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In this issue: risk and care management.(EDITORIAL)
September 1, 2007... The articles in this issue develop 2 themes: risk assessment and care management.
The risks identified in these studies relate to anger and the progression of prehypertension to hypertension and coronary heart disease, (1) development of...
Improving communication between doctors and breast cancer patients.(Report)
September 1, 2007... ABSTRACT
PURPOSE We wanted to assess the effectiveness of intensive education for physicians compared with a traditional session on communicating with breast cancer patients.
METHODS A randomized controlled trial was conducted in...
Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities.(Survey)(Clinical report)
September 1, 2007... ABSTRACT
PURPOSE Persons with multiple chronic diseases must integrate self-management tasks for potentially interacting conditions to attain desired clinical outcomes. Our goal was to identify barriers to self-management that were...
Psychosocial factors and progression from prehypertension to hypertension or coronary heart disease.(Clinical report)
September 1, 2007... ABSTRACT
PURPOSE This study explored the influence of trait anger and long-term psychological stress on progression to hypertension and incident coronary heart disease (CHD) in persons with prehypertension.
METHODS A secondary data...
Let's not talk about it: suicide inquiry in primary care.(Report)
September 1, 2007... ABSTRACT
PURPOSE The purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients with depressive symptoms and the influence of patient antidepressant requests.
METHODS Primary...
Patient satisfaction with care for urgent health problems: a survey of family practice patients.(Report)(Survey)
September 1, 2007... ABSTRACT
PURPOSE Patient satisfaction is an important health care outcome. This study compared patients' satisfaction with care received for an urgent health problem from their family physician, at an after-hours clinic in which their...
Assessing risk for development of diabetes in young adults.(Disease/Disorder overview)(Clinical report)
September 1, 2007... ABSTRACT
PURPOSE The prevalence of diabetes is increasing to epidemic levels. A multivariable risk score for the development of diabetes has been shown to be predictive for middle-aged adults; however, it is unclear how well it performs in...
Randomized comparison of 3 methods to screen for domestic violence in family practice.(Report)
September 1, 2007... ABSTRACT
PURPOSE We undertook a study to compare 3 ways of administering brief domestic violence screening questionnaires: self-administered questionnaire, medical staff interview, and physician interview.
METHODS We conducted a...
Differences among international pharyngitis guidelines: not just academic.(Report)
September 1, 2007... ABSTRACT
PURPOSE Many countries have national guidelines for the treatment of pharyngitis. We wanted to compare the recommendations and the reported evidence in national guidelines for the management of acute sore throat in adults.
...
Race and ethnicity in trials of antihypertensive therapy to prevent cardiovascular outcomes: a systematic review.(Clinical report)
September 1, 2007... ABSTRACT
PURPOSE We wanted to systematically review (1) the participation of racial and ethnic minorities in clinical trials of anti hypertensive drug therapy and (2) racial differences in the efficacy of these therapies for the prevention...
The missing link: improving quality with a chronic disease management intervention for the primary care office.(REFLECTION)(Report)
September 1, 2007... ABSTRACT
Bold steps are necessary to improve quality of care for patients with chronic diseases and increase satisfaction of both primary care physicians and patients. Office-based chronic disease management (CDM) workers can achieve these...
The teamlet model of primary care.(REFLECTION)(Report)
September 1, 2007... ABSTRACT
The 15-minute visit does not allow the physician sufficient time to provide the variety of services expected of primary care. A teamlet (little team) model of care is proposed to extend the 15-minute physician visit. The teamlet...
'You complete me'.(ON TRACK)
September 1, 2007... At a critical moment in the movie Jerry MaGuire, Tom Cruise declares to Renee Zellweger, "You complete me." With less drama, this is what TRACK comments since the last issue do for the Annals' articles.
The articles being discussed were...
Update from NAPCRG's committee on advancing the science of family medicine.(Family Medicine Updates)(North American Primary Care Research Group)
September 1, 2007... NAPCRG' s Committee on Advancing the Science of Family Medicine (CASFM) was created to help consolidate work on the research and evidence needed to move to a new model of care. It specifically aims to:
* Promote the generation of new...
AAFP encourages use of medical home, new immunization policy at AMA congress.(Family Medicine Updates)(American Academy of Family Physicians; American Medical Association)
September 1, 2007... The AAFP recently sent the house of medicine a clear message during the American Medical Association' s (AMA) Congress of Delegates in Chicago: Any national health care policy agenda the AMA promulgates should be founded on the primary...
Diplomate verification update 2007.(American Board of Family Practice)(Reprint)
September 1, 2007... Since 1970, when the charter class of physicians attained certification by the American Board of Family Practice(ABFM), the Board has acknowledged the accomplishment of all physicians who achieve certification and recertification as a...
STFM sponsors predoctoral directors development institute.(Society of Teachers of Family Medicine)
September 1, 2007... Imagine yourself as a faculty member in a family medicine department tasked with administrative responsibilities consistent with the role of a predoctoral director, such as oversight of the courses and advising programs offered to medical...
The residency review committee and ADFM-contrasting perspectives?(Association of Departments of Family Medicine)
September 1, 2007... The Association of Departments of Family Medicine (ADFM) has articulated a number of concerns regarding family medicine residency education, such as the need for flexibility, a simplification of requirements, and more innovation/experimentation...
Building the foundation of a better healthcare system: for the common good.
September 1, 2007... Has a fellow traveler on an airplane ever asked you what it is you do? When someone asks me the "What do you do?" question, I tell them, "I'm building the foundation of a better healthcare system." I believe it is the destiny of family medicine...
Novel staffing for improved patient disease management.
September 1, 2007... Ann Fam Med 2007;5:iii. DOI: 10.1370/afm.773.
The Annals of Family Medicine encourages readers to develop the learning community of those seeking to improve health care and health through enhanced primary care. You can participate by...