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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

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. Have open gaps in care or medications not filled.

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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. The TBSD incited action in the majority of encounters (64%), with clinicians modifying treatment regimens, placing referrals, scheduling appointments, and documenting in the chart.

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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

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.

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10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Dr. Zaar

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. Choosing the right diabetes doctor can make a major difference in how effectively your condition is managed, your quality of life, and your long-term health outcomes.

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Personalized Diabetes Treatment Plans: How Connecticut Specialists Approach Care

Physicians Alliance of Connecticut

Every year in Connecticut, about 17,000 adults are diagnosed with diabetes, a serious chronic condition. There are many types of diabetes — including type 1, type 2 and gestational — and many factors that affect how the condition changes over time. Ask for More Support, if You Need It Managing diabetes can be hard.

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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

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.