Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. 8% (n= 1,146) were ordered for medical condition management.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Family Medicine Initiative

APRIL 10, 2024

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. 11 , 13 Over time, GPs come to know their patients well. Over time, GPs put their patients into context.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JULY 6, 2023

All of them offer the same array of services, really emphasizing social determinants of health and preventive services like falls prevention, chronic disease, self-management, caregiver training. And that referral can be done in real time, a soft handoff. And then, we have nonprofits that are community-based organizations.

Community 89

Community Nurse Practitioner Provider IT 89