Annals of family medicine
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Annals of family medicine · Sep 2019
Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review.
Based on the recognition that food insecurity (FI) is associated with poor health across the life course, many US health systems are actively exploring ways to help patients access food resources. This review synthesizes findings from studies examining the effects of health care-based interventions designed to reduce FI. ⋯ Although a growing base of literature explores health care-based FI interventions, the low number and low quality of studies limit inferences about their effectiveness. More rigorous evaluation of FI interventions that includes health and utilization outcomes is needed to better understand roles for the health care sector in addressing FI.
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Annals of family medicine · Sep 2019
Characteristics of Case Management in Primary Care Associated With Positive Outcomes for Frequent Users of Health Care: A Systematic Review.
Case management (CM) interventions are effective for frequent users of health care services, but little is known about which intervention characteristics lead to positive outcomes. We sought to identify characteristics of CM that yield positive outcomes among frequent users with chronic disease in primary care. ⋯ Policy makers and clinicians should focus on their case-finding processes because this is the essential characteristic of CM effectiveness. In addition, value should be placed on high-intensity CM interventions and developing care plans with multiple types of care providers to help improve patient outcomes.
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Annals of family medicine · Sep 2019
Change in Site of Children's Primary Care: A Longitudinal Population-Based Analysis.
Evidence that fewer children are being seen at family physician (FP) practices has not been confirmed using population-level data. This study examines the proportion of children seen at FP and pediatrician practices over time and the influence of patient demographics and rurality on this trend. ⋯ The declining proportion of children attending FP practices, confirmed in this population-based analysis and more pronounced in rural areas, represents a continuing challenge.
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Annals of family medicine · Sep 2019
Associations of Subjective Memory Complaints and Simple Memory Task Scores With Future Dementia in the Primary Care Setting.
Family physicians need simple yet comprehensive algorithms to discriminate between community-dwelling older persons who are at increased risk of dementia and those who are not. We aimed to investigate associations between incident dementia and responses to a single question regarding subjective memory complaints (SMC) combined with scores on 2 simple memory tests that are easy to use in the primary care setting. ⋯ In persons with SMC, the strength of the association between future dementia and an imperfect MMSE-5 score depends substantially on the VAT score.
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Annals of family medicine · Sep 2019
Professional Communication Networks and Job Satisfaction in Primary Care Clinics.
Whereas communication among health care professionals plays an important role in providing the best quality of care for primary care patients, little evidence exists regarding how professional communication contributes to job satisfaction among health care providers, including physicians and clinical staff, in primary care clinics. This study evaluates the extent to which professional communication networks contribute to job satisfaction among health care professionals in primary care clinics. ⋯ Interventions targeting professional communication networks might improve health care employee job satisfaction at primary care clinics.