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 12, 2019 Category: Primary Care Authors: Ireland, J. Tags: Board News Source Type: research

Re: Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Yasri, S., Wiwanitkit, V. Tags: Correspondence Source Type: research

Response: Re: Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Dale, A. P., Ebell, M. H. Tags: Correspondence Source Type: research

Re: Better Doctor-Patient Relationships Are Associated with Men Choosing More Active Depression Treatment
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Otufowora, A. Tags: Correspondence Source Type: research

Response: Re: Better Doctor-Patient Relationships Are Associated with Men Choosing More Active Depression Treatment
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Kealy, D., Ogrodniczuk, J. S., Rice, S. M., Ferlatte, O., Oliffe, J. L. Tags: Correspondence Source Type: research

Re: A Reflective Case Study in Family Medicine Advance Care Planning Conversations
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: de Caprariis, P. J. Tags: Correspondence Source Type: research

Response: Re: A Reflective Case Study in Family Medicine Advance Care Planning Conversations
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Tunzi, M., Ventres, W. Tags: Correspondence Source Type: research

Drug-Induced Hyperpigmentation: Review and Case Series
Conclusion: Family physicians and specialists should consider drugs as a cause of hyperpigmentation to facilitate the correct diagnosis and treatment. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Gimenez Garcia, R. M., Carrasco Molina, S. Tags: Clinical Review Source Type: research

Evaluation of a Family Medicine Transitional Care Service Line
Conclusion: Although there was no evidence of an impact of the new service line on a decline in 30-day readmission rates it was decided that this service was a benefit to the patients and the physicians involved. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Farford, B., Pantin, S. A., Presutti, J., Ball, C. S. Tags: Family Medicine and The Health Care System Source Type: research

Opioid Medications Prescribing and the Pain-Depression Dyad in Primary Care: Analysis of 2014-2015 National Ambulatory Medical Care Survey (NAMCS) Data
Conclusions: Pain-depression dyad is associated with higher odds of opioids prescribing during primary care visits. Future studies are needed to understand the complexity of these factors and identify effective strategies to prevent opioids addiction and overdose among patients with pain and depression. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Lin, S. X., Patel, K., Younge, R. G. Tags: Brief Reports Source Type: research

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study
Conclusion: Few older adults had driving safety conversations with their family or physicians. Practical and effective interventions are needed to engage family and physicians in assisting older adults with risk assessment and driving cessation planning to maintain mobility and well-being. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Betz, M. E., Villavicencio, L., Kandasamy, D., Kelley-Baker, T., Kim, W., DiGuiseppi, C., Mielenz, T. J., Eby, D. W., Molnar, L. J., Hill, L., Strogatz, D., Carr, D. B., Li, G., on behalf of the LongROAD Research Team Tags: Brief Reports Source Type: research

Sugar-Sweetened Beverage Intake in a Rural Family Medicine Clinic
The objective of our study was to assess SSB intake in a rural primary care clinic. Methods: The Beverage Intake Questionnaire is a 15-item self-reported questionnaire and has been extensively validated to assess habitual SSB consumption. The survey was administered to adult primary care clinic patients presenting for routine care over a 6-week period at a clinic in a rural central Nebraska community (population
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Pinon, L., Khandalavala, B., Geske, J. Tags: Brief Reports Source Type: research

Lifestyle Intervention Programs for Adults at High-Risk for Type 2 Diabetes: A Platform to Reach High-Risk Children?
Introduction: Children of adults eligible for the National Diabetes Prevention Program (DPP) lifestyle intervention may themselves be high risk for type 2 diabetes development, and high-risk children may be reached through programs that target high-risk adults. To understand the potential multigenerational impact of family-oriented diabetes prevention programming, we explored the correlation between parental eligibility for the National DPP program and child weight status by using nationally representative data. Methods: We analyzed data from the National Health Interview Survey from 2016 and 2017, focusing on children ag...
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Venkataramani, M., Cheng, T. L., Yeh, H.-C., Maruthur, N. M. Tags: Brief Reports Source Type: research

Implementing Risk Stratification in Primary Care: Challenges and Strategies
This study aims to understand key considerations practices faced and practice experiences as they began to implement RS models. Methods: We conducted semistructured interviews about experiences in RS with 34 stakeholders from 15 primary care practices in Oregon and Colorado and qualitatively analyzed the data. Results: Three decisions were important in shaping practices' experiences with RS: choosing established versus self-created algorithms or heuristics, clinical intuition, or a combination; selecting mechanisms for assigning risk scores; determining how to integrate RS approaches into care delivery. Practices using c...
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Wagner, J., Hall, J. D., Ross, R. L., Cameron, D., Sachdeva, B., Kansagara, D., Cohen, D. J., Dorr, D. A. Tags: Original Research Source Type: research

Predicting Knee Pain and Knee Osteoarthritis Among Overweight Women
Conclusion: In this study, easy-obtainable variables modestly improved the prediction of FKP and symptomatic KOA above age and BMI. To improve the identification of high-risk individuals, development of valid tests for other known risk factors, like meniscal damage, that are applicable in primary care, are urgently needed. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Landsmeer, M. L. A., Runhaar, J., van Middelkoop, M., Oei, E. H. G., Schiphof, D., Bindels, P. J. E., Bierma-Zeinstra, S. M. A. Tags: Original Research Source Type: research

Effect of Electronic Cigarettes on Smoking Reduction and Cessation in Korean Male Smokers: A Randomized Controlled Study
Conclusions: In our study, the effect of e-cigarettes on smoking cessation was similar compared with that of nicotine gum, a well-documented NRT. In addition, e-cigarettes were well tolerated by the study population. Therefore, the use of e-cigarettes as an NRT may be considered for smoking-cessation purposes. A large-scale prospective randomized controlled trial is necessary to clarify our results. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Lee, S.-H., Ahn, S.-H., Cheong, Y.-S. Tags: Original Research Source Type: research

Multimodal Local Opioid Prescribing Intervention Outcomes in Chronic Noncancer Pain Management
Background: Opioid misuse in the United States has made it challenging for physicians to treat chronic noncancer pain (CNCP). We implemented an educational program aimed at promoting safe opioid prescribing practices in hopes of increasing the level of appropriateness associated with prescribing opioids for CNCP. Methods: We conducted a quality-improvement study with a retrospective chart review of adult patients who were prescribed opioids for CNCP for at least 90 consecutive days at 2 academic primary care clinics. Patients were reviewed at baseline (July 2014-May 2015) and after initial interventions (January 2016-June...
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Arizmendez, N. P., Kotovicz, F., Kram, J. J. F., Baumgardner, D. J. Tags: Original Research Source Type: research

Identifying Problematic Substance Use in a National Sample of Adolescents Using Frequency Questions
Conclusions: Brief measures of past-year use, or past-month use for tobacco, accurately identified adolescents with problematic substance use. However, health systems should use age-specific screening cut-points for alcohol and cannabis to optimize screening performance. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Chavez, L. J., Bradley, K. A., Lapham, G. T., Wickizer, T. M., Chisolm, D. J. Tags: Original Research Source Type: research

Impact of Alternative Payment Methodology on Primary Care Visits and Scheduling
Conclusions: APM clinics experienced a greater increase in same-day visits over the course of this experiment, but did not significantly differ from comparators in other visit metrics. Further research into other impacts of this experiment are necessary and ongoing. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Heintzman, J., Cottrell, E., Angier, H., O'Malley, J., Bailey, S., Jacob, L., DeVoe, J., Ukhanova, M., Thayer, E., Marino, M. Tags: Original Research Source Type: research

Effect of Retail Clinic Use on Continuity of Care Among Medicare Beneficiaries
Conclusions: Retail clinic use was lower in the elderly population compared with the previously published rate in the younger populations. The lower rate of continuity of care observed among retail clinic users is concerning, especially for those with chronic medical conditions. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Abara, N. O., Huang, N., Raji, M. A., Kuo, Y.-F. Tags: Original Research Source Type: research

Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care
Conclusion: Housing insecurity is associated with worse access to preventive and primary care. Interventions to enhance access for these patients should be developed and studied. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Martin, P., Liaw, W., Bazemore, A., Jetty, A., Petterson, S., Kushel, M. Tags: Original Research Source Type: research

Patient-Defined Visit Priorities in Primary Care: Psychosocial Versus Medically-Related Concerns
Background: Primary care providers (PCPs) are often challenged to address multiple patient concerns during time-limited visits. The need for PCPs to limit the number of issues addressed may have a negative impact on discussion of patient-defined visit priorities. Methods: Using data from a recent clinical trial (Aligning Patients and Providers, ClinicalTrials.gov: NCT02707146), we examined the association between patient-defined visit priorities and subsequent provider actions taken during and after the visit. We tested the hypothesis that psychosocial concerns (eg, stress, anxiety, caregiving demands) are less likely to ...
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Santo, E. C., Vo, M. T., Uratsu, C. S., Grant, R. W. Tags: Original Research Source Type: research

Prediabetes Knowledge, Attitudes, and Practices at an Academic Family Medicine Practice
Conclusions: Clinicians' positive attitudes toward prediabetes screening, moderate knowledge of prediabetes management, and low awareness of DPPs were reflected by high diabetes screening coverage, limited prediabetes diagnosis, and no DPP referrals. We will tailor our implementation strategy to overcome these prediabetes care barriers. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Keck, J. W., Thomas, A. R., Hieronymus, L., Roper, K. L. Tags: Original Research Source Type: research

Primary Care Practices' Implementation of Patient-Team Partnership: Findings from EvidenceNOW Southwest
Conclusion: Practices can improve efforts to partner with patients to assess social needs, gather meaningful input on practice improvement and patient experience, and offer resource connections. Our findings supplement recent evidence that patient registries and evidence-based guidelines may effectively prevent and manage cardiovascular disease. These strategies may also promote primary care patient-team partnership. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Hall, T. L., Knierim, K. E., Nease, D. E., Staton, E. W., Nkouaga, C., Miriam Dickinson, L., Rhyne, R. L., Perry Dickinson, W. Tags: Original Research Source Type: research

A Successful Walk-In Psychiatric Model for Integrated Care
Conclusions: Providing psychiatric care on a walk-in basis in integrated care is sustainable. Patients from historically underserved groups may access psychiatric care disproportionately through a walk-in option when it is available. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Kroll, D. S., Latham, C., Mahal, J., Siciliano, M., Shea, L. S., Irwin, L., Southworth, B., Gitlin, D. F. Tags: Original Research Source Type: research

High-Risk Medication Prescriptions in Primary Care for Women Without Documented Contraception
Conclusion: In a family medicine setting, 25% of women of childbearing age were prescribed a high-risk medication with over half not having evidence of contraception management. Interestingly, younger age women had lower odds of receiving contraceptive management when prescribed high-risk medications. Prescribers should be aware of and counsel on the risks of teratogenic medications and regularly evaluate reproductive plans for patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Panchal, B. D., Cash, R., Moreno, C., Vrontos, E., Bourne, C., Palmer, S., Simpson, A., Panchal, A. R. Tags: Original Research Source Type: research

Primary Care Providers Believe That Comprehensive Medication Management Improves Their Work-Life
Conclusion: Our findings suggest PCPs believe CMM, in general, positively affects their work-life. CMM's impact on PCPs aligns with many previously identified drivers of burnout and engagement among providers. These results shed light on how CMM may foster achievement of the Quadruple Aim. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Funk, K. A., Pestka, D. L., Roth McClurg, M. T., Carroll, J. K., Sorensen, T. D. Tags: Original Research Source Type: research

Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Using data from 2014 through 2016, we demonstrated a decline in the percentage of family physicians providing endoscopic services in both rural and urban areas. Our findings suggest that forces in the health care system may be influencing the reduction in scope, rather than specific geographic factors. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Peterson, L. E., Nasim, U., Madabhushi, V. Tags: Policy Brief Source Type: research

Is It Time to Prioritize Diabetes Prevention in Practice?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Mainous, A. G., Schatz, D. A. Tags: Commentaries Source Type: research

Endoscopic Services in the United States: By Whom, for What, and Why?
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Feimster, J. W., Mellinger, J. D. Tags: Commentaries Source Type: research

Implementing Practice Changes in Family Medicine to Enhance Care and Prevent Disease Progression
This issue epitomizes family medicine with a heavy emphasis on research to prevent illness and illness progression. Which patients will experience significant symptomatic knee osteoarthritis? Do the elderly use retail clinics, and what is the impact on care for chronic conditions? Does capitation payment enhance or decrease same-day access? How do primary care practices risk stratify to provide integrated care? Can risk screening and on-site providers enhance psychiatric care? What screening questions should we ask adolescents, to identify problematic drug use? A report on a practice intervention to improve opioid prescrib...
Source: Journal of the American Board of Family Medicine - July 12, 2019 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Neale, A. V. Tags: Editors ' Note Source Type: research

Longitudinal Assessment: Where We Are and Why It Is Important
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Newton, W. P., Rode, K., O'Neill, T., Fain, R., Baxley, E. Tags: Board News Source Type: research

Initiation and Titration of Basal Insulin in Primary Care: Barriers and Practical Solutions
This article reviews strategies for the initiation of basal insulin therapy, with an emphasis on the characteristics and titration of second-generation basal insulins, introducing current guidelines and offering suggestions for recognizing and overcoming barriers to insulin therapy in the management of T2D. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Perreault, L., Vincent, L., Neumiller, J. J., Santos-Cavaiola, T. Tags: Clinical Review Source Type: research

Hepatitis C Update and Expanding the Role of Primary Care
Primary care physicians (PCPs) are increasing their role in the fight against the Hepatitis C Virus (HCV). Approximately 3.5 million Americans currently live with chronic HCV with rising incidence among young persons, especially those affected by the opioid epidemic. Online guidelines and drug interaction checkers streamline treatment and increase accessibility for both patients and providers. Although treatment with new Direct Acting Antiviral agents ensure cure rates that routinely exceed 95%, as well as cause fewer adverse effects than previously available interferon-based regimens, some states still restrict access to ...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Simoncini, G. M., Koren, D. E. Tags: Special Communications Source Type: research

Does My Patient with Multiple Comorbidities Have Heart Failure with Preserved Ejection Fraction, and Does It Matter?
Heart Failure with Preserved Ejection Fraction (HFpEF) is a common diagnosis and accounts for half or more of all cases of heart failure. Despite its high prevalence and significant morbidity, the pathophysiology of HFpEF remains incompletely understood. Patients diagnosed with HFpEF often have significant cardiac and extra-cardiac comorbidities. Given the availability of evidence-based treatments for common comorbidities, but not for HFpEF, the necessity of diagnosing HFpEF among symptomatic elderly patients with multiple comorbidities is unclear. This commentary raises the question of whether the search for the diagnosis...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Abramov, D. Tags: Special Communications Source Type: research

Opinions of Primary Care Clinicians and Psychiatrists on Monitoring the Metabolic Effects of Antipsychotics
This study aimed to compare primary care clinicians' and psychiatrists' attitudes toward metabolic monitoring and treatment of patients with SMI. Methods: Primary care clinicians and psychiatrists within 1 large urban integrated public health system were recruited to participate in this online survey study. Multivariate logistic regression analyses were used to examine if clinician characteristics were associated with attitudes or perceived barriers toward metabolic monitoring and treatment. Results: Response rates were 77% (164/214) of primary care providers and 69% (56/81) of psychiatrists completing the survey. There ...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Mangurian, C., Giwa, A., Brosey, E., Shumway, M., Dilley, J., Fuentes-Afflick, E., Perez-Stable, E. J., Schillinger, D. Tags: Research Letter Source Type: research

Patient Body Mass Index (BMI) Knowledge in a Rural Primary Care Population
Conclusion: In this cross-sectional cohort study, it was found that patients' knowledge about BMI and weight-related risk factors has increased modestly. However, despite the increase in patients' knowledge and discussions about BMI with their primary care physician, there was not a decrease in BMI. Future studies are needed to provide more detailed information about the discussion between patients and providers in relation to the patient's personal weight status. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Haggerty, T., Xiang, J., King, D. Tags: Brief Reports Source Type: research

Text Messages Can Encourage Patients to Discuss and Receive HIV Testing in Primary Care
Conclusion: Our proof-of-concept study suggests an HIV text message campaign may increase HIV testing by encouraging patients to initiate discussion with their physicians. This intervention may increase HIV testing among low-income populations. A larger study is needed to confirm these findings. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Wettermann, R., Marek, H., Giordano, T. P., Arya, M. Tags: Brief Reports Source Type: research

Does Ownership Make a Difference in Primary Care Practice?
Purpose: We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices. Methods: This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing Heart Health in Primary Care Initiative by the Agency for Health Care Research and Quality. We compared physician-owned practices, health system or medical group practices, and Federally Qualified Health Centers (FQHC) by using 15 survey-based...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Lindner, S., Solberg, L. I., Miller, W. L., Balasubramanian, B. A., Marino, M., McConnell, K. J., Edwards, S. T., Stange, K. C., Springer, R. J., Cohen, D. J. Tags: Original Research Source Type: research

Provider Perspectives of Patient Experiences in Primary Care Imaging
This study aimed to explore the perceived impacts imaging tests have on patients from the perspective of the primary care providers (PCPs) and determine PCPs' understanding of patient-centered outcomes (PCOs) from imaging tests. Methods: Recruitment of PCPs occurred at 4 family medicine clinics in Washington and Idaho. Primary care physicians, nurse practitioners, or physician assistants who order imaging tests were eligible to participate. Semistructured interviews explored providers' perceptions of patient experiences during the process of ordering, performing and following up on imaging tests. Classic content analysis ...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Zigman Suchsland, M. L., Hardy, V., Zhang, Y., Vigil, P. D., Collins, K. L., Woodhouse, W. M., Chou, R., Findlay, S. D., Lavallee, D. C., Thompson, M. J. Tags: Original Research Source Type: research

Clinicians' Perspectives on Barriers and Enablers of Optimal Prescribing in Patients with Dementia and Coexisting Conditions
Conclusions: Clinicians identified numerous barriers to and some facilitators of optimizing prescribing in people with dementia. More data are needed on the benefits and harms of stopping medications in this population. Research should also test different approaches for supporting informed decision making about medications by people with dementia and caregivers. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Green, A. R., Lee, P., Reeve, E., Wolff, J. L., Chen, C. C. G., Kruzan, R., Boyd, C. M. Tags: Original Research Source Type: research

Sources and Impact of Time Pressure on Opioid Management in the Safety-Net
Conclusions: Time pressure was identified as a major barrier to safer opioid prescribing. Efforts, including changes to reimbursement structures, are needed to relieve time stress on primary care clinicians treating medically and socially complex patients with CNCP in safety-net settings. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Satterwhite, S., Knight, K. R., Miaskowski, C., Chang, J. S., Ceasar, R., Zamora, K., Kushel, M. Tags: Original Research Source Type: research

The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System
Background: Hydrocodone-combination analgesics were changed from Schedule III to Schedule II to discourage the prescribing of these analgesics. Our primary aim was to explore the effect of hydrocodone rescheduling on opioid prescribing within an urban safety-net health care system. Methods and Design: Data were extracted from electronic records of ambulatory patients (N = 82,432 patients) prescribed hydrocodone-combination, codeine-combination, or tramadol opioid analgesics (N = 200,675 prescriptions) between October 6, 2013 and October 6, 2015. Data analyses modeled predicted probabilities of hydrocodone-combination pres...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Northrup, T. F., Carroll, K., Suchting, R., Villarreal, Y. R., Zare, M., Stotts, A. L. Tags: Original Research Source Type: research

Timely Outpatient Follow-up Is Associated with Fewer Hospital Readmissions among Patients with Behavioral Health Conditions
Conclusion: The findings provide evidence that timely linking of behavioral health patients to outpatient care after hospitalization is an effective care transition strategy, as it is likely to reduce readmission rates. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Pourat, N., Chen, X., Wu, S.-H., Davis, A. C. Tags: Original Research Source Type: research

A Cluster Randomized Trial Comparing Strategies for Translating Self-Management Support into Primary Care Practices
Conclusion: An interactive behavior change technology tool such as CTH can increase primary care practice SMS activities and improve patient HbA1c levels. Even brief practice facilitation assists practices in implementing SMS. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Dickinson, W. P., Dickinson, L. M., Jortberg, B. T., Hessler, D. M., Fernald, D. H., Cuffney, M., Fisher, L. Tags: Original Research Source Type: research

Practice Characteristics Associated with Better Implementation of Patient Self-Management Support
This study aimed to promote the translation of SMS into primary care practices and reported on key baseline practice characteristics that may impact SMS implementation. Methods: Thirty-six practices in Colorado and California participated in the study from December 2013 to March 2017. Practice administrators completed a Practice Information Form describing practice characteristics. Clinicians and staff (n = 716) completed the Practice Culture Assessment and the Patient-Centered Medical Home (PCMH) Monitor. Descriptive statistics were computed to determine practice characteristics related to culture, quality improvement, l...
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Jortberg, B. T., Fernald, D. H., Hessler, D. M., Dickinson, L. M., Wearner, R., Connelly, L., Holtrop, J. S., Fisher, L., Dickinson, W. P. Tags: Original Research Source Type: research

Patient-Refined Messaging for a Mailed Colorectal Cancer Screening Program: Findings from the PROMPT Study
Conclusions: Among unscreened individuals in this population, live phone call reminders either alone or in combination with automated prompts and reminders outperformed automated approaches alone. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Coronado, G. D., Thompson, J. H., Petrik, A. F., Nyongesa, D. B., Leo, M. C., Castillo, M., Younger, B., Escaron, A., Chen, A. Tags: Original Research Source Type: research

Developing Patient-Refined Messaging for a Mailed Colorectal Cancer Screening Program in a Latino-Based Community Health Center
Discussion: Using BCT, we successfully incorporated participant feedback to adapt culturally relevant health messages to promote FIT testing among Latino patients served by community clinics. Materials will be tested in the larger Participatory Research to Advance Colon Cancer Prevention (PROMPT) trial. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Thompson, J. H., Davis, M. M., Michaels, L., Rivelli, J. S., Castillo, M. L., Younger, B. M., Castro, M., Reich, S. L., Coronado, G. D. Tags: Original Research Source Type: research

Provider and Staff Feedback on Screening for Social and Behavioral Determinants of Health for Pediatric Patients
This study highlights the various SDOH screening methods currently used in Boston CHCs, and the need for workflow and process individualization of SDOH screening and referral. Providers and clinical staff should be part of the discussion when implementing SDOH screening and referral procedures to ensure appropriate work flow, staff buy-in, and to maximize resources available. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Byhoff, E., Garg, A., Pellicer, M., Diaz, Y., Yoon, G. H., Charns, M. P., Drainoni, M.-L. Tags: Original Research Source Type: research

Family Physicians' Contributions to Rural Emergency Care and Urban Urgent Care
Using 2017 data, we demonstrate a sharp increase in the proportion of family physicians (FPs) working primarily in rural emergency departments and increasing numbers of FPs working in urgent care centers. Despite growth in emergency medicine–trained physicians, FPs are likely to continue to be the backbone of emergency care in rural America. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 8, 2019 Category: Primary Care Authors: Peterson, L. E., Puffer, J. C., Nasim, U., Petterson, S., Newton, W. P. Tags: Policy Brief Source Type: research