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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Context: Tapering and discontinuation of chronic opioids has increased, with subsequent reports of exacerbated pain and increased emergency department (ED) visits associated with tapering. 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)

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shared decision-making with users with complex care needs: a scoping review [Systematic review, meta-analysis, or scoping review]

Annals of Family Medicine

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.

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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

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.

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Identifying Patients at High Risk for Falls using an AI/ML model [Geriatrics]

Annals of Family Medicine

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
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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.

Referral 130
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A qualitative evaluation of the implementation of a pre-consultation tool for older adults in primary care [Geriatrics]

Annals of Family Medicine

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. Study design: A qualitative descriptive study design was utilized.

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Impact of polydoctoring on admission among older adults with multimorbidity; a large-scale claims database analysis in Japan. [Multimorbidity]

Annals of Family Medicine

Polydoctoring, characterized by patients with multimorbidity receiving treatment from multiple specialists, often leads to fragmented care, associated with polypharmacy and increased medical costs. Dataset: This study utilized the DeSC database, which includes health insurance claims data from multiple types of health insurers in Japan.