J Am Board Fam Med
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A decade of practice transformation, consolidation, and payment experimentation have highlighted the need for team-based primary care, but little is known about how team composition is changing over time. Surveys of Family Physicians (FPs) from 2014-18 reveal they continue to work alongside inter-professional team members and suggest slow but steady growth in the proportion of FPs working with nurses, behaviorists, clinical pharmacists, and social workers.
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Discrimination can compromise access to and utilization of health care and lead to poorer health. As such, it is important to understand the factors associated with experiences of discrimination in health care. ⋯ Findings highlight potential insurance types and sources of care that could contribute to perceptions of being discriminated.
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Widespread pain (WP) is emerging as a key comorbid condition in patients with chronic low back pain (CLBP). This study measured the prevalence of comorbid WP in adults with CLBP, WP predictors, and impact on patients. ⋯ Greater efforts are needed in primary care to help close these gaps in pain intensity, back-related disability, and quality-of-life outcomes associated with WP.
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Men accounted for 43% of human papillomavirus (HPV)-related cancer cases, but the HPV vaccination rate of adult males remain low. The purposes of this study were to 1) estimate the initiation and completion rate of HPV vaccine, and 2) analyze factors associated with HPV vaccine initiation and completion among adult males. ⋯ Having primary health care providers and regular checkups are important to male adults to have HPV vaccines. Promoting access to health care resources may improve current vaccination rates among males.
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Medication therapy emerged as a theme for this issue-from many perspectives and for different conditions. We have several articles on opioids, including for pain/noncancer pain; use by older drivers and their reported driving; and the advantages of family medicine treatment sites. ⋯ In addition, this issue covers the gamut of prescribing inappropriate medications for older individuals and prescribing antibiotics when a CT scan of the abdomen would not have found an indication for such treatment. Other included topics include social complexity and impact on primary care physician income.