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Primary Care Perspectives on Access to Specialty Care in Rural Communities: A Mixed-Method Study [Health care disparities]

Annals of Family Medicine

Rural facilities report challenges and solutions to meet community needs for specialty care. From 2012 to 2022, rural supply decreased for pulmonologists (-41.7%), neurologists (-16.5%), and cardiologists (-5.6%); oncologists increased (20.0%). Objective: This study sought to analyze changes in the U.S. urban), neurologists (1.09

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Episode 392: Antiracism in Medicine – Episode 27 – Racial and Gender Health Disparities in Youth Suicide: Part 2

The Clinical Problem Solvers

They explore the impact of racism, trauma, and inequities in care, while emphasizing the need for culturally grounded, community-based prevention. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital.

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Does transitional care management improve outcomes after discharge from the hospital?

Common Sense Family Doctor

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

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Identifying and managing gambling-related harms

Common Sense Family Doctor

A recent article in the BMJ summarized a National Institute for Health and Care Excellence (NICE) guideline on identification and management of gambling-related harms. Psychology Today maintains a national directory of therapists with training in CBT for gambling disorder. ** This post first appeared on the AFP Community Blog.

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In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

A recent editorial in the Journal of the American Heart Association discussed a “paradigm shift” in management of severe aortic stenosis: 69% of Medicare fee-for-service beneficiaries who underwent aortic valve replacement from 2012-2019 had TAVI, with the percentage undergoing SAVR falling from 75% in 2012 to just 10% in 2019.

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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. There was this big thing called the CMS National Partnership to Improve Dementia Care, started in 2012. These are families who are in distress. Eric: Although pregabalin, right, more misuse of pregabalin out in the community.

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End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane

GeriPal

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. How do you see the light?

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