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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. Results of testing and evaluation will be presented.

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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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Combinations of Conditions Constituting Complex Multimorbidity Among Midlife and Older Adults with Diabetes in the Health and [Multimorbidity]

Annals of Family Medicine

Context: Individuals with diabetes often present with co-occurring chronic conditions (CC), or multimorbidity. Objective: We aimed to describe C-MM in midlife and older adults with self-reported diabetes and identify the combinations of conditions constituting C-MM. had none of these conditions, 10.5%

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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

The results have been integrated during the experts’ consultation to collect data on professional practice and the integration of SDM for PCCNs. Setting Any context across PCCNs healthcare services utilization.

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

Annals of Family Medicine

Population Studied 29 patients with multiple chronic conditions who chose to create a care plan to improve their mental health (particularly sleep, loneliness, and anxiety/depression). MOHR presented a list of 10-15 actionable evidence-based strategies that patients could select to improve the risk.

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New study presents vision of machine learning leveraged for precision medicine

Medical Xpress

But a wide variety of factors including diet, age, or diseases such as diabetes all play a role in healing, and monitoring these variables on a daily basis can be difficult for doctors, especially for chronic conditions.

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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

Setting or Dataset: Patients 18 years or older with a BH referral with or without at least 1 chronic condition referred from any of 4 PC sites with integrated BH in the UCHealth System from January 2020 through present. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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