MedWorm: Family Practices

The 2009 EHR User Satisfaction Survey: Responses From 2,012 Family Physicians

Medscape Ob/Gyn & Women's Health Headlines — Fri, 19 Mar 2010 15:59:52 +0100

Electronic Health Record (EHR) systems are evaluated and compared in this comprehensive survey of primary care physicians. Family Practice Management (Source: Medscape Ob/Gyn & Women's Health Headlines)

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Primary care research in the era of translational medicine, challenges and successes

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

(Source: Family Practice)

Frequent attendance of primary care out-of-hours services in The Netherlands: characteristics of patients and presented morbidity

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. Frequent attendance puts severe pressure on OHS resources. Much of the frequent attendance can be explained by the increased incidence of chronic diseases and psychiatric co-morbidity. (Source: Family Practice)

A primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusion. Home BP monitoring may improve BP control in men with hypertension. (Source: Family Practice)

Effect of nutritional counselling and nutritional plus exercise counselling in overweight adults: a randomized trial in multidisciplinary primary care practice

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Discussion. Nutritional counselling by a dietician resulted in modest reductions in weight and waist circumference in overweight adults, which were sustained up to 12 months. Adding exercise counselling by a physiotherapist did not significantly enhance the effect on body weight. Exercise counselling may, however, further improve waist circumference. (Source: Family Practice)

Lack of benefit for prophylactic drugs of tension-type headache in adults: a systematic review

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. Overall, antidepressants were no more effective on headache intensity or frequency and analgesic use than placebo. Propranolol seemed to have negative effects on depression in TTH patients when compared with placebo or biofeedback. No evidence was found for the use of muscle relaxants alone or 5-HT receptor agonist. (Source: Family Practice)

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Acute non-traumatic hip pathology in children: incidence and presentation in family practice

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusion. In family practice, most children with acute non-traumatic hip pathology present with pain as the initial symptom. FPs need to be more aware that fever is the main distinguishing factor between a harmless condition and a life-threatening condition. Transient synovitis is the diagnosis with the highest incidence rate. (Source: Family Practice)

The relationship between continuity and patient satisfaction: a systematic review

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. Continuity has a variable effect on patient satisfaction. (Source: Family Practice)

Tailoring advice and optimizing response: a case study of a telephone-based support for patients with type 2 diabetes

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. As the participants had to make multiple behavioural changes over time, advice needed to be delivered, reiterated and reinforced to achieve understanding and uptake. The more specific and personalized the information and advice, the more likely it was for the participant to give a positive and engaged response. Seizing every opportunity to deliver good quality personalized and/or responsive advice is essential in order to facilitate effective behavioural change. (Source: Family Practice)

Predictors of the quality of care for asthma in general practice: an observational study

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. Great variations exist in the quality of primary care for asthma and considerable scope for improvement. Asthma care improved over time. The preliminary findings that quality of asthma care varied with deprivation support the idea that primary care may be targeting care to those in most need. However, variations were small and only significant for two QIs. (Source: Family Practice)

Reducing resistance to diabetes treatment using short narrative interventions

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusion. Short narrative interventions demonstrated in this study can be used by health care professionals as a working tool that provides the possibility reducing the patient's reasons for resistance to treatment. (Source: Family Practice)

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Patients' views of receiving lessons in the Alexander Technique and an exercise prescription for managing back pain in the ATEAM trial

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusion. Using the Alexander Technique was viewed as effective by most patients. Acceptability may have been superior to exercise because of a convincing rationale and social support and a better perceived fit with the patient's particular symptoms and lifestyle. (Source: Family Practice)

Attitudes of women with menstrual disorders to the use of clinical guidelines in their care

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. A patient-centred service should endeavour to increase patient awareness of the existence and use of clinical guidelines. A patient version of clinical guidelines may be useful in promoting patients involvement in decision making and may improve outcomes. (Source: Family Practice)

C-reactive protein point-of-care testing for lower respiratory tract infections: a qualitative evaluation of experiences by GPs

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. GPs were generally positive about CRP POCT, and they felt that it empowered them to safely prescribe fewer antibiotics for LRTI without alienating their patients. Successful wider implementation should address reimbursement and updating management guidelines to include the place of CRP POCT. (Source: Family Practice)

A qualitative study of lifestyle counselling in general practice in Ireland

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. GPs and practice nurses regularly conduct lifestyle counselling despite considerable barriers. It is essential that they are supported to carry out lifestyle counselling as part of a systematic ‘whole practice approach’ to prevention in general practice. (Source: Family Practice)

Communication challenges of HPV vaccination

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusions. Success of the national immunization programme will depend on overcoming the challenges of providing explanations to ensure that individuals understand the potential benefits of HPV vaccination. Primary care can play an important role, but this study suggests there are fundamental issues that need further clarification. (Source: Family Practice)

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Information in general medical practices: the information processing model

Family Practice — Wed, 17 Mar 2010 21:41:56 +0100

Conclusion. The primary purpose of processing secondary care information is to support patient care; this study raises the profile of information flow and usage within practices as an issue requiring further consideration. (Source: Family Practice)

Impact of community-acquired paediatric rotavirus gastroenteritis on family life: data from the REVEAL study

BMC Family Practice — Mon, 15 Mar 2010 00:00:00 +0100

Conclusions: Paediatric RVGE cases cause disruption to families and parental stress. The burden of RVGE on children and their families could be substantially reduced by routine rotavirus vaccination of infants. (Source: BMC Family Practice)

10 Steps to a Patient-Centered Medical Home

Medscape Business of Medicine Headlines — Thu, 11 Mar 2010 20:39:28 +0100

The concept of a patient-centered medical home looks to encourage comprehensive health care, improve patient outcomes, and lower medical costs. Here are ten steps towards that goal. Family Practice Management (Source: Medscape Business of Medicine Headlines)

Colorectal cancer screening using the faecal occult blood test (FOBt): A survey of GP attitudes and practices in the UK

BMC Family Practice — Tue, 09 Mar 2010 00:00:00 +0100

Conclusions: The success of population-based screening for CRC will largely be determined by GP attitudes and support, particularly with regard to FOBt. Previous research has implied that South Asian GPs are more likely to have negative attitudes towards FOBt screening, however, our research suggests that this is not a group requiring targeted interventions to increase their support for the NHSBCSP. Of the available CRC screening tests, GPs perceived FOBt to be the most appropriate for population-based screening. (Source: BMC Family Practice)

Documentation of preventive screening interventions by general practitioners: a retrospective chart audit

BMC Family Practice — Tue, 09 Mar 2010 00:00:00 +0100

Conclusions: Documentation of preventive screening interventions by general practitioners was relatively low compared to the number of patients eligible for preventive screening. Some physicians opt to screen for PSA and DRE which is not recommended by the Canadian Task Force on Preventive HealthCare. (Source: BMC Family Practice)

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Female partners of patients after surgical prostate cancer treatment: interactions with physicians and support needs

BMC Family Practice — Mon, 08 Mar 2010 00:00:00 +0100

Conclusions: Additional research is needed in this field to confirm the importance of training primary care physicians to consider holistic treatment approaches that recognize the partner and family needs as important in the complete physical and emotional healing of their patients. (Source: BMC Family Practice)

Impact of vital signs screening & clinician prompting on alcohol and tobacco screening and intervention rates: a pre-post intervention comparison

BMC Family Practice — Fri, 05 Mar 2010 00:00:00 +0100

Background: Though screening and intervention for alcohol and tobacco misuse are effective, primary care screening and intervention rates remain low. Previous studies that have increased intervention rates using vital signs screening for tobacco misuse and clinician prompts for screen-positive patients for both alcohol and tobacco misuse. This pilot study's aims were: (1) To determine the feasibility of combined vital signs screening for tobacco and alcohol misuse, (2) To assess the impact of vital signs screening on alcohol and tobacco screening and intervention rates, and (3) To assess the additional impact of tobacco assessment prompts on intervention rates. Methods: In five outpatient practices, nurses measuring vital signs were trained to routinely ask a single tobacco question, a pre...

Medically unexplained pain complaints are associated with underlying unrecognized mood disorders in primary care.

BMC Family Practice — Wed, 03 Mar 2010 00:00:00 +0100

We report: a) a high prevalence of unrecognized mood disorders in patients suffering from unexplained pain complaints (80.4 %: CI 95%: 79.0%; 81.8%); b) a greater susceptibility of women to mood disorders (OR adjusted=1.48; CI 95%:1.22; 1.81); c) a direct relationship between the prevalence of mood disorders and the duration of pain (OR adjusted= 1.01; CI 95%: 1.01; 1.02) d) a higher comorbidity if the pain etiology was unknown (OR adjusted= 1.74; CI 95%: 1.45; 2.10) and, e) an increased use of health care services in patients with such a comorbidity ( p (Source: BMC Family Practice)

February 2010 Briefing - Family Practice

Modern Medicine — Mon, 01 Mar 2010 00:00:00 +0100

(Source: Modern Medicine)

Family practice: meanings for modern times.

The British Journal of General Practice — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Howe A PMID: 20202366 [PubMed - in process] (Source: The British Journal of General Practice)

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Point-of-Care C-Reactive Protein Testing and Antibiotic Prescribing for Respiratory Tract Infections: A Randomized Controlled Trial.

Annals of Family Medicine — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSIONS: CRP point-of-care testing to assist in prescribing decisions, including delayed prescribing, for LRTI and rhinosinusitis may be a useful strategy to decrease antibiotic use and increase patient satisfaction without compromising patient recovery. PMID: 20212299 [PubMed - in process] (Source: Annals of Family Medicine)

An open letter to all the health plans that keep sending me letters.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Lundeen L PMID: 20222650 [PubMed - in process] (Source: Family Practice Management)

Use a cell phone camera to document biopsy sites.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Soper WD PMID: 20222649 [PubMed - in process] (Source: Family Practice Management)

Streamline your annual physical process.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Iliff D PMID: 20222648 [PubMed - in process] (Source: Family Practice Management)

Handling Prescription Change Requests from PBMs.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Moore KJ PMID: 20222647 [PubMed - in process] (Source: Family Practice Management)

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No shows.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222646 [PubMed - in process] (Source: Family Practice Management)

Diabetic foot exams.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222645 [PubMed - in process] (Source: Family Practice Management)

Medication management.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222644 [PubMed - in process] (Source: Family Practice Management)

More than four diagnosis codes.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222643 [PubMed - in process] (Source: Family Practice Management)

Diagnosis code for drug-seeking behavior.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222642 [PubMed - in process] (Source: Family Practice Management)

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Deceased Patient's Chart Review.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222641 [PubMed - in process] (Source: Family Practice Management)

Lack of voiding.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222640 [PubMed - in process] (Source: Family Practice Management)

Second opinions for nursing home patients.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222639 [PubMed - in process] (Source: Family Practice Management)

TB Test Site Check.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Hughes C PMID: 20222638 [PubMed - in process] (Source: Family Practice Management)

The 12-step way to reduce practice expenses: part 1, staffing efficiencies.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Tinsley R PMID: 20222637 [PubMed - in process] (Source: Family Practice Management)

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Medicare enrollment: staying in the game even when the rules change.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Shay DF PMID: 20222636 [PubMed - in process] (Source: Family Practice Management)

How to solve problems in your practice with a new meeting approach.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Chase SM, Nutting PA, Crabtree BF PMID: 20222635 [PubMed - in process] (Source: Family Practice Management)

Documenting History in Compliance With Medicare's Guidelines.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Moore KJ PMID: 20222634 [PubMed - in process] (Source: Family Practice Management)

A different form of health care reform.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Engle M PMID: 20222633 [PubMed - in process] (Source: Family Practice Management)

The EHR Incentive.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Boyle S PMID: 20222632 [PubMed - in process] (Source: Family Practice Management)

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The EHR Incentive.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Kordek M PMID: 20222631 [PubMed - in process] (Source: Family Practice Management)

Thank your staff and your patients.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Ishida Y PMID: 20222630 [PubMed - in process] (Source: Family Practice Management)

Should Doctors Reject the Government's EHR Incentive Plan?

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Kibbe DC PMID: 20222629 [PubMed - in process] (Source: Family Practice Management)

FPM: Read It As You Like It.

Family Practice Management — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Edsall RL PMID: 20222628 [PubMed - in process] (Source: Family Practice Management)

FPs Needed for the ‘Second Wave’ to Haiti