Physicians lobby members of Congress on family medicine issues | CDC revises TB guidance for health care personnel | Study: 5.2% of new cancer cases in 2015 related to poor diet
May 23, 2019
Family Medicine SmartBrief
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Physicians lobby members of Congress on family medicine issues
Hundreds of physicians at the AAFP's Family Medicine Advocacy Summit spent a day meeting with members of Congress and their staffers to advocate for issues important to family medicine. The Academy awarded its annual Congressional Primary Care Champion Award to Reps. Brad Schneider, D-Ill., and Elise Stefanik, R-N.Y., for co-sponsoring the Primary Care Patient Protection Act.
AAFP News (5/22) 
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Vitamin D supports bone, teeth, muscle and immune health.
9 out of 10 Americans fail to meet their daily vitamin D needs through diet alone.1 Learn more
1Fulgoni VL, Keast DR, et al. Foods, fortificants, and supplements: where do Americans get their nutrients? J Nutr. 2011;141:1847-1854.
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Clinical News
CDC revises TB guidance for health care personnel
An analysis of study data led the CDC to publish an update to its "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005" in its most recent Morbidity and Mortality Weekly Report. Data showed the annual US tuberculosis rates decreased from 10.4 per 100,000 population in 1991 to 2.8 in 2017, TB rates for health care workers were similar to those in the general population, and there was a low rate of tuberculin skin test conversion among health care personnel.
AAFP News (5/22) 
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Study: 5.2% of new cancer cases in 2015 related to poor diet
A study published in JNCI Cancer Spectrum linked an estimated 80,110 new cancer cases in US adults in 2015, or about 5.2%, to poor diet. The largest cancer burdens were associated with low whole-grain and dairy consumption, low consumption of vegetables and fruits, and high intakes of processed meats, red meat and sugar-sweetened beverages.
CNN (5/23) 
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Exercise linked to better sleep quality among adolescents
Every additional hour of moderate-to-vigorous activity was associated with 18 minutes earlier sleep onset, 10 minutes longer sleep duration and nearly 1% higher sleep maintenance efficiency at night among teens, researchers reported in Scientific Reports. The findings, based on data involving 417 15-year-olds, also showed that increased sedentary time during the day was associated with later sleeping and waking times but shorter overall nightly sleep duration.
Deccan Chronicle (India)/Asian News International (5/23) 
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Study: Vitamin D deficiency may raise gestational diabetes risk
A study published in Diabetes, Obesity and Metabolism linked deficiencies in vitamin D as early as the first trimester of pregnancy with a higher risk of gestational diabetes mellitus. "Assessment of vitamin D status in early pregnancy may be clinically important and valuable for improving risk stratification and developing effective interventions for the primary prevention of GDM," researchers said.
Physician's Briefing/HealthDay News (5/22) 
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Practice Management
Study shows impact of interdisciplinary team in diabetes care
Patients with diabetes who received care from an interdisciplinary team that included a family physician and a family medicine resident reduced their blood glucose levels, according to a study in the Southern Medical Journal. "We tested this model in a rural academic clinic, but it could be replicated in rural federally qualified health centers or other larger rural clinics and could even be suitable for adaptation in non-rural academic primary care clinics," said lead author Dana King, M.D.
AAFP News (5/22) 
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Survey: Rural residents struggle to find, afford health care
Surveys by the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health revealed that a significant proportion of rural residents have trouble affording or getting access to health care, despite the fact that 87% have some type of health insurance. Nearly half the respondents said they would not be able to pay an unexpected bill of $1,000.
National Public Radio (5/21) 
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Health Policy & Legislation
Medicaid expansion may reduce maternal, infant mortality
Medicaid expansion may reduce maternal, infant mortality
States that expanded Medicaid coverage had 1.6 fewer maternal deaths per 100,000 women and a more than 50% decline in infant mortality from 2010 to 2016, compared with states that didn't expand Medicaid eligibility, according to a report from the Georgetown University Center for Children and Families. The report also showed reduced racial disparities in health care, as well as a greater decline in the rate of uninsured women ages 18 to 44 in states that expanded Medicaid.
Modern Healthcare (tiered subscription model) (5/22),  Orlando Sentinel (Fla.) (tiered subscription model) (5/22) 
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CBO warns of possible disruption under single-payer health care
Experts from the Congressional Budget Office who testified Wednesday during a House committee hearing on single-payer health care said the framework would likely increase the number of people with health insurance, but it would also increase government control over the health care system. With health care representing about one-sixth of the US economy, changes resulting from the shift to a single-payer system could be "potentially disruptive" and could have a significant impact on the economy, as well as health care access and quality, said CBO Deputy Director Mark Hadley.
The Hill (5/22) 
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Professional Issues & Trends
Survey: More physician revenue derived from value-based care contracts
A survey of 75 multispecialty medical organizations, integrated delivery systems and independent physician groups revealed that 56% of their revenue from federal programs in 2018 involved value-based models, compared with 45% in 2015, while 28% of their total commercial revenue came from risk-based contracts, up from 22% in 2015. The findings suggest expanded access to administrative claims data, consistent data submission and reporting, and improved care management and data analytics capabilities could facilitate additional risk sharing.
Modern Healthcare (tiered subscription model) (5/21) 
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Inside the AAFP
Improve continuity of care
Improve continuity of care
Train your team on the importance of the patient-physician relationship with this AAFP TIPS on continuity of care. With your team working together, you can maximize the impact a continuous patient relationship has on outcomes.
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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