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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

Concussion management is complex: variable onset of symptoms, urban/rural disparities, and the many professionals involved in case management. ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management.

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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. Study Design: Retrospective cohort study. 1.06) but significantly more pain-related ED visits (aIRR 1.23, 95% CI: 1.14-1.32)

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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. Population Studies: NA Intervention/Instrument: NA Outcome Measures: NA Results: 45% (n = 3,889) of patients referred to ambulatory BH care had 1 or more chronic conditions.

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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

Context: Effective and efficient management of multimorbidity presents a significant challenge for aging societies. Dataset: This study utilized the DeSC database, which includes health insurance claims data from multiple types of health insurers in Japan.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

However, its main predictors are age, comorbidity, and healthcare utilization. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. Lyndsay: That’s a great question. Eric: VA people will know what that is. David: Yeah.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away. Eric: And Susan? Having that visual is really important.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. The typical utilization of inappropriate hospitalization and emergency room and total cost of care.