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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. Have open gaps in care or medications not filled.

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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.

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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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What Are the Most Common Preventive Services? A Complete Guide

Mesa Family Physician

This level of prevention is crucial for conditions that benefit from early intervention. Our Mesa clinic offers same-week appointments for preventive services, making it convenient for busy families to prioritize their health.

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What to Expect During a Primary Care Visit

Mesa Family Physician

These visits may focus on preventive care, managing chronic conditions, addressing new concerns, or simply creating a baseline of your current health status. Doctor appointment length PCP appointment duration If you have multiple issues to discuss, be sure to mention that when scheduling so the clinic can allot enough time.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Setting or Dataset: Patients 18 years or older with a BH referral with or without at least 1 chronic condition referred from any of 4 PC sites with integrated BH in the UCHealth System from January 2020 through present. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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