Annals of family medicine
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Annals of family medicine · Sep 2019
Professional Communication Networks and Job Satisfaction in Primary Care Clinics.
Whereas communication among health care professionals plays an important role in providing the best quality of care for primary care patients, little evidence exists regarding how professional communication contributes to job satisfaction among health care providers, including physicians and clinical staff, in primary care clinics. This study evaluates the extent to which professional communication networks contribute to job satisfaction among health care professionals in primary care clinics. ⋯ Interventions targeting professional communication networks might improve health care employee job satisfaction at primary care clinics.
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Annals of family medicine · Sep 2019
Potential for Reducing Time to Referral for Colorectal Cancer Patients in Primary Care.
An optimal diagnostic process in primary care is pivotal for reducing cancer-related disease burden. This study aims to explore reasons for long times to referral for Dutch colorectal cancer (CRC) patients in primary care. ⋯ Long time to referral for CRC in primary care is mainly related to low cancer suspicion. There is potential for reducing the longest times to referral for patients with CRC in primary care, with earlier reconsideration of the initial hypothesis and implementation of strict follow-up consultations.
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Annals of family medicine · Sep 2019
Patient-Physician Agreement in Reporting and Prioritizing Existing Chronic Conditions.
In this study, we aimed to assess (1) the agreement between patient self-reports and general practitioner (GP) reports of the chronic conditions affecting the patients and (2) the agreement between patients and GPs on health priorities in a primary care setting. ⋯ Agreement between patients and their GPs varied widely depending on the diseases reported. Low agreement on health priorities suggests a need for improvement to ensure better alignment between patient and physician perspectives.
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Although the public's essential capacity for self-rule in the United States lies in the power of the ballot, there exist many barriers to voting, particularly for marginalized communities. These barriers cultivate less representative government and less inclusive public policy. ⋯ With augmented, unbiased voter participation, elections would yield government that is more representative and public policy that is more equitable, while reducing costly and preventable health disparities. Health organizations can promote comprehensive, nonpartisan voter engagement through registration, mobilization, education, and protection of all voters.
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Annals of family medicine · Sep 2019
Diagnostic Accuracy of a Smartphone-Operated, Single-Lead Electrocardiography Device for Detection of Rhythm and Conduction Abnormalities in Primary Care.
To validate a smartphone-operated, single-lead electrocardiography (1L-ECG) device (AliveCor KardiaMobile) with an integrated algorithm for atrial fibrillation (AF) against 12-lead ECG (12L-ECG) in a primary care population. ⋯ In a primary care population, a smartphone-operated, 1L-ECG device showed excellent diagnostic accuracy for AF/AFL and good diagnostic accuracy for other rhythm abnormalities. The 1L-ECG device was less sensitive for conduction abnormalities.