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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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What to Expect During a Primary Care Visit

Mesa Family Physician

What to Expect During a Primary Care Visit Visiting a primary care provider for the first time can bring up many questions. Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. How long will it take?

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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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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Direct Primary Care (DPC) has emerged as a viable, high-quality primary care model that liberates itself from the constraints of traditional fee-for-service (FFS) products. Easy access and relationship-driven care minimize long-term healthcare expenses and cut down on unnecessary urgent care and emergency room visits.

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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. Many proposed methods for measuring continuity utilize an aggregation of patient visits.

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

Annals of Family Medicine

Context: Since many patients with Major Depressive Disorder (MDD) have anhedonia and can be reluctant to engage in treatment, many practices struggle to engage patients with depression in regular follow up and care. Eligible patients had a diagnosis of MDD, but had not filled out a PHQ9 in the past 2 weeks to 6 months.

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

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