Annals of family medicine
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Annals of family medicine · Sep 2021
Meta AnalysisClinical Features for the Diagnosis of Pediatric Urinary Tract Infections: Systematic Review and Meta-Analysis.
Accurate diagnosis of urinary tract infection in children is essential because children left untreated can experience permanent renal injury. We aimed to assess the diagnostic value of clinical features of pediatric urinary tract infection. ⋯ Few clinical signs and symptoms are useful for diagnosing or ruling out urinary tract infection in children. Clinical prediction rules might be more accurate; however, they should be validated externally. Physicians should not restrict urine sampling to children with unexplained fever or other features suggestive of urinary tract infection.
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Annals of family medicine · Sep 2021
Implementation of a Hearing Loss Screening Intervention in Primary Care.
Hearing loss (HL) is underdiagnosed and often unaddressed. A recent study of screening for HL using an electronic prompt showed efficacy in increasing appropriate referrals for subsequent testing. We build on the results of this study using a qualitative lens to explore implementation processes through the perspectives of family medicine clinicians. ⋯ Integration of a HL screening prompt into clinical practice varied by clinician buy-in and beliefs about the impact on patient outcomes, involvement of medical assistants, and prioritization during clinical visits. Further research is needed to understand how to leverage clinician and staff buy-in and whether implementation of a new clinical prompt has sustained impact on HL screening and patient outcomes.
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Health care organizations in the United States have transformed at an unprecedented rate since March 2020 due to COVID-19, most notably with a shift to telemedicine. Despite rapidly adapting health care delivery in light of new safety considerations and a shifting insurance landscape, primary care offices across the country are facing drastic decreases in revenue and potential bankruptcy. ⋯ Primary care is faced with a chance to redefine what it means to care for and support patients wherever they are. This opportunity to shape the "new normal" is a critical step for primary care to meet its full potential to lead a paradigm shift to patient-centered health care reform in America during this time when we need it most.
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Annals of family medicine · Sep 2021
Voice Assistants and Cancer Screening: A Comparison of Alexa, Siri, Google Assistant, and Cortana.
Despite increasing interest in how voice assistants like Siri or Alexa might improve health care delivery and information dissemination, there is limited research assessing the quality of health information provided by these technologies. Voice assistants present both opportunities and risks when facilitating searches for or answering health-related questions, especially now as fewer patients are seeing their physicians for preventive care due to the ongoing pandemic. ⋯ We show that there are clear differences among the 4 voice assistants and that there is room for improvement across all assistants, particularly in their ability to provide accurate information verbally. In order to ensure that voice assistants provide accurate information about cancer screening and support, rather than undermine efforts to improve preventive care delivery and population health, we suggest that technology providers prioritize partnership with health professionals and organizations.