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The role of primary care teams in identifying modifiable risk factors for food insecurity in rural dwelling older adults [Screening, prevention, and health promotion]

Annals of Family Medicine

Intervention: Our findings have been used to refine a food insecurity screening and assessment tool that we co-designed, pilot tested, and evaluated in partnership with community paramedics embedded in a FHT in 2023-24. Most felt that their interactions with dietitians had been unhelpful.

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Primary care for all Americans

Common Sense Family Doctor

Don Berwick's dire warning about the existential threat of greed on the failing American health care system seems to be coming true, to the extent that the brazen assassination of an insurance company executive in midtown Manhattan elicited far more outrage about delayed or denied care than sympathy for his family's loss.

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Health professionals speak out against the new nuclear arms race

Common Sense Family Doctor

The authors urged readers to make the elimination of nuclear weapons an urgent public health priority, reiterating a 2023 editorial on similar themes : Any use of nuclear weapons would be catastrophic for humanity.

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

A 2020 meta-analysis of eight randomized controlled trials (summarized in a POEM in American Family Physician ) concluded that low-dose CT screening prevents one lung cancer death for every 250 people screened. to 3.33, indicating that even the most pragmatic studies fell well short of simulating conditions in community settings.

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Does transitional care management improve outcomes after discharge from the hospital?

Common Sense Family Doctor

Practices developed novel workflows to support TCM and to ensure that it is financially sustainable, as reviewed in a 2023 article in FPM. These findings suggest that poor socioeconomic status and impaired functional status may act as factors for readmission as well as barriers to TCM access.

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Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

On the surface, this rule aligns with the American Academy of Family Physicians’ policy that information provided in DTCA "should be accurate, balanced, objective, and complete, not false or misleading, and should not promote unhealthy or unsafe practices." The price on the website is even better: $0 per dose. If it did, why give it for free?

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Pathways to primary care for underserved communities

Common Sense Family Doctor

Most family physicians have at some point heard the old saw "jack of all trades, master of none," which I have come to view as less insulting than is usually intended. Schools with primary care pathway programs that send a majority of students into non-family medicine residencies may not be creating future primary care physicians.