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Mashup Score: 1
A 70-year-old man with complex multimorbidity and intellectual disability was my patient for the last 5 years of his life. He taught me important lessons about the challenges of practicing medicine as a primary care physician. He embodied all the complexities of multimorbidity, the ways in which clinical decision making can be fraught with uncertainties and tradeoffs. He raised difficult ethical questions for his care team, questions about how to respect the dignity of patients who lack decisional capacity and who do not have surrogate decision makers. The gaps in his care revealed shortcomings of the US health care system, but his care in his final years also showed some of the bright spots in coordinated, team-based care. Most importantly, caring for this patient taught me about the rewards of the human connections that primary care physicians establish with their patients.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 5Diabetes Management: A Case Study to Drive National Policy Change in Primary Care Settings - 3 day(s) ago
Despite medical advances, diabetes management remains a considerable challenge in the United States, with little to no improvement in patient outcomes and stark disparities in underserved communities. One acute challenge is that, as the US population with diabetes grows steadily—numbering 38.4 million people today—there are too few endocrinologists available to treat the disease and the burdens on primary care professionals, who treat more than 90% of cases currently, are staggering. This disconnect between need and care capacity presents what may be the greatest of many threats to the care of diabetic Americans. To understand what is required to solve this need-to-capacity mismatch, we examine the critical role of primary care professionals and propose national policy approaches to empower and improve the nation’s primary care architecture for the nearly 12% of Americans who have diabetes. Policy recommendations encompass the integration of the chronic care model and the patient-cente
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
đź“° - https://t.co/WnYTl4XkFS This special report underscores the need for a multidimensional approach to diabetes manage in #PrimaryCare, emphasizing decisive action by policymakers to equip PCPs with resources & support to effectively address the nations diabetes epidemic. https://t.co/17SAoriVNg
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Mashup Score: 6Building Timely Consensus Among Diverse Stakeholders: An Adapted Nominal Group Technique - 5 day(s) ago
PURPOSE Building timely consensus among diverse stakeholders is important in primary health care research. Consensus can be obtained using the nominal group technique which includes 5 steps: (1) introduction and explanation; (2) silent generation of ideas; (3) sharing ideas; (4) discussion; and (5) voting and ranking. The main challenges in using this technique are a lack of representation of different stakeholder opinions and the amount of time taken to reach consensus. In this paper, we demonstrate how to effectively achieve consensus using an adapted nominal group technique that mitigates the challenges. METHODS This project aimed to reach consensus on the priority care domains for individuals aged 65 or older, using an adapted nominal group technique with 4 strategies: (1) recruit 4 stakeholders groups (older people, clinicians, managers, decision makers) by using maximum variation and snowballing sampling approaches; (2) use remote tools to ensure high participation; (3) add an in
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
An article from our most recent issue provides a practical model for inclusive research design, showing how to streamline consensus-building while ensuring that stakeholder voices drive meaningful health care outcomes. https://t.co/doYnvFFwsh https://t.co/drWK8njroZ
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Mashup Score: 1The Human Face of War - 8 day(s) ago
Annals Early Access article
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Annals of Family Medicine editor @CRichardsonmd shares an editorial in our latest issue on the newly published articles exploring how the #IsraeliPalestinian conflict affects family doctors and their patients. đź”—- https://t.co/hFO9J2X9IE https://t.co/KYPQtfSSYm https://t.co/AycR1ElgwB
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Mashup Score: 2Lessons on Leadership from Leads: Leadership Education for Academic Development and Success - 8 day(s) ago
Leadership is well studied in the business world and is the subject of multiple books and articles.[1][1] Although leadership skills can be taught, there is still the perception that there are “natural leaders.” There are currently multiple leadership training programs for physicians in academic
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RT @JosERodrguezMD1: Lessons on Leadership from Leads: Leadership Education for Academic Development and Success https://t.co/R1erYXB3Sx So…
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Mashup Score: 0The 2023 Terror Attack on Southern Israel: Well-Being and Burnout Among Health Care Personnel Treating Traumatized Evacuees - 9 day(s) ago
This study investigates the well-being, resilience, and burnout of health care personnel treating evacuees with severe trauma following a major terrorist attack in southern Israel on October 7, 2023. Longitudinal trends and factors influencing personnel’s emotional states are explored. Questionnaires from 129 health care personnel recruited from primary care clinics, including those serving evacuees exclusively, revealed significant correlations of self-efficacy and well-being with gender and religiosity, impacting burnout levels. Professional experience and exposure to traumatized evacuees were also linked to well-being. This research addresses a crucial gap in understanding personnel’s emotional resilience and guiding interventions to enhance personnel well-being and improve patient care quality. Annals Early Access article
Source: www.annfammed.orgCategories: General Medicine News, General Journals & SocietTweet-
This research brief authored by Dikla Agur Cohen & Merav Sudarsky reveals the impact of trauma on health care professionals following the 2023 attack in Southern Israel. #Israel #FamilyMedicine đź“° - https://t.co/HhBe50qxzk https://t.co/X83AWntxOV
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Mashup Score: 0Healing Amidst Conflict: The Perspective of an Israeli Family Physician During Wartime - 10 day(s) ago
Family medicine is well-established in Israel and serves as the foundation of the Israeli health care system. On October 7, 2023, Israel experienced a profound shock and trauma when over 1,200 Israelis, including Jews, Christians, and Muslims of all ages, were brutally murdered, tortured, raped, burned alive, or taken hostage by Hamas terrorists from Gaza. This essay provides a contextual view from the vantage point of an Israeli family physician. It touches on the horror of the conflict while proposing that family physicians can stand as beacons of hope, offering healing and solace to all in need. Annals Early Access article
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
This essay sheds light on the complex realities physicians face when caring for patients in wartime, demonstrating how they continue to deliver compassionate care despite immense challenges. #FamilyMedicine #Israel #FamilyPhysician đź“° - https://t.co/uFGg1sg8ko https://t.co/rckiVRimNc
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Mashup Score: 1“We Haven’t Even Started Crying Yet”: Caring for the Family Under Occupation and War in the Occupied Palestinian Territories - 10 day(s) ago
Providing care for families under occupation has always been marked by scarce resources and too many patients. The current war in Gaza has dramatically worsened conditions in the Occupied Territories of Palestine (OTP). A family physician and her team in the southern West Bank describe their own challenges and give voice to the physicians in the OTP they interviewed to better understand the professional and personal challenges of living and working during the uncertainty of war. Annals Early Access article
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
The personal accounts of physicians in the Occupied Territories of Palestine reveal the profound impact of occupation war and occupation on both clinicians and patients. #FamilyMedicine #Gaza #Palestine #PrimaryCare đź”— - https://t.co/SxtqzF7M73 https://t.co/iyaCa798KS
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Mashup Score: 3Family Medicine in Times of War - 12 day(s) ago
Wars and conflicts appear to be a fact of life for populations across the globe, often in places where family medicine functions as the backbone of the health care system. In these situations, family physicians are frequently called on to serve in expanded roles and are witnesses to the enormous mental and physical suffering of individuals, families, communities, and populations. This article examines the lessons family medicine can learn from current wars and other terrible conflagrations. Annals Early Access article
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
📰| https://t.co/AfNEfoqmin This special report from Jeffrey M. Borkan (@BrownFamMed, @BrownMedicine) highlights the need for family physicians to be prepared to handle both the immediate & long-term effects of war, including physical injuries, psychological trauma, and the… https://t.co/mCyFLFYC2y https://t.co/meoK4n8ZbY
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Mashup Score: 1
Direct primary care (DPC) is a model of health care delivery that relies on membership fees for service; however, it has been criticized as potentially worsening the shortage of primary care physicians. We sought to compare the distribution of DPC practices in the United States to that of non-DPC primary care and assess the overlap with Health Resources and Services Administration designated health professional shortage areas (HPSAs). We mined data from publicly available sources on DPC practices, HPSAs, and other primary care physicians. We stratified analyses by degree of rurality and HPSA priority need scores. We found that DPC practices were less likely to be in HPSAs overall and less likely to be in a high-priority–need HPSA but more likely to be in a rural or partially rural HPSA compared to primary care physicians. There is ample opportunity to grow DPC presence in many HPSAs that remain underserved, especially high-priority HPSAs in urban areas.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
This study of Direct Primary Care (DPC) practices across the U.S. examined whether such practices were located in areas where there is a need for primary care. Authored by: Neal D. Goldstein (@drexelpubhealth) and Paul Yerkes https://t.co/cdNOByUkLm https://t.co/OQEIlRjflm
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From our most recent issue, a family physician reflects on what she learned about complex geriatric care, ethics, health care finance, and human connection from caring for a challenging patient. đź”—- https://t.co/KilBLlLyqg https://t.co/TONUddoWFl