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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

Context: Primary care is essential to health but barriers include affordability of care and accessibility of physicians. Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. Of these, 117,481 (57.2%) individuals had at least one primary care visit.

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Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Setting: Primary care clinics partnered with an academic health center. A one-time survey was also conducted.

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Payer Mix Association with Primary Care Telehealth Service Trajectories [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Telehealth became an essential tool to assist care delivery in the outpatient primary care settings during the COVID-19 pandemic. Previous studies documented that the type of insurance coverage was associated with the likelihood of a patient receiving care through telehealth.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity.

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Disparities in Post-COVID Conditions among Persons with Disabilities: Findings from Primary Care Patients, 2019-2022 [COVID-19]

Annals of Family Medicine

Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. Population Studied: Patients with ≥1 visit between January 2018 and December 2019 and who remained in the cohort until at least May 2020. Measurements. 95% CI 0.51, 0.7)

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Factors Associated with Accumulating Diabetes Complications in a Medicare Advantage Cohort to Inform a Prediction Tool [Diabetes and endocrine disease]

Annals of Family Medicine

While preventable, many fail to receive timely treatment in primary care, leading the most vulnerable to accumulate complications. We used multilevel mixed effects models with a progressively expanding set of variables, including demographics (model 1), comorbidities (model 2), utilization (model 3), and quality measures (model 4).

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. However, its main predictors are age, comorbidity, and healthcare utilization. Eric: VA people will know what that is. Eric: Okay.