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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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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. In Phase 1 (gradual implementation), 404 xOrders were released between 11/39/2020 and 9/25/2021. A one-time survey was also conducted.

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Infant Mortality Needs Assessment for Fairborn, Ohio [Social determinants and vulnerable populations]

Annals of Family Medicine

Study Design This study utilized a combination of qualitative and quantitative design to perform a needs assessment of Fairborn, Ohio. Other data sources included Greene County birth data, the 2020 Ohio Infant Mortality Annual Report, the 2020 Greene County Health Assessment, and the 2020 US Census Bureau.

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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

Study Design: This retrospective case series analysis utilized Vizient's clinical database data. The study is divided into three periods: pre-COVID (Oct 2019 to Mar 2020), COVID (Apr 2020 to May 2023), and post-COVID (Jun 2023 to Dec 2023). Mixed models were used for analysis. Setting: AMCs within the US.

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

Annals of Family Medicine

Dataset Utilized data from a large integrated health system. Instrument Patient-reported social needs collected as part of the 2020 Kaiser Permanente (KP) National Social Needs Survey. Objective To understand how patient-reported social needs are associated with cervical cancer screening in a fully insured population.

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

Annals of Family Medicine

Objective: To determine whether the payer mix (Medicaid versus private commercial insurance) and other clinic characteristics resulted in differential telehealth service initiation and trajectories among outpatient clinics in 2020. Dataset: Insurance claims submitted to APCD from April through December, 2020.

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From Crisis to Recovery: Evaluating the Evolution of Patient Care in Academic Medical Centers Through the COVID-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.