Annals of Family Medicine

NOVEMBER 20, 2024

Last year, our Family Medicine Residency Program restructured the Journal Club to incorporate a more resident-driven approach. Study Design and Analysis We conducted a retrospective survey distributed electronically and securely among the graduating class of residents.

Education 130

Education Family Medicine DO Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Primary Care 130

Primary Care Management Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Machine learning (ML) models offer potential for improved detection of AFib from electronic health records (EHR). Objective: To synthesize data on the effectiveness, generalizability, and clinical relevance of ML models in detecting AFib cases using EHR in primary care settings. 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

Economic analysis utilized "difference in difference" methodology comparing individuals who received legal services to control groups: a) in the same clinic; b) in 12 other primary care clinics within the same health system. Setting or Dataset: Medicaid Claims, Epic electronic health record.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To link primary care electronic medical record (EMR) data with community and hospital data and to test the utility of the merged dataset through a targeted quality improvement (QI) intervention among high-risk patients with chronic obstructive pulmonary disease (COPD).

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilizing new electronic handgrip dynamometer and accelerometer technologies may allow for additional muscle function attributes to be feasibly measured, which in turn, may help elevate prognostic value and specificity for intervention referral. Interclass correlation coefficients were used for the analyses. for maximal strength, 0.99

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

We used the patient portal (Opal) to administer the I-Score, a 7-item electronic patient-reported outcome measure (ePROM) of barriers to ART adherence. Setting: A hospital-based clinic in Montreal, Canada. Study Design Analysis: 6-month one-arm implementation pilot study.

Clinic 130

Clinic Patients Electronics Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To assess patient perceptions of a primary care-based LM clinic. Study Design and Analysis Survey; t-test and chi-square tests to evaluate variation by race and income status, approximated by having Medicaid, based on the clinic’s goal of reaching underserved community members.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Community Health Centres (CHCs) provide TBC for both urban and rural populations with barriers to care in Ontario, Canada, and they share a common electronic health record (EHR) system that records codes assigned by providers during an encounter.

Electronics 130

Electronics Provider Family Physician Mental Health 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. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

Clinic 130

Clinic Primary Care Electronics Individual 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. Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study has utilized SHRINE’s aggregated EHR data to demonstrate a rising trend in PPH incidence from 2005 to 2022, marked by significant disparities across demographic groups and an elevated risk linked to certain clinical conditions.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate implementation of an electronic scoring system (Elders Risk Assessment—ERA) to detect and an adapted risk-factor checklist (Checklist for Early Recognition and Treatment of Acute IllNess in Family Medicine – CERTAIN-FM) to assess older patients at high risk of critical illness in a primary care setting.

Illness 130

Illness Electronics Primary Care Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Three academic health systems with EPIC and Oracle electronic health records. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Results: 72 care team members at 9 clinics participated. Study design: Deductive qualitative analysis.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

One proposed reason is the lack of knowledge about PGx among clinicians slowing down the potential for clinical implementation, showing the main barrier to implementation is lack of healthcare professionals’ education. family medicine) and the need for education in this area. Recurrent themes were identified.

Primary Care 130

Primary Care Education Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

In clinical settings, uptake of mHealth tools has varied, with limited use explained, in part, by suboptimal adaptation of the tool and the implementation processes. Conclusions: Results provide a comprehensive process to adapt and implement mHealth tools in clinical settings.

Patients 130

Patients Clinical Practice Electronics Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care clinics. Intervention: Ongoing codesign process to optimize electronic health record (EHR) customizations and support materials for breast cancer survivorship care. Other suggestions included clinical documentation guidance to align with broader health system goals (e.g.,

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients with recent hemoglobin A1c levels of ≥8% were invited to join the Diabetes Navigator program, identified through the electronic health record at two academic primary care clinics. Navigator outreach time parallels that of a standard 15-minute clinic visit, on average.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. HPV self-sampling), multilevel interventions that are tailored for both clinic and patients’ needs will be critical to advance equitable access to CCS.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Administrative electronic health record (EHR) datasets offer a low-cost opportunity to investigate influences on knee osteoarthritis (OA) prevalence and outcomes such as total knee arthroplasty (TKA).

Diagnosis 130

Diagnosis Electronics Physicals Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis Five electronic research databases were searched to identify randomized controlled trials (RCT) and non-randomized studies of interventions. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included. Intervention N/A.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Family Medicine Initiative

APRIL 9, 2024

Yes, one year after stopping the medication, patients regain ½ – ⅔ of their previous weight loss: What are other clinical benefits? million electronic health records in the USA showed a lower risk for suicidal thoughts in those taking semaglutide than in those taking other weight loss medications. over 40 months (ARR).

Diabetes 130

Diabetes Patients Medical Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health records (EHR) and patient portal systems have resulted in an unrestricted, undefined, and often uncompensated workload for Primary Care providers. Little information exists regarding the volume of work due to electronic portal messaging and if disparities exist among gender, race, age, and specialty of the provider.

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

The testing demonstrated patients’ and clinicians’ desire to have integrated clinical and patient-reported data available for care planning and management. Results of testing and evaluation will be presented.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Setting: Primary care clinics partnered with an academic health center. A one-time survey was also conducted. nurse practitioners and physician assistants).

Primary Care 130

Primary Care Nurse Practitioner Finance Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset Five electronic systems of community clinic. Study design and analysis This is a multiple-center retrospective real-world cohort study. Propensity score matching and multivariate Cox proportional hazard regression model were conducted. Intervention Taking SGLT-2 inhibitors more than 3 months.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Implementation of electronic health record SDOH questionnaires is more common in health care institutions and allows for individual-level assessment of social risk in a primary care setting. Context Social determinants of health (SDOH) such as access to care and economic stability negatively impact colorectal cancer (CRC) screening rates.

Screening 130

Screening Relationship Primary Care Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Demographic data obtained from electronic health record included age, gender, race, and rurality, along with practice location, medical complexity and outpatient visits. Conclusions All social risk domains except for intimate partner violence were associated with attaining D5 metric in patients with type 2 diabetes.

Diabetes 130

Diabetes Relationship Primary Care Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integration of patient reported social risk questionnaires in electronic health records allows for assessment of individual-level SES, but this data is frequently missing. Context Socioeconomic status (SES) is one of the key determinants of health among rural populations. live in rural areas. live in rural areas.

Primary Care 130

Primary Care Patients Transportation Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Context Misdiagnosis and over-diagnosis of urinary tract infection (UTI) are a leading cause of inappropriate antimicrobial use.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 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. Objective: To examine the association of level of risk of 11 SDOH indicators and provision of assistance for tobacco cessation. Design and Analysis: Observational study.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. The eFI-CGA scores were correlated (each p< 001) with the Clinical Frailty Scale (CFS) at baseline and follow-up (r≥0.61

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients. Retention of clinical oversight and ongoing evaluation was key to staff acceptability.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Five electronic databases were searched: MEDLINE, CINAHL Cochrane Library, Web of science, SCOPUS and Google scholar Population Studied: We included all clinical trials examining the impact of vitamin D supplementation on LBP, regardless of the form, dosage, or route of administration, and featuring a placebo control group.

Patients 130

Patients Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite the growing interest in DTs, the healthcare sector lacks unified frameworks that can explain the development, evaluation, and implementation of DTs in clinical decision-making. Study Design: We performed a scoping review searching three electronic databases.

Clinic 130

Clinic Electronics Screening Physicals 130