Physician's Weekly

JUNE 25, 2025

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.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Dr. Zaar

JUNE 1, 2025

Check credentials through reliable websites like: American Board of Internal Medicine (ABIM) American Association of Clinical Endocrinology (AACE) Don’t hesitate to ask the clinic or hospital about the doctor’s credentials. Firsthand referrals often lead to trusted and patient-focused providers.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Plum Health

MAY 22, 2023

DPC clinics provide members with: Personalized, preventive care Management of chronic conditions No co-pays or insurance billing Treatment of ailments and illnesses Same-day appointments and no wait times Unlimited appointment lengths 24/7 access to care Exams, labs, and testing Specialist referrals, as necessary And much more.

Primary Care 52

Primary Care PCP PCP Insurance 52

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. And often patients are told there’s no cardiovascular problem, you don’t have heart failure, you’re older, or maybe it’s from another chronic condition or.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JULY 6, 2023

It’s that first place that you start where it may not be the AAAs job, but we’ve organized where they have to have the partnerships and they know who the players are and they know who to make a referral to. And that referral can be done in real time, a soft handoff. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89