Annals of family medicine
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Annals of family medicine · Jan 2006
Management of type 2 diabetes in the primary care setting: a practice-based research network study.
We wanted to describe how primary care clinicians care for patients with type 2 diabetes. ⋯ Only modest numbers of patients achieve established targets of diabetes control. Reengineering primary care practice may be necessary to substantially improve care.
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Annals of family medicine · Nov 2005
Randomized Controlled TrialPhysicians answer more clinical questions and change clinical decisions more often with synthesized evidence: a randomized trial in primary care.
Clinicians need evidence in a format that rapidly answers their questions. DynaMed is a database of synthesized evidence. We investigated whether primary care clinicians would answer more clinical questions, change clinical decision making, and alter search time using DynaMed in addition to their usual information sources. ⋯ Using DynaMed, primary care clinicians answered more questions and changed clinical decisions more often, without increasing overall search time. Synthesizing results of systematic evidence surveillance is a feasible method for meeting clinical information needs in primary care.
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Annals of family medicine · Nov 2005
How experiencing preventable medical problems changed patients' interactions with primary health care.
We wanted to explore how patients' experiences with preventable problems in primary care have changed their behavioral interactions with the health care system. ⋯ Understanding how patients react to their experiences with preventable problems can assist health care at both the physician-patient and system levels. We propose an association of mistrust with the behaviors of avoidance and advocacy, and suggest that further research explore the potential impact these patient behaviors have on the provision of health care.