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Embargoed Jan./Feb. Annals of Family Medicine tip sheet

erns are associated with higher rates of prescribing antidepressants for patients who will likely benefit from them, and with a weakened effect of patient requests on prescribing behavior, lowering the likelihood that patients will receive unnecessary medication.

Exploring and Validating Patient Concerns: Relation to Prescribing for Depression
By Ronald M. Epstein, M.D., et al

A SNAPSHOT OF PRIMARY CARE VISITS

This study compares clinical encounters in 20 U.S. practice-based research networks (PBRNs) with those of the National Ambulatory Medical Care Survey (NAMCS) and finds that there are important differences. For example, a larger proportion of the PBRN visits involve preventive care and were made by children, members of a minority racial group and individuals who did not have private health insurance. The authors state that this information fulfills a need for more comprehensive information about primary care clinicians, their patients, and services they provide that can be used by researchers, policy makers and the public. Such information may help to identify strengths and additional area for improvement in services.

Describing Primary Care Encounters: The Primary Care Network Survey and the National Ambulatory Medical Care Survey
By Helen J. Binns, M.D., M.P.H., et al

HIP FRACTURE PREDICTION TOOL PRACTICAL FOR PRIMARY CARE USE

A clinical predictor of hip fracture and mortality risk, the Fracture and Mortality Index (FRAMO Index) is practical for routine use in the primary care setting according to this population-based cohort study of 1,248 patients. This tool uses four risk factors older age, low weight, prior fragility fracture and using arms to rise from a sitting position that in this study are found to predict two-year hip fracture risk.

Validation of a 4-Item Score Predicting Hip Fractures and Mortality Risk Among Elderly Women
By Daniel M. Albertsson, M.D., et al

A HEADACH
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Contact: Kristin Robinson
kristinr@aafp.org
913-906-6000, ext. 5221
American Academy of Family Physicians
29-Jan-2007


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