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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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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

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Mixed models were used for analysis.

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In Search for the Antivax Vaccine: Strategical & Ethical Considerations

Integrated Care News by CFHA

This phenomenon, known as the backfire effect, can be mitigated by adopting an exploratory approach and utilizing credible and supportive sources of information that are perceived as such by the receiver. Evidence-based strategies for addressing vaccine hesitancy include communication and behavioral techniques , such as nudges.

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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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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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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.

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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.

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