Annals of Family Medicine

NOVEMBER 20, 2024

The ability to reach and engage in the care process varies considerably depending on patients’ socio-demographic characteristics which we need to understand to address inequitable access issues. Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 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 98

Board-Certified Primary Care Family Medicine DO 98

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care physicians often help patients with mental health concerns, but little is known about patients’ views of addressing their mental health needs within the primary care setting. Patients could create a care plan for up to two identified risks.

Mental Health 130

Mental Health Primary Care Patients Community 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

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.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context A number of patients have complex care needs that arise from interactions among multiple factors, such as multimorbidity, mental health issues, and social vulnerability. Shared decision-making (SDM), a collaborative process between patients and professionals, is known to improve the quality of the decision-making process.

Mental Health 130

Mental Health Chronic Condition Consulting Healthcare 130

Annals of Family Medicine

MARCH 24, 2025

Less is known about how team-based care influences patient satisfaction and perceptions of the trade-off between continuity and access. 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.

PCP 130

PCP PCP Chronic Condition Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. 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: Leading the OECD PaRIS Project in Saskatchewan (SK) was an integrated primary care collaborative team consisting of primary care providers (PCPs), people with lived experience (PWLE) aka patients, health system partners and researchers. Instrument: Survey developed and approved by the OECD-PaRIS Working Group.

Nurse Practitioner 130

Nurse Practitioner Primary Care Relationship PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Among 47,033 patients prescribed stable opioids, 13,793 (29.3%) tapered after cohort entry; of these, 10,579 (76.7%) tapered-and-continued and 3,214 (23.3%) tapered-and-discontinued. Relative to non-tapered patients, patients who tapered-and-continued was had similar rates of pain-related primary care visits (aIRR 1.01, 95% CI: 0.97-1.06)

Primary Care 130

Primary Care Management Utilities Chronic Condition 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. Participants emphasized the role of family support and their reliance on adult children for decision-making and assistance with transportation and interpretation.

Clinic 130

Clinic Chronic Condition Transportation Family 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

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

Hitchcock Family Medicine

AUGUST 5, 2022

Primary care physicians take it upon themselves to get to know patients in person, which helps them attend to their needs. Preventive Care Primary doctors can offer preventive care to their patients, which typically includes check-ups and screenings to prevent them from contracting illnesses.

Primary Care Doctor 52

Primary Care Doctor Primary Care Physician Provider Primary Care 52

Annals of Family Medicine

MARCH 24, 2025

PURPOSE Although studies have shown that more temporally regular (TR) primary care visits are associated with improved patient outcomes, none have examined what clinic staff can do to encourage greater TR visits. RESULTS Themes emerged regarding best ways to promote regular follow-up of patients with chronic conditions.

Primary Care 130

Primary Care Patients Primary Care Physician Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient Safety Objective: Identify Patients at High Risk for Falls using an AI/ML model. Falls among elderly patients are costly and potentially preventable. Overtreatment of hypertension has been identified as a major risk factor for putting patients at risk for falls in patients with low blood pressures.

Patients 130

Patients Hypertension Primary Care Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

While collecting patient-reported experiences and outcomes is increasingly integrated into acute care, the PaRIS-Survey is the first primary care practice-based survey across multiple OECD countries. Objective: Our objective is to compare health outcomes and experiences of patients with chronic conditions cared for in primary care settings.

Primary Care 130

Primary Care Patients Chronic Condition Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Referral 130

Referral Chronic Condition Medical Illness 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. Population Studied The study collected data from family physicians, nurse practitioners, and adult patients of the clinic.

Primary Care 130

Primary Care Screening Provider Clinic 130

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. Provide Supportive Care Family care doctors can also provide emotional and mental support.

Family 52

Family Families Primary Care Physician Chronic Condition 52

Annals of Family Medicine

JANUARY 27, 2025

PURPOSE We performed a pragmatic, cluster randomized controlled trial of a comprehensive practice-level, multistage practice transformation intervention aiming to increase behavioral health integration in primary care practices and improve patient outcomes. to 7.6), patient identification 2.9 (95% 95% CI, 0.9 95% CI, 1.5 95% CI, 0.9

Primary Care 130

Primary Care Chronic Condition Physicals Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background: Diabetes (DM) is a common chronic condition, yet the quality of care varies. Objective: To examine the association between DM quality of care and whether patients reported having a single person, a group of doctors, or none as their personal health care provider.

Diabetes 130

Diabetes Provider Chronic Condition Diagnose 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 Family Families 130

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

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. You’re not just another patient — you’re known.

Primary Care 130

Primary Care Relationship PCP PCP 130

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. 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. Why Choose Edge Family Medicine?

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 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. Our team at Mesa Family Physicians specializes in geriatric medicine, addressing the complex health needs that can arise with aging.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

Annals of Family Medicine

NOVEMBER 20, 2024

Polydoctoring, characterized by patients with multimorbidity receiving treatment from multiple specialists, often leads to fragmented care, associated with polypharmacy and increased medical costs. Population Studied: The study population consisted of individuals aged 75 to 89 years who had two or more chronic conditions.

Chronic Condition 130

Chronic Condition Insurance Utilities Hospital 130

Mesa Family Physician

MARCH 6, 2025

The Affordable Care Act requires insurance companies to cover a wide range of preventive services without patient cost-sharing. Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

Annals of Family Medicine

NOVEMBER 20, 2024

Team members included researchers and a patient partner. Population studied: Adults 50+ years of age who had two or more chronic conditions. Our findings highlight the importance of understanding patients’ context when working with them to address on-going impacts such as social isolation and loneliness.

Chronic Condition 130

Chronic Condition Utilities Family Families 130

Edge Family Medicine

OCTOBER 23, 2024

Regular physical exams at Edge Family Medicine are essential for maintaining your health and well-being. Whether you’re dealing with a chronic condition or simply maintaining wellness, regular physical exams are a key component of long-term health.

Physicals 130

Physicals Family Medicine DO Chronic Condition 130

Plum Health

OCTOBER 16, 2024

Whether you’re in Detroit , Corunna , Lansing , Royal Oak , or Van Buren , this clinic is offering comprehensive care that puts patient well-being first. From managing chronic diseases like diabetes and hypertension to preventive care and health screenings, the clinic is known for providing patient-centered care.

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

MARCH 9, 2023

Potential use in palliative care , chronic pain , and for mood disorders is tantalizing. Early data on efficacy in patients with anxiety and demoralization are promising. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Research is exploding.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor.

Primary Care 94

Primary Care IT Provider Clinic 94