Article
Critical Care Medicine
Katrina E. Hauschildt, Rachel K. Hechtman, Hallie C. Prescott, Leigh M. Cagino, Theodore J. Iwashyna
Summary: Primary care physicians identified concerns about unmet transition needs of critical illness survivors, including patients' understanding of their ICU stay, treatments or support not covered by insurance, and starting and maintaining needed rehabilitation and assistance across transitions of care. Coordinated efforts across the health system are necessary to improve the post-hospitalization needs of these patients.
Article
Education & Educational Research
Pham Ngan Giang, Matthew Kelly, Nguyen Thi Tuyet Nhung, Haribondhu Sarma
Summary: This study aimed to assess the knowledge of emergency medical responses among physicians working in remote mountainous areas in Vietnam. The results showed that these physicians had relatively low knowledge, particularly in cardiovascular care. Continuing medical education is needed to improve their knowledge, especially for doctors practicing in resource limited remote settings.
BMC MEDICAL EDUCATION
(2022)
Article
Public, Environmental & Occupational Health
Jennifer Tsui, Annie Yang, Bianca Anuforo, Jolene Chou, Ruth Brogden, Binghong Xu, Joel C. Cantor, Su Wang
Summary: The study explored the prevalence of health-related social needs (HRSN) among Asian American patients in a hospital-affiliated outpatient primary care practice in New Jersey. The findings revealed that a significant number of patients, particularly those with lower incomes, experienced various social needs, with interpersonal violence being a common issue. The study suggests the importance of addressing broader social determinants of health among insured, suburban Asian American patients to improve health outcomes.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Education, Scientific Disciplines
Mark H. H. Hankin, Derek J. J. Harmon, James R. R. Martindale, Iuliana Niculescu, Adrienne Aschmetat, Amy N. N. Mertens, Rachel E. E. Hanke, Andrew S. S. Koo, Anthony E. E. Kraus, James A. A. Payne, Michael J. J. Feldman, Enrique Soltero Mariscal
Summary: Curricular development and modification involve identifying problems and conducting a needs assessment. This study surveyed 50 primary care resident physicians to assess the importance of anatomical structures and propose that the results can inform curricular development. The study found that there were no significant differences between two groups in the ratings of structures in any anatomical region.
ANATOMICAL SCIENCES EDUCATION
(2023)
Article
Public, Environmental & Occupational Health
Thomas J. Reese, Chelsey R. Schlechter, Heidi Kramer, Polina Kukhareva, Charlene R. Weir, Guilherme Del Fiol, Tanner Caverly, Rachel Hess, Michael C. Flynn, Teresa Taft, Kensaku Kawamoto
Summary: Lung cancer screening using low-dose computed tomography (CT) can prevent thousands of deaths annually. To effectively implement this screening, systematic and theory-based strategies are needed. This study explored the implementation of lung cancer screening in primary care by integrating a decision aid into electronic health records. Implementation strategies were designed to target key behaviors and determinants, and these strategies can be replicated and tested in other institutions. Further research is needed to evaluate the effectiveness of these strategies and determine their applicability in different contexts.
TRANSLATIONAL BEHAVIORAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Alicja Jazienicka-Kielb, Mateusz Babicki, Magdalena Krajewska, Andrzej Oko, Karolina Kloda, Agnieszka Mastalerz-Migas
Summary: This study aimed to assess the knowledge of chronic kidney disease (CKD) among primary care physicians in Poland. The survey results showed a fairly high level of knowledge among family medicine physicians regarding the causes, risk factors, and course of CKD. However, further education and information update are still needed.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Matthew Jones, Ralph K. Akyea, Katherine Payne, Steve E. Humphries, Hasidah Abdul-Hamid, Stephen Weng, Nadeem Qureshi
Summary: This study determines the cost-effectiveness of six case-finding strategies for screening of electronic health records to identify index patients who have genetically confirmed monogenic FH in English primary care. FAMCAT2 was found to be the most cost-effective screening approach.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Oncology
Sujha Subramanian, Regi Jose, Anoop Lal, Paul Augustine, Madeleine Jones, Bipin K. Gopal, Shinu Krishnan Swayamvaran, Veena Saroji, Resmi Samadarsi, Rengaswamy Sankaranarayanan
Summary: The study has shown the feasibility and usefulness of using an mHealth app to educate physicians, with a face-to-face recruitment approach likely needed to incentivize physicians to download and complete the training. Future studies should focus on assessing the impact of mHealth tools on physician behavior and patient outcomes.
Article
Oncology
Marta Manczuk, Irena Przepiorka, Magdalena Cedzynska, Krzysztof Przewozniak, Elwira Gliwska, Agata Ciuba, Joanna Didkowska, Pawel Koczkodaj
Summary: Cancer prevention is highly important but still underutilized by primary care physicians (PCPs). Only 30% of PCPs provide cancer prevention advice routinely, whereas 70% do that only sometimes. PCPs' actual role in cancer prevention is highly unexploited, with only a few of them routinely inquiring about important risk factors such as smoking history, screening programs, alcohol consumption, physical activity levels, and diet habits. Efforts should be made to raise awareness and enable PCPs to utilize their undeniable role in cancer prevention.
Article
Geriatrics & Gerontology
Magnus Nord, Johan Lyth, Jan Marcusson, Jenny Alwin
Summary: This study examines the cost-effectiveness of a pragmatic trial of comprehensive geriatric assessment in primary care compared to usual care. The results suggest that the intervention is cost-effective at the 24-month follow-up, and the use of a prediction model to select participants and a low-cost intervention shows promise but requires further study.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Review
Oncology
Juliet A. Usher-Smith, Sarah Hindmarch, David P. French, Marc Tischkowitz, Sowmiya Moorthie, Fiona M. Walter, Rebecca A. Dennison, Francisca Stutzin Donoso, Stephanie Archer, Lily Taylor, Jon Emery, Stephen Morris, Douglas F. Easton, Antonis C. Antoniou
Summary: The National Institute for Health and Care Excellence (NICE) in the UK recommends offering risk-reducing medication and enhanced breast screening to women at moderate or high risk of breast cancer. In June 2022, NICE made a significant shift in recommending proactive risk assessment in primary care, paving the way for a primary care-based screening program. While there are benefits to this approach, there are also uncertainties and research gaps that need to be addressed before implementation.
BRITISH JOURNAL OF CANCER
(2023)
Article
Public, Environmental & Occupational Health
Patricia P. Green, Nicole A. Cummings, Brian W. Ward, Lela R. McKnight-Eily
Summary: This report examines the provision of alcohol screening and brief intervention by primary care physicians in the United States. The findings indicate that while over 70% of physicians screened for alcohol misuse, less than 40% provided interventions for patients with positive screening results. The study also highlights the geographical and specialty variations in screening practices.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2022)
Article
Oncology
Imad Bou Akl, Nathalie K. Zgheib, Maroun Matar, Deborah Mukherji, Marco Bardus, Rihab Nasr
Summary: The study found that a majority of PCPs and pulmonary specialists in Lebanon recognize LDCT as an effective tool for lung cancer screening, with many already using it for screening. However, a significant portion of them are still using chest X-ray, which is not recommended, and there is a lack of awareness regarding the eligibility criteria for screening. Targeted provider education is needed to bridge the knowledge gap and ensure proper implementation of guidelines for lung cancer screening.
Review
Primary Health Care
Anna N. Wilkinson, Stephen Lam
Summary: Lung cancer screening, by detecting cancer at an earlier stage, can significantly reduce mortality rates. With the importance of smoking cessation, it is becoming an essential tool for primary care physicians in preventing and managing lung cancer. The implementation of formal and pilot lung cancer screening programs means that primary care physicians will need to counsel their patients on the benefits of accepting screening.
CANADIAN FAMILY PHYSICIAN
(2021)
Article
Pediatrics
Mary Catherine Arbour, Baraka Floyd, Samantha Morton, Patsy Hampton, Jennifer Murphy Sims, Stephanie Doyle, Sidney Atwood, Robert Sege
Summary: The study aimed to spread an evidence-based approach to promote health supervision for infants and set multiple goals for families and infants. In the learning collaborative, teams adapted the DULCE method with cycles of adjustment and achieved positive outcomes, including increasing the proportion of infants receiving all WCVs on time and successfully addressing a variety of family needs.