Open AccessJournal Article
Competing demands and opportunities in primary care
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TLDR
Preventive interventions have yielded dramatic improvements in population health, with substantial benefits in patient-oriented outcomes including death from infectious disease and infant mortality.Abstract:
Historically, preventive interventions have yielded dramatic improvements in population health, with substantial benefits in patient-oriented outcomes including death from infectious disease and infant mortality. As medicine evolves, greater numbers of preventive and screening recommendations areread more
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Risk Factors Associated With Transition From Acute to Chronic Low Back Pain in US Patients Seeking Primary Care
Joel M. Stevans,Anthony Delitto,Samannaaz S. Khoja,Charity G. Patterson,Clair N. Smith,Michael Schneider,Janet K. Freburger,Carol M. Greco,Jennifer A. Freel,Gwendolyn Sowa,Ajay D. Wasan,Gerard P. Brennan,Stephen J. Hunter,Kate I. Minick,Stephen T. Wegener,Patti L. Ephraim,Michael Friedman,Jason M. Beneciuk,Steven Z. George,Robert B. Saper +19 more
TL;DR: The transition from acute to chronic low back pain (LBP) is highly prevalent, with a presumed favorable prognosis; however, once chronic, LBP becomes a disabling and expensive condition, and it is unknown whether a standardized prognostic tool (i.e., Subgroups for Targeted Treatment Back tool [SBT]) can estimate this transition or whether early non-guideline concordant treatment is associated with the transition as discussed by the authors.
Journal ArticleDOI
Validation of an instrument for the assessment of patient-centred care among patients with multimorbidity in the primary care setting: the 36-item patient-centred primary care instrument
Jane M. Cramm,Anna P. Nieboer +1 more
TL;DR: Patients with multimorbidity who experienced joint decision making and responsibility taking in the primary care setting also had significantly higher scores for all eight PCC dimensions, indicating the instrument’s construct validity.
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Mailed Letter Versus Phone Call to Increase Uptake of Cancer Screening: A Pragmatic, Randomized Trial
TL;DR: Primary care practices should consider integrating phone call reminders into their practice, possibly as part of a targeted or staged approach to outreach for cancer screening, because phone calls were more expensive than letters.
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Logistical and structural challenges are the major obstacles for family medicine physicians' ability to administer adult vaccines.
TL;DR: In this pilot study, structural and logistical challenges appeared to make the biggest impact on adult vaccination for the responding family medicine physicians.
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Impact of a Primary Care Provider Tele-Mentoring and Community Health Worker Intervention on Utilization in Medicaid Patients with Diabetes
Saul Blecker,Emily Lemieux,Margaret M. Paul,Carolyn A. Berry,Matthew F. Bouchonville,Sanjeev Arora,John Billings +6 more
TL;DR: Patient enrollment in Endo ECHO was associated with increased outpatient and ED utilization and increased uptake of prescription-related quality measures and no impact was observed on hospitalization.
References
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Journal Article
Implementation of electronic medical records Effect on the provision of preventive services in a pay-for-performance environment
TL;DR: After adjustment, combined preventive services for the EMR group increased by 0.7%, a smaller increase than that seen in the non-EMR group, which had no significant effect on the provision of the 4 preventive services studied.
Journal ArticleDOI
Quantity Over Quality: How the Rise in Quality Measures is Not Producing Quality Results.
TL;DR: The future of quality care should emphasize the importance of evidence-based, peer-reviewed measures, as adverse patient outcomes have resulted from adherence to some previously promulgated performance measures.
Journal ArticleDOI
Eligibility for interventions, co-occurrence and risk factors for unhealthy behaviours in patients consulting for routine primary care: results from the Pre-Empt study
Elizabeth Randell,Timothy Pickles,Sharon Anne Simpson,Clio Spanou,Jim McCambridge,Kerenza Hood,Christopher C Butler +6 more
TL;DR: Clinicians should be particularly alert to opportunities to engaging younger, non professional men and those with multi-morbidity about risky health behaviour, and most engage in more than one of the major common unhealthy behaviours.
Journal ArticleDOI
Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study
TL;DR: Lifestyle teams were perceived to have an important role at the centres in driving the lifestyle promotion work forward and being a forum for knowledge exchange but had limited impact on lifestyle promotion practices.
Journal Article
[The periodic health examination: a comparison of United States and Canadian recommendations]
Cléo Mavriplis,Guylène Thériault +1 more
TL;DR: Recommendations of the Canadian Task Force on Preventive Health Care with those of the United States Preventive Services Task Force for periodic health examinations (PHEs), following the usual sequence of a medical interview are compared.