Annals of Family Medicine articles from July 2005

Annals of Family Medicine archives from July 2005

In this issue: patient outcomes, the process of care, and the capacity for innovation.(EDITORIAL)
July 1, 2005... This issue features the first population-based longitudinal study showing that prehypertension is independently associated with the risk of major cardiovascular events. (1) These results give credence to the recently released Seventh Report of...

Prehypertension, patient outcomes, and the knowledge base of family medicine.(EDITORIAL)
July 1, 2005... In this issue of the Annals of Family Medicine, Liszka et al present their analysis of long-term follow-up of the majority of the members of the original NHANES I cohort, examining clinical outcomes against initial blood pressures and...

Prehypertension and cardiovascular morbidity.
July 1, 2005... ABSTRACT PURPOSE The Seventh Report of the Joint National Commission (JNC 7) on High Blood Pressure established prehypertension (120 to 139 mm Hg systolic or 80 to 89 mm Hg diastolic) as a new risk category. We aim to determine the risk of...

Impact of an electronic medical record on diabetes quality of care.
July 1, 2005... ABSTRACT PURPOSE This study was designed to evaluate the impact of electronic medical record (EMR) implementation on quality of diabetes care. METHODS We conducted a 5-year longitudinal study of 122 adults with diabetes mellitus at an...

Implementing an electronic medical record in a family medicine practice: communication, decision making, and conflict.
July 1, 2005... ABSTRACT PURPOSE Electronic medical record (EMR) systems offer substantial opportunities to organize and manage clinical data in ways that can potentially improve preventive health care, the management of chronic illness, and the financial...

Increasing capacity for innovation in bureaucratic primary care organizations: a whole system participatory action research project.
July 1, 2005... ABSTRACT PURPOSE We wanted to identify what organizational features support innovation in Primary Care Groups (PCGs). METHODS Our study used a whole system participatory action research model. Four research teams provided complementary...

Stories from frequent attenders: a qualitative study in primary care.
July 1, 2005... ABSTRACT PURPOSE Patients who make frequent office visits (frequent attenders) in primary care are often considered a major burden on resources, yet we know little about their perceptions and expectations. We wanted to explore how these...

Predicting persistently high primary care use.
July 1, 2005... ABSTRACT PURPOSE We wanted to identify risk factors for persistently high use of primary care. METHODS We analyzed outpatient office visits to practitioners in family medicine, general internal medicine, general pediatrics, and...

Do patients treated with dignity report higher satisfaction, adherence, and receipt of preventive care?
July 1, 2005... ABSTRACT PURPOSE Although involving patients in their own health care is known to be associated with improved outcomes, this study was conducted to determine whether respecting persons more broadly, such as treating them with dignity, has...

Trust in one's physician: the role of ethnic match, autonomy, acculturation, and religiosity among Japanese and Japanese Americans.
July 1, 2005... ABSTRACT PURPOSE Trust is a cornerstone of the physician-patient relationship. We investigated the relation of patient characteristics, religiosity, acculturation, physician ethnicity, and insurance-mandated physician change to levels of...

The doctor who cried: a qualitative study about the doctor's vulnerability.
July 1, 2005... ABSTRACT PURPOSE We wanted to explore those clinical events when doctors had exposed their vulnerability toward patients in a potentially beneficial way. METHODS We undertook a qualitative study based on memory work, a structured...

Continuity of care: is the personal doctor still important? A survey of general practitioners and family physicians in England and Wales, the United States, and the Netherlands.
July 1, 2005... ABSTRACT PURPOSE We determined the reported value general practitioners/family physicians in 3 different health care systems place on the various types of continuity of care. METHODS We conducted a postal questionnaire survey in...

Enhance your team-based qualitative research.
July 1, 2005... ABSTRACT PURPOSE Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience,...

Making time to write?(REFLECTIONS)(medical writing)
July 1, 2005... ABSTRACT Clinicians are busy people who must develop strategies for making time to write. With many obligations, their first strategy may be to try to clear the decks to make way for the current project. When writing takes on a more...

On this day of mothers and sons.(REFLECTIONS)(notifying a patient of fetal death)
July 1, 2005... ABSTRACT Telling a pregnant woman and her family about a fetal demise is one of the greatest challenges for maternity care clinicians. In this essay, the author reflects on such an encounter in her work as a community health center...

Radical ideas.(ON TRACK)(Annals online discussion)
July 1, 2005... One function of the Annals online discussion (called TRACK) is to incubate and reveal emerging, sometimes radical ideas. Whereas the strength of the main body of articles published in the Annals is the peer-review process, the resulting...

New officers and board members.(Family Medicine Updates)(American Board of Family Medicine)
July 1, 2005... The American Board of Family Medicine (ABFM) is pleased to announce the election of 4 new officers and 3 new board members. The new officers and board members elected at the ABFM's spring board meeting in April are: Frank Kane, MD, of Newton,...

Dietrich receives Curtis G. Hames Research Award, call for new model papers.(FAMILY MEDICINE UPDATES)
July 1, 2005... Allen Dietrich Receives the 2005 Curtis G. Hames Research Award The 2005 Curtis G. Hames Research Award was presented to Allen Dietrich, MD, at the Society of Teachers of Family Medicine (STFM) 2005 Annual Spring Conference. Dr Dietrich is...

Compelled to fail? The innovator's dilemma and Family Medicine residency programs.(FAMILY MEDICINE UPDATES)(Future of Family Medicine Project)
July 1, 2005... The Future of Family Medicine (FFM) Project is emphatic in its call for change in family medicine residencies: "Innovation in Family Medicine residency programs will be supported by the Residency Review Committee for Family Practice through 5...

Graduate surveys: an opportunity for residency research.(FAMILY MEDICINE UPDATES)(family medicine residency programs)
July 1, 2005... Because of the educational demands placed upon family medicine residency programs, research and other forms of scholarly activity are often difficult to incorporate, initiate, and complete. With minor alterations and a small amount of...

The annual meeting: 2005 in Quebec City, 2004 plenary on social epidemiology.(FAMILY MEDICINE UPDATES)(North American Primary Care Research Group)
July 1, 2005... NAPCRG Prepares for 2005 Annual Meeting in Quebec The NAPCRG Annual Meeting has historically provided the opportunity to share ideas and knowledge with individuals from around the world, and this year should be no different. The 2005 Annual...

Guideline showcases AAFP'S commitment to evidence-based, patient-centered care.(FAMILY MEDICINE UPDATES)
July 1, 2005... The clinical practice guideline published as a supplement to the online version of this issue of the Annals of Family Medicine (http://www.annfammed.org/cgi/content/ full/3/4/378/DC1) combines elements both unique and ubiquitous. The guideline,...