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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 apps also collect patient reported data on goals, social needs, and functional status. Results of testing and evaluation will be presented.

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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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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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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. 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.

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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. Prevention truly is the best medicine.

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What to Expect During a Primary Care Visit

Mesa Family Physician

Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. These visits may focus on preventive care, managing chronic conditions, addressing new concerns, or simply creating a baseline of your current health status.

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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

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. 8% (n= 1,146) were ordered for medical condition management.

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