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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

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Staff perspectives of a novel integrated community care hub in an urban underserved population (UK) [Child and adolescent health]

Annals of Family Medicine

o Context or Objective: The UK is witnessing an increase in emergency department use and hospital admissions for children and young people from underserved populations, exacerbated in the UK by continued issues around access to primary care.

Community 130
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Enhancing primary healthcare capacity : A qualitative study from the perspective of managers of PHC institutions in China [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Community health services constitute the cornerstone of China's primary healthcare system. Since the recent healthcare reforms, significant strides have been made in the development of community health services across the country.

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Overcoming COVID-19 Vaccine Hesitancy in Rural Northern New England for Adults [COVID-19]

Annals of Family Medicine

A poll from March of 2021 by the Kaiser Family Foundation found that vaccine hesitancy was highest in rural communities, with 21% of rural residents stating they would "definitely not" get a vaccine compared with 10% of urban residents.

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Governor’s 2025-26 May Revision Proposes Major Cuts to Healthcare and Undermines Medi-Cal Expansion Commitments

California Academy of Family Physicians (CAFP)

Key Health Care Budget Proposals: Proposed Medi-Cal Cuts and Enrollment Changes Medi-Cal, California’s Medicaid program, is typically funded through a partnership between the state and the federal government. Cuts to Medi-Cal and other safety net programs threaten to destabilize access to care at a time when communities need it most.

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Q&A: Prioritizing Early Intervention in Pediatric Obesity

Physician's Weekly

The 2023 American Academy of Pediatrics (AAP) Clinical Practice Guidelines has a section that discusses different approaches (eg, virtual visits, including allied providers, thinking about community programs, etc.). Clinicians can also lean on social workers or community health workers if they are available.

Family 52
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Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya

BMJ

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.