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.

Advanced Practice Providers in Departments of Family Medicine: Status, Supervision, and Services
Discussion: The role APPs in terms of specific patient care activities and services in the health care team of departments of family medicine is often in conflict with preferred roles as delineated by the chair. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Williams, M., Carek, S. M., Mainous, A. G., Malaty, J., Naous, J., Carek, P. J. Tags: Brief Report Source Type: research

Why Do Physicians Depart Their Practice? A Qualitative Study of Attrition in a Multispecialty Ambulatory Practice Network
Conclusions: Opportunities for medical practices to prevent ambulatory physicians’ turnover include: (1) addressing workflow by distributing responsibility across team members to better address patient expectations and documentation requirements, (2) ensuring adequate staffing across disciplines and roles, and (3) considering alternative care or payment models. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: OConnell, R., Hosain, F., Colucci, L., Nath, B., Melnick, E. R. Tags: Brief Report Source Type: research

Virtual Music Therapy for Substance Use Disorders in a Federally Qualified Health Center
Conclusion: We wish to build on the results of this study to enhance our understanding of the effects of MT in the outpatient setting, and broaden our patients’ access to MT in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Schoonover, J., Rossetti, A., Jacobs, A., Rubin, S. E. Tags: Brief Report Source Type: research

Association of Early Childhood Wheeze and Asthma Diagnosis Documentation by Race, Ethnicity, and Language in Children
Discussion: In US community health centers which serve medically underserved populations, EHR documentation of early childhood wheeze was uncommon and did not differ significantly among race/ethnicity/language groups. Differences in asthma diagnosis in Latinos may not stem from differences in early-life wheeze documentation. However, our findings suggest that there may be opportunities for improvement in early asthma symptom recognition for non-Latino Black children, especially in those without early childhood wheeze. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Lucas, J. A., Marino, M., Trivedi, M., Datta, R., Ezekiel-Herrera, D., Bailey, S. R., Giebultowicz, S., Heintzman, J. Tags: Brief Report Source Type: research

Failure to Participate in Sports: An Evaluation of Preparticipation Physicals in a Local School District
Conclusion: Focusing on preventable and addressable preparticipation examination failures may help clinicians who perform these exams, while also establishing a safety net for previously undiagnosed medical conditions. Instituting yearly vision checks, addressing cardiovascular issues, and encouraging yearly follow-up with primary care clinicians can more readily address physical and mental health issues and will provide more comprehensive care to student athletes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Bhardwaj, N., Pierre, G. S., Halloran, A. P., Alexander, T. C., Leung, S. H., Lu, Y., Campbell, K. M. Tags: Brief Report Source Type: research

Management of Women at High Risk for Breast Cancer
Discussion: Primary care clinicians can use these independent risk factors as cues to pursue a more formal calculation of a woman’s lifetime risk for breast cancer and make appropriate referrals for enhanced screening and chemoprophylaxis counseling if indicated. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Yogendran, L., Meis, L., Burnside, E., Schrager, S. Tags: Brief Report Source Type: research

Integrated Behavioral Health Adaptations During the COVID-19 Pandemic
Conclusion: Practices adapted readily to challenges posed by pandemic restrictions and their ability to sustain key elements of IBH during the COVID-19 pandemic demonstrates innovation in maintaining access when in-person care is not possible, informing strategies applicable to other scenarios. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Filippi, M. K., Nederveld, A., Williams, M. D., Robertson, E., Doubeni, C., Waxmonsky, J. A., Hester, C. M. Tags: Brief Report Source Type: research

Friendship as Medicine
Social isolation is a risk factor for many diseases and overall increased mortality. Alternatively human connection has been noted to lead to healthier lives and longevity. Medical clinicians need to be more aware of this condition and consider how to prescribe friendship. This is not just an issue for the elderly; many Americans are being ravaged by being alone. There are many organizations that we can refer our patients to in order to make connections. This lesson is one we as physicians need to embrace ourselves as loneliness during our busy days is affecting us too. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Silk, H. Tags: REFLECTIONS IN FAMILY MEDICINE Source Type: research

Integrated Behavioral Health Implementation and Training in Primary Care: A Practice-Based Research Network Study
Conclusions: Delivery and training experiences in IBH varied widely despite recognition of the value and benefits to patients and care delivery processes. Standardizing resources and training and simplifying and assuring reimbursement for services may promote sustainable and high quality IBH implementation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Filippi, M. K., Waxmonsky, J. A., Williams, M. D., Robertson, E., Doubeni, C., Hester, C. M., Nederveld, A. Tags: Original Research Source Type: research

Comparing Cannabis Use for Pain to Use for Other Reasons in Primary Care Patients
We described group differences in participant characteristics, use patterns, and perceptions and applied adjusted multinomial logistic and modified Poisson regression. Results: Participants who used cannabis for pain were significantly more likely to report using applied (50.7% vs 10.6%) and beverage cannabis products (19.2% vs 11.6%), more frequent use (47.1% vs 33.1% for use ≥2 times per day; 81.6% vs 69.7% for use 4 to 7 days per week), and smoking tobacco cigarettes (19.2% vs 12.2%) than those who used cannabis for other reasons. They were also significantly more likely to perceive cannabis as very/extremely helpfu...
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Ford, M. A., Lapham, G. T., Matson, T. E., Luce, C., Oliver, M. M., Binswanger, I. A. Tags: Original Research Source Type: research

A Cluster Analysis of Initial Primary Care Orders for Patients with Acute Low Back Pain
Conclusion: Guideline discordant orders such as steroids and NSAIDS are often combined with guideline recommended orders such as physical therapy. Further defining patient, clinician, and health care setting characteristics associated with discordant care would inform targeted efforts for deimplementation initiatives. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Joyce, C. T., Roseen, E. J., Smith, C. N., Patterson, C. G., McDonough, C. M., Hurstak, E., Morone, N. E., Beneciuk, J., Stevans, J. M., Delitto, A., Saper, R. B. Tags: Original Research Source Type: research

Physician-Level Continuity of Care and Patient Outcomes in All-Payer Claims Database
Conclusions: In this comprehensive examination of Phy-CoC using all populations from the VA-APCD, we found an overall positive association of higher full panel-based Phy-CoC with total cost, but a non-significant association with the risk of preventable hospitalization. Achieving higher full panel-based Phy-CoC may have unintended cost implications. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Dai, M., Morgan, Z. J., Russel, K., Bortz, B. A., Peterson, L. E., Bazemore, A. W. Tags: Original Research Source Type: research

Deployment of a Digital Advance Care Planning Platform at an Accountable Care Organization
Conclusions: As an observational QI analysis, limitations include bounded geographical reach and lack of data on ACP impacts to subsequent health care utilization, which future studies will address. Findings suggest that digital health tools like Koda can effectively facilitate equitable ACP access and may help support health systems and providers in offering comprehensive ACP. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Roberts, R. L., Mohan, D. P., Cherry, K. D., Sanky, S., Huffman, T. R., Lukasko, C., Comito, A., Hashemi, D., Menn, Z. K., Fofanova, T. Y., Andrieni, J. D. Tags: Original Research Source Type: research

Primary Care Providers Experiences Implementing Low-Dose Computed Tomography Recommendations for Lung Cancer Screening
Conclusions: Rural-practicing PCPs were supportive of lung cancer screening, however workflow processes, time challenges, and patient-reported barriers remain impediments to improved screening in their clinics. We identified several areas for improvement in lung cancer screening implementation in rural primary care practices, ranging from designing clinic workflows and processes to designating clinic staff to support referral, screening, and follow-up care for patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Golden, S. E., Currier, J. J., Ramalingam, N., Patzel, M., Shannon, J., Davis, M. M., Slatore, C. G. Tags: Original Research Source Type: research

Factors Influencing Patient Confidence in Screening Mammography
Conclusions: These findings highlight the importance of continued patient education about the effectiveness of screening mammography for patients with dense breast tissue. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Jarvis, H., Mi, L., Patel, B., Cube, R. P., Pruthi, S., Vegunta, S. Tags: Original Research Source Type: research