Annals of family medicine
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Annals of family medicine · Nov 2012
Review Meta AnalysisInterventions to improve influenza and pneumococcal vaccination rates among community-dwelling adults: a systematic review and meta-analysis.
Influenza and pneumococcal vaccination rates remain below national targets. We systematically reviewed the effectiveness of quality improvement interventions for increasing the rates of influenza and pneumococcal vaccinations among community-dwelling adults. ⋯ Quality improvement interventions, especially those that assign vaccination responsibilities to nonphysician personnel or that activate patients through personal contact, can modestly improve vaccination rates in community-dwelling adults. To meet national policy targets, more-potent interventions should be developed and evaluated.
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Annals of family medicine · Nov 2012
Randomized Controlled TrialVitamin D supplementation for nonspecific musculoskeletal pain in non-Western immigrants: a randomized controlled trial.
Many non-Western immigrants report musculoskeletal pains that are hard to treat. We studied the effect of high-dose vitamin D(3) on nonspecific persistent musculoskeletal complaints in vitamin D-deficient non-Western immigrants and assessed correlation of pain patterns with benefit. ⋯ There is a small positive effect 6 weeks after high-dose vitamin D(3) on persistent nonspecific musculoskeletal pain. Future research should focus on longer follow-up, higher supplementation doses, and mental health.
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Annals of family medicine · Nov 2012
Randomized Controlled TrialPromoting safe prescribing in primary care with a contraceptive vital sign: a cluster-randomized controlled trial.
Routine assessment of women's pregnancy intentions and contraceptive use-a so-called contraceptive vital sign-may help primary care physicians identify patients who need preconception or contraceptive counseling and be of particular benefit when teratogenic medications are prescribed. ⋯ A contraceptive vital sign improves documentation of contraceptive use; however, ongoing efforts are needed to improve provision of preconception and contraceptive services.
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Annals of family medicine · Nov 2012
Projecting US primary care physician workforce needs: 2010-2025.
We sought to project the number of primary care physicians required to meet US health care utilization needs through 2025 after passage of the Affordable Care Act. ⋯ Population growth will be the greatest driver of expected increases in primary care utilization. Aging and insurance expansion will also contribute to utilization, but to a smaller extent.