John E Delzell Jr
John E Delzell Jr
Practice improvement, part II: trends in employment versus private practice [0.03%]
实践改进（二）：就业与私人执业的趋势比较
Mary Thoesen Coleman,Michelle A Roett
Mary Thoesen Coleman
A growing percentage of physicians are selecting employment over solo practice, and fewer family physicians have hospital admission privileges. Results from surveys of recent medical school graduates indicate a high value placed on free tim...
Review
FP essentials. 2013 Nov:414:32-40. DOI: 2013
Practice improvement, part II: update on patient communication technologies [0.03%]
实践改进第二部分：患者沟通技术的更新
Michelle A Roett,Mary Thoesen Coleman
Michelle A Roett
Patient portals (ie, secure web-based services for patient health record access) and secure messaging to health care professionals are gaining popularity slowly. Advantages of web portals include timely communication and instruction, access...
Review
FP essentials. 2013 Nov:414:25-31. DOI: 2013
Michelle A Roett,Mary Thoesen Coleman
Michelle A Roett
Approximately half of American adults have limited health literacy, and the majority have inadequate skills for preventing disease and managing their own health. Low health literacy results in poor health outcomes, including mortality, and ...
Review
FP essentials. 2013 Nov:414:19-24. DOI: 2013
Practice improvement, part II: collaborative practice and team-based care [0.03%]
实践改进，第二部分：协作医疗与团队合作护理
Michelle A Roett,Mary Thoesen Coleman
Michelle A Roett
The Institute of Medicine recommends interprofessional teams to address patients' complex needs. Team care should be structured in a way that uses the highest training levels of its members. Team communication is enhanced through regular me...
Review
FP essentials. 2013 Nov:414:11-8. DOI: 2013
Mindy A Smith
Mindy A Smith
Common gastrointestinal symptoms: risks of long-term proton pump inhibitor therapy [0.03%]
常见胃肠症状与长期使用质子泵抑制剂的风险关系
Julia Fashner,Alfred Chege Gitu
Julia Fashner
More than 11 million individuals receive proton pump inhibitor (PPI) prescriptions each year in the United States. Although PPIs are effective treatment for peptic ulcers and esophagitis and provide symptom relief for many other conditions,...
Review
FP essentials. 2013 Oct:413:29-39. DOI: 2013
Julia Fashner,Alfred Chege Gitu
Julia Fashner
The most common diagnoses among patients with dyspepsia are functional dyspepsia, gastroesophageal reflux disease, peptic ulcer, and gastric or esophageal cancer. Helicobacter pylori infection is present in many patients with dyspepsia and ...
Review
FP essentials. 2013 Oct:413:24-8. DOI: 2013
Julia Fashner,Alfred Chege Gitu
Julia Fashner
The diagnosis of irritable bowel syndrome (IBS) should be considered when patients have had abdominal pain/discomfort, bloating, and change in bowel habits for 6 months. Patients may experience variation between periods of constipation and ...
Review
FP essentials. 2013 Oct:413:16-23. DOI: 2013
Julia Fashner,Alfred Chege Gitu
Julia Fashner
Swallowing occurs in 3 phases: oral, pharyngeal, and esophageal. Oropharyngeal dysphagia typically is a result of neuromuscular disorders, such as stroke and parkinsonism, or of mucosal dryness caused by drugs or radiation therapy. Esophage...
Review
FP essentials. 2013 Oct:413:11-5. DOI: 2013