Annals of Family Medicine articles from January 2007

Annals of Family Medicine archives from January 2007

Use of Chronic Care Model elements is associated with higher-quality care for diabetes.
January 1, 2007... ABSTRACT PURPOSE In 30 small, independent primary care practices, we examined the association between clinician-reported use of elements of the Chronic Care Model (CCM) and diabetic patients' hemoglobin [A.sub.1c] (Hb[A.sub.1c]) and lipid...

In this issue: doctor-patient and drug company-patient communication.(EDITORIAL)
January 1, 2007... This issue of the Annals presents research on communication with starkly different intent, process, and potential outcomes. We also convey 2 new clinical practice guidelines, a cost-effectiveness analysis of a common medical problem, and...

Exploring and validating patient concerns: relation to prescribing for depression.
January 1, 2007... ABSTRACT PURPOSE This study examined moderating effects of physician communication behaviors on relationships between patient requests for antidepressant medications and subsequent prescribing. METHODS We conducted a secondary analysis...

Cost-effectiveness analysis of treatment options for acute otitis media.
January 1, 2007... ABSTRACT PURPOSE This study evaluated the costs and utility of observation and routine antibiotic treatment options for children with acute otitis media. METHODS The cost-effectiveness analysis was performed among children aged 6...

Describing primary care encounters: the Primary Care Network Survey and the National Ambulatory Medical Care Survey.
January 1, 2007... ABSTRACT PURPOSE The purpose of this study was to describe clinical encounters in primary care research networks and compare them with those of the National Ambulatory Medical Care Survey (NAMCS). METHODS Twenty US primary care...

Direct-to-consumer advertising: is it too late to manage the risks?(EDITORIAL)
January 1, 2007... Pharmaceutical spending on television commercials nearly doubled from $654 million in 2001 to a staggering $1.19 billion in 2005. Nearly one third of the 2005 spending was on only 1 category: sleep medicines. (1) Yet, sleep disorders, however...

Validation of a 4-item score predicting hip fracture and mortality risk among elderly women.(Clinical report)
January 1, 2007... ABSTRACT PURPOSE One in 4 Swedish women experiences a hip fracture, an event that has high concomitant morbidity and mortality. We developed and validated a clinical predictor of fracture and mortality risk, the Fracture and Mortality...

Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians.
January 1, 2007... ABSTRACT This guideline summarizes the current approaches for the diagnosis of venous thromboembolism. The importance of early diagnosis to prevent mortality and morbidity associated with venous thromboembolism cannot be overstressed. This...

Creating demand for prescription drugs: a content analysis of television direct-to-consumer advertising.
January 1, 2007... ABSTRACT PURPOSE American television viewers see as many as 16 hours of prescription drug advertisements (ads) each year, yet no research has examined how television ads attempt to influence consumers. This information is important,...

Review of the evidence on diagnosis of deep venous thrombosis and pulmonary embolism.
January 1, 2007... ABSTRACT PURPOSE This review summarizes the evidence regarding the efficacy of techniques for diagnosis of deep venous thrombosis (DVT) and pulmonary embolism. METHODS We searched for studies using MEDLINE, MICROMEDEX, the Cochrane...

Management of venous thromboembolism: a clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians.
January 1, 2007... ABSTRACT Venous thromboembolism is a common condition affecting 7.1 persons per 10,000 person-years among community residents. Incidence rates for venous thromboembolism are higher in men, African-Americans, and increase substantially with...

A headache at the end of the day.(REFLECTIONS)
January 1, 2007... This essay presents a family medicine office visit with a child and both parents; details have been modified to protect patient and physician confidentiality. A child's headache, which has gone away before the start of the office visit,...

On track: the search for the Holy Grail.(ON TRACK)
January 1, 2007... SEARCH FOR THE HOLY GRAIL The studies of antibiotic use in upper respiratory infection in the last issue stimulated a highly interactive discussion among clinicians and researchers clearly in touch with the realities of practice and...

American Board of Family Medicine co-sponsors new CAQs.(Family Medicine Updates)(Certificate of Added Qualifications)
January 1, 2007... Hospice and Palliative Medicine The American Board of Family Medicine (ABFM) has joined with 10 fellow American Board of Medical Specialties (ABMS) Member Boards to offer a Hospice and Palliative Medicine Certificate of Added...

STFM leads family medicine into the NIH advocacy arena.(Family Medicine Updates)(United States. National Institutes of Health)
January 1, 2007... One morning in the fall of 2005, I was following my traditional routine of listening to National Public Radio as I drove to work. I was surprised to hear a story about the passion of Representative Joe Barton (R-Tex 6th), chair of the House...

Intelligent design or evolution? Innovation in family medicine residencies.(Family Medicine Updates)
January 1, 2007... Family Medicine Residency programs must innovate rapidly to attract applicants, compete for patients, deliver quality, and ensure that all graduates can deliver New Model care. However, powerful forces inhibit innovation precisely at a time...

Experimentation and innovation in family medicine residency education: the time is now.(Family Medicine Updates)
January 1, 2007... By this time, most of you have heard or read about the joint initiative between the American Board of Family Medicine and the Association of Family Medicine Residency Directors called "Preparing the Personal Physician for Practice" or the P4...

Report from the 2006 NAPCRG annual meeting: antimicrobial use in primary care.(Family Medicine Updates)(North American Primary Care Research)
January 1, 2007... The 2006 NAPCRG Annual Meeting held October 15-18 in Tucson, Ariz, featured plenary speakers who highlighted the role of primary care research in developing strategies to address the important public health issue of antimicrobial resistance. J....

Research documents success of AAFP's Tar Wars program.(Family Medicine Updates)
January 1, 2007... The AAFP's tobacco-free education program for students, Tar Wars, works. That's the conclusion of research involving fifth-graders, their teachers and their Tar Wars presenters. "Family Physicians and Youth Tobacco-Free Education: Outcomes of...

Diagnosis of deep venous thrombosis.(ANNALS JOURNAL CLUB)
January 1, 2007... The Annals of Family Medicine encourages readers to develop the learning community of those seeking to improve health care and health through enhanced primary care. You can participate by conducting a RADICAL journal club, and sharing the...