Annals of Family Medicine

NOVEMBER 20, 2024

There is limited research on implementation of LM in medically underserved communities. Objective To assess patient perceptions of a primary care-based LM clinic. Setting: LM Clinic in the SW Virginia safety net. Setting: LM Clinic in the SW Virginia safety net.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

There is a gap in the literature on understanding experiences of food insecurity in rural dwelling older adults and the role primary care providers can play in systematically screening older adults for age related food issues. Data were analyzed using reflexive thematic analysis.

Primary Care 130

Primary Care Screening Family Doctor Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot. Outcome Measures: We assessed patterns of social risk factors across our patient population as well as the extent to which patients wanted assistance from the clinic.

Referral 130

Referral Community Transportation Utilities 130

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. Setting/Dataset Forty-two primary care practices across the U.S. 6.1), Integration Methods 4.6 (95% 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Design and Analysis: Observational study.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Community Integrated Care Finance Family Practice 130

Integrated Care News by CFHA

MARCH 21, 2025

On January 7, 2025, SAMHSA announced the award of one-year Certified Community Behavioral Health Clinics (CCBHCs) Demonstration planning grants to 14 states and Washington, D.C., Use CCBHC grant resources to embed BHCs more effectively in primary care, ensuring a seamless bridge to specialty services when needed.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

At the University of California Los Angeles, the PRIME Leadership and Advocacy (PRIME-LA) program prepares medical students to be leaders and advocates in clinical care, research, or policymaking for marginalized communities. selected primary care specialties including family medicine, pediatrics, and internal medicine.

Education 130

Education Medical Student Medical DO 130

Integrated Care News by CFHA

APRIL 16, 2025

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It offers care where people already are: their doctor’s office, their community mental health clinic, their OB/GYN’s exam room.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Healthcare 130

Healthcare Management Finance Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Data analysis included descriptive statistics and qualitative analysis of open-ended responses.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care delivery was significantly impacted by COVID-19, with rapid deployment of telehealth after the United States’ national public health emergency (PHE) declaration in March 2020. Population Studied: 1,792,934 adult patients with at least 1 telehealth (phone, video) or in-person primary care visit.

Primary Care 130

Primary Care Screening Telehealth Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. 3) ECHO Pain is equitable – through use of telehealth technology, ECHO Pain provides timely education to clinicians practicing in rural, remote, and underserved communities.

Management 130

Management Telehealth Education Community 130

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. Setting: Community-based. Intervention: Proactive consists of 21 items covering nine constructs.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state.

Primary Care 52

Primary Care Board-Certified Patient-Centered DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. This mismatch is worsened in rural communities. Outcome Measures Self-rated knowledge and confidence in provider competence before and after the course.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: One of the most common primary care illnesses is acute rhinosinusitis (ARS). Patients were recruited from primary care practices, emergency rooms and urgent care centers, and the community (e.g., Objective: To identify the factors associated with progression from upper respiratory infection to ARS.

Telemedicine 130

Telemedicine Primary Care Emergency Room Patient-Centered 130

A Country Doctor Writes

MAY 18, 2025

If a primary care patient was going through a difficult time with their social life or mental health, we would walk them down the hall to meet a therapist right then and there. My theory is that the behavioral health staff members felt isolated and not integrated with the primary care providers.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP). Method : We enrolled community-dwelling older adults with mild/moderate frailty under the care of Fraser Health and Nova Scotia Health (n=100). The mean eFI-CGA was 0.28±0.11 and 0.28 ±0.12).

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Therapeutic relationships have been demonstrated as fundamental to primary care delivery. The rapid adoption of digital technologies since the onset of COVID-19 has led health care systems to consider or adopt a "digital-first" primary care delivery model. 8 virtual care visits were observed.

Primary Care 130

Primary Care Relationship Nurse Practitioner Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Measures of handgrip strength are collected in primary care settings as a vital sign for the prevention of health conditions related to low muscle strength. However, before such measures can be considered in clinical settings, their test-retest reliability needs to be established.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Population Studied: Patients at a large primary care practice in the Mayo Clinic Health System located in Mankato, MN.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Logansport Memorial Hospital

JUNE 28, 2024

He is a primary care physician with a passion for providing full-spectrum primary care for his patients. Having grown up in Carroll County, Dr. Anderson-Been is familiar with the communities and patients we serve in the north central Indiana region.

Primary Care Physician 52

Primary Care Physician Primary Care DO Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service). Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Population studied/Intervention: A case management program (CMP) for people with complex needs was implemented in four primary care clinics of an urban area. However, partnerships between primary care clinics and community-based organizations would deserve consideration in further research.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: After a Samoan patient from New Zealand (NZ) attended a PACE workshop at NAPCRG in 2016 with her general practitioner, she was inspired to set up a Pacific community group to work towards better health outcomes for Pacific people living in South Auckland, NZ. Intervention/Instrument: A community-based participatory research approach.

Community 130

Community General Practitioner Primary Care Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. However, little information exists on how to successfully implement these tools in the primary care setting. Setting or dataset: Community-based practice.

Primary Care 130

Primary Care Consulting Telemedicine Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Prior studies focus on the perceived needs of learners rather than needs of the patients or communities in which these residents practice. In accordance with ACGME recommendations, we performed a community needs assessment to inform POCUS curriculum development within a Family Medicine residency.

Community 130

Community DO Family Medicine Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: 953 community-based primary care clinics in a national network from 25 states across the United States. Population: Adults 18+ years old with ≥1 primary care ambulatory visit in the network from 2012-2020, with at least one high-risk condition (heart, vascular, or chronic kidney disease, or diabetes).

Hypertension 130

Hypertension Community Primary Care Patient-Centered 130

Physician's Weekly

JUNE 22, 2025

Most individuals retained functional independence for up to 6 months following a community-based CGA. Follow-up assessments were completed by an independent assessor via telephone in 30 and 180 days. The results showed that 303 individuals were recruited with a mean age of 83.2 Functional decline occurred 26.4% at 30 days and 33.7%

General Practitioner 52

General Practitioner GP Primary Care Community 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Researchers and funders are recognizing the urgent need for more inclusive and representative clinical research to advance health equity. Community health centers (CHCs) are recognized as trusted care providers with unique potential to support more effective recruitment and participation approaches.

Patient-Centered 130

Patient-Centered Community Patients Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To measure the impact on healthcare system utilization of an intensive primary care (IPC) service from 2019 through 2022. Setting: Safety net hospital/clinic system in Fort Worth, Texas. Intervention: A personal family physician and community health worker were assigned to each consenting patient.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: 17 WIC clinics in a rural southern state. Participants were recruited to attend brief (20-30 min) seven monthly one-on-one parenting education modules (safe sleep, infant crying, routines, stress, home safety, discipline, and child development) provided by community health workers.

Education 130

Education Community Primary Care Specialization 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design: Qualitative interviews were conducted with older adults (n=19) and health providers (n=17) in 4 family medicine clinics (2 rural and 2 urban) in Quebec, Canada. Setting and dataset: Community-based practice. The recruitment of older adults was diversified according to age, gender, and comorbidity.

Provider 130

Provider Primary Care Patients Consulting 130