Annals of Family Medicine articles from March 2004

Annals of Family Medicine archives from March 2004

Motherhood, apple pie, and COPC.(importance of community oriented primary care)(Editorial)
March 1, 2004... The dramatic progress of the Human Genome Project during the last decade has highlighted the strength of the reductionist approach to biomedical science. In essence, by reducing human disease to a matter of mistaken DNA and the resulting amino...

A community-oriented primary care demonstration project: refining interventions for cardiovascular disease and diabetes.
March 1, 2004... ABSTRACT BACKGROUND We describe a community-oriented primary care project that implemented all 5 steps of the formal model. Data are presented on cardiac risk factors, protective behaviors, health locus of control, and stage of readiness...

The Natural History of Asthma in a Primary Care Cohort.
March 1, 2004... ABSTRACT BACKGROUND We examined the natural history of asthma in a primary care cohort of patients 10 years after the cohort was stratified for asthma risk by responses to a questionnaire and bronchial hyperresponsiveness (BHR) testing....

Management of patients with Hepatitis C in a community population: diagnosis, discussions, and decisions to treat.
March 1, 2004... ABSTRACT BACKGROUND Chronic hepatitis C, a treatable condition caused by the hepatitis C virus (HCV), can be found in almost all primary care and community practices. The rate of hepatitis C treatment is low, however. This study explores...

The identification of medical errors by family physicians during outpatient visits.
March 1, 2004... ABSTRACT BACKGROUND We wanted to describe errors and preventable adverse events identified by family physicians during the office-based clinical encounter and to determine the physicians' perception of patient harm resulting from these...

Family physician self-efficacy with screening for inherited cancer risk.
March 1, 2004... ABSTRACT BACKGROUND Recent evidence has shown low and inconsistent rates of family history screening among generalist physicians. Little has been done to investigate the physician factors likely to mediate this behavior. We investigated...

Elevated serum transferrin saturation and mortality.
March 1, 2004... ABSTRACT BACKGROUND A large proportion of US adults have elevated transferrin saturation, an indicator of a predisposition for iron overload. The purpose of this study was to evaluate the relationship between elevated serum transferrin...

The mortality risk of elevated serum transferrin saturation and consumption of dietary iron.
March 1, 2004... ABSTRACT BACKGROUND Recent data shows an increased mortality risk associated with elevated transferrin saturation. Because ingestion of dietary iron may contribute to iron overload in persons with elevated transferrin saturation, we...

Parental attitudes about a pregnancy predict birth weight in a low-income population.
March 1, 2004... ABSTRACT BACKGROUND Low birth weight remains the primary cause of neonatal morbidity and mortality in the United States. We examined whether maternal happiness about a pregnancy, in addition to her report of the father's happiness,...

Powerlessness, control, and complexity: the experience of family physicians in a group model HMO.(health maintenance organization)
March 1, 2004... ABSTRACT BACKGROUND I wanted to explore family physicians' perceptions of working in a group model health maintenance organization participating in ongoing quality improvement initiatives. METHODS I undertook a qualitative study using...

Screening for family and intimate partner violence: recommendation statement.
March 1, 2004... This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for family and intimate partner violence based on the USPSTF's examination of evidence specific to family and intimate partner violence. It...

Screening children for family violence: a review of the evidence for the US Preventive Services Task Force.
March 1, 2004... ABSTRACT BACKGROUND We wanted to evaluate the benefits and harms of screening children in primary health care settings for abuse and neglect resulting from family violence by examining the evidence on the performance of screening...

Does enhancing partner support and interaction improve smoking cessation? A meta-analysis.
March 1, 2004... ABSTRACT BACKGROUND We wanted to determine whether an intervention to enhance partner support helps as an adjunct to a smoking cessation program. METHODS We undertook a meta-analysis of English-language, randomized controlled trials...

Getting the news.(Reflections)(evaluation of technology advancements in patient care)
March 1, 2004... ABSTRACT Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this...

On track.
March 1, 2004... Since the last issue, the Topical Response to the Annals Community of Knowledge (TRACK) online discussion has brought together the voices of patients, clinicians, researchers, educators, and policy makers. MULTIMETHOD RESEARCH FITS PRIMARY...

Corrections.(On Track)(Correction Notice)
March 1, 2004... In the article by Hueston and Benich in the January-February 2004 issue of the Annals (Hueston WJ, Benich JJ III. A cost-benefit analysis of testing for influenza A in high-risk adults. Ann Fam Med. 2004;2:33-40), an error occurred on p. 35, in...

Practice-based research networking for growing the evidence to substantiate primary care medicine.(Family Medicine Updates)
March 1, 2004... Outpatient general practices, the level at which most people interact with the US health care system, represent a genuine conundrum to researchers. These practices provide a potential gold mine of data for examining the structure, processes,...

AAFP finds collaborations key to developing guidelines.(Family Medicine Updates)(American Association of Family Physicians)
March 1, 2004... It's an oft-repeated phrase: Two heads are better than one. Likewise, the AAFP has found that when developing clinical practice guidelines, 2 organizations are often better than one. In fact, of the last 9 AAFP clinical practice guidelines, 8...

Submit manuscripts to JABFP online.(Family Medicine Updates)(Journal of the American Board of Family Practice)(Brief Article)
March 1, 2004... Starting in March 2004, authors can now submit manuscripts online at The Journal of the American Board of Family Practice Web site (http://www.jabfp.org) using Rapid Review. A link on the JABFP home page will take authors to a step-by-step...

Features of WWW.ABFP.ORG.(Family Medicine Updates)
March 1, 2004... Physicians certified or recertified in 2003 become the first group of Diplomates to participate in Maintenance of Certification for Family Physicians (MC-FP). This new process, which replaces recertification, is more focused and encompasses...

STFM Annual Spring Conference features a diverse research program of events.(Family Medicine Updates)(Society of Teachers of Family Medicine )
March 1, 2004... The STFM research committee is assembling a variety of research-related activities for the STFM Annual Spring Conference, which will be held May 12-16, 2004, in Toronto. There will be 12, 90-minute slots for forum presentations, a Research...

The role of research directors in departments of family medicine.(Family Medicine Updates)
March 1, 2004... While family medicine departments strengthen their focus on building research capacity, it is important to consider the role of research directors. In general, research directors are responsible for promoting the growth and development of...

Scholarly activity in family medicine residency programs: the need for skilled and successful faculty members.(Family Medicine Updates)
March 1, 2004... Research and scholarly activity are important components of family medicine education. The Accreditation Council for Graduate Medical Education (ACGME), through the Core Competencies, has introduced and required additional goals for residency...

In this issue: research in the community and clinic.(Editorial)
March 1, 2004... The Annals of Family Medicine is growing in number of pages, number of readers, and breadth of content. This issue includes research and reflection on illness as it occurs in our communities and our practices and on the roles primary care can...

Task Force Report 2. Report of the Task Force on medical education.
March 15, 2004... ABSTRACT BACKGROUND For family physicians to be prepared to deliver the core attributes and system services of family medicine in the future, especially within the New Model of family medicine that has been proposed, changes will need to...

Foreword.(quality of medical care in US)
March 15, 2004... Americans do not consistently receive the quality of care they deserve. If a patient is under medical management for a chronic condition in America, that person has only about a fifty-fifty chance of receiving all the care they need. Every...

The Future of Family Medicine: a collaborative project of the family medicine community.
March 15, 2004... ABSTRACT BACKGROUND Recognizing fundamental flaws in the fragmented US health care systems and the potential of an integrative, generalist approach, the leadership of 7 national family medicine organizations initiated the Future of Family...

Task Force 1. Report of the Task Force on patient expectations, core values, reintegration, and the new model of family medicine.
March 15, 2004... ABSTRACT BACKGROUND To lay the groundwork for the development of a comprehensive strategy to transform and renew the specialty of family medicine, this Future of Family Medicine task force was charged with identifying the core values of...

Task Force Report 3. Report of the Task Force on continuous personal, professional, and practice development in family medicine.
March 15, 2004... ABSTRACT PURPOSE This Future of Family Medicine task force report proposes a plan for lifelong learning that is designed to ensure family physicians are prepared to deliver the core attributes and system services of family medicine...

Task Force Report 4. Report of the Task Force on marketing and communications.
March 15, 2004... ABSTRACT BACKGROUND To ensure the success of the proposed New Model of family medicine and to create a better understanding of the nature and role of family medicine, an effective communications plan must be developed and implemented. This...

Task Force Report 5. Report of the Task Force on family medicine's role in shaping the future health care delivery system.
March 15, 2004... ABSTRACT BACKGROUND Recognizing that the implementation of needed changes within family medicine will be enhanced through a concurrent effort to transform the broader health care system, this Future of Family Medicine task force was...