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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

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 JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. 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.

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

GeriPal

The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. There are a lot of reasons that may explain the massive increase in use of these drugs.