Annals of Family Medicine articles from July 2006

Annals of Family Medicine archives from July 2006

In this issue: mixed methods and diverse perspectives.(EDITORIAL)
July 1, 2006... CLINICAL AND POLICY INSIGHTS FROM MULTIMETHOD RESEARCH This issue features 6 research articles that use a multimethod design (1-6) and an editorial (7) that presents a typology of how to publish multimethod research. These studies show how...

Publishing multimethod research.(EDITORIAL)(Editorial)
July 1, 2006... THE POTENTIAL AND THE PROBLEM An extraordinary surge in the methodological diversity of clinical research studies has occurred during the past 2 decades, with a recent dramatic rise in the scope and sophistication of mixed methods designs....

Qualitative aspects of nasal irrigation use by patients with chronic sinus disease in a multimethod study.(Clinical report)
July 1, 2006... ABSTRACT PURPOSE We qualitatively assessed attitudes regarding use of hypertonic saline nasal irrigation (HSNI) for frequent rhinosinusitis and chronic sinonasal symptoms in a 3-part, multimethod study. METHODS We conducted...

Unwritten rules of talking to doctors about depression: integrating qualitative and quantitative methods.
July 1, 2006... ABSTRACT PURPOSE We wanted to understand concordance and discordance between physicians and patients about depression status by assessing older patient's views of interactions with their physicians. METHODS We used an integrated mixed...

Care quality and implementation of the chronic care model: a quantitative study.(Clinical report)
July 1, 2006... ABSTRACT PURPOSE We wanted to test whether improvements in care quality were correlated with changes in the Chronic Care Model (CCM) in a large medical group that attempted to implement the CCM. METHODS The leaders of 17 primary care...

Challenges of change: a qualitative study of Chronic Care Model implementation.
July 1, 2006... ABSTRACT PURPOSE The Chronic Care Model (CCM) provides a conceptual framework for transforming health care for patients with chronic conditions; however, little is known about how to best design and implement its specifics. One large...

The art and complexity of primary care clinicians' preventive counseling decisions: obesity as a case study.
July 1, 2006... ABSTRACT PURPOSE Studies have often shown low rates of preventive counseling in primary care, and interventions aimed at improving counseling rates have had disappointing results. Using obesity as a case study, we looked for factors that...

'Breaking it down': patient-clinician communication and prenatal care among African American women of low and higher literacy.
July 1, 2006... ABSTRACT PURPOSE Low literacy has been associated with poor medical adherence, but its role in maternal care utilization has not been explored. METHODS We undertook a concurrent mixed methods study among 202 African American women of...

A controlled trial of methods for managing pain in primary care patients with or without co-occurring psychosocial problems.
July 1, 2006... ABSTRACT PURPOSE Pain, a common reason for visits to primary care physicians, is often not well managed. The objective of this study was to determine the effectiveness of pain management interventions suitable for primary care physicians....

Syndromic surveillance for emerging infections in office practice using billing data.
July 1, 2006... ABSTRACT PURPOSE We wanted to evaluate the feasibility of conducting syndromic surveillance in a primary care office using billing data. METHODS A 1-year study was conducted in a primary care practice; comparison data were obtained...

Adults' lack of a usual source of care: a matter of preference?(Survey)
July 1, 2006... ABSTRACT PURPOSE We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS We analyzed...

Home care: a key to the future of family medicine?
July 1, 2006... ABSTRACT This essay is about my transition from family medicine residency into house call/ home-based primary care practice. Though some aspects of making home visits have been difficult and uncomfortable, I have found a higher level of...

On TRACK: medical research must consider context and complexity.(ON TRACK)(Discussion)
July 1, 2006... The online TRACK discussion since the last issue is remarkable in 4 aspects. First, it exhibits a high degree of interactiveness--in addition to individual comments, conversations have developed among readers and between readers and authors....

Corrections.(Correction notice)
July 1, 2006... In the March/April issue of the Annals, some author affiliations in the following article and its supplemental appendix contained errors: Woolf SH, Krist AH, Johnson RE, et al, "A Practice-Sponsored Web Site to Help Patients Pursue Healthy...

The next step in building family medicine research capacity: finding the way from fellowship.
July 1, 2006... The future of family medicine depends on a thriving research enterprise that requires a clear vision, commitment, and investment of resources. We have made great progress. A recent survey of departments identified approximately 400 family...

Variation in the design and performance of primary care: international perspectives.
July 1, 2006... Some of those who debate health care reform in the United States often point to the experience of other countries as justification for keeping things more or less the same, while others point to those same countries as potential models for a...

New policy, dual residency programs support FPs who provide emergency care.(family physicians)
July 1, 2006... Family physicians who are asked to obtain certification in emergency medicine in order to staff emergency rooms may liken that requirement to a "keep out" sign hanging above the ER door. To assist these family physicians, the Academy has...

American Board of Family Medicine elects new officers and board members.
July 1, 2006... 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 elected at the ABFM's spring board meeting in April 2006 are: Karen B. Mitchell, MD, of Rochester,...