Annals of Family Medicine articles from January 2005

Annals of Family Medicine archives from January 2005

RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaints.
January 1, 2005... ABSTRACT PURPOSE Depression care management for primary care patients results in sustained improvement in clinical outcomes with diminishing costs over time. Clinical benefits, however, are concentrated primarily in patients who report to...

In this issue.(Editorial)(five research articles and an editorial in this issue address the diagnosis and treatment of depression in primary care)
January 1, 2005... Five research articles and an editorial in this issue address the diagnosis and treatment of depression in primary care. Together, this research takes us through the diagnostic process in primary care (1) to factors associated with depressed...

Adherence to maintenance-phase antidepressant medication as a function of patient beliefs about medication.
January 1, 2005... ABSTRACT PURPOSE This study aimed to identify the demographic, psychiatric, and attitudinal predictors of treatment adherence during the maintenance phase of antidepressant treatment, ie, after symptoms and regimen are stabilized. ...

Depression research in primary care: pushing the field forward.(Editorial)
January 1, 2005... This issue of the Annals contains a suite of studies dealing with mental health care, particularly the care we render to depressed patients in the primary care setting. I hope every reader reads these articles, because they are solid,...

The recognition of depression: the primary care clinician's perspective.
January 1, 2005... ABSTRACT PURPOSE The purpose of this study was to explore the responses of primary care clinicians to patients who complain of symptoms that might indicate depression, to examine the clinical strategies used by clinicians to recognize...

Beliefs and attitudes associated with the intention to not accept the diagnosis of depression among young adults.
January 1, 2005... ABSTRACT PURPOSE Negative attitudes and beliefs about depression treatment may prevent many young adults from accepting a diagnosis and treatment for depression. We undertook a study to determine the association between depressive symptom...

Alcohol-related injuries: evidence for the prevention paradox.
January 1, 2005... ABSTRACT PURPOSE The risk of an injury increases exponentially with alcohol consumption on a given occasion, but the conclusion that alcohol-related injuries are attributable primarily to heavy drinking may or may not be correct. The...

Physician conceptions of responsibility to individual patients and distributive justice in health care.
January 1, 2005... ABSTRACT PURPOSE Physicians' values may be shifting under managed care, but there have been no empirical data to support this claim. We describe physician conceptions of responsibility to individual patients and distributive justice in...

Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000.
January 1, 2005... ABSTRACT PURPOSE The prevalence of diabetes in the United States is increasing. There is also concern that diabetes may be occurring at a greater frequency in youth and in young adults. We describe US population trends in self-reported age...

Women's perceptions of future risk after low-energy fractures at midlife.
January 1, 2005... ABSTRACT PURPOSE Low-energy fractures experienced by women at midlife and beyond place them at increased risk of future fractures and may be early indicators of low bone density. We report here on women's postfracture narratives to provide...

Cost-effectiveness of enhancing primary care depression management on an ongoing basis.
January 1, 2005... ABSTRACT PURPOSE Although potentially costly, enhancing primary care depression management on an ongoing basis results in substantial long-term treatment effectiveness. The purpose of this article is to compare the cost-effectiveness of...

Mental health research in primary care: mandates from a community advisory board.
January 1, 2005... ABSTRACT PURPOSE We wanted to obtain the viewpoints of a community advisory board in training junior minority faculty members and graduate students for community-based participatory research (CBPR) on mental health in primary care. ...

Practical and relevant self-report measures of patient health behaviors for primary care research.
January 1, 2005... ABSTRACT PURPOSE With increasing evidence for the value of behavior change counseling, there is a need for health behavior measurements that can be implemented in primary care research. This article discusses criteria for and reviews...

The company we keep: why physicians should refuse to see pharmaceutical representatives.(Reflections)
January 1, 2005... ABSTRACT Whether physicians ought to interact with pharmaceutical sales representatives (reps) is a question worthy of careful ethical analysis. The issue presents a challenge to both professional integrity and time management. Empirical...

"Our community of reflective practitioners will continue its quest informed....".(On Track)(selection of online discussion items)
January 1, 2005... Ann Fam Med 2005;3:86-87. DOI: 10.1370/afm.280. The online discussion of the November/December 2004 issue of the Annals demonstrates the variety of comments that lend richness and texture to the peer-reviewed research studies. The...

Family medicine in the current decade.(Family Medicine Updates)
January 1, 2005... The Association of Family Medicine Residency Directors is midway through a year of strategic response to the Future of Family Medicine report. Our member directors are providing "Leadership for the Future of Family Medicine" consistent with our...

A metric of progress for family medicine research.(Family Medicine Updates)
January 1, 2005... How productive is the discipline of family medicine in research? NAPCRG's Committee on Building Research Capacity and the Academic Family Medicine Organization (AFMO) Research Subcommittee has undertaken an initiative to document the progress...

Higher demand for family physicians bodes growth despite sluggish pay increases.(Family Medicine Updates)
January 1, 2005... Demand for family physicians is up, say surveys, but compensation is down. Some analysts say national doctor-to-patient ratios are good, while others decry the persistence of medically underserved areas. Individual family physicians report...

Maintenance of Certification for Family Physicians (MC-FP).(Family Medicine Updates)(Brief Article)
January 1, 2005... The new Maintenance of Certification for Family Physicians (MC-FP) has been in place since the beginning of 2004. During this time, our Diplomates have provided valuable feedback by telephone, e-mail, and in person, which has allowed us to...

ABFP changes its name to the American Board of Family Medicine (ABFM).(Family Medicine Updates)(Brief Article)
January 1, 2005... Based on recommendations made by the Future of Family Medicine Project, the American Board of Family Practice will change its name to the American Board of Family Medicine and its Web site address to http://www. TheABFM.org. The name and Web...

Serving Native American communities.(Family Medicine Updates)
January 1, 2005... Academic departments have a shared purpose to better serve the local community, to bring diversity to our experience in training sites, and to reflect the diversity of those who reside in our states. Nowhere is that mission better demonstrated...