Subjects -> MEDICAL SCIENCES (Total: 8212 journals)
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MEDICAL SCIENCES (2241 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 1)
3D Printing in Medicine     Open Access   (Followers: 5)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 2)
AAS Open Research     Open Access  
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 1)
AboutOpen     Open Access  
ACIMED     Open Access  
ACM Transactions on Computing for Healthcare     Hybrid Journal  
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 42)
Acta Bio Medica     Open Access   (Followers: 1)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Herediana     Open Access  
Acta Marisiensis - Seria Medica     Open Access  
Acta Medica (Hradec Králové)     Open Access  
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 International     Open Access  
Acta Medica Iranica     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Peruana     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 3)
Acupuncture and Herbal Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 12)
Advanced NanoBiomed Research     Open Access   (Followers: 1)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 4)
Advanced Therapeutics     Hybrid Journal   (Followers: 1)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 6)
Advances in Cell and Gene Therapy     Hybrid Journal   (Followers: 1)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 24)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7)
Advances in Medical Education and Practice     Open Access   (Followers: 29)
Advances in Medical Sciences     Hybrid Journal   (Followers: 7)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 3)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 18)
Advances in Regenerative Medicine     Open Access   (Followers: 3)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Traditional Medicine     Hybrid Journal   (Followers: 3)
Advances in Virus Research     Full-text available via subscription   (Followers: 7)
Advances in Wound Care     Hybrid Journal   (Followers: 14)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 22)
African Health Sciences     Open Access   (Followers: 6)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access  
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access  
Afrimedic Journal     Open Access   (Followers: 3)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
Airway     Open Access   (Followers: 3)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
AkupunkturPraxis     Full-text available via subscription   (Followers: 3)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 1)
Al-Qadisiah Medical Journal     Open Access  
Alerta : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access  
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 1)
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 1)
American Journal of Biomedical Engineering     Open Access   (Followers: 10)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription  
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 2)
American Journal of Clinical Medicine Research     Open Access   (Followers: 5)
American Journal of Family Therapy     Hybrid Journal   (Followers: 6)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 10)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
American Journal of Medical Case Reports     Open Access  
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 2)
American Journal of Medicine     Hybrid Journal   (Followers: 47)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Open     Open Access   (Followers: 3)
American Journal of Medicine Studies     Open Access   (Followers: 3)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 11)
American Journal on Addictions     Hybrid Journal   (Followers: 11)
American medical news     Free   (Followers: 3)
Amrita Journal of Medicine     Open Access   (Followers: 3)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 6)
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: 5)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 3)
Anatomy Research International     Open Access   (Followers: 4)
Androgens : Clinical Research and Therapeutics     Open Access  
Angewandte Nuklearmedizin     Full-text available via subscription   (Followers: 3)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 2)
Animal Diseases     Open Access  
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: 2)
Annals of 3D Printed Medicine     Open Access  
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical and Medical Case Reports     Open Access  
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 9)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Health Research     Open Access   (Followers: 2)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 5)
Annals of Medicine     Hybrid Journal   (Followers: 11)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Medicine and Surgery Case Reports     Open Access  
Annals of Medicine and Surgery Protocols     Open Access  
Annals of Microbiology     Open Access   (Followers: 9)
Annals of Musculoskeletal Medicine     Open Access  
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the College of Medicine, Mosul     Open Access  
Annals of the National Academy of Medical Sciences (India)     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)
Annals of the RussianAacademy of Medical Sciences     Open Access  
Annals of Vascular Surgery - Brief Reports and Innovations     Full-text available via subscription  
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 27)
Anthropologie et santé     Open Access   (Followers: 4)
Antibiotics     Open Access   (Followers: 10)
Antibodies     Open Access   (Followers: 2)
Antibody Reports     Open Access  
Antibody Therapeutics     Open Access  
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access  
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 4)
Applied Medical Informatics     Open Access   (Followers: 11)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 2)
Arabian Journal of Scientific Research / المجلة العربية للبحث العلمي     Open Access  
Archive of Biomedical Science and Engineering     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access   (Followers: 1)
Archives of Clinical Hypertension     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 2)
Archives of Medical Laboratory Sciences     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Organ Transplantation     Open Access  
Archives of Preventive Medicine     Open Access  
Archives of Pulmonology and Respiratory Care     Open Access  
Archives of Renal Diseases and Management     Open Access  
Archives of Trauma Research     Open Access   (Followers: 4)
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access  
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 14)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 19)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASA Monitor     Full-text available via subscription  
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asian Bioethics Review     Full-text available via subscription   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 4)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 3)
Asian Journal of Medical and Pharmaceutical Researches     Open Access  
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Asian Journal of Population Sciences     Open Access  
Asian Journal of Research in Medical and Pharmaceutical Sciences     Open Access  
Asian Journal of Scientific Research     Open Access   (Followers: 2)
Asian Journal of Social Health and Behavior     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access  
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Health Sciences     Open Access   (Followers: 2)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access  
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 4)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Annals of Family Medicine
Journal Prestige (SJR): 2.748
Citation Impact (citeScore): 3
Number of Followers: 14  

  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]
  • Implementing High-Quality Primary Care: To What End' [EDITORIAL]

    • Authors: Phillips; R. L.
      Pages: 107 - 108
      Keywords: Community / population health, Access, Continuity, Comprehensiveness, Coordination / integration of care, Research capacity building
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2802
      Issue No: Vol. 20, No. 2 (2022)
       
  • Tribute to Annals of Family Medicine Associate Editor John Frey
           [EDITORIAL]

    • Authors: Holkeboer; J.
      Pages: 109 - 109
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2797
      Issue No: Vol. 20, No. 2 (2022)
       
  • Addendum to: Karlin J. Sams story: the financial and human costs of
           disjointed logics of care. Ann Fam Med. 2022;20(1):84-87. [ADDENDUM]

    • Pages: 109 - 109
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2809
      Issue No: Vol. 20, No. 2 (2022)
       
  • Physicians Choice of Board Certification Activity Is Unaffected by
           Baseline Quality of Care: The TRADEMaRQ Study [ORIGINAL RESEARCH]

    • Authors: Peterson, L. E; Johannides, J, Phillips, R. L.
      Pages: 110 - 115
      Abstract: PURPOSEPhysicians’ use of self-assessment to guide quality improvement or board certification activities often does not correlate with more objective measures, and they may spend valuable time on activities that support their strengths instead of addressing gaps. Our objective was to study whether viewing quality measures, with peer comparisons, would affect the selection of certification activities.METHODSWe conducted a cluster-randomized controlled trial—the Trial of Data Exchange for Maintenance of certification and Raising Quality (TRADEMaRQ)—with 4 partner organizations during 2015-2017. Physicians were presented their quality data within their online certification portfolios before (intervention) vs after (control) they chose board certification activities. The primary outcome was whether the selected activity addressed a quality gap (a quality area in which the physician scored below the mean for the study population).RESULTSOf 2,570 invited physicians, 254 physicians completed the study: 130 in the intervention group and 124 in the control group. Nearly one-fifth of participating physicians did not complete any certification activities during the study. A sizable minority of those in the intervention group, 18.4%, never reviewed their quality dashboard. Overall, just 27.2% of completed certification activities addressed a quality gap, and there was no significant difference in this outcome in the intervention group vs the control group in either bivariate or adjusted analyses (odds ratio = 1.28; 95% CI, 0.90-1.82).CONCLUSIONSPhysicians did not use quality performance data in choosing certification activities. Certification boards are being pressed to make their programs relevant to practice, less burdensome, and supportive of quality improvement in alignment with value-based payment models. Using practice data to drive certification choices would meet these goals.
      Keywords: Quantitative methods, Health informatics
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2770
      Issue No: Vol. 20, No. 2 (2022)
       
  • Racial and Ethnic Disparities in Acute Care Use for Pediatric Asthma
           [ORIGINAL RESEARCH]

    • Authors: Kaufmann, J; Marino, M, Lucas, J, Bailey, S. R, Giebultowicz, S, Puro, J, Ezekiel-Herrera, D, Suglia, S. F, Heintzman, J.
      Pages: 116 - 122
      Abstract: PURPOSEPrevious work has shown that asthma-related emergency department (ED) use is greatest among Black and Latine populations, but it is unknown whether health care use for exacerbations differs across settings (outpatient, ED, inpatient) and correlates with use of routine outpatient services. We aimed to measure disparities by race, ethnicity, and language in pediatric acute asthma care using data from US primary care community health centers.METHODSIn an observational study using electronic health records from community health centers in 18 states, we compared non-Hispanic Black, English-preferring Latine, Spanish-preferring Latine, and non-Hispanic White children aged 3 to 17 years on visits for clinic-coded asthma exacerbations (2012-2018). We further evaluated asthma-related ED use and inpatient admissions in a subsample of Oregon-Medicaid recipients. Covariate-adjusted odds ratios (ORs) and rate ratios (RRs) were derived using logistic or negative binomial regression analysis with generalized estimating equations.RESULTSAmong 41,276 children with asthma, Spanish-preferring Latine children had higher odds of clinic visits for asthma exacerbation than non-Hispanic White peers (OR = 1.10; 95% CI, 1.02-1.18). Among the subsample of 6,555 children insured under Oregon-Medicaid, non-Hispanic Black children had higher odds and rates of asthma-related ED use than non-Hispanic White peers (OR = 1.40; 95% CI, 1.04-1.89 and RR = 1.49; 95% CI, 1.09-2.04, respectively). We observed no differences between groups in asthma-related inpatient admissions.CONCLUSIONSThis study is the first to show that patterns of clinic and ED acute-care use differ for non-Hispanic Black and Spanish-preferring Latine children when compared with non-Hispanic White peers. Non-Hispanic Black children had lower use of clinics, whereas Spanish-preferring Latine children had higher use, including for acute exacerbations. These patterns of clinic use were accompanied by higher ED use among Black children. Ensuring adequate care in clinics may be important in mitigating disparities in asthma outcomes.VISUAL ABSTRACT
      Keywords: Chronic illness, Children's health, Quantitative methods, Health services, Access, Disparities in health and health care
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2771
      Issue No: Vol. 20, No. 2 (2022)
       
  • Clinic Factors Associated With Mailed Fecal Immunochemical Test (FIT)
           Completion: The Difference-Making Role of Support Staff [ORIGINAL
           RESEARCH]

    • Authors: Davis, M. M; Schneider, J. L, Petrik, A. F, Miech, E. J, Younger, B, Escaron, A. L, Rivelli, J. S, Thompson, J. H, Nyongesa, D, Coronado, G. D.
      Pages: 123 - 129
      Abstract: PURPOSEMailed fecal immunochemical test (FIT) programs can facilitate colorectal cancer (CRC) screening. We sought to identify modifiable, clinic-level factors that distinguish primary care clinics with higher vs lower FIT completion rates in response to a centralized mailed FIT program.METHODSWe used baseline observational data from 15 clinics within a single urban federally qualified health center participating in a pragmatic trial to optimize a mailed FIT program. Clinic-level data included interviews with leadership using a guide informed by the Consolidated Framework for Implementation Research (CFIR) and FIT completion rates. We used template analysis to identify explanatory factors and configurational comparative methods to identify specific combinations of clinic-level conditions that uniquely distinguished clinics with higher and lower FIT completion rates.RESULTSWe interviewed 39 clinic leaders and identified 58 potential explanatory factors representing clinic workflows and the CFIR inner setting domain. Clinic-level FIT completion rates ranged from 30% to 56%. The configurational model for clinics with higher rates (≥37%) featured any 1 of the following 3 factors related to support staff: (1) adding back- or front-office staff in past 12 months, (2) having staff help patients resolve barriers to CRC screening, and (3) having staff hand out FITs/educate patients. The model for clinics with lower rates involved the combined absence of these same 3 factors.CONCLUSIONSThree factors related to support staff differentiated clinics with higher and lower FIT completion rates. Adding nonphysician support staff and having those staff provide enabling services might help clinics optimize mailed FIT screening programs.
      Keywords: Mixed methods, Health services, Professional practice, Coordination / integration of care, Education, Quality improvement
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2772
      Issue No: Vol. 20, No. 2 (2022)
       
  • Diagnostic Accuracy of the Telephone Interview for Cognitive Status for
           the Detection of Dementia in Primary Care [ORIGINAL RESEARCH]

    • Authors: Abdulrahman, H; Jansen, E, Hoevenaar-Blom, M, van Dalen, J. W, van Wanrooij, L. L, van Bussel, E, van Gool, W. A, Richard, E, Moll van Charante, E. P.
      Pages: 130 - 136
      Abstract: PURPOSECognitive diagnostic work-up in primary care is not always physically feasible, owing to chronic disabilities and/or travel restrictions. The identification of dementia might be facilitated with diagnostic instruments that are time efficient and easy to perform, as well as useful in the remote setting. We assessed whether the Telephone Interview for Cognitive Status (TICS) might be a simple and accurate alternative for remote diagnostic cognitive screening in primary care.METHODSWe administered the TICS (range, 0-41) for 810 of 1,473 older people aged 84.5 (SD, 2.4) years. We scrutinized electronic health records for participants with TICS scores ≤30 and for a random sample of participants with TICS scores >30 for a dementia diagnosis using all data from the Prevention of Dementia by Intensive Vascular Care (preDIVA) trial for 8-12 years of follow-up. We used multiple imputation to correct for verification bias.RESULTSOf the 810 participants, 155 (19.1%) had a TICS score ≤30, and 655 (80.9%) had a TICS score >30. Electronic health records yielded 8.4% (13/154) dementia diagnoses for participants with TICS ≤30 vs none with TICS >30. Multiple imputation for TICS >30 yielded a median of 7/655 (1.1%; interquartile range, 5-8) estimated dementia cases. After multiple imputation, the optimal cutoff score was ≤29, with mean sensitivity 65.4%, specificity 87.8%, positive predictive value 11.9%, negative predictive value 99.0%, and area under the curve 77.4% (95% CI, 56.3%-90.0%).CONCLUSIONSIn the present older population, the TICS performed well as a diagnostic screening instrument for excluding dementia and might be particularly useful when face-to-face diagnostic screening is not feasible in family practice or research settings. The potential reach to large numbers of people at low cost could contribute to more efficient medical management in primary care.VISUAL ABSTRACT
      Keywords: Older adults, Health services, Professional practice, Access
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2768
      Issue No: Vol. 20, No. 2 (2022)
       
  • Social Risk Factors and Desire for Assistance Among Patients Receiving
           Subsidized Health Care Insurance in a US-Based Integrated Delivery System
           [ORIGINAL RESEARCH]

    • Authors: Tuzzio, L; Wellman, R. D, De Marchis, E. H, Gottlieb, L. M, Walsh-Bailey, C, Jones, S. M. W, Nau, C. L, Steiner, J. F, Banegas, M. P, Sharp, A. L, Derus, A, Lewis, C. C.
      Pages: 137 - 144
      Abstract: PURPOSEBecause social conditions such as food insecurity and housing instability shape health outcomes, health systems are increasingly screening for and addressing patients’ social risks. This study documented the prevalence of social risks and examined the desire for assistance in addressing those risks in a US-based integrated delivery system.METHODSA survey was administered to Kaiser Permanente members on subsidized exchange health insurance plans (2018-2019). The survey included questions about 4 domains of social risks, desire for help, and attitudes. We conducted a descriptive analysis and estimated multivariate modified Poisson regression models.RESULTSOf 438 participants, 212 (48%) reported at least 1 social risk factor. Housing instability was the most common (70%) factor reported. Members with social risks reported more discomfort being screened for social risks (14.2% vs 5.4%; P = .002) than those without risks, although 90% of participants believed that health systems should assist in addressing social risks. Among those with 1-2 social risks, however, only 27% desired assistance. Non-Hispanic Black participants who reported a social risk were more than twice as likely to desire assistance compared with non-Hispanic White participants (adjusted relative risk [RR] 2.2; 95% CI, 1.3-3.8).CONCLUSIONSAthough most survey participants believed health systems have a role in addressing social risks, a minority of those reporting a risk wanted assistance and reported more discomfort being screened for risk factors than those without risks. Health systems should work to increase the comfort of patients in reporting risks, explore how to successfully assist them when desired, and offer resources to address these risks outside the health care sector.VISUAL ABSTRACT
      Keywords: Vulnerable populations, Mixed methods, Coordination / integration of care, Quality improvement
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2774
      Issue No: Vol. 20, No. 2 (2022)
       
  • Failure of the Problem-Oriented Medical Paradigm and a Person-Centered
           Alternative [THEORY]

    • Authors: Mold; J. W.
      Pages: 145 - 148
      Abstract: Our problem-oriented approach to health care, though historically reasonable and undeniably impactful, is no longer well matched to the needs of an increasing number of patients and clinicians. This situation is due, in equal parts, to advances in medical science and technologies, the evolution of the health care system, and the changing health challenges faced by individuals and societies. The signs and symptoms of the failure of problem-oriented care include clinician demoralization and burnout; patient dissatisfaction and non-adherence; overdiagnosis and labeling; polypharmacy and iatrogenesis; unnecessary and unwanted end-of-life interventions; immoral and intolerable disparities in both health and health care; and inexorably rising health care costs. A new paradigm is needed, one that humanizes care while guiding the application of medical science to meet the unique needs and challenges of individual people. Shifting the focus of care from clinician-identified abnormalities to person-relevant goals would elevate the role of patients; individualize care planning; encourage prioritization, prevention, and end-of-life planning; and facilitate teamwork. Paradigm shifts are difficult, but the time has come for a reconceptualization of health and health care that can guide an overdue transformation of the health care system.
      Keywords: Personalized care, Relationship, Organizational / practice change, Racism
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2782
      Issue No: Vol. 20, No. 2 (2022)
       
  • Best Practices for COVID-19 Mass Vaccination Clinics [SPECIAL REPORTS]

    • Authors: Shakory, S; Eissa, A, Kiran, T, Pinto, A. D.
      Pages: 149 - 156
      Abstract: PURPOSEThe coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global public health crisis. Mass vaccination is the safest and fastest pandemic exit strategy. Mass vaccination clinics are a particularly important tool in quickly achieving herd immunity. Primary care physicians have played a crucial role in organizing and running vaccination clinics. In this special report, we synthesize existing guidelines and peer-reviewed studies to provide physicians with practical guidance on planning and implementing COVID-19 mass vaccination clinics.METHODSPubMed, Ovid MEDLINE and Embase were used to search for relevant literature using search terms that included COVID-19, mass vaccination, and best practice. We also identified and analyzed national and international guidelines.RESULTSForty-six relevant articles, reports, and guidelines were identified and synthesized. Articles included mass vaccination clinic guidelines and studies before and during the COVID-19 pandemic. Key considerations for COVID-19 mass vaccination clinics include leadership and role designation, site selection, clinic layout and workflow, day-to-day operations, infection prevention, and communication strategies.CONCLUSIONSPlanning and implementing a successful COVID-19 mass vaccination clinic requires several key considerations. Primary care plays an important role in organizing clinics and ensuring populations made vulnerable by social and economic policies are being reached. Ongoing data collection is required to evaluate and continuously improve COVID-19 mass vaccination efforts. As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine rollout occurs in various countries, research will be required to identify the main factors for success to inform future pandemic responses.VISUAL ABSTRACT
      Keywords: Prevention, Community / population health, Coordination / integration of care, COVID-19
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2773
      Issue No: Vol. 20, No. 2 (2022)
       
  • Conceptualizing, Contextualizing, and Operationalizing Race in
           Quantitative Health Sciences Research [SPECIAL REPORTS]

    • Authors: Lett, E; Asabor, E, Beltran, S, Cannon, A. M, Arah, O. A.
      Pages: 157 - 163
      Abstract: Differences in health outcomes across racial groups are among the most commonly reported findings in health disparities research. Often, these studies do not explicitly connect observed disparities to mechanisms of systemic racism that drive adverse health outcomes among racialized and other marginalized groups in the United States. Without this connection, investigators inadvertently support harmful narratives of biologic essentialism or cultural inferiority that pathologize racial identities and inhibit health equity. This paper outlines pitfalls in the conceptualization, contextualization, and operationalization of race in quantitative population health research and provides recommendations on how to appropriately engage in scientific inquiry aimed at understanding racial health inequities. Race should not be used as a measure of biologic difference, but rather as a proxy for exposure to systemic racism. Future studies should go beyond this proxy use and directly measure racism and its health impacts.VISUAL ABSTRACTAppeared as Annals "Online First" article.
      Keywords: Community / population health, Cross-disciplinary, Translational research, Disparities in health and health care, Social / cultural context, Racism
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2792
      Issue No: Vol. 20, No. 2 (2022)
       
  • Implementing High-Quality Primary Care Through a Health Equity Lens
           [SPECIAL REPORTS]

    • Authors: Eissa, A; Rowe, R, Pinto, A, Okoli, G. N, Campbell, K. M, Washington, J. C, Rodriguez, J. E.
      Pages: 164 - 169
      Abstract: The COVID-19 pandemic highlighted the importance of centering health equity in future health system and primary care reforms. Strengthening primary care will be needed to correct the longstanding history of mistreatment of First Nations/Indigenous and racialized people, exclusion of health care workers of color, and health care access and outcome inequities further magnified by the COVID-19 pandemic. The National Academies of Sciences, Engineering, and Medicine (NASEM) released a report on Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care, that provided a framework for defining high-quality primary care and proposed 5 recommendations for implementing that definition. Using the report’s framework, we identified health equity challenges and opportunities with examples from primary care systems in the United States and Canada. We are poised to reinvigorate primary care because the recent pandemic and the attention to continued racialized police violence sparked renewed conversations and collaborations around equity, diversity, inclusion, and health equity that have been long overdue. The time to transition those conversations to actionable items to improve the health of patients, families, and communities is now.Appeared as Annals "Online First" article.
      Keywords: Health promotion, Community / population health, Disparities in health and health care, Social / cultural context, Racism, COVID-19
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2785
      Issue No: Vol. 20, No. 2 (2022)
       
  • Realizing the Dream: The Future of Primary Care Research [SPECIAL REPORTS]

    • Authors: Bierman, A. S; Tong, S. T, McNellis, R. J.
      Pages: 170 - 174
      Abstract: Primary care research is central to the successful transformation of care delivery, providing the crucial evidence to overcome the longstanding and widespread threats and challenges to the realization of primary care’s full potential. The Agency for Healthcare Research and Quality (AHRQ), as the federal agency specifically charged with conducting and supporting primary care research, plays a pivotal role in supporting the research and generating the evidence needed to advance primary care. Drawing upon decades of AHRQ-supported research studies, extensive stakeholder consultation, and a Primary Care Research Summit held in fall 2020, we discuss the primary care research central to successful primary care transformation and for realizing the vision of a high-performing US health system to effectively serve all Americans and their communities while advancing health equity.Realizing the potential of primary care will require wise investments in primary care research. Newly generated evidence needs to be rapidly incorporated into the design of the delivery system, clinical care, and community interventions. Investments in evidence-informed primary care redesign can catalyze progress to achieving the quintuple aim—improved health outcomes, increased value, better patient and clinician experience, and health equity. Primary care research can provide the evidence to help stem the twin epidemics of clinician burnout and lack of trust in the health system. Actualizing this vision will require a concerted and coordinated effort by policy makers, researchers, clinicians, and community members and a commitment to ensuring people and communities have ready access to primary care.Appeared as Annals "Online First" article.
      Keywords: Community / population health, Comprehensiveness, Coordination / integration of care, Relationship, Research capacity building
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2788
      Issue No: Vol. 20, No. 2 (2022)
       
  • Health Equity: The Only Path Forward for Primary Care [SPECIAL REPORTS]

    • Authors: Henry, T. L; Britz, J. B, Louis, J. S, Bruno, R, Oronce, C. I. A, Georgeson, A, Ragunanthan, B, Green, M. M, Doshi, N, Huffstetler, A. N.
      Pages: 175 - 178
      Abstract: The 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Primary Care identifies 5 high-level objectives regarding payment, access, workforce development, information technology, and implementation. Nine junior primary care leaders (3 internal medicine, 3 family medicine, 3 pediatrics) invited from broad geographies, practice settings, and academic backgrounds used appreciative inquiry to identify priorities for the future of primary care. Highlighting the voices of these early career clinicians, we propose a response to the report from the perspective of early career primary care physicians. Health equity must be the foundation of the future of primary care. Because Barbara Starfield’s original 4 Cs (first contact, coordination, comprehensiveness, and continuity) may not be inclusive of the needs of under-resourced communities, we promote an extension to include 5 additional Cs: convenience, cultural humility, structural competency, community engagement, and collaboration. We support the NASEM report’s priorities and its focus on achieving health equity. We recommend investing in local communities and preparatory programs to stimulate diverse individuals to serve in health care. Finally, we support a blended value-based care model with risk adjustment for the social complexity of our patients.Appeared as Annals "Online First" article.
      Keywords: Community / population health, Access, Coordination / integration of care, Disparities in health and health care, Health informatics, Organizational / practice change
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2789
      Issue No: Vol. 20, No. 2 (2022)
       
  • The Food Box Pilot [INNOVATIONS IN PRIMARY CARE]

    • Authors: Engebretsen, B; Kane, A, Laroche, H.
      Pages: 179 - 179
      Keywords: Vulnerable populations, Coordination / integration of care
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2769
      Issue No: Vol. 20, No. 2 (2022)
       
  • Connecting Group Care Patients to Mental Health and Food Resources During
           the COVID-19 Pandemic [INNOVATIONS IN PRIMARY CARE]

    • Authors: Wolcott, C; Wanger, L, Penny, L.
      Pages: 180 - 180
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2790
      Issue No: Vol. 20, No. 2 (2022)
       
  • Adapting an In-Clinic Resource Navigator Program to a Virtual Referral
           Model [INNOVATIONS IN PRIMARY CARE]

    • Authors: Hansmann, K. J; Alberth, J, Freidel, R, Jenness, A.
      Pages: 181 - 181
      Keywords: Vulnerable populations, Coordination / integration of care
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2791
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM AFMRD: WHO TO GO TO FOR WHAT: THE ABFM OR THE ACGME [Family Medicine
           Updates]

    • Authors: Cole, S. Z; Olmos, K. E. M.
      Pages: 182 - 185
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2779
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM AAFP: AAFP ADVANCES ON LONG-TERM CLINICAL RECOMMENDATION PROJECT
           [Family Medicine Updates]

    • Authors: News Staff
      Pages: 185 - 186
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2806
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM ABFM: HIGH-STAKES KNOWLEDGE ASSESSMENT AT ABFM: WHAT WE HAVE LEARNED
           AND HOW IT IS USEFUL [Family Medicine Updates]

    • Authors: Newton, W. P; ONeill, T. R, Wang, T.
      Pages: 186 - 188
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2811
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM STFM: ADDICTION EXPERTS COLLABORATE WITH STFM TO CREATE NEW NATIONAL
           ADDICTION CURRICULUM [Family Medicine Updates]

    • Pages: 188 - 189
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2803
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM ADFM: KNOWLEDGE, ATTITUDES, AND SKILLS FOR FAMILY MEDICINE LEADERS:
           COMPETENCIES FOR SUCCESS [Family Medicine Updates]

    • Authors: Borkan, J; Catinella, P, Muramoto, M.
      Pages: 189 - 191
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2805
      Issue No: Vol. 20, No. 2 (2022)
       
  • FROM NAPCRG: NAPCRG 50TH ANNIVERSARY - A YEAR-LONG CELEBRATION [Family
           Medicine Updates]

    • Authors: Brown, J. B; Westfall, J, Harper, D, Green, L. A.
      Pages: 191 - 192
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2804
      Issue No: Vol. 20, No. 2 (2022)
       
  • EMPLOYMENT OPPORTUNITIES [EMPLOYMENT OPPORTUNITIES]

    • Pages: 193 - 201
      PubDate: 2022-03-28T14:10:15-07:00
      Issue No: Vol. 20, No. 2 (2022)
       
  • Use of Telephone Interview for Cognitive Status (TICS) for the Detection
           of Dementia in Primary Care [ANNALS JOURNAL CLUB]

    • Authors: Ocampo, J; Johansen, M. E.
      Pages: 202 - 202
      PubDate: 2022-03-28T14:10:15-07:00
      DOI: 10.1370/afm.2800
      Issue No: Vol. 20, No. 2 (2022)
       
 
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