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Total 20182 results found since Jan 2013.

The shortage of critical care physicians: Is there a solution?
Conclusions: Family Practice is the second largest collective group of physicians in the United States—second only to internal medicine. In most of rural America, where there are limited physicians serving the population, family practitioners fill the gap and provide services otherwise unavailable to those patients. This group that can potentially be trained in critical care and help solve the crisis has been prevented from doing so.
Source: Journal of Critical Care - August 11, 2014 Category: Intensive Care Authors: Manuel Lois Tags: Letters Source Type: research

Family Presence During Resuscitation: Physicians' Perceptions of Risk, Benefit, and Self-Confidence.
This study tests 2 new instruments that measure physicians' perceived risks, benefits, and self-confidence related to family presence during resuscitation. METHODS: By a correlational design, a convenience sample of physicians (N = 195) from diverse clinical specialties in 1 hospital in the United States completed the Physicians' Family Presence Risk-Benefit Scale and Physicians' Family Presence Self-confidence Scale. RESULTS: Findings supported the internal consistency reliability and construct validity of both new scales. Mean scale scores indicated that physicians perceived more risk than benefit and were confid...
Source: Dimensions in Critical Care Nursing - March 30, 2018 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

CARTI Doctors Highest-Paid on Nonprofits List
The highest-paid nonprofit physicians in Arkansas can be found at CARTI Inc. in Little Rock. Of the top six positions on this year’s list of the highest-paid nonprofit employees ranked by total compensation, four are occupied by CARTI physicians. CARTI’s Dr. Brad Baltz topped the list with total compensation of $2.3 million for the fiscal year that ended June 30, 2015. Arkansas Business used nonprofits’ latest IRS Form 990s filed with Guidestar.org to compile the ranking. St. Vincent Medical Group’s highest-compensated doctor, Ali Krisht, received $1.7 million. Krisht’s specialty is neurosurge...
Source: Arkansas Business - Health Care - November 21, 2016 Category: American Health Source Type: news

Medicare Access and Chip Reauthorization Act (MACRA) Proposed Rule, MIPS, APM’s and Advanced Care Information
Discussion Welcome news is the elimination of the all or nothing criteria of the meaningful use program. The exclusion of most ACO's under Medicare shared shavings is probably the most controversial part of the proposed rule as health systems have invested millions in the current Medicare shared savings program. That CMS is estimating that 87% of solo practitioners will be paying a penalty will also not be well received. Under MIPS CMS is estimating that non MD providers with the exception of nurse practitioners and physician assistants fare the worst including Chiropractors, Podiatrists and Dentists. Overall the propose...
Source: Policy and Medicine - April 28, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

CMS Issues Final Rule on CY 2017 Physician Fee Schedule
Conclusion The CY 2017 PFS final rule is the latest showing of the Administration-wide strategy to create a health care system that results in better care, smarter spending, and a healthier population.       Related StoriesOpen Payments Having an Adverse Effect on Physician-Rep RelationshipsCMS Bundled Payments for Care Improvement Evaluation ReleasedCMS Releases MA and Part D Landscape Information for 2017 
Source: Policy and Medicine - November 2, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Motivations for learning of family medicine residents trained in competency-based education.
CONCLUSIONS: Family medicine residents trained in the culture of competency-based education appear to be mastery approach oriented. This motivation orientation is critical in the dynamic practice of family medicine and is consistent with the life-long learning mandate of the medical profession. PMID: 28812935 [PubMed - as supplied by publisher]
Source: Education for Primary Care - August 18, 2017 Category: Primary Care Tags: Educ Prim Care Source Type: research

IJERPH, Vol. 15, Pages 1384: A Cross-Sectional Study of Smoking Behaviors and Attitudes of Parents in Pediatric Primary Care Settings
In this study, we aimed to investigate parents’ knowledge on side effects of passive smoking and counseling for parental smoking among pediatricians and family practitioners. Participants were biological parents of pediatric patients up to the age of 18 years old who attended Pediatric Hospital of Medical University of Warsaw. The questionnaire included 28 questions and queries on environmental tobacco smoke in children’s environment. Medical students identified potential subjects and handed out previously created questionnaires. In total, 506 parents of children aged 0–18 years ol...
Source: International Journal of Environmental Research and Public Health - July 2, 2018 Category: Environmental Health Authors: Aleksandra Ratajczak Karol Ratajczak Wojciech Feleszko Tags: Article Source Type: research

Family Presence During Resuscitation: Physicians' Perceptions of Risk, Benefit, and Self-Confidence
This study tests 2 new instruments that measure physicians' perceived risks, benefits, and self-confidence related to family presence during resuscitation. Methods By a correlational design, a convenience sample of physicians (N = 195) from diverse clinical specialties in 1 hospital in the United States completed the Physicians' Family Presence Risk-Benefit Scale and Physicians' Family Presence Self-confidence Scale. Results Findings supported the internal consistency reliability and construct validity of both new scales. Mean scale scores indicated that physicians perceived more risk than benefit and were confident ...
Source: Dimensions of Critical Care Nursing - March 30, 2018 Category: Nursing Tags: Research DIMENSION Source Type: research

Family medicine in Denmark: Are there lessons for Botswana and Africa?
Abstract Family medicine is a new specialty in Botswana and many African countries and its definitionand scope are still evolving. In this region, healthcare is constrained by resource limitation andinefficiencies in resource utilisation. Experiences in countries with good health indicators canhelp inform discussions on the future of family medicine in Africa. Observations made duringa visit to family physicians (FPs) in Denmark showed that the training of FPs, the practice offamily medicine and the role of support staff in a family practice were often different andsometimes unimaginable by African standards. Dani...
Source: Primary Care - June 3, 2016 Category: Primary Care Authors: Setlhare V Tags: Afr J Prim Health Care Fam Med Source Type: research

Advanced Care Planning for Persons With Dementia in Primary Care: Attitudes and Barriers Among Health-Care Professionals.
CONCLUSION:: There was a striking disconnect between perceptions of the importance of completing ACP for persons with dementia and actual ACP completion rates. Primary Care Collaborative Memory Clinics may be in an ideal position to support ACP discussions; however, there is a need to improve health-care professionals' knowledge and attitudes toward ACP. PMID: 30465471 [PubMed - as supplied by publisher]
Source: Journal of Palliative Care - November 23, 2018 Category: Palliative Care Tags: J Palliat Care Source Type: research

The interpretation of the reasons for encounter 'cough' and 'sadness' in four international family medicine populations.
CONCLUSIONS: We describe clinically and statistically significant diagnostic associations observed between the RfEs 'cough' and 'sadness', presenting as a new problem in family practice, and all the episode titles in ICPC. PMID: 23336833 [PubMed - indexed for MEDLINE]
Source: Informatics in Primary Care - December 2, 2014 Category: Primary Care Tags: Inform Prim Care Source Type: research

Classic Citations in Main Primary Health Care Journals: A PRISMA-Compliant Systematic Literature Review and Bibliometric Analysis
Abstract: The impact of a publication in a particular medical area is reflected by the number of times the article is included as a citation. It is not known, however, which articles are cited the most in primary care journals. In our study, we aimed to identify the 100 most cited articles in primary care medicine and analyze their characteristics. We searched the Science Citation Index Expanded for articles published in 18 primary care journals using the subject category “Primary health care.” We identified 100 articles in primary health care that were the most cited. We analyzed the characteristics of these articles ...
Source: Medicine - December 1, 2015 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Family medicine resident OSCEs: a systematic review.
CONCLUSIONS: We found few articles which vigorously provided evidence of validity and reliability. Standard-setting, when done, was normative in all high stakes exams. OSCEs used for formative purposes had lower psychometric standards. PMID: 27412296 [PubMed - as supplied by publisher]
Source: Primary Care - July 12, 2016 Category: Primary Care Authors: Kreptul D, Thomas RE Tags: Educ Prim Care Source Type: research

An interprofessional collaboration of care to improve clinical outcomes for patients with diabetes.
Authors: De La Rosa M, Pitts S, Chen PH Abstract This project addressed interprofessional team-based care to improve management and outcomes of complex patients with diabetes. A collaborative model between Family Medicine and Nursing was developed to determine if having nursing students as case managers would improve the quality of care. From 2015-2016, patients with diabetes at greatest risk for poor outcomes (N = 58) received an intervention from senior nursing students (N = 6) at a Family Practice Center. Nursing students shared responsibilities with physicians, medical students, and medical assistants to de...
Source: Journal of Interprofessional Care - August 10, 2019 Category: Health Management Tags: J Interprof Care Source Type: research

Revisiting the concept of 'chronic disease' from the perspective of the episode of care model. Does the ratio of incidence to prevalence rate help us to define a problem as chronic?
CONCLUSIONS: Chronic health problems tend to have longer duration EoCs, proportionately, across populations. This result is expected, but we found important similarities and differences which make defining a problem as chronic on the basis of time rather difficult. The ratio of incidence to prevalence rates has potential to categorise health problems into acute or chronic categories, at different ratio thresholds (such as 20, 30 or 50%). It seems to perform well in this study of three family practice populations, and is proposed to the scientific community for further evaluation. PMID: 23336832 [PubMed - indexed for MEDLINE]
Source: Informatics in Primary Care - December 2, 2014 Category: Primary Care Tags: Inform Prim Care Source Type: research