A Country Doctor Writes

JUNE 21, 2025

We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity? 1) Healthcare is not at all customer centered.

Patients 130

Patients Patient-Centered Hypertension Healthcare 130

Common Sense Family Doctor

JANUARY 19, 2025

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

Family Physician 52

Family Physician Family Families Board-Certified 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study design and analysis Quasi-experimental design with implementation evaluation guided by the Consolidated Framework for Implementation Research (CFIR; Damschroder et al., In-depth interviews with clinicians (HCPs; n=87) and implementation team leads (n=14) were transcribed and subjected to directive content analysis.

Primary Care 130

Primary Care Screening Healthcare Finance 130

StorytellERdoc

FEBRUARY 5, 2019

What started as a small adventure and challenge from my writing group, with my first posting on November 19, 2009, turned into quite an amazing ride throughout the literary and social media world. The number of friends I met was staggering. I received recognition and awards. I won prizes. In other ways, though, I have changed immensely.

ER 100

ER Families Family IT 100

Permanente Medicine

APRIL 29, 2025

A new Kaiser Permanente study showed how an integrated colorectal cancer screening program cut cancer deaths in half, reduced incidence by nearly a third, and erased racial health disparities in screenings, incidence, and death rates. underscoring the need to raise awareness, screen proactively, and improve treatment.

Screening 52

Screening Checkup Integrated Care Electronics 52

Permanente Medicine

JUNE 25, 2025

By building an integrated, patient-centered colorectal cancer screening program, we doubled screening rates, cut deaths by 50%, and made major strides in closing racial disparities in outcomes. The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible.

Screening 52

Screening Preventive Care Preventative Care Patient-Centered 52

GeriPal

MARCH 10, 2022

Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. My question is, why this study, and why now? How did this project get launched? Ruth: Sure.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60