Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: Randomized clinical trial (NCT 04255199). Setting: 10 primary care clinics in Sacramento, CA. Objective: To determine the effect of a standardized patient-delivered intervention on low-value imaging among primary care patients with acute low back pain.

Clinic 130

Clinic Primary Care Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. This study offers insight into the practice patterns of boutique clinic primary care physicians, as well as the estimated public costs of this business model in Ontario. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context In walk-in clinics, physicians have limited time with patients. Objective To paint a portrait of the patient's perspective when visiting a walk-in clinic, focusing on the reasons for consulting, concerns, expectations and impact on their lives. Setting Walk-in clinic of an academic family medicine clinic in Quebec, Canada.

Consulting 130

Consulting Patients Clinic Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied Patients with obesity enrolled in the Méta-Santé clinic. They complete a commitment form and questionnaire before meeting with a nurse practitioner, clinical nurse, nutritionist, and doctor. Results The clinic has 41 current patients, and 59 have completed their participation.

Family Medicine 130

Family Medicine DO Nurse Practitioner Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. 104 PHC clinics across 14 regions of Quebec, Canada.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To identify different profiles of access to care and continuity experiences of patients registered at team-based primary healthcare clinics. Setting: 104 PHC clinics across Quebec, Canada. Study Design/Analysis: This cross-sectional study was conducted from September 2022 to April 2023.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Champions in CQI refer to individuals who lead or facilitate such initiatives, and they seem to be a key ingredient in promoting quality improvement in Primary healthcare Clinics (PHC). Continuous quality improvement (CQI) is a promising method for improving the healthcare system and responding effectively to changing patient needs.

Healthcare 130

Healthcare Clinic Individual Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics.

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Little is known about factors influencing clinical settings (sites) recruitment for a shared decision-making (SDM) stepped wedge cluster randomized trial (SW-cRT). We aim at describing the challenges and levers to recruitment of sites for an SDM SWcRT.

Clinic 130

Clinic Family Medicine DO Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

OBJECTIVE We assessed feasibility and patient-reported clinical outcomes of adjunctive use of SNI in ARS. Secondary: average rate of SNI use, percentage of participants who used SNI at least 50% of study days; perceived effect on sino-nasal symptoms; association of SNI use with validated clinical outcomes instrument severity score.

Clinic 130

Clinic Management Provider Patients 130

Mesa Family Physician

APRIL 24, 2025

An establish care visit helps create a baseline of your health and is typically your first interaction with a clinic or physician. If your cycle is irregular or the appointment took months to book, your clinic may advise keeping the appointment, depending on your symptoms and flow. Can You Get a Pap Smear During Your Period?

Screening 100

Screening Clinic Appointment Checkup 100

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions Policies for research-related transportation are scarce among institutions engaged in clinical research. Policies from 17 sites had some language on general liability protections for research personnel.

Transportation 130

Transportation Clinic Insurance Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Participants were enrolled from primary care settings including outpatient clinics and urgent care from 6 practice-based research networks distributed across the United States. Population Studied: Adults with symptoms of acute rhinosinusitis.

Clinic 130

Clinic Illness Primary Care Provider 130

KevinMD

JUNE 10, 2025

The importance of diversity in clinical trials is well-documented, yet unfortunately the lack of diversity still occurs at an alarming rate. The reason for lack of Read more… Why retail pharmacies are the future of diverse clinical trials originally appeared in KevinMD.com.

Clinic 167

Clinic Patients Medical 167

Medical Xpress

JUNE 16, 2025

Two existing medications—one used for smoking cessation and the other for depression—appear to work effectively together in treating alcohol use disorder. The combination reduces alcohol cravings, lowers consumption, and may decrease the risk of nausea. These findings come from a new study led by the University of Gothenburg, Sweden.

Clinic 112

Clinic Medical 112

The Clinical Problem Solvers

JUNE 6, 2025

[link] Welcome to another episode of the Clinical Unknown Series! Mark presented a case with a chief complaint of constipation to Debora and Mengyu, and there was an unpredictable turnover. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS

Clinic 78

Clinic 78

Annals of Family Medicine

NOVEMBER 20, 2024

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. Integrated Behavioral Health (IBH) is associated with improved access and engagement in mental health services and mental and physical health patient outcomes.

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Physician's Weekly

JUNE 14, 2025

Pooled odds ratios (OR) with 95% CI were calculated for miscarriage (primary outcome) and clinical pregnancy and live birth (secondary outcomes). Preconception metformin use continued through the first trimester was linked to higher clinical pregnancy rates (OR 1.57, 95%CI 1.11–2.23), 2.61) compared to placebo or no treatment.

Clinic 52

Clinic 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Rapid adoption of virtual care in early 2020, meant there was little time to develop or plan integrated virtual health care services, resulting in an urgency to establish governance for quality-based virtual care in Canada.

Finance 130

Finance Telemedicine Relationship Government 130

Physician's Weekly

JUNE 16, 2025

MONDAY, June 16, 2025 (HealthDay News) — Computed tomography colonography (CTC) is cost-effective and clinically effective for colorectal cancer (CRC) screening, according to a study published online June 10 in Radiology. Pickhardt, M.D., All rights reserved.

Screening 52

Screening Clinic Medical Family Practice 52

Permanente Medicine

JUNE 10, 2025

June 10, 2025) — Maria Ansari, MD, FACC , co-CEO of The Permanente Federation at Kaiser Permanente, has been named to Modern Healthcare’s list of 50 Most Influential Clinical Executives for 2025. The result is high-quality, high-value care within an integrated system — improving lives and shaping the future of health care.”

Clinic 59

Clinic Patient-Centered Healthcare Medical 59

Physician's Weekly

JUNE 15, 2025

The following is a summary of “Mixed Autoimmune Hemolytic Anemia: A Systematic Review of Epidemiology, Clinical Characteristics, Therapies, and Outcomes,” published in the May 2025 issue of American Journal of Hematology by Jacobs et al. The median age of the participants was 45 years, with a marked female predominance of 2.25:1.

Clinic 52

Clinic Diagnosis Management Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: In a convergent, mixed methods design, a cross-sectional survey allowed us to assess the concurrent validity of Proactive by comparing its results with those of a clinical examination. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Setting or Dataset: Clinics: AF Williams Family Medicine, Lowry Internal Medicine; EPIC data; legal records. Semi-hybrid approach one day per week optimizes clinical participation.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Large-scale electronic health record (EHR) programs have reported a number of issues to their implementation in primary care including physician patient-centredness and clinical performance. Setting: An academic primary care clinic based in a hospital. Population: Ten resident physicians and six staff physicians.

Electronics 130

Electronics Education Patients Primary Care 130

Medical Xpress

JUNE 23, 2025

A new clinical trial found that taking a popular diabetes and weight-loss drug once weekly significantly improves blood sugar and leads to substantial weight loss in adults with type 1 diabetes who use automated insulin delivery systems.

Diabetes 56

Diabetes Clinic 56

KevinMD

JUNE 16, 2025

Anesthesiologist Maire Daugharty, who expanded her expertise by earning a master’s degree in clinical mental health counseling, discusses her article “Why ADHD isn’t just a childhood disorder and what that means for adults.” Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

IT 167

IT Mental Health Diagnosis Clinic 167

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To examine clinician self-report of clinic strong or weak functioning during the pandemic and determine which clinic and clinician characteristics were associated with ability to function, and why. For example, some in small clinics were able to implement changes rapidly without committee proceedings.

Primary Care 130

Primary Care Clinic Healthcare Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

It included training in OUD diagnosis and management with modules, medication assisted therapy (MAT) clinics, inpatient addiction psychiatry rotations and didactic lectures. Results Residents primarily managed patients with OUD in MAT clinic and on inpatient rotations but also encountered them in primary care clinics.

Education 130

Education Primary Care Physician Primary Care DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Between Sept 2022-Oct 2023 we implemented the SPARK Tool at five primary care clinics. Setting: We collected data at five primary care clinics in five Canadian provinces (Saskatchewan, Manitoba, Ontario, Nova Scotia, and Newfoundland and Labrador). Clerical staff and provider 96.7%

Primary Care 130

Primary Care Clinic Provider Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: PC teams (clinical and non-clinical roles) attended 12 online monthly OUD sessions. Population studied: PC teams (clinical and non-clinical roles). Participants completed baseline, post-session, and post-intervention surveys. Setting: 20 PC practices located in various regions across the US.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context UT Southwestern utilizes community engagement strategies to improve health and integrate stakeholder priorities in clinical care and research. social service, clinics) serving medically underserved populations in the Dallas-Fort Worth region of Texas, USA.

Community 130

Community Utilities Relationship Clinic 130

KevinMD

JUNE 8, 2025

Licensed clinical psychologist and health care ethicist Jenny Shields discusses her article, “DSM-5 doesn’t name it, but moral distress is everywhere in medicine.” Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Clinic 157

Clinic IT 157

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To synthesize data on the effectiveness, generalizability, and clinical relevance of ML models in detecting AFib cases using EHR in primary care settings. Risk of bias was assessed with PROBAST tool and clinical applicability with MI-CLAIM checklist. We searched seven databases from inception to May 2023.

Primary Care 130

Primary Care Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

During the COVID-19 pandemic, many clinics shifted to a virtual visit format. Setting or Dataset: Chart reviews from an urban safety-net clinic in Anchorage, AK comparing pre-pandemic, during-pandemic and post-pandemic cohorts. Study Design & Analysis: Mixed-methods, retrospective-prospective cohort study.

Patients 130

Patients Clinic Utilities Provider 130

KevinMD

JUNE 7, 2025

Clinically, a medical error and an error of nature are indistinguishable. All medical malpractice lawsuits stem from complications caused by medical interventions. Some complications are random errors of nature, which are unpreventable. Others are systemic medical errors, caused by medical interventions gone astray.

Complication 157

Complication Medical Clinic IT 157