Journal of the American Board of Family Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Racial/Ethnic Minority Identifying Family Physicians Are More Likely to Work in Solo Practices
While the overall proportion of family physicians who work in solo practices has been steadily declining, Black, Hispanic/Latino, and Asian family physicians are more likely to work in these settings. Given their association with high levels of continuity and improved health outcomes, and given patient preference for racial concordance with their physicians, policy makers and payors should consider how to support family physicians in solo practice in the interest of promoting access to and quality of care for ethnic/racial minorities. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Tong, S. T., Jetty, A., Liaw, W. R., Bazemore, A. W., Jabbarpour, Y. Tags: Policy Brief Source Type: research

A Case of Extra-Articular Coccidioidomycosis in the Knee of a Healthy Patient
This report describes a rare case of peri-articular Coccidioides immitis abscess of the knee that does not communicate with the joint in a healthy patient. This case illustrates the low threshold needed for additional testing, such as fluid or tissue sampling of joint-related fluid collections if the etiology is unclear. A high index of suspicion is prudent to avoid diagnostic delay, particularly for individuals who either reside in or travel to endemic areas. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Martinez, A., McClaskey, D. Tags: Brief Report Source Type: research

Home Health Care Workers Interactions with Medical Providers, Home Care Agencies, and Family Members for Patients with Heart Failure
Conclusions: HHWs’ scope of health-related interactions is large, indicating that there may be novel opportunities to leverage HHWs’ experiences to improve health care delivery and patient care in HF. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Sterling, M. R., Ringel, J. B., Riegel, B., Goyal, P., Arbaje, A. I., Bowles, K. H., McDonald, M. V., Kern, L. M. Tags: Brief Report Source Type: research

The FDA Initiative to Assure Racial and Ethnic Diversity in Clinical Trials
On April 13, 2022, the Food & Drug Administration (FDA) issued a new draft guidance for industry for "developing plans to enroll more participants from underrepresented racial and ethnic populations in the U.S. into clinical trials ." In so doing, the FDA reaffirmed the reality that racial and ethnic minorities remain underrepresented in clinical trials. FDA Commissioner Robert M. Califf, MD offered that the "U.S. population has become increasingly diverse, and ensuring meaningful representation of racial and ethnic minorities in clinical trials for regulated medical products is fundamental to public health." Commissio...
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Adashi, E. Y., Cohen, I. G. Tags: Commentary Source Type: research

Primary Care Implications of the Expanded National Guidelines for Germline Testing of Patients Previously Diagnosed with Colorectal Cancer
Colorectal cancer (CRC) is among the most common cancers diagnosed in the United States. Most patients are cured, have completed their routine surveillance in oncology clinics, and are being followed by primary care clinicians (PCCs). Those providers are tasked with discussing with these patients genetic testing for inherited cancer-predisposing genes that are called PGVs. Recently, the National Comprehensive Cancer Network (NCCN) Hereditary/Familial High-Risk Assessment: Colorectal Guidelines expert panel updated their recommendations for genetic testing. It is now recommended that all patients diagnosed with CRC before a...
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Sorscher, S. Tags: Health Policy Source Type: research

Thinking "Green" When Treating "Pink Puffers" and "Blue Bloaters"--Reducing Carbon Footprint When Prescribing Inhalers
The impact of man-made climate change is already affecting millions of people worldwide. The health care sector in the US is a relevant contributor, accounting for about 8 to 10% of national greenhouse gas emissions. This special communication describes the harmful impact of propellant gases in metered dose inhalers (MDI) on the climate and summarizes and discusses current knowledge and recommendations from European countries. Dry powder inhalers (DPI) are a good alternative to MDIs and are available for all inhaler drug classes recommended in current asthma and COPD guidelines. Changing an MDI to PDI can significantl...
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Holman, H. T., Bouthillier, M. J., Muller, F. Tags: Special Communication Source Type: research

A Comprehensive Clinical Model of Suffering
Suffering is often a part of the illness experience, and relieving it is a fundamental obligation of medicine. Distress, injury, disease, and loss generate suffering when they threaten meaning in the patient’s personal narrative. Family physicians have exceptional opportunities and responsibilities to manage suffering through long-term continuity relationships, demonstrating empathy, and building trust over time and across problems. We propose a new Comprehensive Clinical Model of Suffering (CCMS) founded on the family medicine approach to whole-patient care. Comprehending that suffering can involve every aspect of a...
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Phillips, W. R., Uygur, J. M., Egnew, T. R. Tags: Special Communication Source Type: research

The Association Between Family Medicine Appointment Cancellations and Hospital Utilization in 2019 and 2020
Conclusion: Between the 2019 and 2020 cohorts, appointment cancellations were not associated with significant differences in likelihood of admission, readmission, or length of stay. A higher risk of readmission was associated with patients with a recent family medicine appointment cancellation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Carter, D. G., Williams, M. P., Rooks, B. J., Carek, P. J. Tags: Family Medicine and the Health Care System Source Type: research

Goal-Oriented Prevention: How to Fit a Square Peg into a Round Hole
Prevention does not fit well within our problem-oriented medical paradigm in which the focus is on curing or ameliorating existing diseases. It is easier and more satisfying to solve existing problems than it is to advise and motivate patients to implement measures to prevent future problems that may or may not occur. Clinician motivation is further diminished by the time required to help people make lifestyle changes, the low reimbursement rate, and the fact that the benefits, if any, are often not apparent for years. Typical patient panel sizes make it difficult to provide all of the recommended disease-oriented preventi...
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Mold, J. W., DeWalt, D. A., Duffy, F. D. Tags: Family Medicine and the Health Care System Source Type: research

Documentation and Treatment of Obesity in Primary Care Physician Office Visits: The Role of the Patient-Physician Relationship
Discussion: There are many missed opportunities for prevention of obesity-related disease. Continuity of care with a primary care physician was associated with benefits in treatment likelihood, but greater emphasis on managing obesity in a primary care visit seems warranted. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Mainous, A. G., Xie, Z., Dickmann, S. B., Medley, J. F., Hong, Y.-R. Tags: Original Research Source Type: research

The Prevalence of Periodontitis Among US Adults with Multimorbidity Using NHANES Data 2011-2014
Discussion: Periodontitis is a highly prevalent, preventable chronic inflammatory condition. It shares many common risk factors with multimorbidity but was not independently associated with multimorbidity in our study. Further research is required to understand these observations and whether treating periodontitis in patients with multimorbidity may improve health care outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: ODwyer, M. C., Furgal, A., Furst, W., Ramakrishnan, M., Capizzano, N., Sen, A., Klinkman, M. Tags: Original Research Source Type: research

Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees
Conclusions: CCC for CACSCs was associated with fewer ED visits and hospitalizations in a nationally representative sample of Medicaid enrollees. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Gaglioti, A. H., Li, C., Baltrus, P. T., She, Z., Douglas, M. D., Moore, M. A., Rao, A., Cheng Immergluck, L., Ayer, T., Bazemore, A., Rust, G., Mack, D. H. Tags: Original Research Source Type: research

Adherence to Diabetes Medications and Health Care Use During the COVID-19 Pandemic Among High-Risk Patients
Conclusion: Adherence to diabetes medications and primary care use remained high for most patients even though virtual care replaced in-person care. Black and nonelderly patients may require additional intervention to address lower adherence. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Yoon, J., Chen, C., Chao, S., Wong, E., Rosland, A.-M. Tags: Original Research Source Type: research

Who Is Most Burdened in Health Care? An Analysis of Responses to the ICAN Discussion Aid
Conclusion: The number of burdens a patient will report on the ICAN Discussion Aid can be approximated based on certain patient characteristics. Adults with major depression, a BMI of 26 or greater, and younger age may have greater reported burdens on ICAN, but this finding needs to be validated in independent samples. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Steiger, K. G., Boehmer, K. R., Klanderman, M. C., Mookadam, A., Koneru, S. S., Montori, V. M., Mookadam, M. Tags: Original Research Source Type: research

Associations Between High Pain Catastrophizing and Opioid-Related Awareness and Beliefs Among Patients in Primary Care
Conclusion: Significant gaps existed among our participants with high PC in their awareness of opioid epidemic issues and side effects/risks compared with their low PC counterparts. They may also carry positive beliefs regarding opioids and pain-control in general. In any pain care, it seems important to identify patients with high pain catastrophizing. Doing so may facilitates exploration of their beliefs and expectations regarding pain management and aids in tailoring individualized treatment and prevent adverse side effects. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - April 4, 2023 Category: Primary Care Authors: Onishi, E., Lucas, J. A., Maeno, T., Bailey, S. R. Tags: Original Research Source Type: research