Annals of family medicine
-
Annals of family medicine · Jan 2023
Primary Care Patients' and Staff's Perceptions of Self-Rooming as Alternative to Waiting Rooms.
Most patients are escorted to exam rooms (escorted rooming) although patients directing themselves to their exam room (self-rooming) saves patient and staff time while increasing patient satisfaction. This study assesses patient and staff perceptions after pragmatic implementation of self-rooming. ⋯ Self-rooming is a patient-centered innovation that is also acceptable to staff. We demonstrated that pragmatic implementation is feasible across primary care without expensive technology or specially designed buildings.
-
Annals of family medicine · Jan 2023
Perception and Counseling for Cardiac Health in Breast Cancer Survivors.
Context: Breast cancer survivors have increased cardiovascular disease (CVD) risk compared to those without cancer history. CVD is the leading cause of death for breast cancer survivors. Objective: To assess current CVD risk counseling practices and risk perception in breast cancer survivors. ⋯ Barriers specific to survivorship status include concerns for immune status during COVID, physical limitations associated with cancer treatment, and psychosocial aspects of cancer survivorship. Conclusions: These data suggest improving the frequency and content of CVD risk reduction counseling is needed. Strategies should identify the best methods for providing CVD counseling, and should address general barriers as well as unique challenges faced by cancer survivors.
-
Annals of family medicine · Jan 2023
Observational StudyNorth Carolina MedServe : A Research Team Hiding in Plain Sight.
Context: MedServe is a two-year AmeriCorps fellowship for college graduates pursuing careers in primary care medicine. Fellows are placed at primary care practices in underserved parts of North Carolina and split their time between clinic- and community-based work. MedServe fellows work in over thirty clinics across the state, including Federally Qualified Health Centers, free clinics, and private practices. ⋯ The majority of the MedServe Fellows indicated an interest in continuing with research when their fellowship was complete. Conclusions: MedServe Fellows can be active participants in designing and completing small-scale primary care research projects in North Carolina. This serves as a model for other primary care practices to utilize this population in their research.
-
Context: Dental caries is the most common chronic childhood infectious disease in Canada and creates a significant burden in both human and financial costs. Saskatchewan has the third highest rate of day surgeries to treat dental caries among children 1-5 years of age. Objective: To explore and address the strengths and barriers related to the provision of oral health services. ⋯ Conclusions: This project developed sustainable relationships and built on the community's own strengths and capacities. The community developed a book written and illustrated by the community members, translated in Dene. The book will be used as a tool to provide targeted information about successes and knowledge gaps.
-
Annals of family medicine · Jan 2023
Risk of Postneonatal Infant Mortality Associated With Prior Founded Allegations of Child Abuse.
Context: There are ∼7500 postneonatal deaths (28 days to under 1 year) in the US annually, of which a majority are preventable. Previous studies have reported a child's prior encounter with child protective services (CPS) as a risk factor for preventable death but few studies have evaluated this in relation to subsequent postneonatal deaths. Objective: To measure the association between prior reports of child abuse and subsequent postneonatal death. ⋯ Lower maternal education, age, inadequate prenatal care and infant-parent bedsharing were also associated with higher odds of postneonatal death. Conclusions: Child protective services involvement is an opportunity for education to help reduce the incidence of potentially preventable infant deaths. Families should have access to appropriate acute and preventive care and receive ongoing education about child abuse prevention, infant safety, reducing the risk of preventable deaths such as SIDS, and when to seek medical attention.