scholarly journals Adolescent Primary Care Visit Patterns

2010 ◽  
Vol 8 (6) ◽  
pp. 511-516 ◽  
Author(s):  
J. D. Nordin ◽  
L. I. Solberg ◽  
E. D. Parker
Keyword(s):  
Primary Care ◽  
Primary Care Visit ◽  
Care Visit

scholarly journals Who are we missing with EHR-based smoking cessation treatments? A descriptive study of patients who smoke and do not regularly visit primary care clinics

2020 ◽  
Vol 15 (4) ◽  
pp. 175-180
Author(s):  
Margaret Nolan ◽  
Deejay Zwaga ◽  
Danielle McCarthy ◽  
Christian Kastman ◽  
Timothy Baker ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
The United States ◽  
Primary Care Visit ◽  
Patient Portal ◽  
The Past ◽  
Healthcare Settings ◽  
Care Visit ◽  
Tobacco Treatment

AbstractIntroductionMost tobacco treatment efforts target healthcare settings, because about 75% of smokers in the United States visit a primary care provider annually. Yet, 25% of patients may be missed by such targeting.AimsTo describe patients who smoke but infrequently visit primary care – their characteristics, rates of successful telephone contact, and acceptance of tobacco treatment.MethodsTobacco Cessation Outreach Specialists ‘cold-called’ those without a primary care visit in the past year, offering tobacco dependence treatment. Age, sex, insurance status, race, ethnicity, electronic health record (EHR) patient-portal status and outreach outcomes were reported.ResultsOf 3,407 patients identified as smokers in a health system registry, 565 (16.6%) had not seen any primary care provider in the past year. Among 271 of those called, 143 (53%) were successfully reached and 33 (23%) set a quit date. Those without visits tended to be younger, male, some-day versus every-day smokers (42 vs. 44 years, P = 0.004; 48% vs. 40% female, P = 0.0002, and 21% vs. 27% some-day, P = 0.003), and less active on the EHR patient portal (33% vs. 40%, P = 0.001).ConclusionsA substantial proportion of patients who smoke are missed by traditional tobacco treatment interventions that require a primary care visit, yet many are receptive to quit smoking treatment offers.

scholarly journals Natural language processing for automated annotation of medication mentions in primary care visit conversations

JAMIA Open ◽  
2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Craig H Ganoe ◽  
Weiyi Wu ◽  
Paul J Barr ◽  
William Haslett ◽  
Michelle D Dannenberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Natural Language Processing ◽  
Natural Language ◽  
Information Extraction ◽  
Language Processing ◽  
Primary Care Visit ◽  
Data Set ◽  
Test Set ◽  
Medication Information ◽  
Care Visit

Abstract Objectives The objective of this study is to build and evaluate a natural language processing approach to identify medication mentions in primary care visit conversations between patients and physicians. Materials and Methods Eight clinicians contributed to a data set of 85 clinic visit transcripts, and 10 transcripts were randomly selected from this data set as a development set. Our approach utilizes Apache cTAKES and Unified Medical Language System controlled vocabulary to generate a list of medication candidates in the transcribed text and then performs multiple customized filters to exclude common false positives from this list while including some additional common mentions of the supplements and immunizations. Results Sixty-five transcripts with 1121 medication mentions were randomly selected as an evaluation set. Our proposed method achieved an F-score of 85.0% for identifying the medication mentions in the test set, significantly outperforming existing medication information extraction systems for medical records with F-scores ranging from 42.9% to 68.9% on the same test set. Discussion Our medication information extraction approach for primary care visit conversations showed promising results, extracting about 27% more medication mentions from our evaluation set while eliminating many false positives in comparison to existing baseline systems. We made our approach publicly available on the web as an open-source software. Conclusion Integration of our annotation system with clinical recording applications has the potential to improve patients’ understanding and recall of key information from their clinic visits, and, in turn, to positively impact health outcomes.

Vision Screening

2020 ◽  
Keyword(s):  
Primary Care ◽  
Early Detection ◽  
Physical Examination ◽  
Vision Loss ◽  
Light Reflection ◽  
Primary Care Visit ◽  
Vision Screening ◽  
Care Visit ◽  
Test Instrument ◽  
Key Points

Key Points Vision screening should be a routine part of every primary care visit, with physical examination from birth and formal acuity testing from 3 years on. Elements of the physical examination include inspection, red reflex evaluation, corneal light reflection, cover-uncover test. Instrument-based testing can begin at 1 year of age until chart-based acuity testing is possible from 3 years on. Amblyopia, which results in permanent vision loss, is preventable with early detection—before 5 years of age.

scholarly journals Patient-Reported Use of the After Visit Summary in a Primary Care Internal Medicine Practice

2019 ◽  
Vol 7 (5) ◽  
pp. 703-707
Author(s):  
Sarita Pathak ◽  
Gregory Summerville ◽  
Celia P Kaplan ◽  
Sarah S Nouri ◽  
Leah S Karliner
Keyword(s):  
Primary Care ◽  
Multivariable Analysis ◽  
Free Text ◽  
Primary Care Visit ◽  
Communication Tool ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Visit ◽  
Patient Reported ◽  
Communication Errors

Participants completed a cross-sectional survey about their use of the after visit summary (AVS) at a previous primary care visit. Of 355 participants, 294 (82.8%) recalled receiving it, 67.4% consulted it, 45.9% consulted it more than once, and 31.6% shared the AVS. In multivariable analysis, higher education and older age were associated with AVS consultation. Among the subset of 133 patients recalling personalized free-text instructions, 96% found them easy to understand and 94.4% found them useful. Our findings suggest that the AVS is a useful communication tool and improvement efforts should emphasize clarity for those most vulnerable to communication errors.

The Clinical Course of Pain and Function in Older Adults with a New Primary Care Visit for Back Pain

2015 ◽  
Vol 63 (3) ◽  
pp. 524-530 ◽  
Author(s):  
Sean D. Rundell ◽  
Karen J. Sherman ◽  
Patrick J. Heagerty ◽  
Charles N. Mock ◽  
Jeffrey G. Jarvik
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Back Pain ◽  
Clinical Course ◽  
Primary Care Visit ◽  
Care Visit ◽  
And Function

scholarly journals Primary Care Visit Regularity and Patient Outcomes: an Observational Study

2018 ◽  
Vol 34 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Adam J. Rose ◽  
Justin W. Timbie ◽  
Claude Setodji ◽  
Mark W. Friedberg ◽  
Rosalie Malsberger ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Patient Outcomes ◽  
Primary Care Visit ◽  
Care Visit

scholarly journals Primary care visit preparation and communication for patients with poorly controlled diabetes: A qualitative study of patients and physicians

2017 ◽  
Vol 11 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Richard William Grant ◽  
Andrea Altschuler ◽  
Connie Si Uratsu ◽  
Gabriela Sanchez ◽  
Julie Ann Schmittdiel ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Primary Care Visit ◽  
Care Visit

Characterizing Primary Care Visit Activities at Veterans Health Administration Clinics1

2015 ◽  
Vol 60 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Jennifer C. Gutierrez ◽  
Christian Terwiesch ◽  
Amy R. Pettit ◽  
Steven C. Marcus
Keyword(s):  
Primary Care ◽  
Veterans Health Administration ◽  
Primary Care Visit ◽  
Veterans Health ◽  
Health Administration ◽  
Care Visit

scholarly journals The End of the 15–20 Minute Primary Care Visit

2015 ◽  
Vol 30 (11) ◽  
pp. 1584-1586 ◽  
Author(s):  
Mark Linzer ◽  
◽  
Asaf Bitton ◽  
Shin-Ping Tu ◽  
Margaret Plews-Ogan ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Visit ◽  
Care Visit
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