Articles: relationships.
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Annals of family medicine · Apr 2022
Family medicine provider and staff identification and response to male patient intimate partner violence perpetration.
Context: One in five men report lifetime intimate partner violence (IPV) perpetration defined as using physical force against an intimate partner. Two in three male IPV perpetrators seek routine health services. Family medicine physicians can use IPV perpetration screening tools validated in healthcare, and potentially refer men to local battering intervention programs. ⋯ Providers described ways to increase patient use of interventions such as warm referral and virtual visits. Subjects described organizational challenges to IPV perpetration identification and response including limited time and resources, but hypothesized that training could improve implementation. Conclusions: family medicine providers and staff describe various methods to identify and respond to male patient IPV perpetration, including use of a team approach, warm referrals, recognizing patient and provider barriers, and building on continuity relationships already established in primary care.
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Annals of family medicine · Apr 2022
Outcomes of searching for online health and parenting information on behalf of others: A mixed methods research study.
Context: Use of trustworthy online consumer health information (OCHI) is generally associated with benefits, yet barriers such as low health literacy may reduce these benefits. One of the largest groups of OCHI consumers is parents of young children. In addition to OCHI, parents reach out to their social circle for tailored advice, emotional support, and culturally relevant parenting information. ⋯ Sharing information led to improved decision making, improved relationships, less worry and better health outcomes, or in some cases led to tensions. Conclusion: By better understanding how people use information together, health information can be adapted to meet both individual and group needs. Public health interventions aimed at supporting parents can do so by facilitating shared decision making.
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Longitudinal integrated clerkships (LICs) are a relatively new model of clinical medical education, whereby students participate in patient care over time and develop relationships with those patients', their clinicians, and other health care staff involved in the care of those patients. It has been called 'relationship-based education' but, to date, no review has investigated the development and impact of these central relationships within this curricula model. ⋯ The longitudinal integrated clerkship model of clinical education facilitates the development of meaningful triangular relationships between student, clinical teacher and patient, which are the central drivers of successful learning within the context of an LIC. These relationships are nested in a set of important supporting relationships involving other supervisors, the medical school and university, the practice clinical and administrative team and peers.
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BMC medical education · Nov 2021
Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review.
The PERMA Model, as a positive psychology conceptual framework, has increased our understanding of the role of Positive emotion, Engagement, Relationships, Meaning, and Achievements in enhancing human potentials, performance and wellbeing. We aimed to assess the utility of PERMA as a multidimensional model of positive psychology in reducing physician burnout and improving their well-being. ⋯ Consideration of the utility of PERMA as a multidimensional model of positive psychology to guide interventions to reduce burnout and enhance well-being among physicians is missing in the literature. Nevertheless, the majority of the studies reported some level of positive outcome regarding reducing burnout or improving well-being by using a physician or a system-directed intervention. Albeit, we found more favorable outcomes in the system-directed intervention. Future studies are needed to evaluate if PERMA as a framework can be used to guide system-directed interventions in reducing physician burnout and improving their well-being.
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Postgraduate medicine · Nov 2021
Comparative StudySex-disparities in risk factors and atherosclerosis cardiovascular disease in diabetic patients.
Objective: The current study was to evaluate risk factors and atherosclerotic cardiovascular disease (ASCVD) among diabetic patients by sex. Methods: Patients with type 2 diabetes mellitus were enrolled, and baseline characteristics and prevalent ASCVD (including coronary heart disease [CHD], ischemic stroke [IS], and peripheral vascular disease [PVD]) were collected and compared by sex. Results: Females accounted for 48.5% (n = 284) of the current study. ⋯ Females had a higher prevalence of CHD (9.9% vs 8.6%) and composite ASCVD (21.8% vs 18.9%). After adjustment for potential covariates, female sex remained independently associated with composite ASCVD (odds ratio [OR]: 1.21 and 95% confidence interval [CI]: 1.05-1.57) and CHD (OR: 1.13 and 95% CI: 1.01-1.38). Conclusion: Among diabetic people, compared to males, females had a higher comorbid burden but received less optimal treatment, which might partly explain their higher prevalence of composite ASCVD and CHD.