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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

Background Team-based care (TBC) has established benefits for patient outcomes. In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients. In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. The physician–patient encounter is health care’s choke point.

Patients 130
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Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

Context: Administrative electronic health record (EHR) datasets offer a low-cost opportunity to investigate influences on knee osteoarthritis (OA) prevalence and outcomes such as total knee arthroplasty (TKA). The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. Final sample size was 435,731.

Diagnosis 130
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Reducing cancer deaths, one test at a time

Permanente Medicine

By building an integrated, patient-centered colorectal cancer screening program, we doubled screening rates, cut deaths by 50%, and made major strides in closing racial disparities in outcomes. The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible.

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Kaiser Permanente study shows screening efforts cut colorectal cancer deaths in half

Permanente Medicine

Early screening helps erase racial health disparities The study showed a significant reduction of colorectal cancer deaths among Black patients, which decreased from 52 per 100,000 in 2009 to 23.5 Deaths per 100,000 for Hispanic, white, and Asian patients decreased to 20 during the same time period.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.