Journal of the American Board of Family Medicine

Guidelines are just a starting point, not the end goal, of successful implementation. Research has identified key facilitators and barriers that impact clinicians' ability to safely prescribe opioids www.jabfm.org/content/37/3...

New research evaluated the prevalence of lung cancer screening in Latino patients by place of birth, finding those without documented country of birth had lower odds of receiving screening #MedSky #FamilyMedicine www.jabfm.org/content/38/3...

Long COVID and Days of Work Missed Due to Illness or Injury by Adults in the United States, 2022 Introduction: There are concerns of postacute sequelae of COVID-19, but the impact of long COVID on the US workforce is unclear. Methods: We analyzed the nationally representative 2022 Medical Expend...

Long COVID impacts the daily lives of sufferers, including their work. This study aimed to understand the impact long COVID has on the workforce, finding those who had long COVID missed significantly more days of work than those who did not
www.jabfm.org/content/38/3...

Stroke survivors often report a lower QoL than the general population. The impacts of stroke can be improved through professional rehabilitation. This study compared the effectiveness of interventions in improving stroke patients’ QoL.
www.jabfm.org/content/38/3...

Prenatal Care Coordination (PNCC) is a Medicaid-funded intervention that supplements prenatal care with social & educational services to improve maternal and infant health. PNCC clinicians may also help beneficiaries attain Well Child Visits for their infants www.jabfm.org/content/38/3...

#AI & machine learning are reshaping #FamilyMedicine! Check out our living collection of the latest research from journals like Annals of Family Medicine, @jabfm.bsky.social and more. Updated automatically as new studies are published.

Learn more: www.annfammed.org/content/ai-f...

New research develops and internally validates a novel risk score for influenza that incorporates flu vaccination status. In the study’s external validation, it classified over 60% of patients in the low-risk group, with only a 6.8% probability of influenza.

www.jabfm.org/content/38/3...

Leukemias have been detected incidentally in the asymptomatic phase when running a complete blood count test for unrelated reasons. While a CBC does not constitute as screening, its role in detecting leukemias offers crucial insights into cancer screening in general www.jabfm.org/content/38/2...

New paper: care coordination in pregnancy improves well-child visit attendance for infants — even up to 2 years post-birth! doi.org/10.3122/jabf...

@jabfm.bsky.social @rushmedical.bsky.social @wifamilymedicine.bsky.social

30+ million people in the US live with type 2 diabetes, yet there is a gap between the recommended and actual care for their psychosocial needs. Interventions like INTEGRATE-D warrant further discovery to help primary care clinics better align with ADA recommendations www.jabfm.org/content/38/2...

We are excited to welcome Dr. Namita Bhardwaj as our newest Research and Editing Fellow! Click here to learn more about the ABFM Research and Editing Fellowship: www.jabfm.org/content/abfm...

Identifying Strategies to Improve Implementation of Integrative Pain Management in Primary Care Background: Mounting evidence supports the use of integrative pain management (IPM) in primary care settings. There is limited understanding of primary care clinicians’ experiences, recommendations, a...

While there is evidence to support the use of integrative pain management (IPM) to treat chronic pain, patients frequently lack access. As a specialty that focuses on whole-person, comprehensive care, family medicine is uniquely situated to integrate IPM into practice www.jabfm.org/content/38/2...

In this original research, researchers saw greater frequency of preventative visits, cervical cancer screenings, and diabetes monitoring labs in participants who received electronically-delivered push notifications
www.jabfm.org/content/38/2...

Piroxicam Plus Plan B for Emergency Contraception Consider combination therapy using Levonorgestrel with Piroxicam as an option for female patients, seeking a noninvasive, affordable and practical option for emergency oral contraception.

Research has demonstrated improved effectiveness of the Levonorgestrel (Plan B) with the NSAID Piroxicam to address unwanted pregnancies without any increase in side effects www.jabfm.org/content/38/2...

Fragmented care, cost, access, and corporate medicine failing to increase the number of family physicians providing maternal care has exacerbated the maternal morbidity crisis in the United States. The FM OB model could help to alleviate these disparities www.jabfm.org/content/38/2...

Examining the Million Dollar Question: Why is There Still a Gender Wage Gap in Family Medicine? In their policy brief “Lifetime Impact of the Gender Wage Gap in Family Medicine,” Sanders et al. report that female§ family physicians in their early careers experience an annual wage gap of nearly $...

Female family physicians earn $32K less/year than men with similar roles, leading to them earning $1M less than their male colleagues. The gap is growing (2017: $32K → 2022: $57K) & won't be fixed through better negotiation, instead systemic changes are needed www.jabfm.org/content/38/2...

Many patients don’t ask for or understand the Medicare Annual Wellness Visit, making it harder for them to participate meaningfully. New research explores how this limits its effectiveness despite database analyses showing benefits. www.jabfm.org/content/38/2...

Barriers and Facilitators to Informed Decision-Making About Prostate Cancer Screening Among Black Men Background: Black men are disproportionately impacted by prostate cancer (PrCa). Current guidelines recommend that all men make informed decisions about whether to be screened for PrCa. Little is know...

Prostate cancer (PrCa) is the second-leading cause of cancer mortality among American men, and Black men are disproportionately impacted. New research sought to understand the barriers and facilitators of informed decision-making (IDM) about PrCa screening in Black men www.jabfm.org/content/34/5...

Blood Pressure Medication Side Effect Symptoms and Patient Treatment Satisfaction and Adherence Background: Side effect symptoms to blood pressure (BP) medications may be associated with medication nonadherence, treatment dissatisfaction, and worse BP control. This article describes the frequenc...

90% of patients with uncontrolled hypertension reported at least one BP med side effect—and 40% said it was a “big problem.” These symptoms were tied to lower satisfaction and poor adherence, especially when patients thought their meds were to blame. www.jabfm.org/content/38/2...

New research finds primary care utilization is associated with lower rates of ER use. Findings show increased ER use is more likely in communities w/ decreased primary care use, increased disease prevalence, higher proportions of Black residents, & being rural https://www.jabfm.org/content/38/2/247

A new study explored the feasibility & acceptability of integrating the FRAME preconception digital risk assessment into primary care. Patients & clinicians found it helpful for opening the door to lifestyle and reproductive health discussions. https://www.jabfm.org/content/38/2/223

New study of patients on long-term opioids for chronic low back pain reports greater shared decision-making was associated with more frequent opioid prescribing and less tapering which was not associated with better outcomes https://www.jabfm.org/content/38/2/275

This study looked at how family physicians document social determinants of health in EHRs. The biggest predictors weren’t physician characteristics but rather the socioeconomic context of the communities they serve and the practice’s capacity to address those needs.
www.jabfm.org/content/38/2...

Cervical cancer screening rates dropped at the start of COVID-19, new study shows they didn’t fully recover to prepandemic levels during the two years of the pandemic. Researchers looked at how patient and clinician characteristics impact the likelihood of screening
www.jabfm.org/content/38/2...

New issue of JABFM covers OB care in underserved communities, COVID’s impact on cervical cancer screening, IVF access, digital preconception tools, and more. Read more www.jabfm.org/content/38/2... and access the full issue here: www.jabfm.org/content/38/2 #FamilyMedicine #PrimaryCare #FMSKY #MedSky

Successful Implementation of Integrated Behavioral Health Introduction: The Colorado State Innovation Model (SIM) initiative aimed to support primary care practices in implementing behavioral health integration and other aspects of advanced primary care. Thi...

Integrating behavioral health into primary care improves outcomes, but implementation can be difficult. Behavioral health integration was implemented by 78% of the 300+ sites by the end of the Colorado SIM initiative www.jabfm.org/content/38/1...

Delayed or missed diagnostic referrals are a common contributor to diagnostic errors. This study highlights how poor communication and system "friction", like confusing instructions or hard-to-book appointments, can derail follow-up care www.jabfm.org/content/38/1... #HealthCommunication #PCC #PBRN

Lung cancer screening implementation is challenging in rural & community primary care settings. New study shows most clinical trials informing LCS rely on methods beyond the capacity of typical primary care, highlighting the need for pragmatic, feasible approaches 🔗 www.jabfm.org/content/38/1...

To Feel Again: The Strength of a Support Community Health care professionals are known to prioritize the health of others over themselves. The culture of medicine incentivizes this idea of putting all others first before ourselves. This habit makes ph...

Physicians often put their own health last. Dr. Angela Rodgers shares how attending a national conference helped her reconnect—with herself, her patients, and the power of community in chronic illness care.
https://www.jabfm.org/content/38/1/172

Nearly 30% of adults ages 65 and older have type 2 diabetes mellitus in the United States and older adults often experience high levels of social needs. This study examines the association between social needs and DM-related outcomes #SDOH #T2DM #Medicare www.jabfm.org/content/38/1...