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.

And Then There Were Three: The Decimation of the Affordable Care Act (ACA) CO-OPs
The Consumer Operated and Oriented Plans (CO-OPs), the subject of Section 1322 of the Affordable Care Act (ACA), were to constitute "qualified nonprofit health insurance issuers." Designed with an eye toward increasing competition with the extant commercial and nonprofit insurance sector, the CO-OPs were to enhance consumer choice as well as hold down prices on the state and federal exchanges. To achieve these ends, the consumer-governed state-licensed CO-OPs were to target the individual and small-group markets. At least one qualified CO-OP was to be established in each and every state. By the fall of 2013, however, coinc...
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Adashi, E. Y., O'Mahony, D. P., Cohen, I. G. Tags: Commentaries Source Type: research

Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
In October of 2021, California enacted SB 428, the ACEs Equity Act, which mandates commercial insurance coverage of adverse childhood experiences (ACEs) screening in addition to ACEs screening already covered for the state's Medicaid enrollees. California is the first state to expand ACEs screening coverage, but it is possible other states may follow similar paths given the increasing interest in policy action to address ACEs. Increase in stress and trauma among Americans and evidence of the disproportionate impact ACEs have on historically marginalized and disadvantaged communities has increased the urgency with which pol...
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Shimkhada, R., Miller, J., Magnan, E., Miller, M., Coffman, J., Corbett, G. Tags: Health Policy Source Type: research

Family Physician Income Disparities by Race and Gender
A race and gender salary gap has been well-documented throughout the U.S. economy, but little described in primary care. Using self-reported data on the most widely distributed primary care physician specialty, we reveal lower incomes and hourly wages among Black/African American and female family physicians. The clear gradient in family physician compensation by race and gender demands further study and action to better understand and address the underlying sources of these differences. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Anderson, A., Morgan, Z. J., Olaisen, R. H., Bazemore, A., Taylor, M. K., Wang, T., Eden, A. R. Tags: Policy Brief Source Type: research

Interventions to Increase Colorectal Cancer Screening Uptake in Primary Care: A Systematic Review
Conclusions: The synthesized findings improve our understanding of facilitators of and barriers to the implementation of interventions to increase CRCS participation in primary care practice, and inform the customized implementation strategies. Many of the included studies had limited use of rigorous implementation science frameworks to guide their implementation and evaluation, which precludes a comprehensive understanding of the implementation factors specific to CRCS interventions in primary care. Future studies assessing the CRCS intervention implementation factors would benefit from the use of implementation science f...
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Adhikari, K., Manalili, K., Law, J., Bischoff, M., Teare, G. F. Tags: Clinical Review Source Type: research

Perceived Effectiveness and Overall Satisfaction of Using a Toilet Stool to Prevent or Treat Constipation: An Analysis of Online Comments
Conclusion: Perceived effectiveness and overall satisfaction were rated high by those who purchased a toilet stool online. In addition, their use seems to be safe (<1% reported adverse effects). Our results suggest a good risk-benefit ratio. The device may offer an inexpensive option to treat or prevent constipation, and may reduce the frequency of medical visits and the risks associated with long-term use of laxatives. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Sebo, P., Quinio, C., Viry, M., Haller, D. M., Maisonneuve, H. Tags: Research Letters Source Type: research

Communication of Drug Efficacy Information via a Popular Online Platform
Conclusion: Wikipedia is an important source of information that has the potential to shape public views about drug efficacy, but the absence of quantitative efficacy information in most pages limits public understanding of the benefits that drugs actually offer. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Darrow, J. J., Borisova, E. Tags: Research Letters Source Type: research

Nearly All Cancer Survivors Return to Primary Care
Conclusion: These findings underscore the urgent need for smooth handoffs from oncology back to primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Pinheiro, L. C., Rajan, M., Safford, M. M., Nanus, D. M., Kern, L. M. Tags: Brief Reports Source Type: research

Metformin Prescription Rates for Patients with Prediabetes
Conclusions: Few prediabetes patients who were either obese or aged < 60 years received a metformin prescription between 2012 and 2018. Prescription rates increased slightly between 1 and 3 years after a prediabetes diagnosis, so strategies to support timely intervention among higher risk patients with prediabetes are critically needed. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Hughes, A., Khan, T., Kirley, K., Moin, T., Mainous, A., Sachdev, N., Williams, J., Wozniak, G. Tags: Brief Reports Source Type: research

Policies and Resources Identified by Youth as Being Important to Prepare for Caregiving Responsibilities
Discussion: Policy makers should extend existing policies (eg, Family and Medical Leave Act) to include and consider the circumstances of youth and young adults. Policies enabling young caregivers to actively participate in their adult relative's health care visits could be critical to preparing youth for the skills required and the physical and emotional demands associated with caregiving. Coordinated efforts between health and education systems could support youth in learning information about caregiving, medical decision making, and medical tasks. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Raj, M., Feldman, S. J., Chang, T. Tags: Brief Reports Source Type: research

Current State of Point-of-Care Ultrasound Use Within Family Medicine
Conclusions: As POCUS use continues to rise in Family Medicine, it is imperative to create a more efficient and less hindered road to growth. Collaboration across departments to share best practices in training, purchasing equipment and billing for POCUS will be important to facilitate high-quality POCUS access for our patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Capizzano, J. N., O'Dwyer, M.-C., Furst, W., Plegue, M., Tucker, R., Theyyunni, N., Harper, D. M. Tags: Brief Reports Source Type: research

Evaluating the Uptake of Antiracism Training, Policies, and Practices in Departments of Family Medicine
Conclusion: Our findings provide evidence of DOIs influence on antiracism uptake in Departments of Family Medicine. We believe our findings can facilitate the future implementation of antiracism training activities and actionable antiracist policies and practices. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Sanders, M., Cronholm, P. F., Edgoose, J., Fiscella, K., Piggott, C., McDaniel, S. H., Parker-Featherstone, E., Fogarty, C. T. Tags: Brief Reports Source Type: research

Patient Barriers to Accessing Referred Resources for Unmet Social Needs
Conclusion: Findings suggest opportunities for improvement across the access continuum, from initial referrals from primary care staff during the clinical encounter to patients' attempts to accessing services in the community. Future efforts should consider increased collaboration between health and social service organizations, and advocacy for structural changes that mitigate system-level barriers related to resource availability and administrative complexity. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Sandhu, S., Lian, T., Smeltz, L., Drake, C., Eisenson, H., Bettger, J. P. Tags: Brief Reports Source Type: research

A Review of 50 Years of International Literature on the External Environment of Building Practice-Based Research Networks (PBRNs)
Conclusions: Despite variations in geography, time, and healthcare context, PBRNs shared many similar developmental experiences over the past 5 decades. Their external environment contributed significantly to their developmental trajectories during the first 10 years of their operation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Dania, A., Nagykaldi, Z., Haaranen, A., Muris, J. W. M., Evans, P. H., Mantyselka, P., van Weel, C. Tags: Original Research Source Type: research

How the Novel Person-Centered Primary Care Measure Performs in Canada
Conclusions: The 11-item PCPCM is a feasible and meaningful measure that reflects patient-reported access, continuity, and patient-centeredness and can be incorporated into primary care patient experience surveys to evaluate and improve quality of care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Li, E., Latifovic, L., Etz, R., Ramji, N., Glazier, R. H., Kiran, T. Tags: Original Research Source Type: research

A Longitudinal Effectiveness Study of a Child Obesity Electronic Health Record Tool
Conclusion: Study findings suggest that EHR-enabled tools to assist primary care teams in managing child obesity may be useful for helping to address the weight in children with overweight/obesity, especially in younger children (2 to 5 years). Digital and EHR-enabled technologies may prove useful for partnering health care teams and families in the important tasks of setting positive, family-centered healthy lifestyle behavioral goals and managing child overweight and obesity. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Braddock, A., Koopman, R. J., Smith, J., Lee, A. S., Holt McNair, S., Hampl, S., Wareg, N., Clary, M., Miller, N., Turer, C. B. Tags: Original Research Source Type: research