Open AccessJournal Article
Competing demands and opportunities in primary care
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
Citations
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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.
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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 ArticleDOI
Is There Time for Management of Patients With Chronic Diseases in Primary Care
Truls Østbye,Kimberly S. H. Yarnall,Katrina M. Krause,Kathryn I. Pollak,Margaret Gradison,J. Lloyd Michener +5 more
TL;DR: Streamlined guidelines and alternative methods of service delivery are needed to meet recommended standards for quality health care.
Is There Time for Management of Patients With Chronic Diseases in Primary Care
Truls Østbye,Yarnall Ksh,Katrina M. Krause,Kathryn I. Pollak,Margaret Gradison,J. Lloyd Michener +5 more
TL;DR: The authors found that despite the availability of national practice guidelines, many patients fail to receive recommended chronic disease care due to physician time constraints in primary care, and that time constraints are likely one cause.
Journal ArticleDOI
The effect of financial incentives on the quality of health care provided by primary care physicians
Anthony Scott,Peter Sivey,Driss Ait Ouakrim,Lisa Willenberg,Lucio Naccarella,John Furler,Doris Young +6 more
TL;DR: There is insufficient evidence to support or not support the use of financial incentives to improve the quality of primary health care, and incentive schemes should be more carefully designed before implementation.
Journal Article
Competing demands of primary care: A model for the delivery of clinical preventive services
TL;DR: A model designed to help practicing physicians improve the delivery of preventive services is provided and can be helpful in the planning of preventive interventions in primary care settings and can facilitate a better understanding of physician behavior.
Journal ArticleDOI
Systemic corticosteroids for acute exacerbations of chronic obstructive pulmonary disease
Julia A E Walters,Daniel J Tan,Clinton J White,Peter G. Gibson,Richard Wood-Baker,E. Haydn Walters +5 more
TL;DR: The evidence for a lower rate of relapse by one month for treatment with systemic corticosteroid in the treatment of people with acute exacerbations of COPD was graded as high quality and it would have been necessary to treat nine people with systemic Corticosteroids to avoid one treatment failure.