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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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>Pathways to Primary Care - Charting trajectories from medical school graduation through specialty training [Education and training]

Annals of Family Medicine

Context: Shortages of primary care (PC) physicians threaten access, quality, and equity in US healthcare. Policy solutions require insight into complex patterns of training from medical school graduation through specialty training into PC careers. Population Studied: US physicians who graduated from medical school 2001-2015.

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Risking It All For a New Business Model at Family Physicians of St. Joe

Family Physicians of St. Joseph

Written by Pat Moody on Moody on the Market When it comes to healthcare, and primary care in particular, it has become increasingly difficult to remain successful as a small, independent practice. Family Physicians of St. That makes them the first true Direct Primary Care practice in the entire region. Joseph, P.C.,

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Exposure to high-priority drug-drug interactions among non-elderly adults in Quebec: a cohort study [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Context: Prescribing is the most-used intervention in primary care, and most prescriptions are issued in primary care. or 7,498/63,834 individuals in the cohort were exposed to at least one high-priority DDI over 12 months in 2015-2016. Results: 1) 11.7% (95% CI: 11.5-12.0) Conclusions: One in 8.5

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HPV Vaccine Secondary Acceptance: Turning No into a Yes! [Child and adolescent health]

Annals of Family Medicine

Study Design and Analysis: Retrospective cohort analysis of electronic health record data and chart review with chi square testing of the association of secondary acceptance of the HPV vaccine with child, clinician, healthcare processes.

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Evaluating the National rollout of a pharmacist-led information technology intervention (PINCER) in English general practice [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Context: We previously reported on the effectiveness of PINCER at reducing hazardous prescribing in primary care in a cluster randomised trial, and the subsequent roll out of the intervention in one region of England; PINCER has now been rolled out nationally to over 2,800 general practices in England.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. But alcohol and opioids are up there. Most oncologists would say no.

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