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A comparison of chronic illness care quality in US and UK family medicine practices prior to pay-for-performance initiativesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Following National Health Service (NHS) investment in primary care preparedness, but prior to the QOF, UK practices provided more standardized care but did not achieve better intermediate outcomes than a sample of typical US practices. US policymakers should focus on reducing variation in care documentation to ensure the effectiveness of P4P efforts while the NHS should focus on moving from process documentation to better patient outcomes. (Source: Family Practice)
Source: Family Practice - November 17, 2009 Category: Primary Care Authors: Crosson, J. C, Ohman-Strickland, P. A, Campbell, S., Phillips, R. L, Roland, M. O, Kontopantelis, E., Bazemore, A., Balasubramanian, B., Crabtree, B. F Tags: Health Services Research Source Type: journals

Survivorship: adult cancer survivors.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During the next decade, a rapid increase in the number of new cancer diagnoses in the population as well as a growing number of cancer survivors can be expected. Cancer is anticipated to exceed cardiovascular disease as the primary cause of mortality in the United States population. Despite efforts in tobacco control, the aging of the population and obesity epidemic will contribute toward the increasing incidence of cancer. Although oncology specialists will continue to play a critical role in the diagnosis and initial treatment of patients with cancer, primary care providers will need to play an expanding role in the ...
Source: Primary Care - November 17, 2009 Category: Primary Care Authors: Ganz PA Tags: Prim care Source Type: journals

Citrus/Cydonia comp. for seasonal allergic rhinitis: A randomized study to compare treatment effects of the subcutaneous and the nasal routes of administrationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objectives: Allergic rhinitis is a condition characterized by sneezing, watery nasal discharge, nasal obstruction and itching. It is an increasingly prevalent condition, particularly in the Western world where it affects around 20% of the adult population. Citrus/Cydonia comp. is an anthroposophic medicine, which contains extracts of lemon (Citrus lemon) and quince (Cydonia oblongata). Several observational studies have shown that Citrus/Cydonia comp. solution either as a subcutaneous injection or as a nasal spray might be an effective treatment for seasonal allergic rhinitis (SAR) patients. In addition, in vitro is has be...
Source: European Journal of Integrative Medicine - November 13, 2009 Category: Complementary Medicine Authors: E. Baars, M. Jong, H. Savelkoul Source Type: journals

Homeopathic treatment of elderly patients—A prospective observational study with a follow-up over a two-year periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Very little is known about the range of diagnoses, course of treatment and long-term outcome in elderly patients who choose to receive homeopathic medical treatment. We investigated homeopathic practice in an industrialised country under everyday conditions.Methods: In a prospective, multicentre cohort study involving 38 primary care practices with additional specialisation in homeopathy in Germany and Switzerland, data was analysed from all patients >70 years consulting the physician for the first time. The main outcome measures were: assessment of the severity of complaints (numeric rating scales 0–10) and ...
Source: European Journal of Integrative Medicine - November 13, 2009 Category: Complementary Medicine Authors: M. Teut, R. Luedtke, S.N. Willich, C. Witt Source Type: journals

Study Finds Costs of Quality Programs Burden PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The cost of providing data and support for health system quality-improvement programs can put a significant burden on primary care practices, and changes in the outcomes of trials are often made without being disclosed, according to two studies in the November/December Annals of Family Medicine. (Source: Modern Medicine)
Source: Modern Medicine - November 11, 2009 Category: Journals (General) Source Type: info

News From The Annals Of Family Medicine November/December 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pay for Performance Reporting Costly for Primary Care Practices Responding to payer requests for quality and performance data can be costly for primary care practices, with estimated costs of implementation ranging from less than $1,000 to $11,100 per practitioner, and maintenance from less than $100 to $4,300 per year. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 10, 2009 Category: Consumer Health News Tags: Primary care / General Practice Source Type: news

Conducting implementation research in community-based primary care: a qualitative study on integrating patient decision support interventions for cancer screening into routine practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study suggests that implementation of DESIs to be used immediately before a consultation is feasible if the practice infrastructure can provide sufficient basic accommodation and physician and staff are dedicated to patient care goals that are implicit in the use of these tools. Overall, the physician's role appeared to be the most important factor in determining whether project integration was successful. (Source: Health Expectations)
Source: Health Expectations - November 10, 2009 Category: Health Management Authors: Dominick L. Frosch, Kirsty J. Singer, Stefan Timmermans Source Type: journals

Medical groups join forces to develop IT for physiciansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Sharp Community Medical Group, a San Diego, Calif.-based association of private practice primary care physicians, and Graybill Medical Group, a Escondido, Calif.-based primary care practice, are collaborating to develop better IT solutions and implementation strategies. Through the partnership, SCMG and Graybill look to develop patient management and electronic health record solutions that are geared toward physician practices as well more efficient implementation strategies to optimize deployment times. (Source: Healthcare IT News)
Source: Healthcare IT News - November 9, 2009 Category: Information Technology Authors: Kyle Hardy Tags: Online Only California Escondido Graybill Medical Group Kyle Hardy San Diego Sharp Community Medical Group The Sharp Community Medical Group Physician Practices & Ambulatory care Source Type: news

Health providers scrambleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Area health-care providers of all types — hospitals, pediatricians and primary-care practices, retail-based health clinics and urgent-care centers — are dealing with a deluge of patients who either have H1N1, think they may have the virus or want the vaccine to prevent it. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 9, 2009 Category: American Health Source Type: journals

Will physicians get financial boost from flu shots?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Flu season is slamming Colorado doctors’ offices hard this year amid fears about the H1N1 virus, but it’s hard to say if treating flu patients will be a financial boom or bust for primary-care practices in the state. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 9, 2009 Category: American Health Source Type: journals

Health providers scrambleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Area health-care providers of all types — hospitals, pediatricians and primary-care practices, retail-based health clinics and urgent-care centers — are dealing with a deluge of patients who either have H1N1, think they may have the virus or want the vaccine to prevent it. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 9, 2009 Category: Biotechnology Source Type: journals

Will physicians get financial boost from flu shots?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Flu season is slamming Colorado doctors’ offices hard this year amid fears about the H1N1 virus, but it’s hard to say if treating flu patients will be a financial boom or bust for primary-care practices in the state. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 9, 2009 Category: Biotechnology Source Type: journals

Racial Disparities in Hypertension Control, but Not Treatment Intensification.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ConclusionsIn our study, black patients had poorer hypertension control, and providers were more likely to intensify antihypertensive drugs at visits of black compared with white patients as appropriate. These data suggest that more research is needed to understand racial disparities in hypertension control.American Journal of Hypertension 2009; doi:10.1038/ajh.2009.201. PMID: 19893494 [PubMed - as supplied by publisher] (Source: American Journal of Hypertension)
Source: American Journal of Hypertension - November 5, 2009 Category: Cardiology Authors: Umscheid CA, Gross R, Weiner MG, Hollenbeak CS, Tang SS, Turner BJ Tags: Am J Hypertens Source Type: journals

Medical Utility of Patient Family History QuestionedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While taking a patient's family history is standard primary care practice, its ability to predict patient risk or affect outcomes is not well supported by data, according to a literature review published online Nov. 3 in the Annals of Internal Medicine. (Source: Modern Medicine)
Source: Modern Medicine - November 3, 2009 Category: Journals (General) Source Type: info

Systematic Review: Family History in Risk Assessment for Common Diseases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Insufficient evidence evaluates how to collect family history information accurately in the primary care setting and the effects of taking family history on patient outcomes. Patients seem to correctly report the absence of disease in relatives more often than the presence of disease. Primary Funding Source: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services (contract no. 290-02-0020). PMID: 19884616 [PubMed - as supplied by publisher] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - November 2, 2009 Category: Internal Medicine Authors: Wilson BJ, Qureshi N, Santaguida P, Little J, Carroll JC, Allanson J, Raina P Tags: Ann Intern Med Source Type: journals

Health care assistants in primary care depression management: role perception, burdening factors, and disease conception.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: HCAs were willing to extend their professional responsibilities from administrative work to more patient-centred work. Even if HCAs perform only monitoring tasks within the case management concept, the resulting workload is a limiting factor. PMID: 19901310 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2009 Category: Primary Care Authors: Gensichen J, Jaeger C, Peitz M, Torge M, Güthlin C, Mergenthal K, Kleppel V, Gerlach FM, Petersen JJ Tags: Ann Fam Med Source Type: journals

A medical assistant-based program to promote healthy behaviors in primary care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Engaging more primary care team members to address risk behaviors improved referral rates. More extensive medical assistant training, changes in practice culture, and sustained behavioral interventions will be necessary to improve risk behavior outcomes. PMID: 19901309 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2009 Category: Primary Care Authors: Ferrer RL, Mody-Bailey P, Jaén CR, Gott S, Araujo S Tags: Ann Fam Med Source Type: journals

Cost to primary care practices of responding to payer requests for quality and performance data.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The costs of a quality-reporting program vary greatly by program and are important to anticipate and understand when undertaking quality improvement work. Incentives that would likely improve practice participation include financial payment, quality improvement skills training, and technical assistance with electronic system troubleshooting. PMID: 19901308 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - November 1, 2009 Category: Primary Care Authors: Halladay JR, Stearns SC, Wroth T, Spragens L, Hofstetter S, Zimmerman S, Sloane PD Tags: Ann Fam Med Source Type: journals

Statin prescribing in Northern Ireland and England pre and post introduction of the quality and outcomes frameworkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Strategies should be considered to educate prescribers on cost-effectiveness by increasing their awareness of the negative budgetary impact resulting from early adoption of new and expensive statins and by encouraging generic prescribing. Content Type Journal ArticleCategory Research ArticleDOI 10.1007/s11096-009-9339-3Authors Ibrahim Alabbadi, University of Jordan Biopharmaceutics and Clinical Pharmacy Department, Faculty of Pharmacy Amman JordanGrainne Crealey, The Royal Hospitals Clinical Research Support Centre, Education and Research Centre Grosvenor Road Belfast BT12 6BA UKKathryn Turner, Professiona...
Source: Pharmacy World & Science - October 30, 2009 Category: Drugs & Pharmacology Tags: Pharmacy World & Science Source Type: journals

Are Brief Alcohol Interventions Likely to be Effective in Routine Primary Care Practice?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Researchers conducted a meta-analysis to determine the effectiveness of brief interventions for nondependent unhealthy alcohol use in primary care settings. (Source: Alcohol, Tobacco and Other Drugs News)
Source: Alcohol, Tobacco and Other Drugs News - October 28, 2009 Category: Addiction Source Type: news

The Vermont Diabetes Information System: A Cluster Randomized Trial of a Population Based Decision Support SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS A chronic disease registry and decision support system based on easily obtainable laboratory data was feasible and acceptable to patients and providers. This system improved the process of laboratory monitoring in primary care, but not physiologic control. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1147-xAuthors Charles D. MacLean, University of Vermont College of Medicine Division of General Internal Medicine 371 Pearl Street Burlington VT 05401 USAMichael Gagnon, Fletcher Allen Health Care Department of Information Services Burlington VT USAPeter Callas, ...
Source: Journal of General Internal Medicine - October 27, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

A cluster-randomized controlled trial evaluating the effect of culturally-appropriate hypertension education among Afro-Surinamese and Ghanaian patients in Dutch general practice: study protocolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe findings will provide new knowledge on how to improve blood pressure control and patient adherence in ethnic minority persons with a high risk of negative hypertension-related health outcomes.Trial registration: ISRCTN35675524 (Source: BMC Health Services Research)
Source: BMC Health Services Research - October 21, 2009 Category: Journals (General) Authors: Joke HaafkensErik BeuneEric Moll van CharanteCharles Agyemang Source Type: journals

Impact of pilot project with three primary care practices on staff awareness working practices and health outcomes for people with learning disabilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pilot study in Essex regarding primary care settings for people with learning disabilities, and to consider training needs of primary care staff. (Source: Learning Disabilities Specialist Library)
Source: Learning Disabilities Specialist Library - October 19, 2009 Category: Disability Source Type: organizations

Breast, Colorectal and Prostate Cancer Screening for Cancer Survivors and Non-Cancer Patients in Community PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Cancer survivors were more likely to self-report receipt of cancer screening than noncancer patients. Medical record reports of cancer screening were lower than self-reports for cancer survivors and noncancer patients. Identifying factors that affect cancer screening among cancer survivors is important and has implications for intervention design. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s11606-009-1036-3Authors Shawna V. Hudson, The Cancer Institute of New Jersey, UMDNJ-Robert Wood Johnson Medical School 195 Little Albany Street New Brunswick NJ 08903-2681 USAKarissa A...
Source: Journal of General Internal Medicine - October 17, 2009 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: journals

Prevalence and comorbidity of common mental disorders in primary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The study provides further evidence of the high prevalence and high comorbidity of mental disorders in primary care. Given the large overlap between affective, anxiety and somatoform disorders, future diagnostic classifications should reconsider the current separation between these entities. (Source: Journal of Affective Disorders)
Source: Journal of Affective Disorders - October 16, 2009 Category: Neurology Authors: M. Roca, M. Gili, M. Garcia-Garcia, J. Salva, M. Vives, J. Garcia Campayo, A. Comas Tags: Research reports Source Type: journals

Electronic Health Records And Improved Quality In Primary Care Treatment Linked By StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Routine use of electronic health records may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care, according to a new study by RAND Corporation researchers. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 7, 2009 Category: Consumer Health News Tags: Primary care / General Practice Source Type: news

Study Links Electronic Health Records To Improved Quality In Primary Care TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study finds that routine use of electronic health records may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care. The study, which examined 305 primary care practices in Massachusetts, is one of the first to demonstrate a link between use of electronic health records in community-based medical practices and higher quality care. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 6, 2009 Category: Science Source Type: news

ACPM recommends primary care have systems in place for screening and treating depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(American College of Preventive Medicine) The American College of Preventive Medicine supports the recommendations of the US Preventive Services Task Force that primary care providers should screen all adults for depression, and further recommends that all primary care providers should have systems in place to ensure the accurate diagnosis and treatment of this condition. The earliest and best opportunities to identify depression are in the clinics of primary care providers and all primary care practices should have such systems of care in place. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - October 6, 2009 Category: Global & Universal Source Type: news

Study: EHRs improve quality of careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Routine use of EHRs may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care, according to study findings published Oct. 6 in the Annals of Internal Medicine. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - October 6, 2009 Category: Information Technology Tags: Latest News Source Type: news

Study: EHRs improve quality of careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Routine use of EHRs may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care, according to study findings published Oct. 6 in the Annals of Internal Medicine. (Source: Health Imaging News)
Source: Health Imaging News - October 6, 2009 Category: Radiology Tags: Latest News Source Type: news

US study shows some incremental benefit for telephone care management with telephone psychotherapy for depression in primary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Arch Gen Psychiatry Area: News According to research published in the Archives of General Psychiatry, compared with current primary care practice, a structured telephone programme including care management and cognitive behavioural psychotherapy has clinical benefit with only a modest increase in health services cost. Researchers sought to evaluate the incremental benefit, incremental cost, and net benefit of 2 depression care programmes in 7 primary care clinics in USA. The study involved 600 consecutive primary care patients starting antidepressant treatment, who were randomised to usual care (n=195) th...
Source: NeLM - News - October 5, 2009 Category: Drugs & Pharmacology Source Type: organizations

Associations between structural capabilities of primary care practices and performance on selected quality measures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Among the investigated structural capabilities of primary care practices, electronic health records were associated with higher performance across multiple HEDIS measures. Overall, the modest magnitude and limited number of associations between structural capabilities and clinical performance suggest the importance of continuing to measure the processes and outcomes of care for patients. PRIMARY FUNDING SOURCE: The Commonwealth Fund. PMID: 19805769 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - October 5, 2009 Category: Internal Medicine Authors: Friedberg MW, Coltin KL, Safran DG, Dresser M, Zaslavsky AM, Schneider EC Tags: Ann Intern Med Source Type: journals

ORIGINAL ARTICLE: Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for Depression in Primary CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Compared with current primary care practice, a structured telephone program including care management and cognitive behavioral psychotherapy has significant clinical benefit with only a modest increase in health services cost. (Source: Archives of General Psychiatry)
Source: Archives of General Psychiatry - October 5, 2009 Category: Psychiatry Authors: Simon, G. E., Ludman, E. J., Rutter, C. M. Tags: Patient-Physician Relationship/ care, Psychosocial Issues, Primary care/ Family Medicine, Psychiatry, Cognitive Therapy, Depression, Psychotherapy, Randomized Controlled Trial, Drug Therapy, Drug Therapy, Other Original Article Source Type: journals

Screening adults for depression in primary care: A position statement of the American College of Preventive Medicine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American College of Preventive Medicine (ACPM) maintains that primary care providers should screen all adults for depression and that all primary care providers should have systems in place, either within the primary care setting itself or through collaborations with mental health professionals, to ensure the accurate diagnosis and treatment of this condition. The earliest and best opportunities to identify depression are in the clinics of primary care providers. Thus, the ACPM supports the recommendations of the US Preventive Services Task Force (USPSTF), and further suggests that all primary care practices should...
Source: The Journal of Family Practice - October 1, 2009 Category: Practice Management Authors: Nimalasuriya K, Compton MT, Guillory VJ Tags: J Fam Pract Source Type: journals

Cost-effectiveness of a primary care model for anxiety disorders [PAPERS]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The optimised care model did not prove to be cost-effective. (Source: The British Journal of Psychiatry)
Source: The British Journal of Psychiatry - September 30, 2009 Category: Psychiatry Authors: Konig, H.-H., Born, A., Heider, D., Matschinger, H., Heinrich, S., Riedel-Heller, S. G., Surall, D., Angermeyer, M. C., Roick, C. Tags: PAPERS Source Type: journals

Diabetic patients' decision aid improves their involvement in medication choiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Arch Internal Med Area: News A small cluster randomised pilot trial found that using a decision aid helped patients feel more involved in choosing their anti-diabetic medication but did not improve clinical outcomes. Greater patient involvement in their healthcare is considered important, however many patients may feel uncertain about taking greater responsibility for their treatment due to lack of knowledge. This trial examined the effects of a decision aid covering anti-diabetic medications on medication choices, clinical outcomes, and patient satisfaction in patients with type 2 diabetes. ...
Source: NeLM - News - September 30, 2009 Category: Drugs & Pharmacology Source Type: organizations

Role of the primary care safety net in pandemic influenza.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the strength, capacity, and preparedness of key components of the primary care safety net in responding to pandemic influenza. PMID: 19797743 [PubMed - in process] (Source: American Journal of Public Health)
Source: American Journal of Public Health - September 30, 2009 Category: Global & Universal Authors: Rust G, Melbourne M, Truman BI, Daniels E, Fry-Johnson Y, Curtin T Tags: Am J Public Health Source Type: journals

Guided Care Boosts Knowledge of Patient NeedsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — A primary care delivery model for older patients with multiple chronic illnesses increased physician understanding of the patients' clinical conditions and improved communication with patients and families, in a randomized trial at eight primary care practices. (Source: Internal Medicine News)
Source: Internal Medicine News - September 30, 2009 Category: Internal Medicine Authors: SUSAN BIRK Tags: Practice Trends Source Type: journals

Care Model Shores Up Satisfaction Among Elderly, Chronic PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chicago — A primary care delivery model for older patients with multiple chronic illnesses increased physician understanding of the patients' clinical conditions and improved communication with patients and families, in a randomized trial at eight primary care practices. (Source: Family Practice News)
Source: Family Practice News - September 30, 2009 Category: Primary Care Authors: SUSAN BIRK Tags: Geriatric Medicine Source Type: news

After-hours services in capitation-funded primary care practice: use and satisfaction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: When direct after-hours physician contact is available, a minority of patients uses a nurse-staffed triage. Physicians find the arrangements onerous and would prefer to see after-hours care managed and remunerated differently. PMID: 19826163 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)
Source: Canadian Family Physician Medecin de Famille Canadien - September 30, 2009 Category: Primary Care Authors: Neimanis I, Kaczorowski J, Howard M Tags: Can Fam Physician Source Type: journals

Office manager and nurse perspectives on facilitators of adult immunization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In addition to race and age, visit length and the nurses' vaccination status were associated with adult vaccination rates. Quality improvement initiatives for adult vaccination might include strengthening social influence of providers and/or ensuring that adequate time is scheduled for preventive care. PMID: 19845428 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - September 30, 2009 Category: Health Management Authors: Nowalk MP, Tabbarah M, Hart JA, Fox DE, Raymund M, Wilson SA, Zimmerman RK, Tags: Am J Manag care Source Type: journals

Gaps in addressing problem drinking: Overcoming primary care and alcohol treatment deficienciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews four types of barriers as well as potential facilitators to improving the prevention and management of problem drinking. First, primary care physicians are poorly trained about the clinical relevance of addressing alcohol problems in their daily patient care. Second, primary care physicians are concerned about the stigma and health insurance problems encountered by patients diagnosed with alcohol use disorders. Third, primary care practices have limited organizational and financial support to identify and address alcohol problems. Fourth, primary care and alcohol treatment settings communicate and...
Source: Current Psychiatry Reports - September 30, 2009 Category: Psychiatry Tags: Current Psychiatry Reports Source Type: journals

Integrating Patient Generated Family Health History fromEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DESCRIPTION (provided by the applicant): Abstract: This application addresses broad Challenge Area (10): Information Technology for Processing Health Care Data, and specific Challenge Topic, 10-HG-101: New information technology and resources for disease prevention and personalized medicine. Background: The long established wisdom of including family health history as a key part of an individual's medical record has been invigorated by the new emphasis on personalized medicine. While in the past, family health history was used to understand an individual's disease risk and to focus disease prevention efforts, in 21st centu...
Source: NHGRI Active Grants - September 30, 2009 Category: Genetics & Stem Cells Source Type: funding

Polypharmacy in primary care practices: an analysis using a large health insurance databaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To ascertain the rate and range of continuous polypharmacy in German general practices and compare practice characteristics and prescribing profiles in practices with a high rate of polypharmacy patients (HPP) and a low rate of polypharmacy patients (LPP), respectively.This observational study used a database composed of prescription data from a large German statutory health insurance. We defined polypharmacy as the continuous prescription of five or more drugs and calculated the percentage of polypharmacy patients for each practice to identify HPP and LPP.A total of 136 521 patients in 730 general practices received conti...
Source: Pharmacoepidemiology and Drug Safety - September 29, 2009 Category: Drugs & Pharmacology Authors: Thomas Grimmsmann, Wolfgang Himmel Source Type: journals

A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion and conclusionDevelopment, execution and evaluation of the TIDES marketing effort shows that social marketing is a promising approach for promoting implementation of evidence-based interventions in integrated healthcare systems. (Source: Implementation Science)
Source: Implementation Science - September 28, 2009 Category: Health Management Authors: Jeff LuckF HagigiLouise ParkerElizabeth YanoLisa RubensteinJoAnn Kirchner Source Type: journals

A social marketing approach to implementing evidence-based practice in the VHA QUERI: the TIDES depression collaborative care modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion and conclusionsDevelopment, execution and evaluation of the TIDES marketing effort shows that social marketing is a promising approach for promoting implementation of evidence-based interventions in integrated healthcare systems. (Source: BioMed Central)
Source: BioMed Central - September 27, 2009 Category: Journals (General) Authors: Jeff LuckF HagigiLouise ParkerElizabeth YanoLisa RubensteinJoAnn Kirchner Source Type: journals

Identifying primary care patients at risk for future diabetes and cardiovascular disease using electronic health recordsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined new diabetes and CHD incidence, and resource utilization over the subsequent 3-year period (2005-2007) using age-sex-adjusted regression models to compare outcomes by MetS category. Results: After excluding patients with diabetes/CHD at baseline, 78,293 patients were eligible for analysis. EHR-defined MetS had 73% sensitivity and 91% specificity for directly measured MetS. Diabetes incidence was 1.4% in No MetS; 4.0% in At-risk-for MetS; and 11.0% in MetS (p (Source: BMC Health Services Research)
Source: BMC Health Services Research - September 21, 2009 Category: Journals (General) Authors: Marie-France HivertRichard GrantPeter ShraderJames Meigs Source Type: journals

A Simple Intervention For General Practice To Improve Depression CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
German researchers from the Institutes for General Practice in Frankfurt / Main and Jena have achieved positive results from a sustainable intervention in the primary care practice (Annals of Internal Medicine, volume 151, number 6, Sep. 15, 2009). The international relevance of the trial is also highlighted in the editorial. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - September 17, 2009 Category: Consumer Health News Tags: Depression Source Type: news

Health care assistants may improve management of depression in small primary care practicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to determine whether health care assistants, who have less training than nurses but can carry out basic clinical procedures, could successfully provide case management in small primary care practices. It involved practices in one German state, which were cluster randomised to intervention or usual care. In the intervention group, health care assistants received training including information on depression, communication skills, telephone monitoring, and behavioural activation for the patient. Doctors in both groups received training in evidence-based management of depression. ... (Source: NeLM - News)
Source: NeLM - News - September 16, 2009 Category: Drugs & Pharmacology Source Type: organizations