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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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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.

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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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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.

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Poverty screening implementation in a Canadian primary care clinic: acceptability and feasibility for patients and providers [Social determinants and vulnerable populations]

Annals of Family Medicine

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. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023.

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What to Expect During a Primary Care Visit

Mesa Family Physician

What information should you bring? These visits may focus on preventive care, managing chronic conditions, addressing new concerns, or simply creating a baseline of your current health status. Some clinics may offer a choice between an establish care visit vs physical. What does the doctor do first? How long will it take?