Mon.Mar 24, 2025

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From Numbers to Names: How Concierge Care is Redefining the Doctor-Patient Experience

Concierge Choice Physicians

Wayne Lipton, CCP Managing Partner ​America’s trust in medical professionals is dwindling, according to Gallup’s annual professions rating , dropping from a high of 67% in 2021 to just 53% in 2024. A recent article in the Wall Street Journal interviewed physicians, attempting to make sense of the declining numbers. For medical professionals and those working in healthcare, the article was grim.

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Lets Dare to Be Vulnerable: Crossing the Self-Disclosure Rubicon [Reflections]

Annals of Family Medicine

Physician self-disclosure is frequently employed intentionally to establish rapport, cultivate trust and reciprocity, convey empathy, offer hope and reassurance, or strengthen the credibility of clinical recommendations. Self-disclosure of mental health issues is very personal and is considered to be outside the scope of the patient-physician relationship.

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Patient Testimonial – Cheryl Goble

Logansport Memorial Hospital

Healing doesn’t always follow a straight path—and for patients facing chronic or non-healing wounds, the journey can be long, emotional, and uncertain. At Logansport Memorial Hospital, our Wound Care team is committed to walking alongside patients during every stage of that journey, offering advanced treatment options with a personal touch. Cheryl Goble’s story is a moving example of how the right care, delivered at the right time, can make all the difference.

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The General Public Vastly Overestimates Primary Care Spending in the United States [Research Briefs]

Annals of Family Medicine

This study assessed public perceptions of US primary care spending. An online survey was conducted using SurveyMonkey Audience (Symphony Technology Group), achieving a sample of 1,135 adult respondents reflective of the demographic distribution of the US adult population. Respondents’ mean estimate of the percentage of US health care spending funding primary care was 51.8% (SD 24.8, interquartile range [IQR] 40).

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Dignity Health Mercy Medical Group, Dignity Health Woodland Clinic Clinicians Voted “Top Docs”

Dignity Health Medical Foundation

We are proud to announce that 70 physicians from Dignity Health Mercy Medical Group, and 34 from Dignity Health Woodland Clinic have been voted SacTown Magazine’s Top Doctors for 2025. The “Top Docs” honor is an annual list of the area’s best doctors as voted by their peers.

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Heplisav-B vs Standard Hepatitis B Vaccine Booster for Health Care Workers [Research Briefs]

Annals of Family Medicine

Confidence in hepatitis B seroprotection for US health care workers includes a complete immunization series followed by a hepatitis B surface antigen antibody (anti-HBs) titer ≥10 mIU/mL. We compared standard hepatitis B vaccines to Heplisav-B (Dynavax Technologies Corp) as a single booster for young, healthy, previously vaccinated individuals.

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Could legal weed make you sick? Here's how California tries to keep it safe

NPR Health

With no help from the federal government, states are trying to regulate recreational marijuana. California's Department of Cannabis Control works to keep contaminants out of joints, vapes and edibles.

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TikTok is full of ADHD advice — just don't trust it for a diagnosis

NPR Health

TikTok has become the go-to-source on ADHD for teens and young adults. But a new study finds a lot of the information is misleading and can make people's symptoms worse.

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Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor? [Original Research]

Annals of Family Medicine

PURPOSE Much of the literature on team-based primary care has focused on physician productivity, workload, and burnout. Less is known about how team-based care influences patient satisfaction and perceptions of the trade-off between continuity and access. This study assessed the preferences of family medicine patients for seeing their primary care physician (PCP) vs other team clinicians based on visit type and wait time.

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What the COVID-19 pandemic tells us about how viruses evolve

NPR Health

Early in the beginning of the COVID-19 pandemic, scientists predicted the SARS-CoV-2 virus would mutate slowly. They were wrong. Hundreds of thousands of viral mutations and multiple seasonal waves later, we now know why. The answer changes researchers' understanding of viral evolution and it could help predict the evolution of other viruses in the future.

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Performance-Based Reimbursement, Illegitimate Tasks, Moral Distress, and Quality Care in Primary Care: A Mediation Model of Longitudinal Data [Original Research]

Annals of Family Medicine

PURPOSE We tested for direct and indirect effects that performance-based reimbursement (PBR) in primary care has on perceived individual and organizational quality of care, and the role of illegitimate tasks and moral distress as potential mediators. METHOD We used results from the Longitudinal Occupational Health survey in Healthcare Sweden with data collected in 2021, 2022, and 2023.

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Schedule III Marijuana Would Still Be Regulated Marijuana

FDA Law Blog

By Larry K. Houck In August 2023, the U.S. Department of Health and Human Services (HHS), based on the federal Controlled Substances Acts (CSAs) Eight Factor Analysis, recommended that the Drug Enforcement Administration (DEA) reschedule marijuana from schedule I to schedule III. The U.S. Department of Justice subsequently conducted a separate Eight Factor Analysis and concurred with HHS rescheduling recommendation.

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Treatment of Chlamydia and Gonorrhea in Primary Care and Its Patient-Level Variation: An American Family Cohort Study [Original Research]

Annals of Family Medicine

PURPOSE Chlamydia and gonorrhea are the 2 most common bacterial sexually transmitted infections in the United States. Nonadherence to the Centers for Disease Control and Prevention treatment guidelines remains a concern. We examined how well chlamydia and gonorrhea treatment in primary care settings adhered to guidelines. METHODS We used electronic health records from the PRIME registry to identify patients with diagnosis codes or positive test results for chlamydia and/or gonorrhea from 2018 to

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Medical Music Mondays: Dex, Dex, Dex, Go!

PEMBlog

Does it take a catchy post-grunge alt rock song to remind you that all patient with croup should get a dose of dexamethasone before disposition? Does it? No? OK, well, um, the evidence is great that dex reduces the rate of return visits to Emergency Departments and Doctor’s offices. So there’s that. Lyrics [chorus] Dex! Dex! Dex! Go! Dex!

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Adverse Outcomes Associated With Inhaled Corticosteroid Use in Individuals With Chronic Obstructive Pulmonary Disease [Original Research]

Annals of Family Medicine

PURPOSE We aimed to assess long-term inhaled corticosteroid (ICS) risks in chronic obstructive pulmonary disease (COPD) management. METHODS We extracted electronic health record data for individuals aged >45 years with COPD from a data repository. The prevalent cohort required a diagnosis of COPD any time during the observation period, and the inception cohort required a diagnosis of COPD made after entry into the database.

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Reporter's Notebook: Eight theories why fentanyl deaths are plummeting

NPR Health

Thirty thousand fewer people are dying every year in the U.S. from fentanyl and other street drugs. This shift has stunned addiction experts, reversing decades of rising death. Here are eight theories on why things are getting better.

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Feasibility and Acceptability of the "About Me" Care Card as a Tool for Engaging Older Adults in Conversations About Cognitive Impairment [Original Research]

Annals of Family Medicine

PURPOSE We aimed to address fears and lived experiences of cognitive decline among adults via whole-person conversations that elicit problems and goals that matter most to patients. Currently, 6.7 million Americans have Alzheimer disease or related dementias, with an additional 28 million people reporting subjective cognitive decline—a possible indicator of Alzheimer disease and related dementias.

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Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators [Original Research]

Annals of Family Medicine

PURPOSE Disparities in the use of shared decision making (SDM) affect minoritized patients. We sought to identify the barriers and facilitators to SDM among diverse patients. METHODS We conducted a scoping review in adherence to the Joanna Briggs Institute’s methodologic framework. Our search of 4 databases—PubMed, Scopus, CINAHL Plus with Full Text, and PsycINFO—used controlled vocabulary and key word terms related to SDM in the care of racially and/or ethnically diverse adult

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Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients [Original Research]

Annals of Family Medicine

PURPOSE Although studies have shown that more temporally regular (TR) primary care visits are associated with improved patient outcomes, none have examined what clinic staff can do to encourage greater TR visits. This study aims to increase understanding of factors related to health care staff dynamics that contribute to more TR primary care visits for adults with chronic health conditions.

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Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India [Original Research]

Annals of Family Medicine

BACKGROUND We evaluated the effectiveness of a structured family-based cardiovascular health promotion intervention model in improving weight management among adults. METHODS We conducted an open label, cluster randomized controlled trial ( ClinicalTrials.gov NCT02771873 ) with families serving as the unit of intervention. Families were randomly assigned via computer-generated numbers to receive either the comprehensive package of interventions or enhanced usual care in a 1:1 ratio.

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When the Death of a Colleague Meets Academic Publishing: A Call for Compassion [Reflections]

Annals of Family Medicine

What would you do if someone approached you to sign a publishing form on your partner’s behalf within mere weeks of their death? After my trusted, brilliant coworker died, I grappled daily between grieving her loss and driving productivity on her assigned projects. Because, after all, the world keeps spinning, research progresses, and manuscripts have to be published.

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