J Am Board Fam Med. 2024 Mar-Apr;37(2):161-164. doi: 10.3122/jabfm.2024.240050R0.
This issue highlights changes in medical care delivery since the start of the COVID-19 pandemic and features research to advance the delivery of primary care. Several articles report on the effectiveness of telehealth, including its use for hospital follow-up, medication abortion, management of diabetes, and as a potential tool for reducing health disparities. Other articles detail innovations in clinical practice, from the use of artificial intelligence and machine learning to a validated simple risk score that can support outpatient triage decisions for patients with COVID-19. Notably one article reports the impact of a voluntary program using scribes in a large health system on physician documentation behaviors and performance. One article addresses the wage gap between early-career female and male family physicians. Several articles report on inappropriate testing for common health problems; are you following recommendations for ordering Pulmonary Function Tests, mt-sDNA for colon cancer screening, and HIV testing?
本期重点关注 COVID-19 大流行开始以来医疗服务提供方式的变化,并收录了旨在推动初级保健服务发展的研究成果。有多篇文章报告了远程医疗的有效性,包括其在医院随访、药物流产、糖尿病管理以及作为减少健康差异潜在工具的应用。其他文章详细介绍了临床实践中的创新,包括人工智能和机器学习的应用,以及一种经过验证的简单风险评分,可支持 COVID-19 门诊患者分诊决策。值得注意的是,有一篇文章报告了在大型医疗系统中使用抄写员的自愿计划对医生记录行为和表现的影响。还有一篇文章探讨了初出茅庐的女医生和男医生之间的薪资差距。有几篇文章报告了对常见健康问题的不当检测;你是否遵循了有关肺功能检测、结肠癌筛查 mt-sDNA 检测和 HIV 检测的建议?