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The Disproportionate Impact of Primary Care Disruption and Telehealth Utilization During COVID-19 COVID-19 期间初级保健中断和远程保健利用的不成比例影响
The Annals of Family Medicine
Pub Date : 2024-07-01 DOI: 10.1370/afm.3163
Naga Edara, Jonathan Yun
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引用次数: 0
Optimization of Electronic Health Record Usability 优化电子健康记录的可用性
The Annals of Family Medicine
Pub Date : 2024-03-01 DOI: 10.1370/afm.3097
Jonathan D. Y. Yun, Michael E. Johansen
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引用次数: 0
Continuity of Care as a Quality Metric 作为质量度量标准的护理连续性
The Annals of Family Medicine
Pub Date : 2022-11-01 DOI: 10.1370/afm.2896
L. Haggenjos, Jonathan D. Y. Yun
Discussion Tips Dr Barbara Starfield defined the 4 functions of primary care as first contact, continuity, comprehensiveness, and coordination. The authors of this study used a database that included claims from large commercial insurance and Medicare Advantage health plans to test the reliability and validity of a clinical quality measure based on 1 of these functions, continuity of care (CoC). They then explored whether there was an association between physicians having a greater percentage of patients with CoC >0.7 and a lower percentage of patients with 1 or more emergency department visits during the 12-month study period.
Barbara Starfield博士将初级保健的四项功能定义为:首次接触、连续性、全面性和协调性。本研究的作者使用了一个数据库，其中包括来自大型商业保险和医疗保险优势健康计划的索赔，以测试基于这些功能之一的临床质量测量的可靠性和有效性，护理连续性(CoC)。然后，他们探讨了在12个月的研究期间，CoC >0.7的患者比例较高的医生与1次或更多次急诊科就诊的患者比例较低之间是否存在关联。
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引用次数: 0
Evaluation of Community Health Worker Intervention in San Antonio 圣安东尼奥市社区卫生工作者干预评价
The Annals of Family Medicine
Pub Date : 2022-09-01 DOI: 10.1370/afm.2875
Rachel Kalthoff, M. Johansen
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引用次数: 0
Conference Delegates, AAFP Leaders Show Advocacy Alignment at Town Hall 会议代表，AAFP领导人在市政厅展示倡导联盟
The Annals of Family Medicine
Pub Date : 2022-07-01 DOI: 10.1370/afm.2851
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引用次数: 0
Napcrg Patient and Clinician Engagement: From Idea to Program to Board Membership Napcrg患者和临床医生的参与:从想法到计划到董事会成员
The Annals of Family Medicine
Pub Date : 2022-07-01 DOI: 10.1370/afm.2853
Kirk Mason, Arturo Martinez-Guijosa
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引用次数: 2
Thank You, Reviewers and E-Letter Contributors 感谢审稿人和电子邮件贡献者
The Annals of Family Medicine
Pub Date : 2022-07-01 DOI: 10.1370/afm.2843
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引用次数: 0
Improving Conversations With COVID-19 Vaccine Hesitant Patients: Action Research to Support Family Physicians. 改善与对 COVID-19 疫苗犹豫不决的患者的对话：支持家庭医生的行动研究。
The Annals of Family Medicine
Pub Date : 2022-07-01 Epub Date: 2022-04-20 DOI: 10.1370/afm.2816
Myles Leslie, Nicole Pinto, Raad Fadaak

Vaccination delivery and efforts to counter vaccine hesitancy have become focal issues for family medicine teams as the COVID-19 pandemic has evolved. Conducting action research, our team developed an interactive web-based guide to improve clinical conversations around a broad range of vaccine hesitancies presented by patients. The paper presents a step-by-step account of the guide being codesigned with family physicians-its targeted end users-in a process that included validation interviews; role-play interviews; and user-tested design. The validation interviews sought to understand the pragmatic realities of vaccine hesitancy in family medicine clinical practice relative to relevant psychological theories. The role-play interviews drew out conversational strategies and advice from family physicians. The principles of motivational interviewing-an evidence-based approach to vaccine hesitancy conversations that supplements information deficit approaches-were used to codesign the content and layout of the guide. User counts, stakeholder engagement, and web-based analytics indicate the guide is being used extensively. Formal evaluation of the guide is presently underway.Originally published as Annals "Online First" article.

随着 COVID-19 大流行病的发展，疫苗接种和应对疫苗犹豫的努力已成为家庭医疗团队的焦点问题。通过开展行动研究，我们的团队开发了一个基于网络的互动指南，以改善围绕患者提出的各种疫苗犹豫问题的临床对话。本文逐步介绍了与家庭医生--其目标最终用户--共同设计指南的过程，包括验证访谈、角色扮演访谈和用户测试设计。验证访谈旨在根据相关心理学理论了解家庭医生临床实践中疫苗犹豫不决的实际情况。角色扮演访谈从家庭医生那里获得了对话策略和建议。动机访谈法是一种以证据为基础的疫苗犹豫对话方法，是对信息匮乏方法的补充。用户数量、利益相关者的参与以及基于网络的分析表明，该指南正在被广泛使用。目前正在对指南进行正式评估。
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引用次数: 0
Discordance Between Clinician and Patient EHR Experiences 临床医生和患者的电子病历经验不一致
The Annals of Family Medicine
Pub Date : 2022-07-01 DOI: 10.1370/afm.2856
Aisha Bowen, M. Johansen
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引用次数: 0
Highlights of the Innovation Showcase 创新展亮点
The Annals of Family Medicine
Pub Date : 2022-07-01 DOI: 10.1370/afm.2852
S. R. Brown, Lance P. Kelley, Zach Sartor, Anna Worth, English H Gonzalez, A. Weinhold
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引用次数: 0
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