Chronic Condition Clinic DO Primary Care 
Annals of Family Medicine
NOVEMBER 20, 2024
Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes.
Annals of Family Medicine
NOVEMBER 20, 2024
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 emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.
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Annals of Family Medicine
NOVEMBER 20, 2024
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. Setting/Dataset Forty-two primary care practices across the U.S. 6.1), Integration Methods 4.6 (95%
Annals of Family Medicine
NOVEMBER 20, 2024
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.
Annals of Family Medicine
NOVEMBER 20, 2024
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.
Annals of Family Medicine
NOVEMBER 20, 2024
Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Setting The study was set at St.
Annals of Family Medicine
MARCH 24, 2025
PURPOSE Although studies have shown that more temporally regular (TR) primary care visits are associated with improved patient outcomes, none have examined what clinic staff can do to encourage greater TR visits. RESULTS Themes emerged regarding best ways to promote regular follow-up of patients with chronic conditions.
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