Doctor-Patient Relationships

Nov 01, 2021 Issue
Climate Change and the Local Environment: Communicating with Your Patients about Health Impacts [Curbside Consultation]

This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human health presents challen...

Oct 01, 2021 Issue
Physicians Should Refuse Pharmaceutical Industry Gifts [Editorials]

Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical representatives.

Oct 01, 2021 Issue
Racial Disparities at the End of Life [Editorials]

The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life is also susceptible to ra...

Aug 01, 2021 Issue
Fallacies and Dangers of Practicing Race-Based Medicine [Editorials]

Race does not have a biologic definition, but rather a political and social one that is fluid and independent of science. Nevertheless, the medical community uses race as a scientific variable in several prominent clinical situations, including calculation of atherosclerotic cardiovascular disease r...

Jun 15, 2021 Issue
Poor Physician-Patient Communication and Medical Error [Lown Right Care: Reducing Overuse and Underuse]

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

May 1, 2021 Issue
Identifying and Addressing Vicarious Trauma [Curbside Consultation]

Vicarious trauma is part of a spectrum of responses to trauma exposure, including secondary traumatic stress, caregiver fatigue, compassion fatigue, and burnout. These conditions have varying definitions and categorizations, with overlapping symptoms, diagnostic criteria, and management strategies.

Mar 1, 2021 Issue
Better Primary Care Continuity Is Associated with Lower Mortality Risk [POEMs]

Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

May 15, 2020 Issue
The Older Driver [Curbside Consultation]

Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.

Mar 1, 2020 Issue
Emotional Support Animals: Considerations for Documentation [Curbside Consultation]

Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany the owner on a...

Feb 15, 2020 Issue
U.S. Policies and Their Effects on Immigrant Children’s Health [Editorials]

Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, detention and ...

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