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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Study aesign and analysis: Multilevel linear probability models used to test the association between primary care utilization and geographic accessibility of primary care providers (PCP) after controlling for demographic characteristics, medical conditions, rurality, and neighborhood-level racial and economic segregation.

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Cervical Cancer Screening Differences Between Black and White Women: An Examination of HPV and Pap Test Utilization. [Screening, prevention, and health promotion]

Annals of Family Medicine

Setting or Dataset We utilized the 2019 and 2021 National Health Interview Survey data (NHIS), which collects information about health, healthcare access, and health behaviors, including CCS. Chi-square and odds ratios were used to detect racial differences by screening type. population.

Screening 130
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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. Results From November 2019 to June 2024, 636 clinicians attended ECHO Concussion sessions. The qualitative descriptive approach was used to inductively code FGD transcripts. 11 (9%) participated in FGDs.

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

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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Study Design: This retrospective case series analysis utilized Vizient's clinical database data. Mixed models were used for analysis.

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130