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Comprehensive and Focus Practice changes in the Family Physician Workforce in Ontario:1993-2022 [Population health and epidemiology]

Annals of Family Medicine

Context: Comprehensive primary care is the foundation of an effective healthcare system but has been on the decline as more family physicians pursue careers in focused practice. From 1993 to 2022, the proportion of comprehensive primary care physicians decreased from 71.1% in 2009/2010 and ending at 20.4%

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Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

Context: Iron deficiency (ID) is a common and preventable micronutrient deficiency, affecting cognitive development, immune function, and well-being of individuals, and leading to substantial health care costs. These individuals had at least one ferritin test between 2010-2022. serum ferritin below 15 μg/mL).

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Access to health care and services for the Deaf: A scoping review of reviews [Health care services, delivery, and financing]

Annals of Family Medicine

2010) and adapted by Schultz et al. Intervention/Instrument: Access to health care and services as conceptualized by Levesque et al. Results: Thirteen reviews published in English from 2010 to 2023 were included. A patient partner from the Deaf community collaborated on each step of this project.

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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. More research is needed to guide emergency physicians and other primary care providers in the management of this disease.

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Development and external validation of the FluScoreVax risk score for influenza that incorporates vaccine status (EAST-PC) [Acute respiratory infections]

Annals of Family Medicine

Setting or Dataset: Adults presenting to the outpatient setting in 12 European countries during flu season with a chief complaint of acute cough between 2007 and 2010 were used to derive and internally validate the risk score (GRACE data). It was then externally validated in a contemporary US population (EAST-PC data).

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Rural-urban differences in continuity of primary care among persons with prediabetes [Health care disparities]

Annals of Family Medicine

Continuity of primary care is associated with better health outcomes, however, there are known disparities related to access to primary care among rural populations potentially fracturing continuity of care. Bootstrapping was then used to estimate standard errors. Population Studied. 6.4% (N=6,580). Conclusions.

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For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." Before becoming a core faculty member at the Lancaster General Hospital Family Medicine Residency Program , I spent more than 15 years teaching in Georgetown's family medicine department.