Annals of family medicine
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Annals of family medicine · Nov 2019
Randomized Controlled Trial Multicenter StudyEffectiveness of Community-Links Practitioners in Areas of High Socioeconomic Deprivation.
To assess the effect of a primary care-based community-links practitioner (CLP) intervention on patients' quality of life and well-being. ⋯ We were unable to prove the effectiveness of referral to CLPs based in primary care in deprived areas for improving patient outcomes. Future efforts to boost uptake and engagement could improve overall outcomes, although the apparent improvements in those who regularly saw the CLPs may be due to reverse causality. Further research is needed before wide-scale deployment of this approach.
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Annals of family medicine · Nov 2019
Associations Between Burnout and Practice Organization in Family Physicians.
Burnout has been reported to be as high as 63% among family physicians and has negative effects on physicians, patients, and the medical system. There are likely structural causes of burnout, but little is known about the relationship between practice organization and burnout. Our objective was to study this association in family physicians. ⋯ Burnout in family physicians should not be attributed solely to practice organization. No single practice type or ownership status was independently associated with burnout, which indicates that any practice can attempt to mitigate burnout.
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Annals of family medicine · Nov 2019
National Trends in Primary Care Visit Use and Practice Capabilities, 2008-2015.
Recent evidence shows a national decline in primary care visit rates over the last decade. It is unclear how changes in practice-including the use and content of primary care visits-may have contributed. ⋯ From 2008 to 2015, primary care visits were longer, addressed more issues per visit, and were less likely to have scheduled follow-up for certain patients and conditions. Meanwhile, more PCPs offered non-face-to-face care. The decline in primary care visit rates may be explained in part by PCPs offering more comprehensive in-person visits and using more non-face-to-face care.
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Annals of family medicine · Nov 2019
Editorial CommentCombating Burnout: Back to Medicine as a Calling.