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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. The pre-intervention no-show rate of TCM appointments at Wellstar MCG Health was 44% per month.

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Optimizing participation in the OECD PaRIS Project: Lessons learned in Saskatchewan [Survey research or cross-sectional study]

Annals of Family Medicine

Context: Leading the OECD PaRIS Project in Saskatchewan (SK) was an integrated primary care collaborative team consisting of primary care providers (PCPs), people with lived experience (PWLE) aka patients, health system partners and researchers. Setting: Primary care clinics across Saskatchewan.

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Towards a Fundamental Unit of Continuity of Care [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Continuity of care between a patient and their primary care practitioner (PCP) is a cornerstone of primary care (PC) and is associated with many positive health outcomes. Patients were attributed to the PCPs with whom they had the most visits in 2018.

PCP 130
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Adult Attention-Deficit/Hyperactivity Disorder (ADHD): Current Treatment and Follow-up Recommendations 

University of Utah Family Medicine Residency

by Leila Noghrehchi, MD Currently many psychiatrists are struggling with the ability to take patients with newly or undiagnosed ADHD into their practices due to schedule congestion with maintenance and follow-up appointments.

PCP 52
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Electronically-delivered PHQ9s increase engagement in patients with depression [Population health and epidemiology]

Annals of Family Medicine

Setting/Population: Primary care patients of a national membership-based primary care delivery system, operating in several metropolitan locations in the US. PHQ9 results were sent to the patient’s PCP, who could create a follow-up visit reminder, or take other action.