Publications by authors named "Elisabeth Backer"
Objectives: This study's purpose was to identify the elements of a definition of evidence-based patient-centered care (EBPCC), the barriers to using EBPCC, and strategies for overcoming these barriers.
Methods: This research project used focus group methodology with participants drawn from Society of Teachers of Family Medicine (STFM) members who attend STFM meetings and are interested in the integration of evidence-based medicine and patient-centered care. Forty-five self-selected STFM members-participants attended one of five total focus groups between September 2004 and May 2005.
Background/objectives: The health care maintenance (HCM) visit is a primary vehicle for delivering preventive services in primary care, but how these visits are actually utilized is poorly understood. This paper describes the content and process of HCM visits for adult women in family medicine.
Methods: Data were collected as part of a multi-method comparative case study of 57 clinicians from 18 purposefully selected Midwestern urban, suburban, and rural practices.
Context: In studying physician shortage issues, few studies have utilized individual interviews, allowing rural physicians to voice their own stories.
Purpose: To explore rural physicians' unique characteristics affecting their decisions and satisfactions with practice in a rural area.
Methods: A qualitative interview study with 11 Nebraska family physicians practicing in rural (frontier) areas.
Background: The levels of breast and cervical cancer screening in Nebraska primary care remain suboptimal despite awareness of their importance, and despite implementation of the Every Woman Matters program to assist low-income women. The GAPS model was used to develop a practice-based intervention to identify and reduce barriers to delivery of breast and cervical cancer screening services.
Methods: Seven primary care practices actively participated in this multimethod case study.
Objective: This secondary, qualitative analysis examined physician-patient interaction and patient-centered care in a random sample of encounters of 44 physicians in 18 family practices.
Methods: Fieldworkers were trained in qualitative and quantitative data collection strategies including participatory observation, narrative description, interviewing techniques and note-taking regarding practice observations, patient encounters and community assessment. Fieldworkers spent 4-8 weeks in each practice.
Objectives: This study explored family physicians' attitudes about smoking cessation counseling-its importance, their confidence in their ability to counsel, outcome expectations of counseling, perception of their influence on patient behavior types of counseling skills used, and the extent to which office-based activities are used to support their counseling.
Methods: A cross-sectional design using qualitative and quantitative analyses was used. Data, including information from participant observation of the environment, medical chart reviews, and in-depth interviews, were collected from 89 physicians, drawn randomly from a list of family physicians in Nebraska.