for Journals by Title or ISSN
for Articles by Keywords
help
  Subjects -> MEDICAL SCIENCES (Total: 7328 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (197 journals)
    - ANAESTHESIOLOGY (105 journals)
    - CARDIOVASCULAR DISEASES (309 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (202 journals)
    - DENTISTRY (245 journals)
    - DERMATOLOGY AND VENEREOLOGY (149 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (106 journals)
    - ENDOCRINOLOGY (137 journals)
    - FORENSIC SCIENCES (35 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (162 journals)
    - GERONTOLOGY AND GERIATRICS (118 journals)
    - HEMATOLOGY (142 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (139 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (90 journals)
    - MEDICAL GENETICS (59 journals)
    - MEDICAL SCIENCES (1833 journals)
    - NURSES AND NURSING (293 journals)
    - OBSTETRICS AND GYNECOLOGY (177 journals)
    - ONCOLOGY (356 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (121 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (145 journals)
    - OTORHINOLARYNGOLOGY (74 journals)
    - PATHOLOGY (98 journals)
    - PEDIATRICS (243 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (140 journals)
    - PSYCHIATRY AND NEUROLOGY (741 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (181 journals)
    - RESPIRATORY DISEASES (92 journals)
    - RHEUMATOLOGY (63 journals)
    - SPORTS MEDICINE (68 journals)
    - SURGERY (351 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (132 journals)

MEDICAL SCIENCES (1833 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 4)
ABCS Health Sciences     Open Access   (Followers: 1)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Full-text available via subscription   (Followers: 40)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access   (Followers: 1)
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access  
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access  
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 2)
Addiction Science & Clinical Practice     Open Access   (Followers: 7)
Addictive Behaviors Reports     Open Access   (Followers: 7)
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 7)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 5)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Medical Education and Practice     Open Access   (Followers: 26)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Advances in Medicine     Open Access   (Followers: 2)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 5)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 9)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 6)
Advances in Wound Care     Hybrid Journal   (Followers: 10)
African Health Sciences     Open Access   (Followers: 2)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 1)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 2)
African Journal of Trauma     Open Access  
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 8)
AJOB Primary Research     Partially Free   (Followers: 3)
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 2)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
American Journal of Biomedical Engineering     Open Access   (Followers: 12)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 5)
American Journal of Clinical Medicine Research     Open Access   (Followers: 5)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 12)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 2)
American Journal of Medicine     Hybrid Journal   (Followers: 45)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access  
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 10)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 4)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 3)
Anatomical Science International     Hybrid Journal   (Followers: 2)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 1)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 9)
Annals of Family Medicine     Open Access   (Followers: 12)
Annals of Fundeni Hospital     Open Access   (Followers: 1)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Microbiology     Hybrid Journal   (Followers: 10)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 17)
Anthropological Review     Open Access   (Followers: 24)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 2)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal  
Applied Medical Informatics     Open Access   (Followers: 10)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access  
Archives of Biomedical Sciences     Open Access   (Followers: 7)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Trauma Research     Open Access   (Followers: 2)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 10)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 12)
Artificial Organs     Hybrid Journal   (Followers: 1)
Asia Pacific Family Medicine     Open Access  
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 9)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 6)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 2)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 1)
Asian Journal of Scientific Research     Open Access   (Followers: 2)
Asian Journal of Transfusion Science     Open Access   (Followers: 2)
Asian Medicine     Hybrid Journal   (Followers: 4)
Asian Pacific Journal of Cancer Prevention     Open Access  
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Audiology - Communication Research     Open Access   (Followers: 8)
Auris Nasus Larynx     Full-text available via subscription  
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Aviation, Space, and Environmental Medicine     Full-text available via subscription   (Followers: 10)
Avicenna     Open Access   (Followers: 2)
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 1)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 3)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 3)
Bangladesh Journal of Medical Physics     Open Access  
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 2)
Bangladesh Medical Journal     Open Access  
Bangladesh Medical Journal Khulna     Open Access  
Basal Ganglia     Hybrid Journal  
Basic Sciences of Medicine     Open Access   (Followers: 2)
BBA Clinical     Open Access  
BC Medical Journal     Free  
Benha Medical Journal     Open Access  
Bijblijven     Hybrid Journal  
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Bio-Algorithms and Med-Systems     Hybrid Journal   (Followers: 1)
BioDiscovery     Open Access   (Followers: 2)
Bioelectromagnetics     Hybrid Journal   (Followers: 1)
Bioengineering & Translational Medicine     Open Access  
Bioethics     Hybrid Journal   (Followers: 14)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
Biologics in Therapy     Open Access  

        1 2 3 4 5 6 7 8 | Last

Journal Cover Annals of Family Medicine
  [SJR: 3.311]   [H-I: 78]   [12 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1544-1709 - ISSN (Online) 1544-1717
   Published by Annals of Family Medicine Homepage  [1 journal]
  • Managing Medical Requests From Family and Friends [article-commentary]

    • Authors: Thibert, K. A; Johansen, M. E.
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2195
      Issue No: Vol. 16, No. 1 (2018)
       
  • In This Issue: Community Health, Clinical Care, and Clinician Calling
           [Editorials]

    • Authors: Stange K. C.
      Pages: 2 - 3
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2187
      Issue No: Vol. 16, No. 1 (2018)
       
  • Perspectives in Primary Care: Knowing the Patient as a Person in the
           Precision Medicine Era [Editorials]

    • Authors: Ziegelstein R. C.
      Pages: 4 - 5
      Keywords: Disease pathophysiology / etiology, Professional practice, Personalized care, Relationship, Communication / decision making
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2169
      Issue No: Vol. 16, No. 1 (2018)
       
  • Prescription Opioid Use and Satisfaction With Care Among Adults With
           Musculoskeletal Conditions [Original Research]

    • Authors: Sites, B. D; Harrison, J, Herrick, M. D, Masaracchia, M. M, Beach, M. L, Davis, M. A.
      Pages: 6 - 13
      Abstract: PURPOSEIn the current payment paradigm, reimbursement is partially based on patient satisfaction scores. We sought to understand the relationship between prescription opioid use and satisfaction with care among adults who have musculoskeletal conditions.METHODSWe performed a cross-sectional study using nationally representative data from the 2008–2014 Medical Expenditure Panel Survey. We assessed whether prescription opioid use is associated with satisfaction with care among US adults who had musculoskeletal conditions. Specifically, using 5 key domains of satisfaction with care, we examined the association between opioid use (overall and according to the number of prescriptions received) and high satisfaction, defined as being in the top quartile of overall satisfaction ratings.RESULTSAmong 19,566 adults with musculoskeletal conditions, we identified 2,564 (13.1%) who were opioid users, defined as receiving 1 or more prescriptions in 2 six-month time periods. In analyses adjusted for sociodemographic characteristics and health status, compared with nonusers, opioid users were more likely to report high satisfaction with care (odds ratio = 1.32; 95% CI, 1.18–1.49). According to the level of use, a stronger association was noted with moderate opioid use (odds ratio = 1.55) and heavy opioid use (odds ratio = 1.43) (P
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2148
      Issue No: Vol. 16, No. 1 (2018)
       
  • Integrating Community Health Workers Into Medical Homes [Original
           Research]

    • Authors: Rogers, E. A; Manser, S. T, Cleary, J, Joseph, A. M, Harwood, E. M, Call, K. T.
      Pages: 14 - 20
      Abstract: PURPOSEThough evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook a qualitative study to (1) identify facilitators and barriers to utilizing a CHW model among PCMHs in Minnesota, and (2) define roles played by this workforce within the PCMH team.METHODSWe conducted 51 semistructured, key-informant interviews of clinic leaders, clinicians, care coordinators, CHWs, and staff from 9 clinics (5 with community health workers, 4 without). Qualitative analysis consisted of thematic coding aligned with interview topics.RESULTSFour key conceptual themes emerged as facilitators and barriers to utilizing a CHW model: the presence of leaders with knowledge of CHWs who championed the model, a clinic culture that favored piloting innovation vs maintaining established care models, clinic prioritization of patients’ nonmedical needs, and leadership perceptions of sustainability. These health care workers performed common and clinic-specific roles that included outreach, health education and coaching, community resource linkage, system navigation, and facilitating communication between clinician and patient.CONCLUSIONSWe identified facilitators and barriers to adopting CHW roles as part of PCMH care teams in Minnesota and documented their roles being played in these settings. Our findings can be used when considering strategies to enhance utilization and integration of this emerging workforce.
      Keywords: Chronic illness, Qualitative methods, Health services, Professional practice, Access, Patient-centered medical home, Organizational / practice change
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2171
      Issue No: Vol. 16, No. 1 (2018)
       
  • Detecting Hepatitis B and C by Combined Public Health and Primary Care
           Birth Cohort Testing [Original Research]

    • Authors: Heil, J; Hoebe, C. J. P. A, Cals, J. W. L, ter Waarbeek, H. L. G, van Loo, I. H. M, Dukers-Muijrers, N. H. T. M.
      Pages: 21 - 27
      Abstract: PURPOSEBoth chronic hepatitis C (HCV) and B virus (HBV) infections are generally asymptomatic, and many remain undetected or are diagnosed at a late stage. Studies that evaluate best practice hepatitis testing strategies are needed to better detect this hidden population.METHODSIn this prospective cohort study, we aimed to determine the diagnostic yield (test uptake and rate of positive test results) of a combined public health and primary care birth cohort testing strategy in detecting hidden cases of HCV and HBV infections. We invited all patients aged between 40 and 70 years (n = 6,743) registered with 11 family practices serving 2 higher prevalence areas, or hotspots (ie, estimated HCV prevalence of 1%; national estimated prevalence is 0.1–0.4%), in the south of the Netherlands.RESULTSTest uptake was 50.9% (n = 3,434 patients). No active or chronic HCV infection was detected: 0.00% (95% CI, 0.00%–0.11%). Positive test rates were 0.20% (95% CI, 0.08%–0.42%) for anti-HCV (n = 7), 0.26% (95% CI, 0.12%–0.50%) for hepatitis B surface antigen (n = 9), and 4.14% (95% CI, 3.49%–4.86%) for antihepatitis B core (n = 142).CONCLUSIONSThis best practice testing strategy was effective in achieving a high test uptake. It completely failed, however, to detect hidden chronic HCV infections and is not recommended for countries with a low prevalence of the disease.
      Keywords: Chronic illness, Prevention, Quantitative methods, Health services, Clinical practice guidelines
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2166
      Issue No: Vol. 16, No. 1 (2018)
       
  • The Influence of Family Physicians Within the South African District
           Health System: A Cross-Sectional Study [Original Research]

    • Authors: von Pressentin, K. B; Mash, R. J, Baldwin-Ragaven, L, Botha, R. P. G, Govender, I, Steinberg, W. J, Esterhuizen, T. M.
      Pages: 28 - 36
      Abstract: PURPOSEEvidence of the influence of family physicians on health care is required to assist managers and policy makers with human resource planning in Africa. The international argument for family physicians derives mainly from research in high-income countries, so this study aimed to evaluate the influence of family physicians on the South African district health system.METHODSWe conducted a cross-sectional observational study in 7 South African provinces, comparing 15 district hospitals and 15 community health centers (primary care facilities) with family physicians and the same numbers without family physicians. Facilities with and without family physicians were matched on factors such as province, setting, and size.RESULTSAmong district hospitals, those with family physicians generally scored better on indicators of health system performance and clinical processes, and they had significantly fewer modifiable factors associated with pediatric mortality (mean, 2.2 vs 4.7, P =.049). In contrast, among community health centers, those with family physicians generally scored more poorly on indicators of health system performance and clinical processes, with significantly poorer mean scores for continuity of care (2.79 vs 3.03; P =.03) and coordination of care (3.05 vs 3.51; P =.02).CONCLUSIONSIn this study, having family physicians on staff was associated with better indicators of performance and processes in district hospitals but not in community health centers. The latter was surprising and is inconsistent with the global literature, suggesting that further research is needed on the influence of family physicians at the primary care level.
      Keywords: Acute illness, Chronic illness, Children's health, Vulnerable populations, Quantitative methods, Health policy, Health services, Quality improvement, Social / cultural context
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2133
      Issue No: Vol. 16, No. 1 (2018)
       
  • A Longitudinal Study of Interactions Between Health Professionals and
           People With Newly Diagnosed Diabetes [Original Research]

    • Authors: Dowell, A; Stubbe, M, Macdonald, L, Tester, R, Gray, L, Vernall, S, Kenealy, T, Sheridan, N, Docherty, B, Hall, D.-A, Raphael, D, Dew, K.
      Pages: 37 - 44
      Abstract: PURPOSEWe undertook a study to observe in detail the primary care interactions and communications of patients with newly diagnosed diabetes over time. In addition, we sought to identify key points in the process where miscommunication might occur.METHODSAll health interactions of 32 patients with newly diagnosed type 2 diabetes were recorded and tracked as they moved through the New Zealand health care system for a period of approximately 6 months. Data included video recordings of patient interactions with the health professionals involved in their care (eg, general practitioners, nurses, dietitians). We analyzed data with ethnography and interaction analysis.RESULTSChallenges to effective communication in diabetes care were identified. Although clinicians showed high levels of technical knowledge and general communication skill, initial consultations were often driven by biomedical explanations out of context from patient experience. There was a perception of time pressure, but considerable time was spent with patients by health professionals repeating information that may not be relevant to patient need. Health professionals had little knowledge of what disciplines other than their own do and how their contributions to patient care may differ.CONCLUSIONSDespite current high skill levels of primary care professionals, opportunities exist to increase the effectiveness of communication and consultation in diabetes care. The various health professionals involved in patient care should agree on the length and focus of each consultation.
      Keywords: Chronic illness, Qualitative methods, Personalized care, Communication / decision making, Patient perspectives
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2144
      Issue No: Vol. 16, No. 1 (2018)
       
  • Family Physicians Managing Medical Requests From Family and Friends
           [Original Research]

    • Authors: Giroldi, E; Freeth, R, Hanssen, M, Muris, J. W. M, Kay, M, Cals, J. W. L.
      Pages: 45 - 51
      Abstract: PURPOSEAlthough guidelines generally state that physicians should not treat their family members or friends (nonpatients), physicians regularly receive medical requests from nonpatients. We aimed to explore junior and senior family physicians’ experiences with and attitudes toward managing medical requests from nonpatients.METHODSWe conducted a qualitative study with 7 focus groups with junior and senior physicians. We performed a thematic analysis during an iterative cycle of data collection and analysis.RESULTSWhen confronted with a medical request from a nonpatient, physicians first oriented themselves to the situation: who is this person, what is he or she asking of me, and where are we' Physicians next considered the following interrelated factors: (1) nature/strength of the relationship with the nonpatient, (2) amount of trust in his/her own knowledge and skills, (3) expected consequences of making mistakes, (4) importance of work-life balance, and (5) risk of disturbing the physician-patient process. Senior physicians applied more nuanced considerations when deciding whether to respond, whereas junior physicians experienced more difficulties dealing with these requests, were less inclined to respond, and were more concerned about disturbing the existing relationship that a person had with his/her own physician.CONCLUSIONSThis study provides insight into the complexity that physicians face when managing medical questions and requests from nonpatients. Facilitated group discussions during which experiences are shared can help junior physicians become more confident in dealing with these complex issues as they formulate their own personal strategy regarding provision of medical advice or treatment to family and friends.
      Keywords: Qualitative methods, Professional practice, Access, Relationship, Communication / decision making, Ethics
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2152
      Issue No: Vol. 16, No. 1 (2018)
       
  • Features of Terra Firma-Forme Dermatosis [Research Briefs]

    • Authors: Aslan, N. C; Guler, Şukran, Demirci, K, Isiyel, E.
      Pages: 52 - 54
      Abstract: Terra-firma-forme dermatosis (TFFD) is a little known hyperpigmented skin disease that is more common than expected. We examined retrospectively the medical records of 79 patients: 88.6% were children, the mean age was 10.4 years (SD = 7.5 years), and 64.6% were female. The dermatoses were found on the trunk in 27.8%, extremities in 26.6%, fold zones in 8.9%, and head in 2.5% of the patients. The lesions appeared in more than 1 location in 34.2% of the patients and were symmetrically located 77.2% of the time. Swabbing with alcohol is sufficient for diagnosis and treatment. TFFD, mostly seen in children and female patients, should be kept in mind to avoid unnecessary diagnostic testing and treatment.
      Keywords: Disease pathophysiology / etiology, Quantitative methods
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2175
      Issue No: Vol. 16, No. 1 (2018)
       
  • Predictors of Attrition From Family Medicine Board Certification [Research
           Briefs]

    • Authors: Liaw, W; Wingrove, P, Petterson, S, Peterson, L, Park, B, Bazemore, A, Puffer, J. C.
      Pages: 55 - 58
      Abstract: Board certification is associated with higher quality care. We sought to determine the rates and predictors of attrition from certification among family physicians who achieved initial certification with the American Board of Family Medicine from 1980 through 2000. In this period, 5.6% of family physicians never attempted recertification, with the rate increasing from 4.9% between 1990 and 1995 to 5.7% from 1996 to 2000. Being male, an international medical graduate, or 30 years of age or older at initial certification was associated with not recertifying. With information about those likely to leave certification, the board can design and implement interventions that minimize attrition.
      Keywords: Older adults, Quantitative methods, Health policy, Access
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2176
      Issue No: Vol. 16, No. 1 (2018)
       
  • Medical Students Views of Medicine as a Calling and Selection of a Primary
           Care-Related Residency [Research Briefs]

    • Authors: Kao, A. C; Jager, A. J.
      Pages: 59 - 61
      Abstract: With the US health care system facing a primary care physician shortage, we evaluated whether medical students who saw medicine as a calling were more likely to enter a family medicine, internal medicine, or pediatrics residency program. Of the 591 4th-year medical students who responded to a survey item on medicine as a calling, 237 strongly agreed that the "practice of medicine is a calling." Students who strongly agreed that medicine was a calling had higher odds (P=.003) of selecting a primary care-related residency. Identifying with medicine as a calling may increase the likelihood of pursuing a primary care career.
      Keywords: Health policy, Access, Communication / decision making, Education
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2149
      Issue No: Vol. 16, No. 1 (2018)
       
  • Using State Administrative Data to Identify Social Complexity Risk Factors
           for Children [Methodology]

    • Authors: Arthur, K. C; Lucenko, B. A, Sharkova, I. V, Xing, J, Mangione-Smith, R.
      Pages: 62 - 69
      Abstract: PURPOSEScreening for social determinants of health is challenging but critically important for optimizing child health outcomes. We aimed to test the feasibility of using an integrated state agency administrative database to identify social complexity risk factors and examined their relationship to emergency department (ED) use.METHODSWe conducted a retrospective cohort study among children younger than 18 years with Washington State Medicaid insurance coverage (N = 505,367). We linked child and parent administrative data for this cohort to identify a set of social complexity risk factors, such as poverty and parent mental illness, that have either a known or hypothesized association with suboptimal health care use. Using multivariate analyses, we examined associations of each risk factor and of number of risk factors with the rate of ED use.RESULTSNine of 11 identifiable social complexity risk factors were associated with a higher rate of ED use. Additionally, the rate increased as the number of risk factors increased from 0 to 5 or more, reaching approximately twice the rate when 5 or more risk factors were present in children aged younger than 5 years (incidence rate ratio = 1.92; 95% CI, 1.85–2.00) and in children aged 5 to 17 years (incidence rate ratio = 2.06; 95% CI, 1.99–2.14).CONCLUSIONSState administrative data can be used to identify social complexity risk factors associated with higher rates of ED use among Medicaid-insured children. State agencies could give primary care medical homes a social risk flag or score to facilitate targeted screening and identification of needed resources, potentially preventing future unnecessary ED use in this vulnerable population of children.
      Keywords: Acute illness, Mental health, Children's health, Quantitative methods, Health services, Disparities in health and health care, Health informatics, Social / cultural context
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2134
      Issue No: Vol. 16, No. 1 (2018)
       
  • Medical Interpreters in Outpatient Practice [Special Reports]

    • Authors: Jacobs, B; Ryan, A. M, Henrichs, K. S, Weiss, B. D.
      Pages: 70 - 76
      Abstract: This article provides an overview of the federal requirements related to providing interpreter services for non-English–speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health programs or activities. Federal financial assistance includes grants, contracts, loans, tax credits and subsidies, as well as payments through Medicaid, the Children’s Health Insurance Program, and most Medicare programs. The only exception is providers whose only federal assistance is through Medicare Part B, an exception that applies to a very small percentage of practicing physicians. All required language assistance services must be free and provided by qualified translators and interpreters. Interpreters must meet specified qualifications and ideally be certified. Although the cost of interpreter services can be considerable, ranging from $45–$150/hour for in-person interpreters, to $1.25–$3.00/minute for telephone interpreters, and $1.95–$3.49/minute for video remote interpreting, it may be reimbursed or covered by a patient’s Medicaid or other federally funded medical insurance. Failure to use qualified interpreters can have serious negative consequences for both practitioners and patients. In one study, 1 of every 40 malpractice claims were related, all or in part, to failure to provide appropriate interpreter services. Most importantly, however, the use of qualified interpreters results in better and more efficient patient care.
      Keywords: Vulnerable populations, Health policy, Access, Communication / decision making, Disparities in health and health care, Social / cultural context
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2154
      Issue No: Vol. 16, No. 1 (2018)
       
  • The Day I Died [Reflections]

    • Authors: Stausmire, J. M; Greenbaum, M. G, Morelli-Greenbaum, M.
      Pages: 77 - 79
      Abstract: When I began experiencing chest pain that was different from my usual heartburn symptoms, I denied I could possibly be having a heart attack, but chewed 4 baby aspirin just in case. Despite years of community education about the need to call 911 and seek immediate emergency care when experiencing signs and symptoms of a heart attack, more than 350,000 individuals experienced an out-of-hospital cardiac arrest in 2016. Of those, only 12% survived. Bystander recognition of cardiac arrest and prompt intervention with cardiopulmonary resuscitation (CPR) and rapid defibrillation is essential for out-of-hospital survival. Not everyone is fortunate enough to have the right people with the right equipment in the right place at the right time. I don’t know why, but I was one of the lucky ones.
      Keywords: Acute illness, Patient perspectives
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2170
      Issue No: Vol. 16, No. 1 (2018)
       
  • Where We Belong: An Open Letter to My Colleagues in Training [Reflections]

    • Authors: Loxterkamp D.
      Pages: 80 - 82
      Abstract: Although the American health care system seems forever in flux, the young doctors who enter it provide one constant: their desire to help others. How will this desire express itself in an evolving marketplace' This letter is a reassurance that meaning and purpose can still be found in caring for others and investing in their worthy lives.
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2186
      Issue No: Vol. 16, No. 1 (2018)
       
  • Interdisciplinary Management of Opioid Use Disorder in Primary Care
           [Innovations]

    • Authors: Cantone, R. E; Fleishman, J, Garvey, B, Gideonse, N.
      Pages: 83 - 83
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2184
      Issue No: Vol. 16, No. 1 (2018)
       
  • CHALLENGES AND NEXT STEPS FOR PRIMARY CARE RESEARCH [Family Medicine
           Updates]

    • Authors: Hudon, C; Chouinard, M.-C, Bayliss, E, Nothelle, S, Senn, N, Shadmi, E.
      Pages: 85 - 86
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2189
      Issue No: Vol. 16, No. 1 (2018)
       
  • AAFP GIVES GUIDANCE FOR HHS STRATEGIC PLAN THROUGH 2022 [Family Medicine
           Updates]

    • Authors: Porter S.
      Pages: 86 - 88
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2192
      Issue No: Vol. 16, No. 1 (2018)
       
  • AMERICAN BOARD OF FAMILY MEDICINE SELECTS NEW CHIEF EXECUTIVE OFFICER AND
           PRESIDENT [Family Medicine Updates]

    • Pages: 88 - 89
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2194
      Issue No: Vol. 16, No. 1 (2018)
       
  • REFLECTING ON OUR 50TH YEAR [Family Medicine Updates]

    • Authors: Theobald M.
      Pages: 89 - 90
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2188
      Issue No: Vol. 16, No. 1 (2018)
       
  • A SHARED AIM FOR STUDENT CHOICE OF FAMILY MEDICINE: AN UPDATE FROM ADFM
           AND FAMILY MEDICINE FOR AMERICAS HEALTH [Family Medicine Updates]

    • Authors: Kelly, C; FMA Health Workforce Education & Development Team, Roett, M. A, McCrory, K, Coutinho, A, Bhuyan, N, Alavi, M, Ho, T, Stisher, C, FMAHealth Workforce Project teams, Bentley, A, AAFP, Roett, M. A, Diller, P. M, Davis, A, ADFM Education Transformation Committee, Roett, M. A, Georgetown University Medical Center Dept of Family Medicine
      Pages: 90 - 91
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2191
      Issue No: Vol. 16, No. 1 (2018)
       
  • THE NEW MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS): POTENTIAL IMPACT ON
           RESIDENT MOONLIGHTING [Family Medicine Updates]

    • Authors: Morgan, S. L; Jarvis, J. W.
      Pages: 91 - 92
      PubDate: 2018-01-08T14:00:15-08:00
      DOI: 10.1370/afm.2190
      Issue No: Vol. 16, No. 1 (2018)
       
 
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
 
Home (Search)
Subjects A-Z
Publishers A-Z
Customise
APIs
Your IP address: 54.144.73.205
 
About JournalTOCs
API
Help
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-