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Medicine by the numbers

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Global Health Organizations Founded/Operated by AAFP Members

Jul 5, 2016 - Access information about global health organizations founded and/or operated by AAFP members.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/ngo.html

Fellowships, Courses, and Electives in Global Health

Apr 12, 2019 - Learn about family medicine-specific fellowships and other learning opportunities for training in global health.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/fellowships.html

2015 Minority Health Month

Apr 7, 2015 - Minority patients are disproportionately affected by a number of chronic conditions. During National Minority Health Month, the AAFP is promoting health equity by highlighting chronic disease management resources for you and your patients.

Patient Care : Campaign Landing Pages

https://www.aafp.org/patient-care/inform/minority-health-month.html

COPD Comprehensive: A Curriculum for Family Medicine Residents -- Tobacco and Nicotine

Jan 28, 2013 - Written by family medicine residency directors and faculty, COPD Comprehensive is an evidence-based curriculum specifically developed for residents and practicing physicians.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/tobacco-nicotine/science/copd.html

Global Health Opportunities in Family Medicine

May 13, 2016 - Get involved with Global Health as a practicing physician, by providing Global Health education, or by signing up for a variety of fellowship and health service-learning programs.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health.html

Workforce Diversity

Mar 28, 2018 - Learn more about workforce diversity, one of the key priorities of The EveryONE Project.

Patient Care : Social Determinants of Health

https://www.aafp.org/patient-care/social-determinants-of-health/everyone-project/workforce.html

Pain Management and Opioid Misuse

May 14, 2016 - Chronic pain management is a public health concern with significant increases in the use of opioids for pain relief. There is a corresponding growth in the number of opioids prescribed in the U.S. and overdose from those drugs.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/pain-opioids.html

Zika Virus Outbreak

Feb 1, 2016 - The Zika virus was reported in May 2015 in South America and has continued to spread. Access CDC updates on symptoms and diagnosis, as well as concerns for pregnant women.

Patient Care : Public Health Emergencies

https://www.aafp.org/patient-care/emergency/zika-virus.html

Prostate Cancer - Clinical Preventive Service Recommendation -- Clinical Recommendation

Apr 27, 2018 - Access the AAFP preventive service recommendation on screening for prostate cancer.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/prostate-cancer.html

Lung Cancer - Clinical Preventive Service Recommendations -- Clinical Recommendation

Jan 28, 2016 - Access the AAFP preventive service recommendations on screening for lung cancer.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/lung-cancer.html

The Testing Process in Family Medicine: Problems, Solutions and Barriers as Seen by ...

Family physicians and their staff easily identified errors and their contributing factors in their testing processes. Desired improvements tended to be quick fixes that may not adequately address the identified errors and barriers to improved safety in the testing process.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/eldertestprocesserrors06.pdf

Scholarships and Funding Opportunities in Global Health

Jan 21, 2016 - Review a list of global health scholarship opportunities for family medicine students and residents, as well as funding options for family medicine programs interested in integrating global health.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/education/scholarships-funding.html

Sports Safety

Jun 2, 2014 - Whether you’re a team physician, evaluate student athletes for team sports, or simply have young patients presenting with sports-related injuries, the AAFP offers several different tools to aid you in serving these athletes.

Patient Care : Campaign Landing Pages

https://www.aafp.org/patient-care/inform/sports-safety.html

Preparing for Global Health Work as a Family Physician

Mar 22, 2016 - Learn how family physicians are uniquely prepared to make a difference in global health, and discover how physicians can become prepared to serve.

Patient Care : Global Health

https://www.aafp.org/patient-care/global-health/prepare.html

AAFP NRN Newsletter -- National Research Network

Feb 19, 2019 - x

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/news.html

Physicians' and Patients' Views of Cancer Care by Family Physicians: A Report from the ...

Family physicians fulfill a number of important roles in caring for their patients with an active diagnosis of cancer. More research using representative samples is needed to determine the generalizability of these findings, but this study gives us some preliminary insight into the role...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/CancerCareManuscript.pdf

Strategies for Planning and Launching PBRN Research Studies: A Project of the Academy ...

Research conducted in a practice-based research network (PBRN) differs from other multisite research and presents particular planning challenges. The American Academy of Family Physicians National Research Network (AAFP NRN) has developed a number of procedures used for planning and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/pbrnplanningstrategiesinjabfm2007.pdf

Adolescent and Young Adult Health

Jun 16, 2017 - Access resources to help your adolescent and young adult patients.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/adolescent-young-adult.html

Alcohol Misuse

Jul 11, 2017 - Access AAFP resources to reduce alcohol misuse.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/alcohol.html

Annual EKGs for Low-risk Patients -- Clinical Recommendation

May 12, 2014 - View the AAFP Choosing Wisely recommendation on annual electrocardiograms (EKGs) or other cardiac screening for low-risk patients.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/cw-ekg.html

Ebola Virus: Detect, Protect and Respond

May 5, 2016 - Access the latest information on Ebola virus, including clinical recommendations and patient information.

Patient Care : Public Health Emergencies

https://www.aafp.org/patient-care/emergency/ebola.html

Tar Wars Program Success Measurements -- Tar Wars

Jun 13, 2013 - Read about the research-based evaluation of the Tar Wars program using qualitative and quantitative measures.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/tobacco-nicotine/tar-wars/measurements.html

Mitigation of patient harm from testing errors in family medicine offices: a report ...

Little research has focused on preventing harm from errors that occur in primary care. We studied mitigation of patient harm by analysing error reports from family physicians’ offices.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/grahammitigationptharm.pdf

Pain Management and Opioid Abuse Resources

May 18, 2016 - A variety of tools and resources to care for patients who suffer from chronic pain and those at-risk for opioid / prescription drug abuse.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/pain-opioids/resources.html

Testing Process Errors and Their Harms and Consequences Reported from Family Medicine ...

Errors occur throughout the testing process, most commonly involving test implementation and reporting results to clinicians. While significant physical harm was rare, adverse consequences for patients were common. The higher prevalence of harm and adverse consequences for minority ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/hicknertestingprocesserrors.pdf

Application

May 18, 2018 - Application for AAFP Adolescent Immunization Best Practices Summit

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/pain-opioids/states-consortium/application-test.html

Application

May 18, 2018 - Application for AAFP Adolescent Immunization Best Practices Summit

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/pain-opioids/states-consortium/application.html

Seasonal Influenza in Adults and Children - Diagnosis, Treatment, Chemoprophylaxis and ...

Guidelines for the treatment of persons with influenza virus infection were prepared by an Expert Panel of the Infectious Diseases Society of America. The evidence-based guidelines encompass diagnostic issues, treatment and chemoprophylaxis with antiviral medications, and issues related...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/influenza/idsainfluenza2009.pdf

Prostate Cancer Screening -- Clinical Recommendation

Jul 10, 2018 - View the AAFP Choosing Wisely recommendation against screening for prostate cancer using a prostate-specific antigen (PSA) test or digital rectal exam.

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/all/cw-prostate-cancer.html

Improving the Management of Skin and Soft Tissue Infections in Primary Care: A Report ...

Purulent skin and soft tissue infections (SSTIs) requiring medical attention are often managed in primary care. The prevalence of SSTIs caused by community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA) has been increasing rapidly, including in otherwise healthy ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/parnescamrsa11.pdf

Establishing the Collaborative Care Research Network: A Description of Initial ...

Collaborative care has increased dramatically in the past decade, yet the variability in collaborative strategies and the diversity of settings in which collaboration is being implemented make it difficult to assess quality and outcomes. Therefore, three aims were addressed in the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/SieberCCRNDemographics2012.pdf

Clinical practice guideline: Benign paroxysmal positional vertigo

The primary purposes of this guideline are to improve quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary tests such as ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/RecToBOD-020810-Attachment1BPPV-Jan2010Cluster.pdf

Clinical Practice Guideline Manual -- Clinical Recommendation

...Institute of Medicine (IOM): Clinical Practice Guidelines We Can Trust—Standards for Developing Trustworthy Clinical Practice Guidelines (CPGs)(www.nationalacademies.org) Council on Medical Specialty Societies: Principles for the Development of Specialty Society Clinical...

Patient Care |AAFP Policies and Recommendations : Clinical Recommendations

https://www.aafp.org/patient-care/clinical-recommendations/cpg-manual.html

Collaborative National Network Examining Comparative Effectiveness Trials (CoNNECT) -- ...

Feb 13, 2015 - Read a description of the CoNNECT study, along with aims, objectives, timeline, status and key findings.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/connect.html

Americans in Motion - Healthy Interventions: A Guide to Group Visits for Chronic ...

Research indicates group visits can also provide an improved quality of care and a higher level of patient and physician satisfaction. They empower patients and also the physician and staff. Group visits allow for more time for education and relationship building. Group visits have ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/GroupVisitAIM.pdf

Managing Patient Populations in Primary Care: Points of Leverage

Common quality metrics may represent the quality of care for large populations; however, they do not adequately represent quality in individual primary care settings, especially as stand-alone indices. Using discreet threshold values to measure quality in primary care may result in ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/EidusMgnPtPopulations2012.pdf

Scott Nass, MD, MPA, FAAFP

Oct 6, 2017 - Read about AAFP Member Scott Nass and his work on fighting for LGBT health equity.

Patient Care : Social Determinants of Health

https://www.aafp.org/patient-care/social-determinants-of-health/everyone-project/scott-nass.html

Immunizations

May 4, 2016 -

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/immunizations.html

Psychological Issues Related to Injury in Athletes and the Team Physician: A Consensus ...

Team physicians must address the physical and psychological issues related to athletic activity. This athletic activity may result in physical injuries, and these injuries produce a variety of psychological reactions. Additionally, psychological factors, especially stress, are an ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMissuesrelatedtoinjury.pdf

Selected Issues for the Adolescent Athlete and the Team Physician: A Consensus Statement

This document provides an overview of selected medical issues that are important to team physicians who are responsible for the care and treatment of athletes. It is not intended as a standard of care and should not be interpreted as such.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMadolescentathlete.pdf

Prescriptions for Health - Improving Health Behaviors Through Telephone Linked Care -- ...

Aug 4, 2015 - Read about the Prescriptions for Health study and view aims, objectives, information about presentations, and key findings.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/rx-for-health.html

Selected Issues in Injury and Illness Prevention and the Team Physician: A Consensus ...

This document provides an overview of selected medical issues that are important to team physicians who are responsible for the care and treatment of athletes. It is not intended as a standard of care, and should not be interpreted as such.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMinjuryandillness.pdf

Annals of Internal Medicine: An Electronic Practice-Based Network for Observational ...

The Distributed Ambulatory Research in Therapeutics Network (DARTNet) is a federated network of electronic health data from 8 organizations representing more than 500 clinicians and more than 400,000 patients. DARTNet was designed to increase knowledge of the comparative effectiveness ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/pacedartnetcompareffect09.pdf

Concussion (Mild Traumatic Brain Injury) adn the Team Physician: A Consensus Statement

This document provides an overview of select medical issues that are important to team physicians who are responsible for athletes with concussion. It is not intended as a standard of care, and should not be interpreted as such. This document is only a guide, and as such, is of a ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMconcussion.pdf

Representativeness of PBRN Physician Practice and Related Beliefs: The Case of the AAFP...

We wanted to compare survey responses from members of a national practice-based research network (PBRN) with those of a larger sample of family physicians to assess the generalizability of fi ndings from the PBRN to the larger physician population. The AAFP NRN and AAFP membership ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/representativenesspub.pdf

Advances in the Prevention and Control of Healthcare Associated Infections (HAIs)

For over a decade, the Agency for Healthcare Research and Quality (AHRQ) has invested in research and implementation projects to prevent healthcare-associated infections (HAIs) in diverse health care settings. AHRQ’s commitment to HAI prevention has been expressed in activities within ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/brandt-advances-prevention-control-hais.pdf

Involving both a physician and a non-physician as coleaders enables improvement teams ...

Making the kind of improvement changes necessary to move toward a patient-centered medical home will continue to challenge small, independent primary care practices. Here we describe further analysis of a successful program to understand the roles of coleaders of a change management ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/6ittakestwojabfm2010.pdf

ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ...

Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and can profoundly affect the academic achievement, well-being, and social interactions of children; the American Academy of Pediatrics first published clinical recommendations for ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/aap-adhd.pdf

Adult ADHD Screening -- National Research Network Studies

Oct 21, 2014 - A study to assess the interest and feasibility of screening for adult ADHD among family physicians.

Patient Care : National Research Network

https://www.aafp.org/patient-care/nrn/nrn/studies/all/adult-adhd.html

Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered ...

Many primary care practices are moving toward the patient-centered medical home (PCMH) model and increasingly are offering payment incentives linked to PCMH changes. Despite widespread acceptance of general PCMH concepts, there is still a pressing need to examine carefully and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/BittonHamsterWheelPCMH2012.pdf

Protocol for the Asthma Tools study

Data from this pivotal pragmatic study are intended to demonstrate the importance of linking assessment of asthma and management tools to improve asthma-related patient outcomes. The study is an effectiveness trial done in real-world PBRN practices using patient-oriented outcome ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/yawn-asthmatoolspbrntrial-pragmaticresearch-2013.pdf

Describing Primary Care Encounters: The Primary Care Network Survey and the National ...

The purpose of this study was to describe clinical encounters in primary care research networks and compare them with those of the National Ambulatory Medical Care Survey (NAMCS). PRINS presents a view of diverse primary care visits and differs from NAMCS in its methods and fi ndings. ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/PRINSBinns.pdf

Effect of Preventive Messages Tailored to Family History on Health Behaviors: The ...

The study was a cluster-randomized clinical trial that included 41 primary care practices, the majority in the Midwest, using Family Healthware, a self-administered, Web-based tool that assesses familial risk for the diseases and provides personalized risk-tailored messages. Patients in...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ruffinfht11preventivemessages.pdf

Clinical Utility of Family History for Cancer Screening and Referral in Primary Care: A...

Family Healthware identified patients for intensified cancer prevention. Engagement of clinicians and patients, integration with clinical decision support, and inclusion of nonfamilial risk factors may be necessary to achieve the full potential of computerized risk assessment.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/rubinsteinfhtcascreening2.pdf

Using the Health Literacy Universal Precautions Toolkit to Improve the Quality of ...

We conducted interviews to learn about practices’ implementation activities and assessed the readability, understandability, and actionability of patient education materials collected during pre- and postimplementation site visits. Interview data indicated that practices followed many ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/brega_healthliteracyprecautions_jhealthcomm_2015_1.pdf

Sideline Preparedness for the Team Physician: A Consensus Statement

The objective of the Sideline Preparedness Statement is to provide physi- cians who are responsible for making decisions regarding the medical care of athletes with guidelines for identifying and planning for medical care and services at the site of practice or competition. It is not ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMsidelinepreparedness.pdf

Familial Risk for Common Diseases in Primary Care: The Family Healthware Impact Trial

The prevalence of family-history-based risk for coronary heart disease (CHD); stroke; diabetes; and colorectal, breast, and ovarian cancer was determined in a primary care population.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/oneillfhtfamilialrisk09.pdf

Use of the Americans in Motion-Healthy Intervention (AIM-HI) to Create a Culture of ...

Americans in Motion-Healthy Interventions (AIM-HI) is an initiative designed to assist family physicians with positioning fitness (physical activity, nutrition, and emotional well-being) as the treatment of choice for prevention and management of chronic disease. We investigated whether...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ErskineAIMHICultureofFitness.pdf

The Team Physician and Conditioning of Athletes for Sports: A Consensus Statement

The objective of this Consensus Statement is to provide physicians who are responsible for the healthcare of teams with guidelines regarding conditioning for sports. This statement specifically addresses the role of exercise in conditioning. Nutrition and supplements are outside the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMconditioningofathletes.pdf

Voices from Left of the Dial: Reflections of Practice-based Researchers

Practice-based research networks (PBRNs) provide an important approach to implementing primary care research at the community level, thus increasing the relevance and utility of research findings for routine primary care practices. PBRNs expend considerable time and energy in the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Fagnan442.pdf

Management of Type 2 Diabetes in the Primary Care Setting: A Practice-Based Research ...

Only modest numbers of patients achieve established targets of diabetes control. Reengineering primary care practice may be necessary to substantially improve care.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/DOSmanuscript.pdf

Patients’ Question-Asking Behavior During Primary Care Visits: A Report from the AAFP ...

The Ask Me 3 (AM3) health communication program encourages patients to ask specific questions during offi ce visits with the intention of improving understanding of their health conditions and adherence to treatment recommendations. This study evaluated whether implementing AM3 improves...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ICDOVManuscript.pdf

Components of Family History Associated with Women's Disease Perceptions for cancer: A ...

Participants provided family history information on 41,841 total relatives. We found evidence of underreporting of paternal family history and lower perceived breast cancer risk with cancer in the paternal versus maternal lineage. We observed cancer-specific perceived risks and worry ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/rubensteinfhtwomens.pdf

Venous Thromboembolism Prophylaxis in Hospitalized Patients: A Clinical Practice ...

The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on prophylaxis of venous thromboembolism for hospitalized nonsurgical patients (medical patients and patients with acute stroke).

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/acp-venous-throboembolism.pdf

Barriers and Motivators for Making Error Reports from Family Medicine Offices

Successful error reporting systems for physicians’ offices will need to have low reporting burden, have great clarity regarding the information requested, provide direct benefit through feedback useful to reporters, and take into account error severity and personal responsibility.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/elderrrrorreportsjabfm.pdf

Pain Management and Opioid Abuse: A Public Health Concern

Chronic nonmalignant pain is a health care condition that affects a significant number of Americans and is associated with significant morbidity. In addition to the physical discomfort, chronic pain causes significant work absenteeism, family disruption, and impairment of normal ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/pain_management/opioid-abuse-position-paper.pdf

Female Athlete Issues for the Team Physician: A Consensus Statement

This document provides an overview of select musculoskeletal and medical issues that are important to team physicians who are responsible for the medical care of female athletes. It is not intended as a standard of care and should not be interpreted as such. This document is only a ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMfemaleathlete.pdf

Do Professional Development Programs for Maintenance of Certification Affect Quality of...

This retrospective pilot study investigated the ability to demonstrate an effect of 2 specific MOC modules for family physicians-the Self-Assessment Module (SAM) from Part II MOC and the Performance in Practice Module (PPM) from Part IV MOC-on the quality of care delivered by family ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/galliher-profdevprogmoc-jabfm-2014.pdf

Design and Implementation of N-of-1 Trials: A User's Guide

AHRQ commissioned this User’s Guide as an informational resource to researchers, health care providers, patients, and other stakeholders to improve general understanding of n-of-1 trials and strengthen the quality of evidence that is generated when an n-of-1 trial is conducted. The ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/design-implementation-n1-trials.pdf

Comparative Effectiveness Research in DARTNet Primary Care Practices Point of Care Data...

The Distributed Ambulatory Research in Therapeutics Network (DARTNet) is a federated network of electronic health record (EHR) data, designed as a platform for next-generation comparative effectiveness research in real-world settings. DARTNet links information from nonintegrated primary...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/4dartnetcompeffmedcare2010.pdf

Clinical Practice Guideline: Otitis Media with Effusion

The purpose of this guideline is to inform clinicians of evidence-based methods to identify, monitor, and manage Otitis Media with Effusion (OME) in children aged 2 months through 12 years. The guideline may not apply to children older than 12 years because OME is uncommon and the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/OMEFinal.pdf

Start-Up and Incremental Practice Expenses for Behavior Change Interventions in Primary...

If behavior-change services are to be offered routinely in primary care practices, providers must be appropriately compensated. Estimating what is spent by practices in providing such services is a critical component of establishing appropriate payment and was the objective of this ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/P4HDodoo.pdf

Communication is the Key to Success in Pragmatic Clinical Trials in Practice-based ...

This discussion is based on extensive experience of 2 groups who have worked collaboratively on several large, federally funded, pragmatic trials in a practice-based research network. The goal of this article is to summarize lessons learned to facilitate the work of other research teams.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Bertram_Communication%20in%20PBRN%20studies_JABFM_2013.pdf

Depression, Depression Screening, Practice Improvement

Practices demonstrated long-term sustained improvement in depression care with the exception of tracking and care management, which may be a more challenging innovation to sustain. We hypothesize that sustaining complex depression care innovations may require active management by the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/5depressionsustainability.pdf

Fidelity Versus Flexibility Translating Evidence-Based Research into Practice

Understanding the process by which research is translated into practice is limited. This study sought to examine how interventions change during implementation. Changes are common when interventions are implemented into practice settings. The translation of evidence into practice will ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/P4HCohen.pdf

Practice Patterns, Believes and Perceived Barriers to Care Regarding Dementia

With the aging of the population, the percent age of the population in North America likely to be diagnosed with dementia is estimated to increase by 49% by 2020 and 172% by 2040. Primary care physicians must learn to care for these patients; thus, it is useful to understand family ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/stewart_dementia_2014.pdf

Behavioral health referrals and treatment initiation rates in integrated primary care: ...

This study presents the results of a multisite card study organized by The Collaborative Care Research Network, a subnetwork of the American Academy of Family Physicians’ National Research Network devoted to conducting practice-based research focused on the provision of BH and health ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/AuxierTBMstudy.pdf

Effectiveness of 2 Methods of Promoting Physicial Activity, Healthy Eating, and ...

An increasing number of Americans are putting their health at risk from being overweight. We undertook a study to compare patient-level outcomes of 2 methods of implementing the Americans In Motion-Healthy Interventions (AIM-HI) approach to promoting physical activity, healthy eating, ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/aim-hi-annals.pdf

Clinicians’ Management of Children and Adolescents With Acute Pharyngitis

Sore throat is a common complaint in children and adolescents. With increasing antimicrobial resistance because of antimicrobial overuse, accurate diagnosis is imperative. Appropriate management of acute pharyngitis depends on proper use and interpretation of clinical findings, rapid ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/PharyngitisManuscript.pdf

A preliminary taxonomy of medical errors in family practice

This medical error taxonomy, developed from self-reports of errors observed by family physicians during their routine clinical practice, emphasizes problems in healthcare processes and acknowledges medical errors arising from shortfalls in clinical knowledge and skills. Patient safety ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/doveyprelimtaxonomy.pdf

Improving evidence-based primary care for chronic kidney disease: study protocol for a ...

Implementation Science 2013, 8:1. doi:10.1186/1748-5908-8-88 Chronic kidney disease (CKD) and end stage renal disease (ESRD) are steadily increasing in prevalence in the United States. While there is reasonable evidence that specific activities can be implemented by primary care ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Fox_CKD%20ImprovingEvidencedBasedCare_2013.pdf

On the front lines: Family physicians' preparedness for bioterrorism

Only one quarter of family physicians felt prepared to respond to a bioterrorist event. However, training in bioterrorism preparedness was significantly associated with physicians’ perceived ability to respond effectively to an attack. Primary care physicians need more training in ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/bioterrorismreadinesspub.pdf

Using Patient Monetary Incentives and Electronically Derived Patient Lists to Recruit ...

Using EMR data reduces the burden to identify potentially eligible patients. However, some providers still did not review and return the lists. Adding a $2 incentive and deadline for responding did not improve the rate of eligible patients consenting and completing the study. Other ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ruffinfht11monetaryincentives.pdf

Azithromycin for Bronchial Asthma in Adults: An Effectiveness Trial

Adults with asthma who were randomized to azithromycin did not show statistically significant improvement in asthma outcomes, although the study was underpowered to detect clinical improvement in 15% (number needed to treat=7). Adults with severe persistent asthma who elected OL ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Hahn2012Asthmastudy.pdf

Office Champions Application for Office Champions Tobacco Cessation National ...

The U.S. Public Health Service (USPHS) Clinical Practice Guideline, Treating Tobacco Use and Dependence, 2008 update, calls on clinicians to change the clinical culture and practice patterns in their offices to ensure that every patient who uses tobacco is identified, advised to quit ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/office-champions-final-report-2012.pdf

Spirometry Can Be Done in Family Physicians' Offices and Alters Clinical Decisions in ...

Spirometry is recommended for diagnosis and management of obstructive lung disease. While many patients with asthma and COPD are cared for by primary care practices, limited data are available on the use and results associated with spirometry in primary care.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/Spirometrypublication.pdf

Quality and Safety in Outpatient Laboratory Testing

The goal of this article is to review the pre- and postanalytic testing process steps as they occur in primary care offices, with a special emphasis on the handoffs between physician’s offices and laboratories. We review the literature and report on our own research on the testing ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/elder-qs-outpatientlabs-clinlabmed-2008.pdf

Mass Participation Event Management for the Team Physician: A Consensus Statement

...and par- ticipant care at these sporting events. Medical management provides safety advice and care at the event that accounts for large numbers of participants, anticipated injury and illness, variable environment, repeated games or matches, and mixed age groups of varying athletic...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/ACSMeventmanagement.pdf

Management of Atrial Fibrillation: Review of the Evidence for the Role of Pharmacologic...

Atrial Fibrillation

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/afib_background.pdf

Improving the Effectiveness of Medication Review: Guidance from the Health Literacy ...

...medica- tion reviews with 41 additional patients. Data analyses compared differences in whether all medications were brought to visits, the number of medications reviewed, drug therapy problems identified, and changes in medication regimens before and after implementation....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/weiss_healthliteracyprecautions_jabfm_2016.pdf

A Guidebook to the Health Equity Curricular Toolkit

...University of Wisconsin School of Medicine and Public Health This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc/4.0/ 1 CONTRIBUTORS...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/health-equity-toolkit/hops19-he-guidebook.pdf

Preventing the Voltage Drop: Keeping Practice-based Research Network Practices Engaged ...

Practice-based research continues to evolve and has become a major methodology for many pragmatic studies. While early practice-based network projects were usually short term, current studies often introduce or compare practice innovations that require long-term evaluation. That change ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/yawn-voltagedrop-jabfm-2014.pdf

Adoption of a Portal for the Primary Care Management of Pediatric

...J Med Internet Res 2016 | vol. 18 | iss. 6 | e172 | p.1http://www.jmir.org/2016/6/e172/ (page number not for citation purposes) Fiks et alJOURNAL OF MEDICAL INTERNET RESEARCH XSL•FO RenderX ClinicalTrial: Clinicaltrials.gov NCT01966068; https:/...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/j-med-internet-res.pdf

Missed opportunities for improving practice performance in adult immunizations: a ...

...for quantifying missed opportunities fell into two general categories based on: 1. the number of healthcare encounters per patient without appropriate vaccination services, defined as a number of visits per patient with no vaccination related services (Missed opportunities per...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/loskutova-missed-opportunities.pdf

Hepatitis C Identification and Management by Family Physicians

Family physicians know how to identify high-risk people and test for hepatitis C. Most prefer to refer patients with hepatitis C to specialists for workup and treatment but report frequent barriers to those referrals.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/HepCSurveyManuscript.pdf

A National Agenda for Research in Collaborative Care

At the AHRQ-funded Collaborative Care Research Network Research Development Conference in Denver in October 2009, key national leaders took major steps toward establishing a research agenda for collaborative care among primary care and mental health clinicians. This set of three ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/kessler-frameworkccmetrics-2011.pdf

A National Agenda for Research in Collaborative Care

At the AHRQ-funded Collaborative Care Research Network Research Development Conference in Denver in October 2009, key national leaders took major steps toward establishing a research agenda for collaborative care among primary care and mental health clinicians. This set of three ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/peek-collaborativecarelexicon-2011.pdf

Family Physician Preferences and Knowledge Gaps Regarding the Care of Adolescent and ...

...C. K. Daugherty :M. L. Kigin : F. J. Hlubocky : T. O. Henderson Pritzker School of Medicine, University of Chicago, 924 East 57th Street #104, Chicago, IL 60637, USA K. E. Wroblewski University of Chicago, Department of Health Studies, 5841 South Maryland Avenue, Chicago, IL...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/childhood-cancer-survivors.pdf

Clinical Practice Guideline: Planning for Labor and Vaginal Birth After Cesarean

Cesarean deliveries are a common surgical procedure in the United States, accounting for one in three U.S. births. The primary purpose of this guideline is to provide clinicians with evidence to guide planning for labor and vaginal birth after cesarean (LAC/VBAC).

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/AAFP%20PVBAC%20guideline.pdf

Demonstration of the Health Literacy Universal Precautions Toolkit

...American Academy of Family Physicians, Kansas City, Kansas (Dr Mabachi); Department of Family Medicine (Drs Cifuentes, Brega, and West), Children’s Outcomes Research Program, School of Medicine (Ms Barnard and Drs Albright and West), and Colorado Health Outcomes Program (Dr Brega),...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/mabachi_healthliteracyprecautions_jacm_2016.pdf

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