Articles tagged with Family Medicine
Research suggests that improving family doctor access during standard working hours could reduce the demand for out-of-hours primary care services. By offering more appointments during regular surgery hours, this approach might be more effective than extending opening hours.
Researchers found an estimated 9 million people with diabetes and 5.6 million people with coronary artery disease are not receiving statins, highlighting a concerning trend driven by high cholesterol. Statin use is often associated with reduced cardiovascular risk, regardless of cholesterol levels.
A recent study found that a large majority of Albertans, 63%, support mental health screening during pregnancy. The survey also showed that 72.7% of women of child-bearing age favour postpartum screening, which jumped to 88.5% among this demographic.
A national survey of primary care physicians found they often experience uncertainty in ordering and interpreting clinical laboratory tests, with missing results and confusing report formats being major challenges. Physicians reported that improved electronic decision-support tools and access to lab personnel would help reduce this unc...
Research found azithromycin and levofloxacin therapies associated with higher mortality risks compared to amoxicillin. Levofloxacin use also linked to increased serious arrhythmia risk. Only one quarter of primary care patients with mild cognitive impairment progress to dementia within three years, according to study.
Researchers found self-rated health to be a strong predictor of depression risk in patients with recent depressive symptoms. Family physicians can assess self-rated health using a simple question and integrate indirect methods to explore treatment expectations, promoting collaborative relationships and improved antibiotic prescribing.
A University of Michigan Health System study found that prenatal group visits for expectant Japanese women who discussed childbirth and baby care topics with peers felt less anxious and better prepared. The groups allowed women to connect on a personal level, share experiences, and take control of their pregnancy.
A study by BUSM found that the majority of family medicine residency program directors believe complementary and alternative medicine (CAM) is essential for resident training, but few have specific learning goals or adequate evaluation methods in place. The study also highlighted significant differences between strong and weak CAM/IM p...
A study found that one-third of Walgreens vaccinations are administered during off-clinic hours, particularly among younger, healthy adults. This shift in vaccination access could measurably increase immunization rates in the US. Additionally, a new study suggests that eligible Medicaid beneficiaries under the Patient Protection and Af...
A new University of Michigan study reveals that incoming Medicaid enrollees may be younger, whiter, and healthier than current beneficiaries. These individuals are more likely to be smokers and heavy drinkers. Overall, the expansion could bring in a new, healthier group with different demographic characteristics.
A recent study by MU School of Medicine found that the Summer Community Program improved physician access in rural communities. The 15-year study showed medical school graduates involved in the program were more likely to enter family practice residency training and choose rural locations for their first practices.
Researchers found that most men report little shared decision making in PSA screening, with only 8% reporting full shared decision making. Coupling physician education with patient activation improves rates of shared decision making and influences physicians' attitudes about screening.
A new UCLA-led study found that primary care physicians rarely discuss the risks and benefits of dietary supplements with their patients. The study analyzed audio recordings from over 1,400 office visits and discovered that only six out of 738 supplements were discussed in detail regarding all five major topics.
Research on practice transformation, cost estimates for primary care facilitation, and alternative payment reform options are presented. The median cost of practice facilitation to improve chronic illness care is estimated at $9,670 per year, with lower costs expected in subsequent years.
A recent UCLA study found that adolescents who purchased Subway meals consumed nearly as many calories as they did at McDonald's. The researchers also noted that both restaurants' meals likely contribute to overeating and obesity.
A Patient Centered Medical Home model is proposed to assess and promote health by incorporating social determinants of health into clinical guidelines. The model aims to reduce socioeconomic disparities in healthcare for all patients.
A study in Australia found routine screening and counselling for partner violence did not improve women's quality of life, safety planning or mental health. However, counselling reduced depressive symptoms and trained doctors had more safety discussions with women.
A team of healthcare professionals at Tufts University developed a list of 76 EPAs to structure competency-based assessment for family medicine residents. The EPAs cover key skills such as patient care, communication, and practice management.
George Washington University has received a $2.3 million contract to assess the baseline characteristics and outcomes of training medical residents in community-based settings. The goal is to strengthen primary care workforce access, particularly for people living in underserved neighborhoods.
A study by University of Alberta researchers found that providing educational information to physicians and patients improved osteoporosis treatment rates. The intervention led to a significant increase in follow-up testing and treatment, especially among men who are often overlooked as having the condition.
Elizabeth Garrett, MD, receives American Academy of Family Physicians' highest honor in education for her career contributions to family medicine education. She has improved training in family medicine across the country for nearly three decades through curriculum development and teacher development programs.
Female family physicians in Canada are practising differently, working fewer hours and seeing more patients with longer visits, but younger male physicians also work less than older counterparts
Patients who use interactive personal health records are nearly twice as likely to be up-to-date with recommended preventive services. The study found significant increases in delivery of colorectal, breast, and cervical cancer screenings among IPHR users.
A U-M study shows medical students have negative views of their future work lives as physicians, particularly primary care physicians. Students believe they have too much administrative work and are overwhelmed by patient needs.
The Folsom Group revitalizes the 1967 report's blueprint, updating 13 grand challenges to facilitate nationwide integrated patient-centered community health services. Intranasal corticosteroids show small therapeutic benefit for sinus infection sufferers, but with potential harms and cost implications.
The TEAMcare program, based on the Chronic Care Model, activates patients to monitor their own health and empowers them to control their diseases. This approach results in improved depression outcomes, better-controlled blood pressure and cholesterol levels, and enhanced quality of life for patients with depression and diabetes.
Michael LeFevre, a renowned family medicine leader, has been elected to the Institute of Medicine. As a distinguished expert in prevention, detection, and treatment of high blood pressure, he will contribute to evidence-based medicine and improve health care outcomes.
A study by UK researchers found that over two-thirds of men seeking email advice experienced erection problems and a quarter were from the age group of 21-30 years. The study highlights the importance of online resources like the Sexual Advice Association in addressing sexual health concerns.
The tip sheet highlights common barriers to depression disclosure among patients, including concerns about antidepressant prescriptions and confidentiality. It also explores the widespread use of NSAIDs by patients with chronic kidney disease, despite warnings against their use. Additionally, the article critiques long-established coro...
Despite a private sector dominated fee-for-service system, Japan successfully contains healthcare costs at 8% of GDP, largely due to uniform fee schedules. Key challenges include mismatched patient expectations with service supply, need for quality primary care improvement and restructuring the current fee payment schedule.
The university is supporting pre- and post-doctoral training programs in dental public health to address the gap between those with and without dental care. The funding will support efforts to provide access to dental care for underserved communities.
A new report by St. Michael's Hospital and Street Health reveals that homeless people are more likely to have a family doctor if they possess a health card or have chronic medical conditions. The report highlights the need for programs to secure and maintain health cards and increase access to primary care in this population.
A meta-analysis of proton pump inhibitor use found a 29% increase in fracture risk, particularly hip and vertebral fractures. Clinicians should carefully consider PPI prescription, especially for patients with elevated fracture risk.
A national survey of US family medicine residency programs found that most limit pharmaceutical and industry interactions with residents, while some exclude all interactions. This shift aims to reduce the influence of industry on prescribing patterns and promote evidence-based prescribing.
Research suggests that over half of patients with benign prostate enlargement may have Obstructive Sleep Apnea, leading to night awakenings and urination. This study highlights the importance of considering sleep disorders in diagnosing nocturia, a common symptom of BPE.
The US may adopt the FHT model to manage its growing healthcare system. Developed by Queen's University professor Walter Rosser, the model combines experts from various disciplines for more efficient care. Preliminary observations suggest improved patient and doctor happiness with FHTs.
Patient-centered medical homes in Ontario's Family Health Team Model show high patient satisfaction and improved income for primary care physicians. Additionally, a novel approach to detecting white-coat hypertension using automated serial blood pressure measurements is found to be valid and useful.
A study of 360 patients found that those with chest pain and serious family health problems want to participate in treatment decisions. Women patients generally have higher expectations for listening and information from their female doctor than men, particularly when it comes to managing family health issues.
Researchers at VCU have developed a model to create more patient-centered personal health records. The model emphasizes the need for actionable information and coordination of care. By doing so, patients can better manage their health.
A UCLA-led study finds that health care reform can improve coordination between assessing disease risk and providing appropriate tests and follow-up medical services. The law expanded coverage for an annual wellness visit, which includes assessing risk for disease and developing a personalized prevention plan.
A U-M study found that adding an interactive online community to an Internet-based walking program significantly decreased participant dropout rates. Seventy-nine percent of participants who used the social component stuck with the program, while only 66% of those without it completed it.
A new study by University of Michigan researchers shows that providing small amounts of flexible, targeted follow-up care can help chronically depressed patients manage their symptoms. The approach includes self-monitoring tools and follow-up phone calls from a care manager, resulting in higher remission rates and reduced-function days.
A study published in Experimental Brain Research reveals that chronic impingement syndrome, a common cause of shoulder pain, is triggered by excessive activation of specific neck and shoulder muscles during daily life or sports. The research opens the door to future tests of physiotherapy as a non-invasive treatment for shoulder injury.
African-American women with type-2 diabetes will receive health education through either face-to-face or virtual Second Life methods, with the goal of overcoming barriers to healthier lifestyles. The study aims to determine the feasibility and effectiveness of virtual health education for this population.
A U-M study reveals that 53.3% of medical students with high depressive symptoms worry revealing their illness will be risky, while 62% believe seeking help means inadequate coping skills. The results highlight a concerning level of intolerance towards depression among medical peers.
The American Academy of Family Physicians accepted a large donation from Coca-Cola to fund obesity prevention materials, raising concerns about conflict of interest and loyalty to public health. In contrast, the organization's actions were seen as an effort to serve physicians and patients by addressing unmet public health needs.
A new study found that patients with hypertension who monitor their blood pressure at home and adjust their medication can experience greater falls in blood pressure. The TASMINH2 trial showed significant reductions in systolic blood pressure after 6 months, with no increase in side effects.
A new 27-item questionnaire, the M-3 checklist, is a valid and effective tool to help primary care doctors screen patients for four common psychiatric illnesses. The checklist was developed by a team of mental health practitioners and experts and was found to be effective in screening for any mood or anxiety disorder 83% of the time.
Researchers found that wait time is the most important factor in patients' care-seeking decisions, while high-touch aspects of the patient-centered medical home are more highly correlated with preventive services delivery. Additionally, in-office C-reactive protein testing can help physicians more appropriately prescribe antibiotics fo...
Research documents the value of the human-animal bond in improving child development, elderly care, and rehabilitation outcomes. A growing body of evidence highlights the healing power of companion animals in reducing stress, providing affection, and fostering a sense of security.
The Geisel School of Medicine at Dartmouth has launched a handbook for rural health care ethics, addressing the gaps in resources for regional clinicians. The guide covers case studies and personal ethical challenges faced by healthcare professionals in rural settings.
New studies reveal the high costs of implementing performance-reporting requirements for primary care practices, which can range from $1,000 to $11,100 per practitioner. Researchers also warn that undisclosed changes made to clinical trial outcomes threaten the integrity of scientific research. In contrast, early abortion care in famil...
A recent study found that undocumented foreign-born Latinos have lower levels of usual source of care, blood pressure checks, and cholesterol screenings compared to US-born Latinos. Perceived quality of care is also significantly impacted by immigration status.
Researchers found that universal health insurance reduces income inequities in healthcare access, but education-related disparities persist. Insured children with uninsured parents are more likely to experience unmet healthcare needs and lack preventive services.
Researchers found that single-parent households receive greater financial contributions on average than nuclear families, particularly those with fewer marital/family transitions. This trend may perpetuate poverty across generations as young adults make choices that impact their future financial prospects.
The July/August issue of Annals of Family Medicine explores the paradox of primary care, where primary care is associated with poorer quality care for individual diseases yet higher value health care at the level of the whole person. Chronic disease management was found to be superior in community health centers and practices with nurs...
A study by ICES found that doctors in Ontario's Family Health Network (FHN) model had fewer visits with chronically ill patients and provided less after-hours care. The FHN model pays doctors based on a capitation payment system, whereas the fee-for-service model paid per visit.
The American Academy of Family Physicians highlights the US healthcare system's fragmentation as a major cause of the current crisis. Dr. Kurt Stange's seven-part series proposes solutions by focusing on primary care and integrative services to promote healing and efficiency.
The new journal, Osteopathic Family Physician, will cover topics such as preventive medicine, managed care, and pain management. It aims to deliver resources that contribute to enhanced patient care and support successful practice management for osteopathic family physicians.
Researchers found that trained primary care physicians can perform colonoscopies with a low complication rate and high polyp detection rate, comparable to specialists. This fills the gap in colorectal cancer screening as the US population ages and demand for screenings grows.