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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. Community-Based Prevention: The conversation then moves toward community-based prevention, with Dr. Simon advocating for trusted community networks to support youth mental health.

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

Common Sense Family Doctor

Recognizing their potential to save money and improve outcomes, in 2013 the Centers for Medicare and Medicaid Services began allowing practices to bill separately for transitional care management (TCM) services that included an interactive contact within two business days of discharge and a dedicated face-to-face office visit within 14 days.

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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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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. Management of Hypertensive Crises in Children: A Review of the Recent Literature. 2012 Sep 5;4:85-92. Kamat, Kim Huynh Piburn; Hypertensive Emergencies.

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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. Eric: Although pregabalin, right, more misuse of pregabalin out in the community. J Am Geriatr Soc. Is that right?