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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The testing demonstrated patients’ and clinicians’ desire to have integrated clinical and patient-reported data available for care planning and management.

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Breaking Barriers: Perspectives on Clinical Trial Participation Among Older Hispanic/Latino Adults of Mexican Origin [Clinical trial]

Annals of Family Medicine

Context: Older adults with multiple chronic conditions are underrepresented in clinical trials, with especially low enrollment of Hispanic/Latino populations. Objective: Understand the perspectives of older Hispanic/Latino adults regarding clinical trial participation. The mean age was 72.3 prescriptions.

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Profiling patterns of patient experiences of access to care and continuity at team-based primary healthcare clinics [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To identify different profiles of access to care and continuity experiences of patients registered at team-based primary healthcare clinics. Setting: 104 PHC clinics across Quebec, Canada. Study Design/Analysis: This cross-sectional study was conducted from September 2022 to April 2023.

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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. Approximately 60% of American adults live with at least one chronic condition , and 40% of them have more than one. Have open gaps in care or medications not filled.

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Associations of intervention completion in a pragmatic trial on integrated behavioral health (IBH) and patient outcomes [Clinical trial]

Annals of Family Medicine

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Conclusions The IBH-PC Toolkit intervention improved levels of IBH across heterogenous primary care practices treating patients with multiple chronic conditions.

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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. Setting: Two urban primary care clinics in Minnesota, USA. Descriptive statistics of baseline patient demographics and post-encounter surveys, and of clinician post-encounter surveys.

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Clinician perception of the relationship between mental health, health-related social needs, and diabetes outcomes [Diabetes and endocrine disease]

Annals of Family Medicine

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.