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The effect of being uninsured on cancer screening practices in Puerto Rico [Social determinants and vulnerable populations]

Annals of Family Medicine

Setting or Dataset We used data from the Puerto Rico Behavioral Risk Factor Surveillance System (PR-BRFSS) for the years 2018, 2020 and 2022. Results The study population for years 2018 (n=4,843 persons), 2020 (4,944 persons) and 2022 (5,509 persons) was 15,296 persons of which 5.34% (n=814) were uninsured.

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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

Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. Setting or Dataset: 2019-2020 Virginia Department of Medical Assistance Services database (demographic, enrollment, and claims data). Of these, 117,481 (57.2%) individuals had at least one primary care visit.

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Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

Context: Iron deficiency (ID) is a common and preventable micronutrient deficiency, affecting cognitive development, immune function, and well-being of individuals, and leading to substantial health care costs. Population/Participants: Cohort of 94,264 individuals aged six and older residing in Alberta. 2020-2022).

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Changes in patterns and referrals of Nova Scotians seeking mental health care through 2-1-1 Referral Service [Health care services, delivery, and financing]

Annals of Family Medicine

Context 2-1-1 is a designated phone help line in Canada and the US that provides referrals for individuals to local government and community-based services for a wide variety of needs, including social, health care, and mental health services. 2-1-1 Nova Scotia has operated since 2013 as a nonprofit that offers 24/7 assistance.

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Understanding the Relationship Between Social Needs and Cervical Cancer Screening [Screening, prevention, and health promotion]

Annals of Family Medicine

Instrument Patient-reported social needs collected as part of the 2020 Kaiser Permanente (KP) National Social Needs Survey. Patients with individual insurance (not through employment) were less likely to be screened (66% in individual payers, 82% commercial, 84% Medicaid, p-value 0.011). in screened vs. 1.15

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Facilitating Well-Being in Primary Healthcare During COVID-19: A Rapid Systematic Review [Health care services, delivery, and financing]

Annals of Family Medicine

Objectives: i) Identify individual, organization, and/or systemic facilitators of PHC provider well-being relevant to the COVID-19 pandemic context, ii) Collect and summarize well-being facilitators amendable to actioning by PHC providers, leaders, administrators, and policymakers during and following the COVID-19 pandemic.

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The role of visualization, previous help-seeking, and intentions to seek help from a PCP for depression:An outcome evaluation [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Despite primary care providers’ (PCPs) ability to effectively treat depression, encouraging individuals to seek and return to treatment is challenging. Setting: MTurk online cloud research toolkit (Feb-March 2020). Although encouraging, the previous analyses failed to explore outcomes directly related to PCP HSI.

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