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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The apps also collect patient reported data on goals, social needs, and functional status.

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Associations of intervention completion in a pragmatic trial on integrated behavioral health (IBH) and patient outcomes [Clinical trial]

Annals of Family Medicine

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. with co-located behavioral health providers and IBH levels <=75 based on the Practice Integration Profile (PIP).

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Patient perspectives in addressing mental health needs in primary care [Community based participatory research]

Annals of Family Medicine

Context Primary care physicians often help patients with mental health concerns, but little is known about patients’ views of addressing their mental health needs within the primary care setting. Patients could create a care plan for up to two identified risks.

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Clinician perception of the relationship between mental health, health-related social needs, and diabetes outcomes [Diabetes and endocrine disease]

Annals of Family Medicine

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions.

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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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Enhancing Primary Care: The Role of Occupationnal Therapy in Chronic Pain Self-Management [Pain management]

Annals of Family Medicine

Occupational therapists play a central role in supporting patients in the adoption and daily use of pain self-management strategies and in learning how to adapt to their chronic condition to maintain their quality of life.

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Forecasting and adapting to the family medicine workforce shortage

The Health Policy Exchange

For example, telehealth technologies could lighten the load on family physicians by promoting patient self-management of chronic conditions; improving medication adherence; and facilitating real-time specialist consultations. As our discussion pointed out, though, these proposals have serious disadvantages.