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Optimizing participation in the OECD PaRIS Project: Lessons learned in Saskatchewan [Survey research or cross-sectional study]

Annals of Family Medicine

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.

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Traditional vs. Subscription Primary Care Payment Model: Which Fits You?

Plum Health

Direct Access to Your Doctor : Many DPC providers limit their patient load, meaning you get more face-to-face time with your doctor, often with little to no wait time. Traditional primary care practices tend to have more patients, which can lead to longer wait times and potentially longer waits for appointments.

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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ). in the usual care group.

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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Step four is adjusting it for your patient. How do you do that?

IT 139
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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

And that’s true across the spectrum of care, but it becomes increasingly important when you think about people with multiple chronic conditions, who really do have to make some of these very difficult conversations and decisions. Eric: And hearing loss is associated with a bunch of bad outcomes. Is that right?

IT 102
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

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. Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events.