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 TBSD incited action in the majority of encounters (64%), with clinicians modifying treatment regimens, placing referrals, scheduling appointments, and documenting in the chart.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Community 130

Community Diabetes Referral Screening 130

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. From lab work to screenings, consistent care means catching problems before they escalate.

Primary Care 130

Primary Care Relationship PCP PCP 130