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.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments. Setting: Northeast Ohio.

Community 130

Community Diabetes Referral Screening 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. The 13 clinician participants felt comfortable discussing topics (92%), felt the TBSD revealed new information (44%), focused patient conversations (44%), and uncovered issues that don’t typically arise (32%).

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

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

Edge Family Medicine

APRIL 10, 2025

Whether you’re visiting for an annual physical, managing a chronic condition, or simply seeking guidance on wellness, a consistent relationship with your provider creates the foundation for better outcomes and a better experience. Coordinated Specialist Referrals Your PCP is your guide through the larger healthcare system.

Primary Care 130

Primary Care Relationship PCP PCP 130

GeriPal

OCTOBER 17, 2024

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. They see it’s preserved. If you have access to that, I think, is the way to go. Eric 14:10 Yeah.

Primary Care 114

Primary Care Patient-Centered IT Patients 114