2023, Clinic and Referral - Primary Care Digest

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. This study offers insight into the practice patterns of boutique clinic primary care physicians, as well as the estimated public costs of this business model in Ontario. Study Design and Analysis.

Clinic

Clinic Referral Primary Care Physician Primary Care

Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

NOVEMBER 20, 2024

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. 104 PHC clinics across 14 regions of Quebec, Canada.

Nurse Practitioner

Nurse Practitioner Clinic Family Physician Finance

Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Setting or Dataset: Secondary data on social needs screening and referral generated through Epic. Study Design and Analysis: Descriptive analysis of secondary data.

Primary Care

Primary Care Referral Routine Screenings Patients

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Tele-legal services were provided by one full time poverty lawyer and paralegal January 2021-June 2023. Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach.

Medical

Medical Referral Screening Internal Medicine

Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

The American Academy of Pediatrics recommends universal screening; however studies have found inconsistencies in screening of FI, documentation of FI, and referral to appropriate resources. Comparison of FI for paired patients in 2022 and 2023. Enrollment and referrals in food assistance programs.

Primary Care

Primary Care Screening Referral Utilities

Artificial Intelligence in Health Care

Integrated Care News by CFHA

MAY 1, 2025

Bridging the 17‑Year Research–Practice Gap Implementation scientists estimate that it takes about seventeen years for new evidence to become routine care (Rubin, 2023). How are you integrating AI into your clinical, teaching or supervisory work? A personalized AI interaction turned a dietary goal into a recipe my daughter loved.

Patient-Centered

Patient-Centered Integrated Care Primary Care Healthcare Professional

Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

Multisector coordination is critical for effective screening and referral initiatives. Objective: To assess the function and impact of a new role, a Health Equity Coordinator, on the reach of the social needs screening and referral program. Contact hours included a mix of in-person visits and phone calls.

Primary Care

Primary Care Referral Screening Patient-Centered

Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Study period for urban locations: Oct 2–Dec 29, 2023; for the rural location: Nov 1, 2023–Jan 31, 2024. Providers were alerted of positive screens by rooming staff to either assess further or refer to our Pediatric SUD Clinic to manage. No patients were referred to the SUD Clinic.

Primary Care

Primary Care Screening Referral Wellness Visit

The utilization patterns and impact of the Stanford Chronic Pain Self-Management Program in Eastern Ontario, Canada [Pain management]

Annals of Family Medicine

NOVEMBER 20, 2024

Dataset: We used data routinely collected through the CPSMP between December 2017 and May 2023. Anyone suffering from pain could register for the program without needing a referral or formal diagnosis from a health care practitioner. Intervention: The CPSMP is a six-week, peer-led program based on self-efficacy theory.

Management

Management Utilities Referral Individual

A feasibility study of the Illuminate 360o approach for monitoring the implementation of a health system innovation [Mixed methods research]

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Alberta, Canada from May 2022 to October 2023. We employed diverse strategies to solicit respondent participation in clinics, provider networks, community and, social media. Participants provided short reflections about their surgical journey or referral experiences, along with elaborations in quantitative categories.

Healthcare

Healthcare Referral Provider Utilities

Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

The Clinical Problem Solvers

MARCH 14, 2025

Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Child and Adolescent Psychiatric Clinics of North America.

Mental Health

Mental Health Community Patient-Centered Hospital

Telemedicine and the Prescribing of Controlled Substances After the End of The Covid-19 Pandemic Emergency: DEA Announces Two Significant Proposed Rules: Read the Summary Below, But Learn All the Details and More at HPM’s Webinar on March 23, 2023 (Details Forthcoming….)

FDA Law Blog

FEBRUARY 27, 2023

That emergency declaration is set to expire on May 11, 2023. 180 days past May 11, 2023) for those telemedicine relationships established during the COVID-19 emergency. Comments, including data from research and clinical practice, that provides evidence that an alternate maximum day supply (other than the proposed 30-day supply).

Telemedicine

Telemedicine Telecommunication Telehealth Medical

FDA Guidance Outlines a Framework for the Evaluation of Long-Term Neurodevelopmental Safety Studies in Neonatal Product Development

FDA Law Blog

OCTOBER 28, 2024

To this end, FDA recently announced the publication of a guidance titled “Considerations for Long-Term Clinical Neurodevelopmental Safety Studies in Neonatal Product Development,” (the “Guidance”). This guidance finalizes a draft guidance issued in February 2023. What to measure, when, and for how long?

Clinic

Clinic Physicals IT Referral

Beyond the Diagnosis: A Detailed Characterization of Outpatient Palliative Care Patients [Palliative and end-of-life care]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Study Design Retrospective chart review of patients seen in a palliative care clinic between June 2023 and August 2023. Referrals were predominantly from Pulmonology (60%).

Patients

Patients Diagnosis Patient-Centered Utilities

Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

NOVEMBER 9, 2023

Hot off the presses RCT in JAMA October 2023: Study that looks at 1000 female resident physicians at 26 sites that showed that coaching improved each outcome assessed (burnout, moral injury, imposter syndrome, self-compassion, and flourishing). Second thing to say is that I think referrals are really important. AlexSmithMD 1.

Board-Certified

Board-Certified IT Primary Care Referral

Leveraging U=U Interventions for Black Women With HIV

Physician's Weekly

JUNE 11, 2025

The systematic review of peer-reviewed intervention was published from 2018 to 2023. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Of the 669 participants, the mean age from studies was 45.4 PW: How can clinicians promote greater ART adherence?

Mental Health

Mental Health Healthcare Professional Community Healthcare

A Podcast on Inhalant Misuse: From Glue to Galaxy Gas

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. Clin Toxicol (Phila) 2023; 61:453. For those already misusing inhalants, referral to a substance use disorder program is essential.

Complication

Complication Patient-Centered Management Patients

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Okay, I don’t necessarily want to stay clinical, but I really love that spiritual work and what’s the closest profession. And we don’t know very much about how all of those overlap.

IT

IT Patient-Centered Family Families

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

GeriPal

JULY 20, 2023

See the AAHPM Legislative Action Center [link] Write to the DEA, with guidance from AAHPM’s comments to the DEA March 2023. And how are you going to know that when you’re just getting random referrals from teaching hospitals, for example? Start with a story as Carly did in her Op Ed. Stories trump data. What state are they in?

Telemedicine

Telemedicine Telehealth Patient-Centered Board-Certified

Primary Care Digest

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Trending Sources

Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Artificial Intelligence in Health Care

Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

The utilization patterns and impact of the Stanford Chronic Pain Self-Management Program in Eastern Ontario, Canada [Pain management]

A feasibility study of the Illuminate 360o approach for monitoring the implementation of a health system innovation [Mixed methods research]

Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

Telemedicine and the Prescribing of Controlled Substances After the End of The Covid-19 Pandemic Emergency: DEA Announces Two Significant Proposed Rules: Read the Summary Below, But Learn All the Details and More at HPM’s Webinar on March 23, 2023 (Details Forthcoming….)

FDA Guidance Outlines a Framework for the Evaluation of Long-Term Neurodevelopmental Safety Studies in Neonatal Product Development

Beyond the Diagnosis: A Detailed Characterization of Outpatient Palliative Care Patients [Palliative and end-of-life care]

Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

Leveraging U=U Interventions for Black Women With HIV

A Podcast on Inhalant Misuse: From Glue to Galaxy Gas

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

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