Journal: Journal of the American Board of Family Medicine : JABFM
213
Direct Primary Care: Practice Distribution and Cost Across the Nation
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 5 years ago
- Discuss
Direct primary care (DPC) is an emerging practice alternative that (1) eliminates traditional third-party fee-for-service billing and (2) charges patients a periodic fee for primary care services. We describe the DPC model by identifying DPC practices across the United States; distinguish it from other practice arrangements, such as the “concierge” practice; and describe the model’s pricing using data compiled from existing DPC practices across the United States. Lower price points and a broad distribution of DPC practices were confirmed, but data about quality are lacking.
206
Colorado family physicians' attitudes toward medical marijuana
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published about 8 years ago
- Discuss
Introduction: Over the last decade, the use of medical marijuana has expanded dramatically; it is now permitted in 16 states and the District of Columbia. Our study of family physicians in Colorado is the first to gather information about physician attitudes toward this evolving practice.
185
The Performance of Fertility Awareness-based Method Apps Marketed to Avoid Pregnancy
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 4 years ago
- Discuss
In recent years there has been an explosion in the development of medical apps, with more than 40,000 apps now available. Nearly 100 apps allow women to track their fertility and menstrual cycles and can be used to avoid or achieve pregnancy. Apps offer a convenient way to track fertility biomarkers. However, only some use evidence-based fertility awareness-based methods (FABMs), which with ideal use have rates of effectiveness similar to those of commonly used forms of hormonal birth control. Since having a baby or preventing a pregnancy are important responsibilities, it is critical that women and couples have access to reliable, evidence-based apps that allow them to accurately track their fertility.
185
Human Papillomavirus (HPV) Testing for Normal Cervical Cytology in Low-Risk Women Aged 30-65 Years by Family Physicians
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 7 years ago
- Discuss
Purpose: The purpose of this study was to assess ordering of human papillomavirus (HPV) testing for normal cervical cytology among low-risk women aged 30 to 65 years.
175
The efficacy of auriculotherapy for smoking cessation: a randomized, placebo-controlled trial
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published about 8 years ago
- Discuss
Quitting smoking remains a challenge for almost one-third of the military veteran population. Alternatives to pharmacological therapies such as acupuncture, acupressure, and electrical stimulation have received minimal attention in research but have been widely reported to be popular and safe interventions for smoking cessation.
165
Barriers and Facilitators to Evidence-based Blood Pressure Control in Community Practice
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 7 years ago
- Discuss
Introduction: The Electronic Communications and Home Blood Pressure Monitoring trial (e-BP) demonstrated that team care incorporating a pharmacist to manage hypertension using secure E-mail with patients resulted in almost twice the rate of blood pressure (BP) control compared with usual care. To translate e-BP into community practices, we sought to identify contextual barriers and facilitators to implementation.
143
A Primary Care Panel Size of 2500 Is neither Accurate nor Reasonable
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 4 years ago
- Discuss
Primary care panel sizes are an important component of primary care practices. Determining the appropriate panel size has implications for patient access, physician workload, and care comprehensiveness and will have an impact on quality of care. An often quoted standard panel size is 2500. However, this number seems to arise in the literature anecdotally, without a basis in research. Subsequently, multiple studies observed that a panel size of 2500 is not feasible because of time constraints and results in incomplete preventive care and health care screening services. In this article we review the origins of a panel size of 2500, review the subsequent work examining this number and effectively debunking it as a feasible panel size, and discuss the importance of primary care physicians setting an appropriate panel size.
57
Effects of ginger for nausea and vomiting in early pregnancy: a meta-analysis
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published about 7 years ago
- Discuss
Nausea and vomiting in early pregnancy (NVEP) is commonly encountered in family medicine. Ginger (Zingiber officinale) is a popular nonpharmacological treatment but consensus of its use is lacking.
54
Physician Burnout and Higher Clinic Capacity to Address Patients' Social Needs
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published about 2 years ago
- Discuss
A recent regional study found lower burnout among primary care clinicians who perceived that their clinic had greater capacity to meet patients' social needs. We aimed to more comprehensively investigate the association between clinic capacity to address social needs and burnout by using national data that included a more representative sample of family physicians and a more comprehensive set of practice-level variables that are potential confounders of an association between clinic social needs capacity and burnout.
52
Correlates of Burnout in Small Independent Primary Care Practices in an Urban Setting
- OPEN
- Journal of the American Board of Family Medicine : JABFM
- Published over 2 years ago
- Discuss
Little is known about the prevalence and correlates of burnout among providers who work in small independent primary care practices (<5 providers).