Annals of Family Medicine articles from May 2005

Annals of Family Medicine archives from May 2005

In this issue: bursting the bubble on chronic disease management, the meaning of healing, PBRN methods supplement, and the Annals' 2-year anniversary.(EDITORIAL)
May 1, 2005... This issue features a provocative collection of articles that address different aspects of the integration of care of multiple comorbid illnesses in primary care. (1-5) Other articles reflect the patient perspective and the clinician...

New knowledge for and about primary care: a view through the looking glass of the Annals of Family Medicine.(EDITORIAL)
May 1, 2005... The Annals of Family Medicine began publication 2 years ago to provide a forum for new kinds of knowledge, new ways of generating knowledge, and new ways of sharing information across the traditional boundaries of profession, role or geography....

If you've seen one quality improvement collaborative ...(Editorial)
May 1, 2005... In this issue, Schonlau et al describe the results of a RAND study of a national quality improvement collaborative (QIC) formed to improve asthma care using the Breakthrough Series (BTS) approach of the Institute for Healthcare Improvement. (1)...

Evaluation of a quality improvement collaborative in asthma care: does it improve processes and outcomes of care?
May 1, 2005... ABSTRACT PURPOSE We wanted to examine whether a collaborative to improve asthma care influences process and outcomes of care in asthmatic adults. METHOD We undertook a preintervention-postintervention evaluation of 185 patients in 6...

Is there time for management of patients with chronic diseases in primary care?
May 1, 2005... ABSTRACT PURPOSE Despite the availability of national practice guidelines, many patients fail to receive recommended chronic disease care. Physician time constraints in primary care are likely one cause. METHODS We applied guideline...

Comorbidity and the use of primary care and specialist care in the elderly.
May 1, 2005... ABSTRACT PURPOSE The impact of comorbidity on use of primary care and specialty services is poorly understood. The purpose of this study was to determine the relationship between morbidity burden, comorbid conditions, and use of primary...

Prevalence of multimorbidity among adults seen in family practice.
May 1, 2005... ABSTRACT PURPOSE There are few valid data that describe the extent of multimorbidity in primary care patients. The purpose of this study was to estimate its prevalence in family practice patients by counting the number of chronic medical...

Are patients' ratings of their physicians related to health outcomes?
May 1, 2005... ABSTRACT PURPOSE Observational studies using patient reports suggest associations between physician interpersonal styles and patient outcomes. Possible confounding of these associations has not been carefully examined. METHODS...

Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas.
May 1, 2005... ABSTRACT PURPOSE Although rates of cancer screening for Latinas are lower than for non-Latina whites, little is known about how insurance status, ethnicity, and nativity interact to influence these disparities. Using a large statewide...

Tamoxifen for breast cancer chemoprevention: low uptake by high-risk women after evaluation of a breast lump.
May 1, 2005... ABSTRACT PURPOSE The Breast Cancer Prevention Trial (BCPT) published results in 1998 showing that the use of tamoxifen in high-risk women reduced the incidence of invasive breast cancer by 49%. We examined the clinical impact of the BCPT...

Patients' advice to physicians about intervening in family conflict.
May 1, 2005... ABSTRACT PURPOSE We wanted to understand patients' views about physician interventions with family violence and conflict. METHODS Clinic staff surveyed 253 male and female family practice patients in 6 member offices of the South Texas...

The meaning of healing: transcending suffering.
May 1, 2005... ABSTRACT PURPOSE Medicine is traditionally considered a healing profession, but it has neither an operational definition of healing nor an explanation of its mechanisms beyond the physiological processes related to curing. The objective of...

Screening for gonorrhea: recommendation statement.(U.S. Preventive Services Task Force)
May 1, 2005... SUMMARY OF RECOMMENDATIONS The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection...

COGME's 16th report to Congress: too many physicians could be worse than wasted.(REFLECTIONS)(Council on Graduate Medical Education)
May 1, 2005... ABSTRACT Departing from past reports, the latest Council on Graduate Medical Education (COGME) report warns of a physician deficit of 85,000 by 2020 and recommends increases in medical school and residency output. COGME notes that...

The irreverent nature of evidence.(REFLECTIONS)(evidence based medicine versus observation)
May 1, 2005... ABSTRACT A few months ago, I had to tell one of my attending physicians that he was wrong. His belief was based on experience, but my assertion was based on evidence. This debate, and many like it, reveals a reevaluation of the role of...

What I learned; what will you discover?(ON TRACK)(Annals online discussion)
May 1, 2005... The Annals online discussion (called TRACK) interprets, questions and challenges the findings of articles published in the Annals from the perspectives of diverse readers. In this On TRACK, I reflect on what the online discussion since the last...

Correction.(Correction Notice)
May 1, 2005... The digital object identifier (DOI) numbers assigned to the updates by the American Departments of Family Medicine (ADFM), the American Academy of Family Physicians (AAFP), and the American Board of Family Medicine (ABFM) for the March/April...

Wired for education: AAFP takes major CME initiative to the Web.(Family Medicine Updates)(American Academy of Family Physicians online continuing medical education)
May 1, 2005... The Academy has long been known as a leader in physician education. Beginning in 1947, it was the first medical professional organization to require continuing medical education as a condition of membership. Since then, the Academy has provided...

A look back at the first year of the new maintenance of certification program for family physicians.(FAMILY MEDICINE UPDATES)
May 1, 2005... Since the inception of the American Board of Medical Specialties (ABMS) almost 100 years ago, each of its member boards has either explicitly or implicitly addressed the issue of enhancing and assuring physician quality by setting standards for...

STFM opens family medicine digital resources library.(FAMILY MEDICINE UPDATES)(Society of Teachers of Family Medicine)
May 1, 2005... In late 2004, the Society of Teachers of Family Medicine was awarded a 3-year grant expected to total approximately $400,000 by the National Library of Medicine to develop the Family Medicine Digital Resources Library (FMDRL). FMDRL will...

Learning by doing: mentoring, hands-on experience keys to writing successful research grants.(FAMILY MEDICINE UPDATES)
May 1, 2005... The best way to learn grantsmanship is through the process of actually writing a grant, under the guidance of an experienced researcher, says Kevin Peterson, MD, assistant professor in the Department of Family Practice and Community Health at...