Stroke survivors often report a lower QoL than the general population. The impacts of stroke can be improved through professional rehabilitation. This study compared the effectiveness of interventions in improving stroke patients’ QoL. www.jabfm.org/content/38/3...

Prenatal Care Coordination (PNCC) is a Medicaid-funded intervention that supplements prenatal care with social & educational services to improve maternal and infant health. PNCC clinicians may also help beneficiaries attain Well Child Visits for their infants www.jabfm.org/content/38/3...

#AI & machine learning are reshaping #FamilyMedicine! Check out our living collection of the latest research from journals like Annals of Family Medicine, @jabfm.bsky.social and more. Updated automatically as new studies are published. Learn more: www.annfammed.org/content/ai-f...

New research develops and internally validates a novel risk score for influenza that incorporates flu vaccination status. In the study’s external validation, it classified over 60% of patients in the low-risk group, with only a 6.8% probability of influenza. www.jabfm.org/content/38/3...

Leukemias have been detected incidentally in the asymptomatic phase when running a complete blood count test for unrelated reasons. While a CBC does not constitute as screening, its role in detecting leukemias offers crucial insights into cancer screening in general www.jabfm.org/content/38/2...

New paper: care coordination in pregnancy improves well-child visit attendance for infants — even up to 2 years post-birth! doi.org/10.3122/jabf... @jabfm.bsky.social @rushmedical.bsky.social @wifamilymedicine.bsky.social

30+ million people in the US live with type 2 diabetes, yet there is a gap between the recommended and actual care for their psychosocial needs. Interventions like INTEGRATE-D warrant further discovery to help primary care clinics better align with ADA recommendations www.jabfm.org/content/38/2...

We are excited to welcome Dr. Namita Bhardwaj as our newest Research and Editing Fellow! Click here to learn more about the ABFM Research and Editing Fellowship: www.jabfm.org/content/abfm...

While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...

In this original research, researchers saw greater frequency of preventative visits, cervical cancer screenings, and diabetes monitoring labs in participants who received electronically-delivered push notifications www.jabfm.org/content/38/2...

Research has demonstrated improved effectiveness of the Levonorgestrel (Plan B) with the NSAID Piroxicam to address unwanted pregnancies without any increase in side effects www.jabfm.org/content/38/2...

Fragmented care, cost, access, and corporate medicine failing to increase the number of family physicians providing maternal care has exacerbated the maternal morbidity crisis in the United States. The FM OB model could help to alleviate these disparities www.jabfm.org/content/38/2...

Female family physicians earn $32K less/year than men with similar roles, leading to them earning $1M less than their male colleagues. The gap is growing (2017: $32K → 2022: $57K) & won't be fixed through better negotiation, instead systemic changes are needed www.jabfm.org/content/38/2...

Many patients don’t ask for or understand the Medicare Annual Wellness Visit, making it harder for them to participate meaningfully. New research explores how this limits its effectiveness despite database analyses showing benefits. www.jabfm.org/content/38/2...

Prostate cancer (PrCa) is the second-leading cause of cancer mortality among American men, and Black men are disproportionately impacted. New research sought to understand the barriers and facilitators of informed decision-making (IDM) about PrCa screening in Black men www.jabfm.org/content/34/5...

90% of patients with uncontrolled hypertension reported at least one BP med side effect—and 40% said it was a “big problem.” These symptoms were tied to lower satisfaction and poor adherence, especially when patients thought their meds were to blame. www.jabfm.org/content/38/2...

New research finds primary care utilization is associated with lower rates of ER use. Findings show increased ER use is more likely in communities w/ decreased primary care use, increased disease prevalence, higher proportions of Black residents, & being rural https://www.jabfm.org/content/38/2/247

A new study explored the feasibility & acceptability of integrating the FRAME preconception digital risk assessment into primary care. Patients & clinicians found it helpful for opening the door to lifestyle and reproductive health discussions. https://www.jabfm.org/content/38/2/223

New study of patients on long-term opioids for chronic low back pain reports greater shared decision-making was associated with more frequent opioid prescribing and less tapering which was not associated with better outcomes https://www.jabfm.org/content/38/2/275

This study looked at how family physicians document social determinants of health in EHRs. The biggest predictors weren’t physician characteristics but rather the socioeconomic context of the communities they serve and the practice’s capacity to address those needs. www.jabfm.org/content/38/2...

Cervical cancer screening rates dropped at the start of COVID-19, new study shows they didn’t fully recover to prepandemic levels during the two years of the pandemic. Researchers looked at how patient and clinician characteristics impact the likelihood of screening www.jabfm.org/content/38/2...

New issue of JABFM covers OB care in underserved communities, COVID’s impact on cervical cancer screening, IVF access, digital preconception tools, and more. Read more www.jabfm.org/content/38/2... and access the full issue here: www.jabfm.org/content/38/2 #FamilyMedicine #PrimaryCare #FMSKY #MedSky

Integrating behavioral health into primary care improves outcomes, but implementation can be difficult. Behavioral health integration was implemented by 78% of the 300+ sites by the end of the Colorado SIM initiative www.jabfm.org/content/38/1...

Delayed or missed diagnostic referrals are a common contributor to diagnostic errors. This study highlights how poor communication and system "friction", like confusing instructions or hard-to-book appointments, can derail follow-up care www.jabfm.org/content/38/1... #HealthCommunication #PCC #PBRN

Lung cancer screening implementation is challenging in rural & community primary care settings. New study shows most clinical trials informing LCS rely on methods beyond the capacity of typical primary care, highlighting the need for pragmatic, feasible approaches 🔗 www.jabfm.org/content/38/1...

Physicians often put their own health last. Dr. Angela Rodgers shares how attending a national conference helped her reconnect—with herself, her patients, and the power of community in chronic illness care. https://www.jabfm.org/content/38/1/172

Nearly 30% of adults ages 65 and older have type 2 diabetes mellitus in the United States and older adults often experience high levels of social needs. This study examines the association between social needs and DM-related outcomes #SDOH #T2DM #Medicare www.jabfm.org/content/38/1...

For decades, researchers have used paper card studies to assess the perceptions of primary care clinicians. Cards can now be completed electronically. New study compares completion, ease of use, and cost among the different data collection methods #PBRN #PrimaryCare www.jabfm.org/content/38/1...

Across the U.S., 36% of all US counties qualify as maternal care deserts and have a significant adverse effect on the quality of maternity care, especially among Black women and women in rural areas. Can family physicians help fill this gap? www.jabfm.org/content/38/1...

Despite the availability and potential benefits of prescription biosimilars, many health care providers & consumers remain uncertain. Study found that even when definitions were provided in drug promotions, misunderstandings persisted #HealthCommunication #PatientEdu www.jabfm.org/content/38/1...

Methadone has historically been the first-line treatment for opioid use disorder in pregnant patients due to increased treatment supervision & retention rate. Emerging evidence suggests that buprenorphine is just as effective & associated with better neonatal outcomes www.jabfm.org/content/38/1...

Caring for patients with IDD can be overwhelming for primary care clinicians without specialized training. A consultative clinic model offers a single consultation with an IDD-informed clinician and comprehensive care coordination, making care more accessible #FMSky www.jabfm.org/content/38/1...

Primary care clinicians play an important role in preconception care counseling to help improve future pregnancy, maternal and neonatal outcomes. New study highlights patient BMI and BP control as key focus points for preconception counseling #FMSky #ReproductiveCare www.jabfm.org/content/38/1...

Patients frequently report multiple health-related social needs at the same time, which can complicate service delivery. As health care orgs. focus on HRSNs to reduce cost & improve patient health, the interrelated and co-occurring nature of HRSNs should be considered www.jabfm.org/content/38/1...

Screening for adverse childhood experiences & social risks is often done separately but integrating them could lead to supportive, whole-person care. Study participants pointed out practical barriers like workflow, standardization, & concerns about equitable access #FM www.jabfm.org/content/38/1...

Data shows that family physicians’ scope of practice varies across the U.S., but the cause remains unknown. After accounting for differences in physician characteristics, practice settings, communities, or health care markets, regional differences persisted. www.jabfm.org/content/38/1...

As AI continues to evolve, editors from leading Family Medicine journals have come together to issue a unified statement offering guidance on its responsible use by authors and editors www.jabfm.org/content/38/1/4

Physician burnout is highly prevalent in the US, especially among primary care physicians, and is associated with job turnover, higher medical errors, patient mortality, and depression. Group coaching may be a useful intervention in addressing burnout. #FMSky #MedSky www.jabfm.org/content/37/6...

Research revealed significant variations between family physician practices and community organizations, suggesting that rural family physicians might collaborate at a higher rate to meet the complex and diverse needs of their patients #FMSky #CommunityHealth https://www.jabfm.org/content/37/6/11

The shoulder is a complex joint that can be diagnostically challenging. By triaging shoulder pain based on presence or loss of range of motion, physicians can pinpoint the diagnosis and administer appropriate treatment. #FMSky #PrimaryCare #MedSky #Ultrasound www.jabfm.org/content/37/6...

Study results suggest that direct oral challenge may be effectively and safely implemented in a #primarycare setting to delabel penicillin allergies in patients with low-risk penicillin allergies, potentially serving as a model to increase access to DOC #FMSky #MedSky www.jabfm.org/content/37/6...

Though cardiac stress tests have been the standard of care for initial evaluation of cardiac symptoms, researchers found that test completion rates were significantly lower for individuals who were female, Black, and had a diagnosis of dyslipidemia #FMSky #PrimaryCare www.jabfm.org/content/37/6...

Primary care clinicians can improve unhealthy alcohol use outcomes by universally screenings. This study aimed to increase UAU screening, brief intervention, medication-assisted treatment , or referral for treatment through practice facilitation https://www.jabfm.org/content/37/6/1027

Gender affirming care is expanding in #familymedicine residency programs and clinics. By using the experiences & recommendations from transgender and nonbinary patients, clinics can work to improve care & address health disparities TGNB patients face #FMSky #PrimaryCare www.jabfm.org/content/37/6...

Despite IUDs being one of the most effective contraceptive methods available in the US, the anticipated pain and anxiety associated with insertion deters many from using this method. Researchers found moderately effective methods to reduce pain and anxiety www.jabfm.org/content/37/6...

Health systems are being called on to address social drivers of health (#SDOH) to improve health care quality, equity, and value, but little is known about how this shift is impacting frontline clinicians and staff in #PrimaryCare www.jabfm.org/content/37/6... #FMSky #MedSky

Study assessed the association between testosterone and rates of abnormal Papanicolaou specimens & specimen adequacy by comparing testosterone-associated Papanicolaou specimens and nontestosterone Papanicolaou specimens among transgender and gender-diverse patients www.jabfm.org/content/37/6...

New study reports that management of leg cramps by #primarycare patients consists of a wide variety of treatment options with limited demonstrated efficacy, often with guidance from the Internet and risk potential in nearly one-third of patients #MedSky #FamilyMedicine www.jabfm.org/content/37/6...

Observational study of novel Wellness Group focused on sustainable wellness habits & emphasizing social support, found 58% of participants lost clinically significant weight in their first group, with average 6.5% weight loss for all participants #FMSky https://www.jabfm.org/content/37/6/1038

When comparing characteristics of 5 fecal immunochemical tests (FITs), study found two-thirds of participants preferred the liquid vial compared with the card for FIT collection. Participants who perceived more difficulty had more errors in FIT collection https://www.jabfm.org/content/37/6/1014