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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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shared decision-making with users with complex care needs: a scoping review [Systematic review, meta-analysis, or scoping review]

Annals of Family Medicine

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

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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

The ECHO (Extensions for Community Healthcare Outcomes) model is an ideal platform for dissemination of best practice guidelines and standards of care in common, complex, acute and chronic conditions. ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management.

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Disparities in telehealth utilization among Medicare beneficiaries

Medical Xpress

A new study of telehealth utilization among Medicare beneficiaries in Arkansas showed race/ethnicity and rural/urban disparities. The study, which reported that the association between the number of chronic conditions and telehealth was strongest among White and rural beneficiaries, is published in the journal Telemedicine and e-Health.

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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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A qualitative evaluation of the implementation of a pre-consultation tool for older adults in primary care [Geriatrics]

Annals of Family Medicine

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. Study design: A qualitative descriptive study design was utilized.

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Identifying Patients at High Risk for Falls using an AI/ML model [Geriatrics]

Annals of Family Medicine

We utilized Amazon Sagemaker Canvas to design our machine learning model. Model design Variables included: blood pressure values, medications, chronic conditions and history of fractures. Setting/Dataset: Database containing over 20 million patients.

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