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Primary Care Management of Non–English-Speaking Refugees Who Have Experienced...

ImportanceRefugees are a vulnerable class of immigrants who have fled their countries, typically following war, violence, or natural disaster, and who have frequently experienced trauma. In primary...

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Current Challenges to Academic Health Centers

Academic health centers (AHCs) have long been the exemplars of medicine in the United States. They produce “breakthrough” research, pioneer new diagnostic and therapeutic interventions, and train the...

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Use of Electronic Health Records for Automated Screening of Growth Disorders...

Monitoring of linear growth is a well-established part of pediatric health care in the developed world. Although monitoring aims to support early diagnosis and timely treatment of disorders affecting...

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Highlights

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Financial Incentives in Primary Care Practice The Struggle to Achieve...

It is estimated that 66% of total health care spending in the United States is directed toward care for about 27% of individuals with multiple chronic conditions. Many policy experts suggest that...

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State Repayment Programs for Health Care Education Loans

Repayment of loans for health care education is a popular incentive among states to attract clinicians to underserved areas. As of 1996, 37 states offered loan repayment programs for primary care...

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GAO: HRSA Physician Workforce Projections Need Updating

The federal agency responsible for monitoring health care workforce adequacy has not issued any projections of supply and demand since 2008, leaving members of Congress without important and up-do-date...

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Groups Release New, Updated Guidelines to Reduce Heart Disease Risk Factors

After years of waiting, primary care physicians finally have updated lipid control and lifestyle guidelines for prevention and treatment strategies to combat cardiovascular disease risk factors.

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New Obesity Guidelines Promise and Potential

Obesity is a major contributor to many chronic diseases and, because more than 1 in 3 US adults are obese, a public health challenge. The goal of new obesity guidelines is to help primary care...

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Physicians Focus on Primary Care for Patients With HIV

Many patients with HIV infection who receive treatment can now expect to live a near-normal life span. Rapid progress in the treatment of HIV has changed the diagnosis from a death sentence in the...

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Implications of New Insurance Coverage for Access to Care, Cost-Sharing, and...

The good news for patients is that starting in 2014 the Affordable Care Act (ACA) requires individual and group health plans to issue policies to all applicants, regardless of health status. Through...

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Association Between Participation in a Multipayer Medical Home Intervention...

ImportanceInterventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear.ObjectiveTo measure...

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From JAMA’s Daily News Site

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The Patient-Centered Medical Home One Size Does Not Fit All

The patient-centered medical home (PCMH) is widely and vigorously promoted as the basis for primary care reform that will support a high-performing, cost-effective health care system. The PCMH involves...

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Health Reform and Physician-Led Accountable Care The Paradox of Primary Care...

Even though most adult primary care physicians may not realize it, they each can be seen as a chief executive officer (CEO) in charge of approximately $10 million of annual revenue. Consider that a...

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Hospital Medicine and Hospitalists

Hospital medicine is a field of medicine that is dedicated to providing patients with high-quality care during their hospital stay.

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Telecare Collaborative Management of Chronic Pain in Primary Care A...

ImportanceChronic musculoskeletal pain is among the most prevalent, costly, and disabling medical disorders. However, few clinical trials have examined interventions to improve chronic pain in primary...

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Advancing Telecare for Pain Treatment in Primary Care

Chronic musculoskeletal pain accounts for an estimated 60 million ambulatory care visits in the United States each year and significantly impairs quality of life. Management of chronic musculoskeletal...

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Patient Referrals A Linchpin for Increasing the Value of Care

The success of accountable care organizations (ACOs) under global payment may depend in part on a common yet poorly understood clinical decision: the patient referral in the outpatient setting....

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A Practical and Effective Primary Care Intervention for Treating Adolescent...

Adolescent depression is a major pediatric public health concern. Approximately 11% of US adolescents experience an episode of depression by age 18 years. The World Health Organization ranks unipolar...

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