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

Annals of Family Medicine

Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. Population Studied Adult patients scheduled for in-person or telehealth visits between 01/2019-06/2023. Intervention/Instrument A multiclass random forest (RF) method for risk prediction was utilized. The RF models had an AUROC of 0.87

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Virtual Visits in Prenatal Care: Benefits/Limitations, Uptake, and Patient Perceptions [Women's health]

Annals of Family Medicine

Patient interviews, providing qualitative information to augment study findings. Population Studied: 25 randomly selected patients who delivered in 2019 (pre-pandemic cohort), 25 in 2021 (during-pandemic cohort), and 15 patients recruited in 2022-23 (post-pandemic study cohort).

Patients 130
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National variation in ASCVD risk between Pooled Cohort Equations and PREVENT [Cardiovascular disease]

Annals of Family Medicine

Study Design and Analysis This study utilized data from NHANES 2011-2019 to calculate two ASCVD risk scores for each eligible individual: one using the race-based PCE and the other using the race-agnostic PREVENT equation. This could impact prescribing and deprescribing medications for primary prevention. 10%, and >10%.

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A New Normal? Assessing Trends and Changes in Inpatient General Medicine During The CO VID-19 Era [Big data]

Annals of Family Medicine

Context: The COVID pandemic disrupted global healthcare, impacting academic medical centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

Utilities 130
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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

“Patients with mental health and/or SUDs disproportionately seek medical care in EDs, yet research rarely examines first-hand accounts of their experiences,” wrote study corresponding author Linda M. Embedding a psychiatric registered nurse or SUD counselor can decompress boarding and free physicians to manage medical presentations.

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Using technology to reclaim our time

Today's Hospitalist

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. But these early systems often struggled with complex medical terminology and the natural flow of conversation.