Annals of family medicine
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Annals of family medicine · Jul 2020
Multicenter StudyTransforming Primary Care for Lesbian, Gay, Bisexual, and Transgender People: A Collaborative Quality Improvement Initiative.
Lesbian, gay, bisexual, and transgender (LGBT) people experience multiple disparities in access to care and health outcomes. We developed a quality improvement initiative, Transforming Primary Care for LGBT People, to enhance the capacity of federally qualified health centers (FQHCs) to provide culturally affirming care for this population. ⋯ FQHCs participating in this initiative reported improved capacity to provide culturally affirming care and targeted screening for LGBT patients.
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Annals of family medicine · Mar 2020
Multicenter StudyEffect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings.
Online programs may help to engage patients in advance care planning in outpatient settings. We sought to implement an online advance care planning program, PREPARE (Prepare for Your Care; http://www.prepareforyourcare.org), at home and evaluate the changes in advance care planning engagement among patients attending outpatient clinics. ⋯ Implementation of the online PREPARE program in primary care and cancer care clinics increased advance care planning engagement among patients.
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Annals of family medicine · Mar 2020
Multicenter Study Observational StudyAnticoagulants' Safety and Effectiveness in General Practice: A Nationwide Prospective Cohort Study.
Most real-world studies on anticoagulants have been based on health insurance databases or performed in secondary care. The aim of this study was to compare safety and effectiveness between patients treated with vitamin K antagonists (VKAs) and patients treated with direct oral anticoagulants (DOACs) in a general practice setting. ⋯ VKAs and DOACs had fairly similar safety and effectiveness in general practice. The substantially higher incidence of deaths with VKAs is consistent with known data from health insurance databases and calls for further research to understand its cause.
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Annals of family medicine · Mar 2020
Randomized Controlled Trial Multicenter StudyEfficacy and Safety of Use of the Fasting Algorithm for Singaporeans With Type 2 Diabetes (FAST) During Ramadan: A Prospective, Multicenter, Randomized Controlled Trial.
We aimed to evaluate the efficacy and safety of use of the Fasting Algorithm for Singaporeans with Type 2 Diabetes (FAST) during Ramadan. ⋯ Our findings emphasize the importance of efficacious, safe, and culturally tailored epistemic tools for diabetes management.
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Annals of family medicine · Jan 2020
Randomized Controlled Trial Multicenter StudyLay Health Coaching to Increase Appropriate Inhaler Use in COPD: A Randomized Controlled Trial.
Poor adherence to medications is more prevalent for chronic obstructive pulmonary disease (COPD) than for other chronic conditions and is associated with unfavorable health outcomes. Few interventions have successfully improved adherence for COPD medications; none of these use unlicensed health care personnel. We explored the efficacy of lay health coaches to improve inhaler adherence and technique. ⋯ Health coaching may provide a scalable model that can improve care for people living with COPD.