Annals of Family Medicine articles from November 2004

Annals of Family Medicine archives from November 2004

In this issue: new model finances, systematic reviews, patients and health care.(Editorial)(Editorial)
November 1, 2004... Ann Fam Med 2004;2:530-531. DOI: 10.1370/afm.246. THE FINANCIAL VIABILITY OF A NEW MODEL OF PRACTICE The final report of an initiative to "develop a strategy to transform and renew the specialty of family medicine to meet the needs of...

How do people interpret their family histories of diabetes, coronary disease, or cancer?(Editorial)(Editorial)
November 1, 2004... Ann Fam Med 2004;2:532-533. DOI: 10.1370/afm.247. In this issue, Fiona Walter at University of Cambridge and her colleagues Emery, Braithwaite, and Marteau share a systematic review of the personal meaning of family medical history. (1)...

The unexpected in primary care: a multicenter study on the emergence of unvoiced patient agenda.
November 1, 2004... ABSTRACT PURPOSE Within the time constraints of a typical physician-patient encounter, the full patient agenda will rarely be voiced. Unexpectedly revealed issues that were neither on the patient's list of items for discussion nor...

Why we don't come: patient perceptions on no-shows.
November 1, 2004... ABSTRACT PURPOSE Patients who schedule clinic appointments and fail to keep them have a negative impact on the workflow of a clinic in many ways. This study was conducted to identify the reasons patients in an urban family practice setting...

Are frequent callers to family physicians high utilizers?
November 1, 2004... ABSTRACT PURPOSE Our objective was to describe patients who telephone frequently after hours to physicians (frequent callers) and categorize their medical problems and resource utilization. METHODS Charts of frequent callers were...

Health care seeking among urban minority adolescent girls: the crisis at sexual debut.
November 1, 2004... ABSTRACT PURPOSE We wanted to explore the context of help seeking for reproductive and nonreproductive health concerns by urban adolescent girls. METHODS We undertook a qualitative study using in-depth interviews of African American...

Depression and comorbid illness in elderly primary care patients: impact on multiple domains of health status and well-being.
November 1, 2004... ABSTRACT PURPOSE Our objective was to examine the relative association of depression severity and chronicity, other comorbid psychiatric conditions, and coexisting medical illnesses with multiple domains of health status among primary care...

Race, rural residence, and control of diabetes and hypertension.
November 1, 2004... ABSTRACT PURPOSE African Americans are at increased risk for diabetes mellitus and hypertension, and rural residents have historically had decreased access to care. It is unclear whether living in a rural area and being African American...

Improving test ordering in primary care: the added value of a small-group quality improvement strategy compared with classic feedback only.
November 1, 2004... ABSTRACT PURPOSE We wanted to evaluate the added value of small peer-group quality improvement meetings compared with simple feedback as a strategy to improve test-ordering behavior. Numbers of tests ordered by primary care physicians are...

Complexity science: circular and structural causality.
November 1, 2004... Engel objected to a linear cause-effect model to describe clinical phenomena. Clinical reality is far more complex. For example, although genetics may have a role in causing schizophrenia, no clinician would ignore the sociologic factors that...

Toward a relationship-centered model.(Brief Article)
November 1, 2004... Power and Emotions in the Clinical Relationship Patient-centered, relationship-centered, and client-centered approaches (18-24) propose that arriving at a correct biomedical diagnosis is only part of the clinician's task; they also insist...

Lay understanding of familial risk of common chronic diseases: a systematic review and synthesis of qualitative research.
November 1, 2004... ABSTRACT PURPOSE Although the family history is increasingly used for genetic risk assessment of common chronic diseases in primary care, evidence suggests that lay understanding about inheritance may conflict with medical models. This...

Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials.
November 1, 2004... ABSTRACT PURPOSE We wanted to identify published randomized trials of interventions to alter the interaction between patients and practitioners, develop taxonomies of the interventions and outcomes, and assess the evidence that such...

Bag of worms.(Reflections)
November 1, 2004... ABSTRACT In this story, I describe, from my perspective as a resident, working with a surgeon to resuscitate a woman who has suffered an avulsion of her pulmonary artery. The patient, a victim of a collision with an intoxicated driver,...

How to use the annals online discussion.(On Track)
November 1, 2004... As editor, one of my joys is reading the online discussion among diverse Annals readers and authors. I believe that this interactive forum is helping to create an intellectual center among those who practice, study, teach, administer, interact...

New models of care in family medicine.(Family Medicine Updates)
November 1, 2004... The report of the Future of Family Medicine Task Force 6, published as an online supplement to the Annals and available at http://www.annfammed.org/ content/vol2/suppl_3/, makes a bold call for a national demonstration project to implement the...

Frontline: diabetes and frontline: better bones--implementing the core competencies through education and research.(Family Medicine Updates)(Association of Family Medicine Residency Directors)(Brief Article)
November 1, 2004... As previously announced, the Board of Directors of the Association of Family Medicine Residency Directors (AFMRD) is launching a project that combines resident education and research. Frontline: Diabetes is a project !othat offers residents a...

NAPCRG action plan for the future of family medicine.(Family Medicine Updates)(North American Primary Care Research Group)
November 1, 2004... The North American Primary Care Research Group (NAPCRG) has been an active partner in the Future of Family Medicine (FFM) project and is committed to moving the FFM recommendations forward. To this end, NAPCRG has created a task force to...

Metric: new AAFP performance measurement program will meet multiple goals.(Family Medicine Updates)(American Academy of Family Physicians Scientific)
November 1, 2004... Attendees at the American Academy of Family Physicians Scientific Assembly in October got a sneak preview of a new AAFP program: METRIC--Measuring, Evaluating and Translating Research Into Care. The program will launch in 2005. Designed to...

ABFP's 2005 computer-based examinations.(Family Medicine Updates)(American Board of Family Practice)
November 1, 2004... The American Board of Family Practice (ABFP) will administer its certification/recertification and sports medicine examinations exclusively online in 2005. The certification/recertification examinations will require 1 day, and the sports...

STFM and the implementation of the Future of Family Medicine project.(Family Medicine Updates)
November 1, 2004... Status of Medical Education The Future of Family Medicine Project (1) was conceived as a strategic process to evaluate and reengineer the discipline upon recognizing fundamental flaws in the fragmented US health care systems and the need...