Seehusen Dean A, Bowman Marjorie A, Neale Anne Victoria
J Am Board Fam Med. 2016 Nov 12;29(6):639-641. doi: 10.3122/jabfm.2016.06.160290.
This issue of JABFM is full of evidence and thoughtful articles on topics central to family medicine. These articles critically examine what family physicians do on a daily basis. Reports in this issue provide new evidence regarding guidelines, screening programs, evaluation procedures, and practice models. Clinical articles report that the sensitivity of mailed Fecal Immunochemical Testing changes with the weather; a dermatoscope and a simple algorithm can help differentiate malignant from benign skin lesions; and that a few almonds can alter blood glucose levels in response to a glucose tolerance test. Readers will find an excellent discussion about whether, and how, the growing number of clinical guidelines should be overseen going forward. We also have a first-hand account of the Inaugural Starfield Summit, a meeting of family medicine leaders working to improve primary care for all. These topics, and plenty of additional new evidence pertinent to the daily practice of family physicians can be found in this issue.
本期《美国家庭医学委员会杂志》(JABFM)刊载了大量与家庭医学核心主题相关的实证性且具深度思考的文章。这些文章严谨审视了家庭医生的日常工作内容。本期报告提供了关于指南、筛查项目、评估程序及实践模式的新证据。临床文章报道,邮寄粪便免疫化学检测的敏感性会随天气变化;皮肤镜和一种简单算法有助于鉴别皮肤恶性与良性病变;少量杏仁可在葡萄糖耐量试验中改变血糖水平。读者会发现一场关于未来是否以及如何监管日益增多的临床指南的精彩讨论。我们还有一篇关于首届斯塔菲尔德峰会的第一手报道,这是一次家庭医学领域领导者为改善全民初级保健而召开的会议。在本期中可以找到这些主题以及许多与家庭医生日常实践相关的其他新证据。