J Am Board Fam Med
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I present a reflection of my last months with my mother as I cared for her during her battle with breast cancer. A practicing internist, I made the decision to bring my mother from New Jersey to Georgia so that I could continue working and so that my husband and I would be able to continue caring for our 2 sons, who were ages 3 and 5 at the time. The following describes the warmth my mother felt and I witnessed in the office waiting room from other patients-strangers, ready to extend genuine Southern hospitality and love for my mother from the first appointment and how I cared for her during that time. ⋯ I had the honor of caring for a woman who gave everything for her children and I had the chance to be there for her in a role reversal. As the second oldest of 4 daughters, I was always sharing my mother. I had the unique pleasure of having her all to myself and I treasured that.
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Given the significant turmoil during the COVID-19 pandemic, the authors evaluated burnout and other types of emotional distress experienced by family physicians in Kansas during the second year of the pandemic. The authors compared findings of this study to a similar study conducted 3 months into the pandemic. ⋯ As the COVID-19 pandemic continued, there are significant and worsening rates of professional burnout and other forms of emotional distress among family physicians. These findings suggest timely need for appropriate psychological supports.
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Review
Interventions to Increase Colorectal Cancer Screening Uptake in Primary Care: A Systematic Review.
We systematically reviewed and summarized previous studies that examined facilitators and barriers to implementing interventions to increase CRCS uptake in primary care practice. ⋯ The synthesized findings improve our understanding of facilitators of and barriers to the implementation of interventions to increase CRCS participation in primary care practice, and inform the customized implementation strategies. Many of the included studies had limited use of rigorous implementation science frameworks to guide their implementation and evaluation, which precludes a comprehensive understanding of the implementation factors specific to CRCS interventions in primary care. Future studies assessing the CRCS intervention implementation factors would benefit from the use of implementation science frameworks.
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PRAPARE is a leading social risk screening tool. No studies yet have simplified the 22 PRAPARE social determinants of health (SDoH) into clusters to analyze associations with chronic disease outcomes. ⋯ We simplified the 22 PRAPARE SDoH into 3 composite clusters and 3 individual clusters and demonstrated the reliability and validity of PRAPARE. The 3 composite clusters were positively associated with uncontrolled diabetes and/or hypertension.
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The COVID-19 global pandemic has affected all ethnic and minority groups although not equally. The goals of the present study are twofold: describe the diverse COVID-19-related care needs Hispanic patients presenting to a primary care facility and the symptom clusters and socioeconomic factors that may impact their wellbeing. ⋯ Hispanic patients have diverse reasons for seeking health care and for testing in a pandemic. COVID-19 is a syndromic disease as evidenced from the clustering of symptoms. Essential workers and uninsured health status may lead to more prolonged disease course.