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Storylines of family medicine Ⅻ:family medicine and the healthcare system

Family Medicine and community Health 2024年第S03期12卷 109-118页

作者： William B Ventres Leslie A Stone Jeannette E South-Paul Kendall M campbell Aerial R Petty him. ekanadham.kurt c stange Rebecca S Etz William L Miller Robert L Ferrer Marianna Kong Thomas Bodenheimer Roger Strasser Sharon c M Reece Joshua Freeman John M Westfall Family and Preventive Medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Meharry Medical college NashvilleTennesseeUSA Family Medicine University of Texas Medical Branch at Galveston School of MedicineGalvestonTexasUSA Family Medicine Residency Program New York-Presbyterian Columbia University Medical CenterNew YorkNew YorkUSA center for Family and community Medicine Columbia University Vagelos College of Physicians and SurgeonsNew YorkNew YorkUSA center for community Health Integration Case Western Reserve University School of MedicineClevelandOhioUSA Family Medicine and Population Health Virginia Commonwealth University School of MedicineRichmondVirginiaUSA Family Medicine Lehigh Valley Health NetworkAllentownPennsylvaniaUSA University of South Florida Morsani college of Medicine TampaFloridaUSA Family and community Medicine UT Health San Antonio Long School of MedicineSan AntonioTexasUSA Family and community Medicine University of California San Francisco School of MedicineSan FranciscoCaliforniaUSA Northern Ontario School of Medicine University SudburyOntarioCanada Family Medicine Baylor Scott and White HealthTempleTexasUSA Family Medicine University of Kansas School of MedicineKansas CityKansasUSA DARTNet Insitute AuroraColoradoUSA

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine,as interpreted by individual family physicians and medical educators in the USA and elsewhere around the ***‘Ⅻ:Family medicine and the future of the healthcare system’,authors address the following themes:‘Leadership in family medicine’,‘Becoming an academic family physician’,‘Advocare—our call to act’,‘The paradox of primary care and three simple rules’,‘The quadruple aim—melding the patient and the health system’,‘Fit-for-purpose medical workforce’,‘Universal healthcare—coverage for all’,‘The futures of family medicine’and‘The 100th essay.’May readers of these essays feel empowered to be part of family medicine’s exciting future.

关键词： system illustration family

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complex multimorbidity and health outcomes in older adult cancer survivors

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Family Medicine and community Health 2017年第2期5卷 129-138页

作者： David F.Warner Nicholas K.Schiltz kurt c.stange charles W.Given cynthia Owusu Nathan A.Berger Siran M.Koroukian Department of Sociology 711 Oldfather HallUniversity of Nebraska-Lincoln1400 R St.LincolnNE 68588USA Department of Epidemiology and Biostatistics School of MedicineWood BuildingCase Western Reserve University10900 Euclid Ave.ClevelandOH 44106USA Department of Family Medicine and community Health Bolwell BuildingSchool of MedicineCase Western Reserve University11000 Euclid Ave.ClevelandOH 44106USA Department of Family Medicine Clinical CenterMichigan State University788 Service Rd.East LansingMI 48824USA Division of Hematology/Oncology Department of MedicineSchool of MedicineWolstein BuildingCase Western Reserve University10900 Euclid Ave.ClevelandOH 44106USA case comprehensive cancer center Wearn BuildingCase Western Reserve University11100 Euclid Ave.ClevelandOH 44106USA

Objective:To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship,time since cancer diagnosis,and self-reported fair/poor health,self-rated worse health in 2 years,and 2-year ***:We used the 2010-2012 Health and Retirement *** survivors were indi-viduals who reported a(nonskin)cancer diagnosis 2 years or more before the *** defined complex multimorbidity as the co-occurrence of chronic conditions,functional limitations,and/or geriatric *** addition to descriptive analyses,we used logistic regression to evaluate the independent association between cancer survivor status and health *** also examined whether cancer survivorship differed by the number of years since ***:Among 15,808 older adults(age≥50 years),11.8%were cancer *** with cancer-free individuals,a greater percentage of cancer survivors had complex multimorbidity:co-occurring chronic conditions,functional limitations,and geriatric *** survivor-ship was significantly associated with self-reported fair/poor health,self-rated worse health in 2 years,and 2-year *** effects declined with the number of years since diagnosis for fair/poor health and mortality but not for self-rated worse ***:cancer survivor status is independently associated with more complex multi-morbidity,and with worse health *** effects attenuate with time,except for patient perception of being in worse health.

关键词： comorbidity functional limitations geriatric syndromes multimorbidity health status health decline mortality,cancer survivorship

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cultural adaptation and content validity of a chinese translation of the‘Person-centered Primary care Measure’:findings from cognitive debriefing

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Family Medicine and community Health 2020年第4期8卷 90-97页

作者： Emily Tsui Yee Tse cindy Lo Kuen Lam carlos King Ho Wong Weng Yee chin Rebecca S Etz Stephen J Zyzanski kurt c stange Department of Family Medicine and Primary care Li Ka Shing Faculty of MedicineThe University of Hong KongHong Kong SARChina Department of Pharmacology and Pharmacy Li Ka Shing Faculty of MedicineThe University of Hong KongHong Kong SARChina Department of Family Medicine&Population Health Virginia Commonwealth University School of MedicineRichmondVirginiaUSA center for community Health Integration School of MedicineCase Western Reserve UniversityClevelandOhioUSA

Objectives To develop an equivalent chinese translation of the Person-centered Primary care Measure(PcPcM)and to establish its cultural adaptability and content validity through cognitive *** The original English PcPcM was first translated into chinese by double forward-translation by professional *** reconciliated chinese version was then doubly back-translated into English by two other professional translators blinded to the *** affirmation on its linguistic equivalence with the developers of the original English PcPcM,the reconciliated chinese PcPcM was sent for cognitive debriefing with 20 chinese-speaking primary care subjects by a trained interviewer using structured probing questions to collect their opinions on the clarity,comprehensibility and relevance of each item and response option in the *** Subjects were invited from a primary care clinic in Hong Kong to undergo the cognitive debriefing *** interviews were divided into four groups chronologically to allow revision of the items to be made in *** Ten males and 10 females above the age of 18 completed the cognitive *** were all cantonese-speaking chinese recruited by convenience *** with cognitive impairment,could not read chinese,too old or too sick to complete the interviews were excluded from the *** An average of 3.3 min(range 3-4 min)was required for the subjects to self-complete the *** items were generally perceived to be easily understood and *** were made to items with the content validity index(cVI)on clarity or understandingch round of the interviews or if a majority of the subjects suggested *** were made to two items in the chinese PcPcM throughout the whole cognitive debriefing process before the final version was *** average cVI on clarity of the chinese PcPcM items ranged from 0.75 to *** average cVI on un

关键词： translator interview validity

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