Category archives for all Original Research

Ten year risk assessment of ischemic cardiovascular disease and intervention analysis among middle-aged residents with moderate risk and above in a Shanghai-based community

ischemic heart disease

Authors: Xu, Qi; Shen, Jieyan; Shi, Rong; Zhao, Hui Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 92-100(9) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0100 Objective: The exposure conditions with regard to 10-year ischemic cardiovascular disease (ICVD) risk among residents aged 45‐59 years treated in Hudong Community Health Service Center were surveyed to provide an objective basis for further studies on the […]

Characteristics of patients with erectile dysfunction in a family physician-led erectile dysfunction clinic: Retrospective case series

erectile dysfunction

Authors: Chiang, Lap Kin; Kam, Cheuk-Wai; Yau, Kin-Chung Michael; Ng, Lorna Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 85-91(7) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0114 Objectives: To examine the characteristics of patients with erectile dysfunction in a family physician led erectile dysfunction clinic; To review association of chronic disease spectrum and erectile dysfunction; To review initial treatment pattern and […]

Primary and secondary prevention of colorectal cancer: An evidence-based review

Primary and secondary prevention of colorectal cancer: An evidence-based review

Authors: Gonzalez, Sandra J.; Mejia de Grubb, Maria C.; Levine, Robert S. Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 78-84(7) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0104 Colorectal cancer (CRC) is a common cancer that affects one in three men and one in four women worldwide. Late-stage detection is associated with significantly lower 5-year survival rates. Although it is […]

Modified Advanced Life Support in Obstetrics course: Feasibility, trainee satisfaction, and sustainability potential

Obstetrics

Authors: Aggarwal, Anjali; Salemi, Jason L.; Yap, Bernice; Matas, Jennifer L.; Naik, Sameer; Zoorob, Roger J.; Salihu, Hamisu M. Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 71-77(7) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0107 Objective: The main objective of this initiative was to present evaluation results from an innovative adaptation of the Advanced Life Support in Obstetrics (ALSO) training course. We modified the traditional […]

Student self-assessment versus preceptor assessment at the midpoint of a family medicine clerkship

student

Authors: Huang, William; Grigoryan, Larissa Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 65-70(6) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0105 Objective: To study how student self-assessment compared with the faculty’s assessment on our family medicine clerkship and to explore the effect of demographic factors on the ratings. Methods: Students and their faculty preceptors assessed the students’ achievement of clerkship objectives […]

Self-reported preferences for patient and provider roles in cancer treatment decision-making in the United States

cancer treatment decision making

Authors: Spooner, Kiara; Chima, Charles; Salemi, Jason L.; Zoorob, Roger J. Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 43-55(13) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0102 Objective: To describe differences in preferred roles in cancer treatment decision-making and identify associated sociodemographic and health-related factors among adults in the United States. Methods: We conducted a cross-sectional analysis of nationally representative data from the […]

Unplanned hospitalizations for metastatic cancers: The changing patterns of inpatient palliative care, discharge to hospice care, and in-hospital mortality in the United States

palliative care

Authors: Salemi, Jason L.; Chima, Charles C.; Spooner, Kiara K.; Zoorob, Roger J. Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 13-28(16) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0106 Objective: To describe the rates and temporal trends of inpatient end-of-life care among patients hospitalized with metastatic cancer in the United States. Methods: We used data from the Nationwide Inpatient Sample to conduct a […]

Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999‐2009

lung cancer

Authors: de Grubb, Maria C. Mejia1; Kilbourne, Barbara2; Kilbourne, Katy3; Langston, Michael4; Gittner, Lisa5; Zoorob, Roger J.1; Levine, Robert1 Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 3-12(10) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0108 Background: The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer ‐ more than from cancers of the colon, breast, […]

Healthy China 2030: “Without national health, there will be no comprehensive well-being”

healthy China 2030

Healthy China 2030: “Without national health, there will be no comprehensive well-being” pp. 75-76(2) Authors: Wang, Wei; Zakus, David On August 19–20, 2016, the China National Health and Wellness Conference was held in Beijing. Both President Xi Jinping and Premier Li Keqiang attended the meeting and delivered important speeches with key messages. Their contributions are […]

‘Feeling of despair’ as the leading cluster theme of conceptual descriptive analyses in participatory assessment

‘Feeling of despair’ as the leading cluster theme of conceptual descriptive analyses in participatory assessment: Russia Oxfam GB case study

‘Feeling of despair’ as the leading cluster theme of conceptual descriptive analyses in participatory assessment: Russia Oxfam GB case study Authors: Zakirova, Venera; Zakus, David This article provides a case study on participatory assessment based on experience gained from an EU‐Oxfam GB project entitled “Empowering Municipalities to Effectively Address Poverty” conducted in five small towns […]

Engaging black sub-Saharan African communities and their gatekeepers in HIV prevention programs

HIV prevention

Engaging black sub-Saharan African communities and their gatekeepers in HIV prevention programs: Challenges and strategies from England Authors: Nyashanu, Mathew; Serrant, Laura HIV infection is a sensitive issue in black communities [Serrant-Green L. Black Caribbean men, sexual health decisions and silences. Doctoral thesis. Nottingham School of Nursing, University of Nottingham; 2004]. Statistics show black sub-Saharan […]

Epidemiological study of hypertensive retinopathy in the primary care setting

Epidemiological study of hypertensive retinopathy in the primary care setting

Epidemiological study of hypertensive retinopathy in the primary care setting: Retrospective cross-sectional review of retinal photographs pp. 13-21(9) Authors: Chiang, Lap-kin; Yau, Michael K.C.; Kam, Cheuk-wai; Ng, Lorna V.; Zee, Benny C.Y. The objective is to estimate the prevalence and grading of hypertensive retinopathy in the primary care setting; examine the patient characteristics associated with […]

Mothers’ health-related quality of life

Mothers’ health-related quality of life

Mothers’ health-related quality of life: Its relationship with children’s health-related quality of life and behavior in low-income families Authors: Wong, Rosa Sze Man; Guo, Vivian Yawei; Ip, Patrick; Wong, Carlos King Ho; Yu, Esther Yee Tak; Fung, Colman Siu Cheung; Lam, Cindy Lo Kuen Objective: To examine the association between mothers’ health-related quality of life […]

Long-term care for aged ethnic minority people in Yunnan, China

Long-term care for aged ethnic minority people in Yunnan, China

Long-term care for aged ethnic minority people in Yunnan, China: Understanding the situation Authors: Zhang, Kaining; Zakus, David; Gao, Chuqun Chinese governmental sectors have been investing lots of money in setting up new institutions for long-term care (LTC) in rural China to respond to the predicted increasing and urgent needs of the growing number of aging people. […]

‘Face’ and psychological processes of laid-off workers in transitional China

‘Face’ and psychological processes of laid-off workers in transitional China

‘Face’ and psychological processes of laid-off workers in transitional China Authors: Wang, Bingxin; Greenwood, Kenneth Mark Objective: The objective was to explore the psychological experiences of laid-off workers in contemporary transitional China and to formulate a theoretical model of these. Methods: In-depth interviews of 26 laid-off workers were conducted and analysed using grounded theory techniques. Results: […]

Training medical undergraduates in the core disciplines of community medicine

training medical undergraduates

Training medical undergraduates in the core disciplines of community medicine through community postings ‐ an experience from India Authors: Shewade, Hemant Deepak; Palanivel, Chinnakali; Jeyashree, Kathiresan Objective: Family medicine, epidemiology, health management and health promotion are the core disciplines of community medicine. In this paper, we discuss the development of a community posting program within the framework […]

Maternal health and its affecting factors in Nepal

Patient-centered care in a multicultural world

Maternal health and its affecting factors in Nepal Authors: Mahara, Gehendra; Barr, Jill; Thomas, Janeeta; Wang, Wei; Guo, Xiuhua Maternal health is still a public health problem in developing countries, especially in low-resource settings rural and poor communities. The main aim of this article is to critically evaluate and explore the situation of maternal health in Nepal based on […]

How well are families doing? A description of family well-being in South Africa

Mothers’ health-related quality of life

How well are families doing? A description of family well-being in South Africa Authors: Roman, Nicolette Vanessa; Isaacs, Serena Ann; Davids, Charl; Sui, Xin-Cheng Objective: The purpose of this study was to describe the well-being of a sample of families from low socioeconomic communities in the Western Cape South Africa in terms of family resilience, family satisfaction, parenting […]

Sedentary lifestyle among adults in Jordan, 2007

sedentary lifestyle

Authors: Sharkas, Ghazi F.; Saheb, Tayseer; Arqoub, Kamal; Haddadin, Raja Objective: Sedentary lifestyle is a major risk factor for physical and mental problems, such as cardiovascular, musculoskeletal diseases, and psychological stress. About 60% of the world’s population is not sufficiently physically active in leisure time or during work and social activities. This study aimed to determine the prevalence […]

The challenge of training for family medicine across different contexts

The challenge of training for family medicine across different contexts: Insights from providing training in China

The challenge of training for family medicine across different contexts: Insights from providing training in China Authors: Sandars, John; Huang, Yingzi; Gibbs, Trevor Physicians with expertise in providing training for family medicine, at both undergraduate level and postgraduate level, are frequently invited to run training workshops in countries with developing systems of family medicine but this approach […]

Turning cross-cultural medical education on its head

Turning cross-cultural medical education on its head: Learning about ourselves and developing respectful curiosity

Turning cross-cultural medical education on its head: Learning about ourselves and developing respectful curiosity Author: Bansal, Aarti Cross-cultural education is often understood to mean acquiring cultural knowledge about different cultural groups in order to serve people from diverse groups equitably. However, this article argues that to work effectively in cross-cultural situations, we need to learn […]

The challenges of cross-cultural research and teaching in family medicine

cancer treatment decision making

The challenges of cross-cultural research and teaching in family medicine: How can professional networks help? Author: Howe, Amanda Caroline Modern medical training emphasizes the value of understanding the patient’s ideas, concerns and expectations, and the use of their personal perspective to assist communication, diagnosis, and uptake of all appropriate health and treatment options. This requires […]

Process engineering for primary care: Quality improvement and population health

Process engineering for primary care: Quality improvement and population health

Process engineering for primary care: Quality improvement and population health Author: Riley, William A fundamental paradox of the health care delivery systems in many industrialized nations is that desired population health metrics are often not achieved despite large expenditures in the health care delivery system. For example, the United States commits nearly 18% of its […]

Methodological challenges of cross-language qualitative research

Methodological challenges of cross-language qualitative research with South Asian communities living in the UK

Methodological challenges of cross-language qualitative research with South Asian communities living in the UK Authors: Sidhu, Manbinder S.; Kokab, Farina; Jolly, Kate; Marshall, Tom; Gale, Nicola K.; Gill, Paramjit Objective: We investigate (1) the influence of ethnic, gender, and age concordance with interviewers and (2) how expression of qualitative data varies between interviews delivered in English and community languages (Punjabi/Urdu) […]