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.
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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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A systematic review of the effects of screening for colorectal cancer using the faecal occult blood test, hemoccult.
TL;DR: Although benefits of screening are likely to outweigh harms for populations at high risk of colorectal cancer, more information is needed about the harmful effects of screening, the community's responses to screening, and costs of screening for different healthcare systems before widespread screening can be recommended.
Journal ArticleDOI
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TL;DR: In patients without established cardiovascular disease but with cardiovascular risk factors, statin use was associated with significantly improved survival and large reductions in the risk of major cardiovascular events.
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Aspirin for the Primary Prevention of Cardiovascular Events in Women and Men: A Sex-Specific Meta-analysis of Randomized Controlled Trials
Jeffrey S. Berger,Maria Carla Roncaglioni,Fausto Avanzini,Ierta Pangrazzi,Gianni Tognoni,David L. Brown +5 more
TL;DR: For women and men, aspirin therapy reduced the risk of a composite of cardiovascular events due to its effect on reducing therisk of ischemic stroke in women and MI in men.
Canadian Task Force on Preventive Health Care
We’re back,Richard Birtwhistle,Ccfp Fcfp,Kevin Pottie,MClSc,Elizabeth Shaw,James A. Dickinson,Paula Brauer,Martin Fortin,Neil R. Bell,Harminder Singh,Mph Frcpc,Marcello Tonelli,Sm Frcpc,Sarah Connor Gorber,Gabriela Lewin,Ccfp,Michel Joffres,Patricia C. Parkin +18 more
TL;DR: The Canadian Task Force on Preventive Health Care was reconstituted through a funding agreement between the Public Health Agency of Canada (PHAC) and the Canadian Institutes of Health Research in 2010 and has had an international reputation for providing outstanding guidance for practitioners using rigorous, high-quality methods.
Journal ArticleDOI
Screening for colorectal cancer using the faecal occult blood test, hemoccult.
TL;DR: Whether screening for colorectal cancer using the faecal occult blood test (guaiac or immunochemical) reduces coloreCTal cancer mortality and to consider the benefits, harms and potential consequences of screening is reviewed.