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July/August 2005 Annals of Family Medicine tip sheet

family doctors and researchers regarding the appropriate rate of consultations in primary care may not be shared by patients who make frequent office visits. These patients want their family physician to acknowledge their symptoms and provide reassurance. Moreover, their expectations of their physician visits were complex and included the presentation of old and new symptoms implicitly anchored in the framework of an illness.
Stories from Frequent Attenders: A Qualitative Study in Primary Care
By Paula Hodgson, et al

STUDY EXAMINES PHYSICIAN TRUST AMONG JAPANESE-AMERICAN AND JAPANESE PATIENTS
In this cross-national study of nearly 1,000 Japanese and Japanese-American patients, researchers found that decreased patient desire for autonomy, being married, greater religiosity and a physician-patient relationship of longer duration were associated with greater trust in one's physician. Overall, English-speaking Japanese-American participants and Japanese-speaking Japanese-American participants reported more trust than Japanese respondents living in Japan. Among Japanese Americans, more acculturated respondents reported more trust, and Japanese physicians were trusted more than physicians of another ethnicity.
Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans
By Derjung M. Tarn, M.D., M.S, et al

STUDY IDENTIFIES FEATURES THAT SUPPORT INNOVATION AND ORGANIZATIONAL CAPACITY IN PRIMARY CARE GROUPS
In a study of four fledgling Primary Care Organizations in the United Kingdom, researchers identified five features associated with increased organizational capacity for innovation: 1) clear structures and vision for corporate and clinical governance, 2) opportunity for people to learn at all organizational levels, 3) both clinicians and managers in leadership roles that encourage participation, 4) the right ti
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Contact: Kristin Robinson
kristinr@aafp.org
913-906-6000
American Academy of Family Physicians
26-Jul-2005


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