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. Conclusions The IBH-PC Toolkit intervention improved levels of IBH across heterogenous primary care practices treating patients with multiple chronic conditions.

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Having at least one chronic condition (p=0.004) or poor perceived mental health (p=0.048) were associated with experiencing continuity difficulties.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Occupational therapists play a central role in supporting patients in the adoption and daily use of pain self-management strategies and in learning how to adapt to their chronic condition to maintain their quality of life.

Primary Care 130

Primary Care Management Chronic Condition Education 130

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.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with multiple chronic conditions are underrepresented in clinical trials, with especially low enrollment of Hispanic/Latino populations. Objective: Understand the perspectives of older Hispanic/Latino adults regarding clinical trial participation.

Clinic 130

Clinic Chronic Condition Transportation Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

The ECHO (Extensions for Community Healthcare Outcomes) model is an ideal platform for dissemination of best practice guidelines and standards of care in common, complex, acute and chronic conditions. ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management.

Management 130

Management Education Illness Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions: This approach is a model for implementing cross-sectoral collaboratives to reduce diabetes and other chronic condition disparities through screening and referral for social needs We also developed a shared mental model prototype of the social needs screening and referral process based on our formative work.

Community 130

Community Diabetes Referral Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting Any context across PCCNs healthcare services utilization.

Mental Health 130

Mental Health Chronic Condition Consulting Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Adults with intellectual disabilities (ID) experience multiple chronic conditions (MCCs) and polypharmacy at a younger age than those without ID.

Management 130

Management Medical Healthcare Professional Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Preliminary analyses revealed the following overarching themes: 1) diabetes, mental health and mental health conditions or challenges, and HRSNs contribute to a cycle of diabetes distress (i.e.,

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Eligibility criteria involved PCPs (family physicians and/or nurse practitioners) who facilitated a panel of patients; and PWLE who were 45 years of age or older, with or without a chronic condition, and who had documented appointments with an eligible PCP in the past six months.

Nurse Practitioner 130

Nurse Practitioner Primary Care Relationship PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied 29 patients with multiple chronic conditions who chose to create a care plan to improve their mental health (particularly sleep, loneliness, and anxiety/depression). Study Design and Analysis Quantitative study. Setting or Dataset The primary data source was My Own Health Report (MOHR).

Mental Health 130

Mental Health Primary Care Patients Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Analysis: Monthly visit counts were modeled using negative binomial regression as a function of tapering (≥15% relative dose reduction from baseline), compared to non-tapered reference group, subclassified as tapered-and-continued (MME>0) vs. tapered-and-discontinued (MME=0), baseline utilization, sociodemographics, and comorbidities.

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Individuals with diabetes often present with co-occurring chronic conditions (CC), or multimorbidity. Objective: We aimed to describe C-MM in midlife and older adults with self-reported diabetes and identify the combinations of conditions constituting C-MM.

Diabetes 130

Diabetes Chronic Condition Education Individual 130

Annals of Family Medicine

MARCH 24, 2025

This study assessed the preferences of family medicine patients for seeing their primary care physician (PCP) vs other team clinicians based on visit type and wait time. Less is known about how team-based care influences patient satisfaction and perceptions of the trade-off between continuity and access.

PCP 130

PCP PCP Chronic Condition Primary Care 130

Plum Health

JUNE 9, 2025

Donovan Ogboh is a Family Medicine Doctor in Detroit Michigan Dr. Donovan Ogboh is a board-certified family medicine physician with a dedicated interest in preventive care, sports medicine, pediatric care, women’s health, and the ongoing management of chronic conditions.

Board-Certified 52

Board-Certified Primary Care Family Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. The tool was implemented and tested in four university-affiliated family medicine groups in Quebec, Canada from December 2021 to October 2022.

Primary Care 130

Primary Care Consulting Telemedicine Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Center for Family Medicine

MAY 7, 2025

Knowing the warning signs of this chronic condition helps reduce the risk of long-term damage. Lifestyle changes, such as eating a balanced diet, exercising regularly, and maintaining a healthy weight, can reduce the risk or help manage the condition if already diagnosed.

Diabetes 52

Diabetes Healthcare Professional Chronic Condition Family Medicine 52

Hitchcock Family Medicine

AUGUST 5, 2022

Care for Chronic Illnesses Primary doctors work alongside disease specialists such as cardiologists and oncologists when treating severe illnesses or chronic conditions such as Alzheimer's, cancer, diabetes, epilepsy, and heart disease. This way, you can get the treatment and medication you need faster.

Primary Care Physician 52

Primary Care Physician Primary Care Doctor Provider Primary Care 52

Center for Family Medicine

MAY 21, 2025

Unexplained weight loss could also signal chronic conditions like Crohn's disease or ulcerative colitis. Many GI conditions, such as Crohn's disease, ulcerative colitis, and celiac disease, are manageable with early diagnosis and proper care.

Complication 52

Complication Chronic Condition ER Family Medicine 52

Hitchcock Family Medicine

FEBRUARY 7, 2023

Supply Ongoing Care for Long-Term Conditions Family care doctors are also well-equipped to provide ongoing medical care for chronic conditions or illnesses that require continual monitoring and treatment. They can help diagnose illnesses, recommend treatments and medications, and guide you on preventive health measures.

Families 52

Families Family Primary Care Physician Chronic Condition 52

Annals of Family Medicine

JANUARY 27, 2025

CONCLUSION A practice-centric flexible practice transformation intervention improved integration of behavioral health in primary care across heterogeneous primary care practices treating patients with multiple chronic conditions when accounting for completion of intervention stages.

Primary Care 130

Primary Care Chronic Condition Physicals Patients 130

Annals of Family Medicine

MARCH 24, 2025

RESULTS Themes emerged regarding best ways to promote regular follow-up of patients with chronic conditions. Interviews were audiotaped, transcribed, and coded using Atlas qualitative data analysis software (Lumivero, LLC).

Primary Care 130

Primary Care Patients Primary Care Physician Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our objective is to compare health outcomes and experiences of patients with chronic conditions cared for in primary care settings. Study Design and Analysis: Cross-sectional study design. We conducted descriptive and inferential statistics. Setting or Dataset: Canadian primary care practices in 10 provinces.

Primary Care 130

Primary Care Patients Chronic Condition Mental Health 130

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. Although there has been Canadian research on this topic, there have been no such studies in New Brunswick (NB).

Primary Care 130

Primary Care Screening Provider Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Model design Variables included: blood pressure values, medications, chronic conditions and history of fractures. Study Design: Secondary data analysis created a machine learning model that identified high risk patients potentially over treated for hypertension placing them at higher fall risk.

Patients 130

Patients Hypertension Primary Care Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background: Diabetes (DM) is a common chronic condition, yet the quality of care varies. It is unclear whether a group of doctors provides better care than a single person.

Diabetes 130

Diabetes Provider Chronic Condition Diagnose 130

Vida Family Medicine

AUGUST 26, 2024

While losing weight is often suggested to lower the risk of chronic conditions like diabetes, high blood pressure, or heart disease, the risk of prescribing weight loss is overlooked. The truth is, the risks of attempts at weight loss often outweigh the benefits.

Primary Care Physician 52

Primary Care Physician Primary Care Diabetes Chronic Condition 52

Annals of Family Medicine

NOVEMBER 20, 2024

30% of eligible adults do not receive CRC screening, and disparities exist among those with multiple chronic conditions (MCC, having more than one diagnosed chronic health condition that require ongoing medical care). Dependent variables: treatment burden; delayed/skipped screenings.

Chronic Condition 130

Chronic Condition Screening Physicals Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Adults with intellectual disabilities (ID) are susceptible to chronic conditions, disproportionately experience health disparities, and are less likely to receive optimal primary care management. Studies on adults with ID are scarce, and understanding chronic disease burden is important.

Chronic Condition 130

Chronic Condition Electronics Chronic Disease Asthma 130

Annals of Family Medicine

NOVEMBER 20, 2024

None of the existing reviews examine primary care-specific interpersonal communication for patients living with chronic conditions. Objective: To assess the socioeconomic and demographic factors influencing interpersonal communication between family physicians and patients with chronic conditions.

Chronic Condition 130

Chronic Condition Family Physician Families Family 130

Edge Family Medicine

APRIL 10, 2025

At Edge Family Medicine , we believe that one of the most powerful tools in healthcare isn’t technology — it’s trust. At Edge Family Medicine , we prioritize relationship-based care that supports your wellness every step of the way. Over time, they become familiar with your health history, lifestyle, and concerns.

Primary Care 130

Primary Care Relationship PCP PCP 130

Edge Family Medicine

FEBRUARY 10, 2025

Edge Family Medicine , serving Upland, Montclair, and Rancho Cucamonga , offers both telemedicine and in-person visits , ensuring you get the right care when you need it. Effective Follow-Ups – Great for medication adjustments, test results, and chronic disease management. Why Choose Edge Family Medicine?

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: The study population consisted of individuals aged 75 to 89 years who had two or more chronic conditions. Outcome Measures: The primary outcomes were hospital admissions for any cause and for ambulatory care-sensitive conditions (ACSCs) within one year of follow-up.

Chronic Condition 130

Chronic Condition Insurance Utilities Hospital 130

Mesa Family Physician

MARCH 13, 2025

Our practitioners at Mesa Family Physicians get to know your health patterns over time, making it easier to spot subtle changes that might indicate developing issues. Take the Next Step Toward Proactive Health Management Don’t wait until symptoms appear to schedule your next visit to Mesa Family Physicians.

Family Physician 100

Family Physician Preventive Care Preventative Care Families 100

Annals of Family Medicine

NOVEMBER 20, 2024

Diabetes co-occurs with other chronic conditions (CC), functional limitations (FL), and geriatric syndromes (GS). Context: Adults with diabetes have higher premature death rates, functional disability, and comorbidities than adults without diabetes.

Diabetes 130

Diabetes Chronic Condition Individual 130