Annals of Family Medicine

NOVEMBER 20, 2024

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 8% (n= 1,146) were ordered for medical condition management.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

GeriPal

OCTOBER 17, 2024

And often patients are told there’s no cardiovascular problem, you don’t have heart failure, you’re older, or maybe it’s from another chronic condition or. They see it’s preserved. If you have access to that, I think, is the way to go. Eric 14:10 Yeah. It’s one of my old, old patients.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JULY 6, 2023

All of them offer the same array of services, really emphasizing social determinants of health and preventive services like falls prevention, chronic disease, self-management, caregiver training. And that referral can be done in real time, a soft handoff. And then, we have nonprofits that are community-based organizations.

Community 89

Community Nurse Practitioner Provider IT 89