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Obesity and Women's Health: An Evidence-Based Review
WEBEvidence-based; Obesity; Women's Health; The prevalence of obesity is rising. The World Health Organization estimates that more than 1 billion people are overweight, with 300 million meeting the criteria for obesity. 1 Twenty-six percent of nonpregnant women ages 20 to 39 are overweight and 29% are obese. 2 This article will …
Actived: 7 days ago
Patient-Centered Care is Associated with Decreased Health Care
WEBCharges and Fees; Patient-Centered Care; Utilization; Over the years, an extensive body of literature has described and advocated for a patient-centered approach to medical care. 1–12 In its 2001 report, “Crossing the Quality Chasm: A New Health System for the 21st Century,” 5 the Institute of Medicine presented an action plan for reinventing …
How Physicians Should Respond to Climate Change
WEBBeyond the basic role of providing medical care, physicians can respond to the public health crises of climate change in several ways. Because public trust is high and doctors are familiar with the role of explaining science to the public, the education role is an obvious opportunity. Other opportunities flow from the fact that doctors are
Increasing Access to Care for Brazos Valley, Texas: A Rural …
WEBThe BVHP adopted a mission to improve health status and access to care in the BV through the collaboration of services and the creation of local partnerships. 9 As one of its first actions, the newly formed BVHP created task groups to develop recommendations on how to address (1) health status; (2) access to health care; (3) …
Climate Change: How Will Family Physicians Rise to the Challenge
WEBAcross the United States, communities are feeling the health impacts of climate change. It is undeniable that from heat waves to flooding, climate change currently poses a risk to the health of our patients. Though we can still mitigate the worst effects of climate change if we take action to reduce
Informing Equity & Diversity in Primary Care Policy and Practice
WEBRecent events remind us that deeply embedded inequities in health care access and health outcomes are rooted in historically white, and male, systems of power. 1,2 Authors have documented how, in the United States, medicine was built on racist and patriarchal foundations that excluded and marginalized Black and other people of color and women …
The Impact of Telehealth on Primary Care Physician Panel Sizes: A
WEBMethods: We use data from the electronic health records of 2 health care systems and information gathered from family medicine physician focus groups to develop estimates of visit durations and no-show rates for tele-visits. We use these in a simulation model to determine how patient panel sizes could be increased while maintaining high …
One-Third of Family Physicians Remain in Independently Owned …
WEBThe rise of health system and hospital ownership of primary care practices raises policy questions about the survival of independent physician-owned practices. Our data indicate that a substantial proportion of FPs in 2017–2019 remained in independently owned practice: 81% of solo practitioners and 35% of FPs in practices with 2–5 clinicians. …
How Evolving United States Payment Models Influence Primary …
WEBIntroduction: Prior research has demonstrated the associations between a strong primary care foundation with improved Quadruple Aim outcomes. The prevailing fee-for-service payment system in the United States reinforces the volume of services over value-based care, thereby devaluing primary care, and obstructing the health care system from …
Building Bridges Between Community Health Centers and …
WEBThe threat to the public health of the United States from the COVID-19 pandemic is causing rapid, unprecedented shifts in the health care landscape. Community health centers serve the patient populations most vulnerable to the disease yet often have inadequate resources to combat it. Academic medical centers do not always have the community connections …
Health Literacy Instrument in Family Medicine: The “Newest Vital …
WEBHealth Literacy; Newest Vital Sign; NVS; Health literacy has been defined as the ability to obtain, process, and understand basic information and services needed to make appropriate health decisions. 1 A patient must be able to understand and use information in a meaningful way to be able to improve health and nutrition. Furthermore, education …
Behavior-Change Action Plans in Primary Care: A Feasibility Study …
WEBCoronary heart disease (CHD), the leading cause of mortality in the United States, is strongly associated with modifiable behaviors including physical inactivity, poor diet, and tobacco use.1 Seventy-seven percent of the US adult population engages in a low level of physical activity, 58% are overweight, 23% use tobacco,2 and 53% have more than one …
Family Medicine Team Perspectives on Screening for Health …
WEBIntroduction: Social drivers of health (SDH) strongly influence health outcomes and disparities. Although systemic level change is vital to address the disparities driven by SDH, it is also crucial that health care organizations develop the ability to care for patients in a manner that accounts for social factors and their influence on patient …
Efficacy, Safety, and Tolerability of Low-Dose Hormone Therapy in
WEBUse of the lowest clinically effective dose of postmenopausal hormone therapy conforms to current recommendations and good clinical practice. Although accumulating evidence demonstrates the efficacy and tolerability of low hormone therapy doses, data about their use are limited by a lack of long-term, randomized studies. This review evaluates current …
Disparities in Primary Care Wait Times in Medicaid versus …
WEBIntroduction. After the implementation of the Affordable Care Act (ACA) in 2014, the uninsured rate fell from above 17% to 10%. 1 Contrary to expectations, primary care appointment availability increased for Medicaid simulated patients and remained stable for commercially insured simulated patients over the same time period. 2 The same study …
Prostate-Specific Antigen Testing among the Elderly in
WEBSurveys of primary care physicians suggest that PSA testing is routine practice for many.9–15 Pa- tient surveys show prostate cancer screening to be fairly common16 (more common than colorectal cancer screening,3,17 for which there are evidence- based screening recommendations).
Implementing Risk Stratification in Primary Care: Challenges and
WEBIntroduction: Primary care risk stratification (RS) has been shown to help practices better understand their patient populations' needs and may improve health outcomes and reduce expenditures by targeting and tailoring care to high-need patients. This study aims to understand key considerations practices faced and practice experiences as they began …
Evaluation of an Electronic Health Record (EHR) Tool for Integrated
WEBBackground: Integrating behavioral health into primary care can improve care quality; however, most electronic health records are not designed to meet the needs of integrated teams. We worked with practices and behavioral health (BH) clinicians to design a suite of electronic health record tools to address these needs (“BH e-Suite”). The purpose of …
A Culture of Care: The French Approach to Cardiovascular Risk …
WEBCardiovascular Abnormalities; Cross-Cultural Comparison; Delivery of Health Care; France; Physician Patient Relationship; Quality of Health Care; Cardiovascular disease (CVD) is the leading cause of death globally, accounting for 17.3 million deaths annually. 1 Rates of death caused by CVD are lower in France than they are in the United States despite that …
Pets' Impact on Your Patients' Health: Leveraging Benefits and
WEBZooeyia: The Health Benefits of Pets. Zooeyia—the human health benefits of companion animals—affects the physical, emotional, and community spheres. 8 Zooeyia is taken from the Greek root words for animal (zoion) and health (Hygeia was the ancient Greek goddess of health, the same source as “hygiene”).Zooeyia is the positive inverse of zoonosis …
Direct-to-Consumer Prescription Drug Advertising and Patient …
WEBDirect-to-Consumer Advertising; Health Personnel; Patient Care; Prescription Drugs; Surveys and Questionnaires; Direct-to-consumer advertising of prescription drugs (DTCA) is prevalent in the United States, with the amount spent on this advertising rising into the billions of dollars per year. 1 This advertising is known to affect patient care. 2 For …
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