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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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
Evaluating the Epley maneuver
TL;DR: How effective is the Epley maneuver in treating benign paroxysmal positional vertigo (BPPV)?
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Review: Statins reduce mortality and cardiovascular events in adults at risk for cardiovascular disease
TL;DR: The high-quality meta-analysis by Brugts and colleagues addresses an important public health question: Does taking statins benefit patients with established risk factors but without evidence of CVD, and suggests that the authors need to treat between 100 and 450 persons for >4 years to prevent 1 death.