Annals of Family Medicine

NOVEMBER 20, 2024

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. 1.32) and hospitalizations (aIRR 1.14, 95% CI: 1.03-1.27).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Identify patient, provider, and healthcare process and utilization factors associated with rates of secondary acceptance of the HPV vaccine. Existing research on secondary acceptance has focused on demographics and initial declination with little evidence around factors associated with increased rates of secondary acceptance.

Vaccination 130

Vaccination Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Fetal Infant Mortality Reviews (FIMR) utilize abstracted health service records and family interviews to examine to identify root causes of infant mortality. Objective: The goal of this study is to understand the impact family interviews have on infant death review outcomes and subsequent recommendations. versus 0.8,

Families 130

Families Family Utilities Education 130

PEMBlog

MAY 15, 2023

Your history and medication reconciliation will assist in determining acquired vs congenital variants. Acquired long QT can be caused by electrolyte disorders, eating disorders and/or medications. Addressing these may require medical intervention or pacing depending on the etiology (medication related vs structural).

Utilities 97

Utilities Screening Physicals Medical 97

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. In fact, as Lauren Hunt found , the average likelihood that a person will be disenrolled from one hospice vs. another is two. AlexSmithMD.

Families 106

Families Family IT Patients 106

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” 2015, 2016.

Patient-Centered 125

Patient-Centered IT Families Family 125