer health navigator pilot program in Saskatchewan improved access to affirming health care for transgender and gender-diverse individuals. The program reduced stress and positively impacted clients' mental health by providing tailored guidance and connecting them with affirming providers.
A tailored, toolkit-based intervention improved integrated behavioral health (IBH) integration in primary care practices. Practices that completed more intervention stages showed significant improvements in IBH, particularly in workflows and patient identification.
This study analyzed GP-patient consultations to identify treatment burdens and strategies for managing type 2 diabetes. The findings show that medication and personal resources are major components of treatment burden, emphasizing the need for tailored GP responses.
A University of Minnesota Medical School study found that implementing point-of-care ultrasounds in the first trimester enhances care for pregnant patients and reduces emergency visits. This integrated approach allows comprehensive care during a single visit, improving diagnosis and patient outcomes.
According to a new survey, over half of U.S. adults believe the RSV vaccine is effective in protecting infants from the virus, up from 42% last year. The rise in perceived effectiveness comes as several politicians have cast doubt on the vaccine's safety and efficacy.
Researchers developed an adapted nominal group technique (aNGT) to efficiently build consensus among diverse stakeholders, prioritizing key domains and identifying new care indicators. The approach was effective in reaching a consensus on prioritizing symptoms, functioning, and quality of care.
A new approach to first trimester obstetrical care combining point-of-care ultrasound and immediate multidisciplinary care has reduced emergency visits by 81%. This integration allows for timely diagnosis of abnormal pregnancies, improved education and support for all patients, including those experiencing miscarriage.
This special report highlights the importance of expanded training for family physicians to address the physical and psychological effects of war. Family physicians must be prepared to provide timely, accurate information and foster understanding and reconciliation in the midst of conflict.
A study of 129 healthcare professionals in Israel following the 2023 terror attack found high levels of burnout and low well-being among primary care clinicians treating traumatized evacuees. The researchers emphasized the critical importance of prioritizing healthcare personnel's mental health to ensure quality care for trauma survivors.
This issue of Annals of Family Medicine highlights the complexity of war's effects on family doctors and patients. Research reveals the significant impact of trauma on healthcare professionals in Israel following a terrorist attack, highlighting burnout and well-being concerns. The article also shares challenges faced by physicians in ...
A suburban clinic implemented an innovative approach to reduce behavioral health clinic wait times for adult ADHD diagnosis and treatment. The new process uses self-administered screening tools and diagnostic interviews to confirm diagnoses and offer treatment, resulting in improved care access and patient satisfaction.
A new study published in JAMA Network Open found that using Chat GPT Plus does not significantly improve the accuracy of doctors' diagnoses, but it outperformed conventional methods in certain cases. The researchers suggest that physicians need more training and experience with AI to capitalize on its potential.
The Boston Clinic implemented an innovative embedded neuropsychological assessment program to improve access to disability assessments for US citizenship applicants. The program provided crucial assessments to 34 patients, with 36% qualifying for N-648 forms despite initial normal cognitive screenings.
The study used EHR to facilitate patient narratives, leading to a stronger connection with patients and improved clinical efficiency. The project's results suggest that pre-visit messaging can foster a more effective patient-physician relationship.
A remote monitoring program called DIG IT improved blood pressure control and reduced heart disease risk in underserved patients. The study found that patients who used the program had a 31-point average drop in systolic blood pressure and nearly 73% reached their blood pressure goals within three months.
A systematic review of risk stratification tools found high-sensitivity troponin tests to have the highest diagnostic accuracy for ruling out acute coronary syndrome. However, these findings require further validation before recommending their use in primary care settings.
Patients using transparent capsules delivered more medication due to visual feedback on their inhalation technique, leading to better management of chronic airway diseases. The study found a significant 30.1% reduction in capsule weight after inhalation.
The HOMER study successfully adapted to COVID-19 challenges by incorporating telehealth and accommodating patient preferences. The study has enrolled nearly 300 participants and continues to contribute valuable insights into opioid treatment research.
Long COVID patients face numerous barriers and frustrations in receiving care, yet express a desire for collaborative treatment planning. The study highlights the need for improved communication and collaboration between patients and healthcare professionals.
A recent study found a correlation between PrEP use and increased rates of gonorrhea, chlamydia, and syphilis among gay and bisexual men in Ontario. The study highlights the importance of regular STI testing and risk reduction measures to manage this risk effectively.
A recent study found that Latino and Black family medicine doctors are more likely to participate in the Medicaid program and care for higher numbers of Medicaid patients compared to their White and Asian peers. This increase is crucial in addressing health inequities in marginalized communities.
A study found family physicians in rural hospitals had a 34.3% lower risk of cesarean deliveries compared to hospitals with both family physicians and obstetricians. Nurses reported a stronger culture of support for vaginal births, promoting safer maternal care.
A technology-assisted health coaching intervention called Goals for Eating and Moving (GEM) was tested in a cluster-randomized controlled trial involving 19 primary care teams. The study found that patients receiving the GEM intervention did not show significant weight loss compared to those receiving enhanced usual care, highlighting ...
A study surveyed family medicine residency program directors in the US to assess their scholarly activity output. Most common forms of scholarly output included letters, case reports, and population health projects. Programs that exceeded ACGME standards had robust infrastructure, including mentorship and research support.
Research reveals underrepresented physicians from these groups are more likely to participate in Medicaid, treating a substantial number of patients. Their patient panels show higher proportions of racial/ethnic minorities.
A collaborative program between a university and clinic has increased GP numbers from one to eight in resource-deprived areas of Yokohama. The initiative enhances clinical care, education, and research opportunities while fostering community engagement and diverse perspectives.
Researchers developed an EHR-based screening for IPV, which prioritized confidentiality and was 10 times more effective than traditional oral screening. This approach helped normalize IPV screening and improved patient comfort in reporting their experiences.
The number of NHS general practices in England has shrunk by 20% over the past decade, but patient list sizes have expanded by 40%. The average practice list size increased from 6967 to 9724 patients, while the number of GPs per 1000 patients fell by 15%.
A new study published in BMC Primary Care demonstrates the effectiveness of screening and intervention for unhealthy alcohol use in primary care settings. The quality improvement study increased screenings for unhealthy alcohol use from 0% to 83% using a validated tool and agile implementation process.
Researchers found post-COVID conditions in primary care comparable to flu-like illnesses and lower than subspecialty and hospital settings. The study analyzed data from a national primary care registry and identified breathing difficulties, fatigue, sleep disturbances, and type 2 diabetes as common long-term health problems.
Implementing diabetic retinopathy screening using in-clinic retinal photographs and automated software analysis increased screening rates among low-income minority patients. The clinic's strategy, including patient tracking and selective eye dilation, reduced the insufficient exam rate and improved detection rates.
The Dutch version of the Person-Centered Primary Care Measure (PCPCM) survey has been translated and adapted for patients with low literacy, demonstrating sufficient validity and reliability. The survey assesses person-centeredness by involving patients in their care decisions.
The COVID-19 pandemic led to a significant drop in primary care visits, with unequal distribution across patient groups. Telehealth utilization increased, but was less accessible to rural and disadvantaged populations.
Scenario-based discussions with adult learning theory improve patient engagement and motivation in lifestyle medicine. Patients reflect on their current lifestyles and identify areas for improvement through self-directed learning.
A study analyzing national data reveals that SGM adults are more likely to avoid healthcare due to perceived differences in identity with their clinicians. The study highlights the importance of diversifying the healthcare workforce and preventing discrimination against SGM patients.
A qualitative study found that structural racism and inconsistent hospital policies contribute to the disproportionate testing of Black newborns for prenatal substance exposure. Health care professionals' knowledge, attitudes, and experiences were explored in this study.
A qualitative study found that healthcare professionals disproportionately test Black newborns for prenatal drug exposure, contributing to Child Protective Services reporting and family separation. The study identified three primary themes: levels of racism beyond the hospital structure, inconsistent hospital policies, and healthcare p...
A study by Pusan National University researchers found that repeated item development training enhances faculty members' accuracy in predicting and adjusting item difficulty levels, leading to better educational outcomes. The training improved the quality of MCQ assessments in medical education.
A new study found that long-term care residents who receive primary care from family physicians speaking their language have lower rates of emergency department visits, hospitalizations, and mortality. However, outcomes for Francophones were not impacted by language concordance.
A study by UCLA researchers found that one in six primary care patients reported cannabis use, with most using it for symptom management despite identifying as recreational users. The study suggests the need for routine cannabis screening in healthcare settings.
A study from Alberta, Canada found that clinic continuity is associated with reduced hospital visits and emergency department usage. Patients who see the same family physician or clinic group experience fewer hospitalizations and emergency visits.