Articles tagged with Family Medicine
Patient-centered medical homes can bring meaning to healthcare by focusing on individualized outcomes and personal growth. By incorporating narrative medicine and goal-oriented care, primary care physicians can transform practices into truly person-centered models of care.
Despite electronic health records and care coordination efforts, communication gaps between primary care and specialist physicians persist, with 22% of PCPs sending information rarely or never at referral times. This delay can lead to delayed diagnoses, unnecessary testing, and patient dissatisfaction.
A new study by University of California - San Francisco-led researchers found that tweens who spend more time on screens have a higher likelihood of developing disruptive behavior disorders. Social media was most likely to be linked to conduct disorder, while other forms of screen use were associated with oppositional defiant disorder....
A new study within the Veterans Health Administration system identified effective strategies to reduce benzodiazepine prescriptions for older adults. The researchers found that initiatives focusing on passive strategies like education and patient identification have limited success in lowering prescription rates.
Women with conditions like MS, migraine, and epilepsy face increased unplanned pregnancy due to treatment effects on hormonal contraceptives. Teratogenic drugs used for neurological treatments may be restricted or unavailable during pregnancy.
A recent study from Penn State's Center for Childhood Obesity Research found that second-born children in families where mothers received responsive parenting training slept an average of 40 minutes longer per night. The training also promoted healthier feeding practices and lower body mass indices (BMIs) in infants.
A Rutgers study found that parental depression affects about one in five US families and can have severe consequences on children's health. The research suggests that increased screening for parental depression across a wider age range has the potential to identify families in need of resources.
Residents in predominantly Black communities are more likely to live near a hospital with a certified stroke center but face lower chances of receiving optimal treatment. The study also reveals significant disparities in access to stroke centers based on income and geographic location.
A new study shows that hospice patients with dementia receive excellent care and have their anxiety and sadness managed more often than those without dementia. However, the Medicare hospice model's limitations can lead to gaps in care, leaving patients with dementia at risk of disenrollment.
A new poll found that most Gen Z youth want their healthcare providers to screen for and provide support for social determinants of health. Nearly 81% of respondents believe providers should ask about factors such as housing, food, education, safety, and discrimination.
The US healthcare system faces a significant challenge in providing high-quality, personalized obesity care due to lack of insurance coverage for effective medications and societal stigma. Recent efforts aim to address this issue through framework development and policy changes, which may lead to improved patient outcomes and cost savi...
The study found that the adapted version of the Re-Engineered Discharge (RED) Program, RED for Depression (RED-D), reduced hospital readmissions among patients with depressive symptoms by 48% and 70% at 30- and 90-day marks. The program included post-discharge depression treatment and transition support.
Case volumes grew by 180% as the eConsult service launched a sub-specialty COVID-19 group in March 2020. The service provided real-time data advice from infectious disease specialists on novel coronavirus, reducing unnecessary specialty referrals and saving time and money.
A study by researchers at Keck School of Medicine of USC found that interpersonal problems, such as loneliness and relationship dissatisfaction, predict vulnerability to financial exploitation in older adults. Social connectedness is shown to be a key protector against financial abuse.
A new study evaluates the Ontario eConsult service over two years, finding increased usage and reduced need for in-person visits. The research team analyzed 60,474 eConsult records, resulting in a median subspecialist response time of one day and a cost of $50 per case.
A study found that general practitioners use ultrasound for exploratory purposes, outside of formal training areas, raising concerns about appropriate use and scanning competency. Meanwhile, lung ultrasounds may enable primary care physicians to prescribe antibiotics directly, reducing radiation exposure and saving time.
A study by researchers at UCSF found that e-cigarette use costs the US $15 billion annually in healthcare expenditures, with each user paying around $2,000 extra per year compared to non-users. The study, published in Tobacco Control, highlights the growing concern over health care costs associated with e-cigarette use.
A new study found that family medicine physicians face multiple barriers, including lack of training and institutional restrictions, to providing medical abortions. The study highlights the need for stronger exposure and training opportunities to strengthen access to safe abortion options.
A new study by UCSF and UCLA finds that nearly half of US OB-GYN residency programs may lack abortion training if Roe v. Wade is overturned, posing significant risks for patient care. The researchers estimate that 44.8% of programs are in states where abortion will be banned, while 43.9% of residents have received training in these sta...
A cross-racial study of 1.87 million US veterans found significant differences in dementia incidence across five racial groups, with Hispanic and Black veterans at highest risk. Rates were significantly higher for Hispanics (99%) and Blacks (55%), while Asian veterans showed a 24% increase compared to whites.
A new study found that people with psychiatric conditions, especially those over 65, have a higher risk of breakthrough COVID. The researchers tracked data from over 250,000 VA patients and found increased risks for breakthrough infections among those with substance abuse, psychotic disorders, bipolar disorder, adjustment disorder, and...
A recent study found that COVID-19 spreads extensively in households, with approximately 50% of household members infected from the first-infected individual. Children were less likely to spread the virus but equally likely to become infected as adults, highlighting their potential role in transmission.
Researchers found that Massachusetts' state mandate driving staff acceptance and creating an atypical flexibility to seek innovative solutions. The program showed that medication diversion was uncommon, and protocols helped ensure correct use of the medication by detainees.
A new study reveals funding for fertility preservation policies varies across the UK, with Scotland offering the most inclusive approach. The study highlights the need for standardization of policies to ensure equal access to care for patients.
A new study found that follow-up care after an asthma-related emergency department (ED) visit can help prevent future ED visits for children. Patients who received follow-up care within two weeks of their ED visit were 12% less likely to return to the ED for asthma within 60 days and 13% less likely to revisit for asthma in the next year.
A new study found that 48% of patients with subsidized health care insurance reported one or more social risks, with housing instability being the most prevalent. Patients with social risks were twice as likely to report having poor health, despite being demographically similar to those without social risks.
A new study reveals that Latine children who prefer speaking Spanish are more likely to visit a community health center for their acute asthma symptoms than non-Hispanic white peers. Non-Hispanic Black children are also more likely to receive asthma-related care in emergency departments.
A recent study found that physicians' choice of board certification activities is unaffected by their baseline quality of care. Only a quarter of physicians reviewed their quality dashboard, and median time spent reviewing it was just 82 seconds.
A telephone survey called Telephone Interview for Cognitive Status (TICS) was found to be effective in detecting dementia in primary care patients. TICS scored well as a low-cost diagnostic tool, with a score of less than 30 indicating a positive screen for dementia.
A new study finds that clinics supporting patients throughout the entire FIT process improve return rates and reduce colorectal cancer-related illness. Additionally, a telephone survey for dementia detection shows promise as a low-cost diagnostic tool, especially in primary care settings.
A new article applies a health equity lens to the National Academies' recommendations for high-quality primary care. The authors propose strategies to operationalize these recommendations, aiming to eliminate existing health inequities and ensure equitable access to quality primary care.
A new study found that excessive daytime napping among seniors is associated with an increased risk of developing dementia and Alzheimer's disease. After a diagnosis of mild cognitive impairment or Alzheimer's, daytime napping duration triples, suggesting that the brain's wake-promoting neurons may be affected by dementia pathology.
A new study led by UC San Francisco reveals that 87% of seniors with dementia would stop at least one medication if their doctor said it was possible. Polypharmacy contributes to challenges with adherence and adverse interactions, but most patients are willing to reduce their medications.
A new study has found that tubal ligation is no more effective than an intrauterine device (IUD) in preventing pregnancies. The six-year analysis of Medi-Cal claims data showed that hormonal IUDs were more effective, while copper IUDs were as effective as tubal ligation in preventing pregnancies.
A multilevel program improved the awareness and adoption of buprenorphine treatment for opioid use disorder in rural Colorado. The program increased the proportion of practices providing or referring patients for treatment from 18.8% to 74.4%, with a significant increase in buprenorphine prescriptions over four years.
A bibliometric analysis of Annals of Family Medicine submissions from 2015 to 2020 found that women represented 46.33% of all manuscript submissions during the COVID-19 pandemic. Women submitted fewer original research articles and briefs than men, potentially impacting future promotions.
A new study reveals that over 85% of primary care practices face difficulties in obtaining evidence-based pediatric behavioral health care, including medication advice and family-based therapy. Policy changes are necessary to address these barriers and ensure comprehensive care for children's growing behavioral health needs.
A new study from Northwestern University finds that the COVID-19 pandemic has widened gender disparities in family medicine, with women physicians submitting fewer studies during stay-at-home orders. The research highlights the impact of remote work on women's careers and suggests potential solutions to address these disparities.
A new study by the University of California - San Francisco found an association between increased drinking and hospital visits for atrial fibrillation in a large population. The study linked acute alcohol consumption with a higher risk of new-onset AF in previously undiagnosed individuals.
A large study found that around four out of ten consultations in English family doctors' surgeries are with 'frequent attenders', who visit their GP 5 times as often as other patients. These patients account for a significant proportion of GP workload, contributing to the perception of increased workload.
A new study suggests that sun exposure may reduce the risk of multiple sclerosis in children and young adults by up to 52%. Vitamin D levels are also found to be higher in individuals with increased sun exposure, which may play a role in protecting against autoimmune diseases.
Researchers found that high avocado consumption led to reduced caloric energy intake, lower dairy and meat consumption, and improved fiber and nutrient intake. However, unexpected decreases in calcium and certain minerals were also observed.
A new UCSF study shows that solo seniors with social support are less likely to need nursing home care. Older adults who said they could count on a friend or relative for assistance in the event of a health crisis reduced their risk of institutional care from 14.2% to 10.9%. The study found that many older adults can take care of thems...
Parents of preschoolers used lower levels of structure and autonomy support during the COVID-19 pandemic, associated with negative parent mood and higher coercive control. The study suggests a need for public health advocates to support families in re-establishing healthy eating routines after the pandemic.
The Person-Centered Primary Care Measure (PCPCM) demonstrated solid psychometric properties in 28 languages across 35 OECD countries. The results provide evidence for high comparability of data collection despite geographic, cultural, or linguistic variations.
Primary care practices showed significant improvements in cardiovascular quality measures after receiving QI training. The study suggests that light facilitation can support important changes in small practices, leading to better patient outcomes.
Annual Wellness Visits (AWV) reached 47.6% among commercially insured white women with congenital disabilities, but were lower among Hispanic men with acquired disabilities. AWV use is nearly 15% less than the general population threshold.
The MC3 program provides a lifeline for primary care providers in Michigan, connecting them with psychiatrists and behavioral specialists for consultation and training. This has led to improved diagnosis and care for young people with mental health concerns, including those who express suicidal thoughts or have harmed themselves.
A study of 193 patients with severe acute brain injury found significant discordance between physicians and families regarding patient recovery prospects. The disagreement often stemmed from differing expectations about the likelihood of independence after injury.
A global study of 315 female physicians found high career satisfaction but lower satisfaction with pay and administrative tasks. The majority reported experiencing sexist remarks and behaviors, but their overall job satisfaction remained high.
A recent study published in the journal Birth found that family physicians deliver babies in 67% of rural hospitals and are the only physicians who deliver babies in 27% of them. If they stopped, patients would have to drive an average of 86 miles round-trip to access maternal care.
Researchers found that as more family members gained immunity, the risk of COVID-19 declined. This study used national registry data from Sweden to analyze the association between individual immunity and COVID-19 risk among nonimmune individuals.
Research published in the journal BMJ Quality & Safety found that six out of ten patients in England with 'red flag' symptoms indicative of possible cancer didn't receive an urgent referral for specialist assessment within two weeks. Nearly four percent of these patients were diagnosed with cancer within the next 12 months.
A new study led by UCSF indicates that depression in early adulthood can increase the risk of cognitive impairment and dementia. The research found that moderate or high depressive symptoms were associated with a 73% higher odds of cognitive impairment among older participants.
The study found that electronic prompts can increase awareness of hearing loss among patients and improve clinician buy-in for referrals. Clinicians reported prioritizing the prompts during annual visits and resulting in more conversations with patients about hearing loss.
The article highlights the need for financial and technological support to enable effective interprofessional teams in primary care. The authors suggest training community members to serve their communities and exploring how diversity impacts patient care outcomes. They also advocate for innovative payment models that allow primary car...
Researchers propose a framework to clarify common terms used in population, community and public health, aiming to reduce confusion and ambiguity. The shared language framework enables effective collaboration among clinicians, public health professionals and policymakers.
A new protocol has been established to guide healthcare professionals on donning and doffing personal protective equipment during home visits. The protocol aims to address gaps in existing guidelines, providing a clear step-by-step process for healthcare workers interacting with patients potentially infected with COVID-19.
A recent study has found that pregnancies complicated by sepsis are associated with a higher risk of cesarean delivery, postpartum hemorrhage, and preterm delivery. Researchers recommend increased prenatal surveillance for patients with sepsis and other serious infections to mitigate these risks.
Researchers used new approaches to track Lyme disease in Texas, finding an overlap between tick-bite locations and human cases. The study suggests that tick-bite location may serve as an indicator for human disease risk in nonendemic areas.