American Board of Family Medicine Elects New Officers and Board Members
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Ireland, J. Tags: Board News Source Type: research

Response: Re: Burnout in Young Family Physicians: Variation Across States
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Hansen, A., Hansen, E. R., Peterson, L. E. Tags: Correspondence Source Type: research

Re: Burnout in Young Family Physicians: Variation Across States
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Kendall, M. C. Tags: Correspondence Source Type: research

Prostate-Specific Antigen Testing Initiation and Shared Decision-Making: Findings from the 2000 and 2015 National Health Interview Surveys
Conclusions: The majority of men who had PSA testing in the past year reported that their physicians were the first to suggest testing, including men aged ≥70 years. Our study also points to the challenges and needs in conducting shared decision-making before PSA testing in clinical practice. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Li, J., Ding, H., Richards, T. B., Martin, I., Kobrin, S., Marcus, P. M. Tags: Brief Reports Source Type: research

Recognizing Culturally Related Findings on Refugee Physical Examinations
On physical examination, refugees from countries in Africa, Asia, and the Middle East often present with findings that are unfamiliar to primary health care providers in the West. Previous traditional practices that may have left their mark include scarification and burning of the skin, excision of body parts, and subcutaneous insertion of foreign material. The descriptions detailed here introduce providers to some of the signs that result from body modification practices commonly encountered on physical examination of refugees. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Einterz, E. Tags: Brief Reports Source Type: research

Diagnosing Meat Allergy After Tick Bite Without Delay
Galactose-α-1, 3 galactose (α-gal) is a carbohydrate found in mammalian meat. In 2007, it was implicated as a cause of severe hypersensitivity reactions when a study found elevated levels of antibodies directed against this oligosaccharide among patients treated with cetuximab, a monoclonal antibody that contained an α -gal epitope. The majority of these cases were reported in the Southeast United States in a distribution similar to that of Rocky Mountain spotted fever and ehrlichiosis, and that geographic association led researchers to the conclusion that a bite from the Lone Star tick can induce this an...
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Kaplan, A. C., Carson, M. P. Tags: Brief Reports Source Type: research

Physicians' Understanding of Clinical Trial Data in Professional Prescription Drug Promotion
This study focused on physicians' reactions to and evaluations of clinical trial data presented in professional prescription drug promotion. Methods: We conducted 60-minute interviews with practicing physicians across the United States (50 primary care physicians and 22 endocrinologists). Physicians viewed prescription drug promotional materials that contained clinical trial data and answered follow-up questions. Results: Physicians demonstrated low to moderate knowledge about clinical trial-related terms found in promotional prescription drug materials. Discussion: Results from this qualitative analysis underscore a ne...
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Moynihan, C. K., Burke, P. A., Evans, S. A., O'Donoghue, A. C., Sullivan, H. W. Tags: Brief Reports Source Type: research

The Role of the Physician When a Patient Discloses Intimate Partner Violence Perpetration: A Literature Review
Intimate partner violence (IPV) is prevalent and has lasting impacts on the health and well-being of the entire family involved. Primary care physicians often interact with male patients who perpetrate IPV and are in a role potentially to intervene, but there is very little research and guidance about how to address perpetration of IPV in the health care setting. We reviewed the existing literature research related to physicians' interactions with male perpetrators of IPV and summarize the recommendations. If a male patient discloses IPV perpetration, physicians should assess for lethality, readiness to change, and comorbi...
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Penti, B., Timmons, J., Adams, D. Tags: Clinical Reviews Source Type: research

Hyperlipidemia: Management with Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors
This article discusses PCSK9 inhibitors, their mechanism of action, indications, efficacy, safety, costs and limitations. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Shahreyar, M., Salem, S. A., Nayyar, M., George, L. K., Garg, N., Koshy, S. K. G. Tags: Clinical Reviews Source Type: research

New Immunotherapies in Oncology Treatment and Their Side Effect Profiles
Conclusions: Checkpoint inhibitors are becoming very common and possess autoimmune side effects such as pneumonitis, hypothyroidism, and colitis. These may present at any time the patient is on the medications but are more common several weeks to several months from beginning therapy. Chimeric antigen receptor T-cell therapies are powerful but have strong side effects such as cytokine release syndrome. Neoantigens are currently in the early stages of clinical trials and may become an exciting avenue for personalized cancer treatment but are not yet typical. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Sriratana, P., Norton, J. Tags: Clinical Reviews Source Type: research

Impact of Medical Scribes in Primary Care on Productivity, Face-to-Face Time, and Patient Comfort
We examined productivity by using electronic medical record data on the number of patients seen and work relative value units (work RVUs) per hour. We directly observed clinical encounters to measure the amount of time providers spent facing patients and other visit components. We queried patient comfort with scribes by using surveys administered after the visit. Results: Work RVUs per hour increased by 10.5% from 2.59 prescribe to 2.86 post-scribe (P
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Zallman, L., Finnegan, K., Roll, D., Todaro, M., Oneiz, R., Sayah, A. Tags: Special Communications Source Type: research

Direct Primary Care: Applying Theory to Potential Changes in Delivery and Outcomes
The objective of this analysis was to apply Starfield's adaptation of Donabedian's Structure-Process-Outcome conceptual model to evaluate primary care to formally display the links between potential changes in clinical structure and processes from DPC adoption. Based on existing literature on the constructs in Starfield's model, expectations of DPC's impact at the patient, clinic, and system levels were defined. DPC uses changes to financing and the population eligible to trigger potential gains in continuity and accessibility to subsequently improve care processes. There is evidence to support DPC as a theoretically sound...
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Cole, E. S. Tags: Special Communications Source Type: research

How Evolving United States Payment Models Influence Primary Care and Its Impact on the Quadruple Aim
Conclusions: Although the ideal payment model for primary care remains to be determined, lessons learned from existing payment models can help guide the shift from volume-based to value-based care. To most effectively pay for primary care, future payment models should invest in a primary care infrastructure, one that supports team-based, community-oriented care, and measures the delivery of the functions of primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Park, B., Gold, S. B., Bazemore, A., Liaw, W. Tags: Special Communications Source Type: research

Doctor-Patient Trust Among Chronic Pain Patients on Chronic Opioid Therapy after Opioid Risk Reduction Initiatives: A Survey
Conclusions: Although COT patients typically reported favorable perceptions of doctor-patient trust in managing opioid pain medicines, implementation of opioid risk reduction initiatives may have reduced levels of trust for a minority of COT patients. This suggests that it may be possible to implement opioid risk-reduction initiatives while sustaining high levels of doctor-patient trust for most COT patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Sherman, K. J., Walker, R. L., Saunders, K., Shortreed, S. M., Parchman, M., Hansen, R. N., Thakral, M., Ludman, E. J., Dublin, S., Von Korff, M. Tags: Original Research Source Type: research

What Patients with Mild-to-Moderate Kidney Disease Know, Think, and Feel about Their Disease: An In-Depth Interview Study
Conclusions: Patients have various perceptions about their CKD. Exploring these perceptions could help match their needs with better-tailored information. Doctors should be aware that they can deliver inaccurate signals about CKD severity, so that patients fail to realize the potential impact of CKD. This makes them less open to lifestyle changes and improving their self-management. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: van Dipten, C., de Grauw, W. J. C., Wetzels, J. F. M., Assendelft, W. J. J., Scherpbier-de Haan, N. D., Dees, M. K. Tags: Original Research Source Type: research

Screenings during Well-Child Visits in Primary Care: A Quality Improvement Study
Background: Early Periodic Screening, Diagnosis, and Treatment visits are designed to address physical, mental, and developmental health of children enrolled in Medicaid. Methods: We conducted a mixed methods intervention by using a quality improvement theory. We assessed preintervention and postintervention screening rates of development, anemia, lead, oral health, vision and hearing, interventions for improvement, and barriers for the well-child visits at an academic family medicine clinic. For quantitative analysis, we assessed the preintervention baseline for 183 children and postintervention outcome for 151 children....
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Wakai, T., Simasek, M., Nakagawa, U., Saijo, M., Fetters, M. D. Tags: Original Research Source Type: research

Decreasing Low Acuity Pediatric Emergency Room Visits with Increased Clinic Access and Improved Parent Education
Discussion: Increasing access and improving patient education decreased low-acuity pediatric ED visits in our clinic. This combination of interventions worked well in our community and has been shown to help optimize the setting in which pediatric patients are seen. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Davis, T., Meyer, A., Beste, J., Batish, S. Tags: Original Research Source Type: research

Obstetric Care by Family Physicians and Infant Mortality in Rural Alabama
Conclusion: OB services provided by FPs in Pickens County resulted in improvement of the county's IMR. Local PNC was associated with a lower IMR. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Powell, J., Skinner, C., Lavender, D., Avery, D., Leeper, J. Tags: Original Research Source Type: research

Neonatal Thrush Is Not Associated with Mode of Delivery
Conclusion: This study demonstrated that there is no significant correlation between the mode of delivery and the development of thrush. It is reasonable to conclude that of the many factors associated with neonatal thrush development, mode of delivery is likely not one of them. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: St. Clair-Brown, T. T., Schwerer, K. E., Dogbey, G. Y. Tags: Original Research Source Type: research

Correlates of Burnout in Small Independent Primary Care Practices in an Urban Setting
Background: Little is known about the prevalence and correlates of burnout among providers who work in small independent primary care practices (
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Blechter, B., Jiang, N., Cleland, C., Berry, C., Ogedegbe, O., Shelley, D. Tags: Original Research Source Type: research

Family Physicians' Perspectives on Their Weight Loss Nutrition Counseling in a High Obesity Prevalence Area
Conclusion: Family physicians practicing in the most obese population in the United States tend to be high-frequency obesity nutrition counselors who frequently use specific tools, consider their education lacking and face oft-cited barriers. Studies in other highly endemic areas are needed to confirm these findings. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Nair, D., Hart, A. Tags: Original Research Source Type: research

Socioeconomic Status and Other Factors Associated with Childhood Obesity
Conclusion: Parental smoking, birth weight, and not eating dinner as a family were two modifiable factors associated with overweight and obesity in kindergarten-age children, regardless of socioeconomic status. Changing these life-style factors could reduce the child's risk for obesity. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Williams, A. S., Ge, B., Petroski, G., Kruse, R. L., McElroy, J. A., Koopman, R. J. Tags: Original Research Source Type: research

Multimorbidity Trends in United States Adults, 1988-2014
Conclusions and Relevance: Multimorbidity is common and has been increasing over the last 25 years. This finding has implications for public health policy and anticipated health costs for the coming years. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: King, D. E., Xiang, J., Pilkerton, C. S. Tags: Original Research Source Type: research

30% of Recent Family Medicine Graduates Report Participation in Loan Repayment Programs
Rising educational debt may discourage entry into primary care and practice in safety net settings, but little is known about participation in loan repayment programs that are thought to be part of the solution. A survey of 2052 recent family physician residency graduates found that 30% pursued loan repayment, only a portion of which is tied to service obligations, suggesting opportunities for research and areas for the attention of policymakers. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Nagaraj, M., Coffman, M., Bazemore, A. Tags: Policy Brief Source Type: research

Is the National Health Service Corps the Answer? (for Placing Family Doctors in Underserved Areas)
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Kamerow, D. B. Tags: Commentary Source Type: research

The Potpourri of Family Medicine, in Sickness and in Health
Some aspects of the health of Americans are declining, and family medicine is addressing these ailments. Obesity is one factor, and family physicians provide nutrition counseling. Despite new models such as direct primary care, we have not found an ideal method for providing primary care to everyone in our health system. Not all family physicians report burnout: what is their secret? Scribes: some positives and negatives from one group. Rural America is in need of more family physicians who provide prenatal and natal care, and the proof is in the infant mortality rate. We also have 2 articles on improving pediatric care, a...
Source: Journal of the American Board of Family Medicine - July 9, 2018 Category: Primary Care Authors: Bowman, M. A., Neale, A. V., Seehusen, D. A. Tags: Editors ' Note Source Type: research

A Message from the President
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Puffer, J. C. Tags: Board News Source Type: research

Response: "Re: Predicting Risk for Opioid Misuse in Chronic Pain with a Single-Item Measure of Catastrophic Thinking"
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gross, R. T. Tags: Correspondence Source Type: research

Re: "Predicting Risk for Opioid Misuse in Chronic Pain with a Single-Item Measure of Catastrophic Thinking"
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Otufowora, A. Tags: Correspondence Source Type: research

Re: Dysrhythmias with Loperamide Used for Opioid Withdrawal
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Nakka, S., Riverdale, , Reddy, S., Mehta, N. Tags: Correspondence Source Type: research

Improving the Quality of Primary Care by Optimizing Implementation Research Reporting
The potential of implementation research in understanding strategies for changing practice is undermined by poor reporting, leaving readers unable to replicate such strategies and unclear whether they apply in the context of their practice. These challenges are particularly pertinent in the complex, diverse world of primary care. The recently published Standards for Reporting Implementation Studies (StaRI) provides a framework for comprehensive reporting of implementation research. A key concept is the consideration and reporting in "dual strands": on the one hand, the implementation strategy and on the other, th...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Grandes, G., Pinnock, H., Bazemore, A., Meissner, P., The StaRI Group Tags: Special Communications Source Type: research

Proactive Strategies to Address Health Equity and Disparities: Recommendations from a Bi-National Symposium
Discussion: The solution lies in intervening proactively to reduce disparities—developing risk-adjustment measures that integrate social factors; increasing the socioeconomic, racial, and ethnic diversity of health providers; teaching cultural humility; supporting community-oriented primary care; and integrating equity considerations into health system funding. We propose moving from retrospective analysis to proactive measures; from equality to equity; from needs-based to strength-based approaches; and from an individual to a population focus. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Haggerty, J., Chin, M. H., Katz, A., Young, K., Foley, J., Groulx, A., Perez-Stable, E. J., Turnbull, J., DeVoe, J. E., Uchendo, U. Tags: Special Communications Source Type: research

Dissemination and Implementation Science in Primary Care Research and Practice: Contributions and Opportunities
Dissemination and Implementation Science (DIS) is a growing research field that seeks to inform how evidence-based interventions can be successfully adopted, implemented, and maintained in health care delivery and community settings. In this article, an overview of DIS and how it has contributed to primary care delivery improvement, future opportunities for its use, and DIS resources for learning are described. Case examples are provided to illustrate how DIS can be used to solve the complex implementation and dissemination problems that emerge in primary care. Finally, recommendations are made to guide the use of DIS to i...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Holtrop, J. S., Rabin, B. A., Glasgow, R. E. Tags: Special Communications Source Type: research

Implementation of the Geriatric Patient-Aligned Care Team Model in the Veterans Health Administration (VA)
Conclusions: GeriPACT is one approach for bringing an interdisciplinary, patient-centric perspective to primary care in a manner that can likely support the higher staffing costs with economies realized from diminished reliance on institutional placement and highly technologic health care. It is a model which can provide training for the next generation of providers and clinicians. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Sullivan, J. L., Eisenstein, R., Price, T., Solimeo, S., Shay, K. Tags: Original Research Source Type: research

Using the Quadruple Aim Framework to Measure Impact of Heath Technology Implementation: A Case Study of eConsult
Conclusions: The eConsult service has been widely adopted in our region and is currently expanding to new jurisdictions across Canada. However, although we successfully demonstrated eConsult's impact on patient experience, provider satisfaction, and reducing costs, we met several challenges in evaluating its impact on population health. More work is needed to evaluate eConsult's impact on key population health metrics (eg, mortality, morbidity, and system use). Efforts to conduct such evaluations are underway. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Liddy, C., Keely, E. Tags: Original Research Source Type: research

Understanding Implementation of Complex Interventions in Primary Care Teams
Conclusion: Our findings contribute pragmatic strategies that can help practitioners and researchers to navigate interactions between context, intervention, and implementation factors to increase implementation success. We further developed an implementation framework that includes sustained engagement with stakeholders, facilitation of team sense-making, and dynamic evaluation and intervention design as integral parts of complex intervention implementation. Trial registration: NCT01967797. 18 October 2013 (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Luig, T., Asselin, J., Sharma, A. M., Campbell-Scherer, D. L. Tags: Original Research Source Type: research

Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review
Conclusions: A human factors engineering approach suggests that investigating the role of the clinic's processes or physical layout or external pressures' role in antibiotic prescribing may be a promising way to improve ambulatory AS. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Keller, S. C., Tamma, P. D., Cosgrove, S. E., Miller, M. A., Sateia, H., Szymczak, J., Gurses, A. P., Linder, J. A. Tags: Original Research Source Type: research

Implementation of Health Insurance Support Tools in Community Health Centers
We present strategies, early findings, and clinic reflections on the development and implementation of HIT tools designed to streamline and improve health insurance tracking at community health centers. Methods: We are conducting a hybrid implementation-effectiveness trial to assess novel health insurance enrollment and support tools in primary care clinics. Twenty-three clinics in 7 health centers from the OCHIN practice-based research network are participating in the implementation component of the trial. Participating health centers were randomized to 1 of 2 levels of implementation support, including arm 1 (n = 4 heal...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Huguet, N., Hatch, B., Sumic, A., Tillotson, C., Hicks, E., Nelson, J., DeVoe, J. E. Tags: Original Research Source Type: research

Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW
Conclusion: Facilitators can use a range of strategies to help practices perform data-driven QI when performance data are inaccurate, incomplete, or missing. Support is necessary to help practices, particularly those with EHR data challenges, build their capacity for conducting data-driven QI that is required of them for participating in practice transformation and performance-based payment programs. It is questionable how practices with data challenges will perform in programs without this kind of support. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Hemler, J. R., Hall, J. D., Cholan, R. A., Crabtree, B. F., Damschroder, L. J., Solberg, L. I., Ono, S. S., Cohen, D. J. Tags: Original Research Source Type: research

Missed Opportunities for Depression Screening and Treatment in the United States
Conclusions: Many Americans are not having their depression needs assessed. Certain populations are more likely to be missed, including men, people over 75 years old, minorities, and the uninsured. Additional efforts are needed to determine methods to increase screening recommended by the United States Preventive Services Task Force and to ensure that all Americans have their mental health needs met. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Kato, E., Borsky, A. E., Zuvekas, S. H., Soni, A., Ngo-Metzger, Q. Tags: Original Research Source Type: research

Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study
Discussion: Our clinic-based AOBP/HBPM program detected white-coat BP elevation in one third of enrolled patients, facilitated control of home BP, and was acceptable to staff and patients. We identified barriers to be addressed to ensure sustainability. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Doane, J., Buu, J., Penrod, M. J., Bischoff, M., Conroy, M. B., Stults, B. Tags: Original Research Source Type: research

A Latino Patient-Centered, Evidence-Based Approach to Diabetes Prevention
Conclusions: The 2-stage approach actively engaging patients, family members, providers, and health care system leaders reinforced the cultural congruence of the existing intervention while further strengthening it with adaptations promoting Latino family and community support. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Rosas, L. G., Lv, N., Lewis, M. A., Venditti, E. M., Zavella, P., Luna, V., Ma, J. Tags: Original Research Source Type: research

Clinician Experiences with Screening for Social Needs in Primary Care
Conclusions: Clinicians reported that knowing patients' social needs changed what they did and improved communication for many patients. However, more evidence is needed regarding the benefit of social needs screening in primary care before widespread implementation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Tong, S. T., Liaw, W. R., Kashiri, P. L., Pecsok, J., Rozman, J., Bazemore, A. W., Krist, A. H. Tags: Original Research Source Type: research

Living in "Cold Spot" Communities Is Associated with Poor Health and Health Quality
This study sought to understand the clinical associations of cold spots (census tracts with worse income, education, and composite deprivation). Methods: Across 12 practices, we assessed the relationship between cold spots and clinical outcomes (obesity, uncontrolled diabetes, pneumonia vaccination, cancer screening—colon, cervical, and prostate—and aspirin chemoprophylaxis) for 152,962 patients. We geocoded and linked addresses to census tracts and assessed, at the census tract level, the percentage earning less than 200% of the Federal Poverty Level, without high school diplomas, and the social deprivation i...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Liaw, W., Krist, A. H., Tong, S. T., Sabo, R., Hochheimer, C., Rankin, J., Grolling, D., Grandmont, J., Bazemore, A. W. Tags: Original Research Source Type: research

Strategies for Addressing the Challenges of Patient-Centered Medical Home Implementation: Lessons from Oregon
Conclusion: Clinic leaders benefited from understanding the local context in which they were operating. Despite differences in size, ownership, geography, and population, all clinic leaders were observed to be proponents of strategies commonly associated with a "learning organization": systems thinking, personal mastery, mental models, shared vision, and team. Clinics can draw on their own characteristics, use state resources, and look to established PCMHs to build the evidence base for implementation in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gelmon, S., Bouranis, N., Sandberg, B., Petchel, S. Tags: Original Research Source Type: research

Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries
Fewer family physicians are providing deliveries, which raises concern for access to obstetric care. We found that among recent family medicine graduates who would like to do deliveries, difficulty finding a position that supports including deliveries was a major barrier. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Barreto, T. W., Eden, A. R., Hansen, E. R., Peterson, L. E. Tags: Policy Brief Source Type: research

Family Medicine and Obstetrics: Let's Stop Pretending
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Young, R. A., Sundermeyer, R. L. Tags: Commentaries Source Type: research

Advancing Primary Care Through Alternative Payment Models: Lessons from the United States & Canada
This article reviews learnings from a 2017 binational symposium of 150 experts in policy and research that included a discussion of ongoing APM experiments in the United States and Canada. Discussions ranged from APM challenges and successes to their real and potential impact on primary care. The gathering yielded many lessons for policy makers, payors, researchers, and providers. Experts lauded recent APM experimentation on both sides of the border, while cautioning against the risk of "pilotitis," or developing, implementing, and evaluating new payment models without plan or ability scale them into broader prac...
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Bazemore, A., Phillips, R. L., Glazier, R., Tepper, J. Tags: Commentaries Source Type: research

Advancing Social Prescribing with Implementation Science
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Gottlieb, L., Cottrell, E. K., Park, B., Clark, K. D., Gold, R., Fichtenberg, C. Tags: Commentaries Source Type: research

Content Usage and the Most Frequently Read Articles of 2017
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 9, 2018 Category: Primary Care Authors: Lupo, P., Neale, A. V., Bowman, M. A., Seehusen, D. Tags: Editorial Office News and Notes Source Type: research