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.

Supporting the Capture of Social Needs Through Natural Language Processing
Social factors impact morbidity and mortality among patients. Documenting social needs in the clinical notes is currently widely done by family physicians. The unstructured format of information on social factors in electronic health records limits the ability of providers to address these issues. A proposed solution is using natural language processing to identify social needs from the electronic health record. This could support physicians in capturing structured social needs information that is consistent and reproducible without increasing documentation burden. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Frey, L. J., Hughes Halbert, C., Blasy, C. D. Tags: Commentary Source Type: research

How Do Family Physicians Document Patients Social Needs in Electronic Health Records?
Social needs are critical determinants of patient health, but their capture in clinical records began recently. A representative survey of family physicians showed that 61% of respondents document social needs using notes, with fewer using diagnosis codes or electronic forms. This preference for unstructured documentation may make it difficult to connect patients across organizations or for policymakers and planners to identify geographic variation in needs. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Hendrix, N., Phillips, R. L., Bazemore, A. W. Tags: Policy Brief Source Type: research

Outcomes of A Virtual Practice-Tailored Medicare Annual Wellness Visit Intervention
Conclusion: Virtual implementation of an intervention that combined EHR-based tools with practice redesign approaches increased AWV and preventive services utilization in Medicare patients. Given the success of this intervention during the COVID-19 pandemic (when practices had many competing demands), greater consideration should be given to delivering future interventions virtually. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Tarn, D. M., Pace, W. D., Tseng, C.-H., Callen, E., Loskutova, N. Y., Stange, K. C., Wenger, N. S. Tags: Brief Report Source Type: research

An Estimate of Severe Harms Due to Screening Colonoscopy: A Systematic Review
Conclusions: This study is the first to estimate direct harms from screening colonoscopy, including harms that occur up to 30 days after the procedure. The risk of harm subsequent to screening colonoscopy is higher than previously reported and should be discussed with patients when engaging in shared decision making. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Huffstetler, A. N., Fraiman, J., Brownlee, S., Stoto, M. A., Lin, K. W. Tags: Original Research Source Type: research

Patients Characteristics and General Practitioners Management of Patients with Symptom Diagnoses
Conclusion: Symptom diagnoses are highly prevalent (58%) of which a considerable part (16%) persists more than a year. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Chaabouni, A., Houwen, J., Walraven, I., van Boven, K., Peters, H., Schers, H., olde Hartman, T. Tags: Original Research Source Type: research

Estimating the Cardiovascular Disease Risk Reduction of a Quality Improvement Initiative in Primary Care: Findings from EvidenceNOW
Conclusion: Small preventive care improvements and associated reductions in absolute ASCVD risk levels can lead to meaningful life-saving benefits at the population level. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Lindner, S. R., Balasubramanian, B., Marino, M., McConnell, K. J., Kottke, T. E., Edwards, S. T., Cykert, S., Cohen, D. J. Tags: Original Research Source Type: research

Integrating Harm Reduction into Medical Care: Lessons from Three Models
Conclusions: All 3 sites followed 8 common themes in delivering harm reduction–informed care, most of which are consistent with the broader movement toward patient-centered care. These practices demonstrate how medical providers may overcome some of the barriers imposed by the medical model and successfully integrate harm reduction as an orienting framework toward care delivery. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Chang, J. E., Lindenfeld, Z., Hagan, H. Tags: Original Research Source Type: research

The Association of Hearing Loss with Hospitalization
Conclusion: Patients with HL do not seem to have higher rates of hospital readmissions. We did find high frequency of HL in hospitalized patients along with significant communication difficulties that patients had with their clinicians. These findings have implications for measures to improve patient-physician communication, potentially improving long-term health outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Zazove, P., Plegue, M. A., Mulhem, E., Panzer, K., Ratakonda, S., Sen, A., Greenberg, J., McEvoy, A., Kileny, P. R., McKee, M. M. Tags: Original Research Source Type: research

Peripheral Neuropathy in Older People Is Associated with Reduced Life Expectancy
Conclusions: In this relatively healthy cohort of older primary care patients, PN detectable by physical examination was extremely common and strongly associated with earlier mortality. One possible mechanism involves loss of balance, though our data were insufficient to determine whether poor balance led to injurious falls or to less-specific declines in health. These findings may warrant further studies to determine the causes of age-associated PN and potential impact of early detection and balance improvement and other fall prevention strategies. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Lawler, F. H., Mold, J. W., Liao, X., Bard, D. E. Tags: Original Research Source Type: research

Impact of a Pharmacist-Run Electronic Consult Service in a Network of Primary Care Patient-Centered Medical Homes
Conclusions: eConsults to pharmacists resulted in specific drug therapy recommendations that were routinely implemented by PCPs and perceived as a benefit to both providers and patients. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Kuznacic, K., Coffey, C. P., Goist, K., Barnes, K. D. Tags: Original Research Source Type: research

Medical-Legal Partnership Effects on Mental Health, Health Care Use, and Quality of Life in Primary Care: A Randomized Clinical Trial
Conclusion: Immediate referral to the MLP was associated with lower stress and a lower rate of ED visits but higher anxiety and a higher rate of hospital visits. Trial Registration: ClinicalTrials.gov Identifier: NCT03805126. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Liaw, W., Northrup, T. F., Stotts, A. L., Bakos-Block, C., Suchting, R., Chen, A., Hernandez, A., Finzetto, L., Green, C., Murphy, T. Tags: Original Research Source Type: research

Integrating a Systematic, Comprehensive E-Cigarette and Vaping Assessment Tool into the Electronic Health Record
Conclusions: EVAT was successfully implemented. Continued outreach efforts are needed to further increase its usage. Education materials should be enhanced to help providers to reach youth and vulnerable populations and connect patients to the tobacco treatment resources. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Khanna, N., Klyushnenkova, E., Gaynor, A., Dark, M., Melamed, J., Bennett, M., Deepak, J. Tags: Original Research Source Type: research

Perspectives on Non-Prescription Antibiotic Use among Hispanic Patients in the Houston Metroplex
Conclusions: Patient, healthcare system, and clinical encounter factors contribute to non-prescription use in Hispanic communities. Antibiotic stewardship interventions that involve pharmacists and trusted persons, improve access to care, and address communication barriers and cultural competency in the clinic may help reduce non-prescription use in these communities. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Laytner, L., Chen, P., Nash, S., Paasche-Orlow, M. K., Street, R., Zoorob, R., Trautner, B., Grigoryan, L. Tags: Original Research Source Type: research

Peer Reviewers for the Journal of the American Board of Family Medicine in 2022
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Ledford, C. J. W., Lupo, P. Tags: Editorial Office News and Notes Source Type: research

Research Addressing the Ongoing Changes in the Practice of Family Medicine
The articles in this issue are divided into 3 categories: 1) increasing our understanding of people’s (patients’) behaviors; 2) changing how we practice Family Medicine; and 3) rethinking common clinical problems. These categories include multiple topics: nonprescription antibiotic use, recording electronic smoking/vaping, virtual wellness visits, an electronic pharmacist consult service, documenting social determinants of health, medical-legal partnerships, local professionalism, implications of peripheral neuropathy, harm-reduction informed care, decreasing cardiovascular risk, persistent symptoms, and colono...
Source: Journal of the American Board of Family Medicine - June 8, 2023 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Ledford, C. J. W. Tags: Editors ' Note Source Type: research