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.

Primary Care 130

Primary Care Nurse Practitioner Finance Utilities 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

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.

Management 130

Management Primary Care Telehealth Hypertension 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. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 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. for maximal strength, 0.99 for asymmetry, 0.65

Electronics 130

Electronics Primary Care Utilities Referral 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

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services 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

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

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

Setting: Three academic health systems with EPIC and Oracle electronic health records. Population Studied: Primary care team members involved in high blood pressure management. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Retrospective chart search of the electronic medical records of a specific sub-group of patients at UNMC. Number of patients who meet inclusion criteria at Family Medicine Clinics: 6,551 Patients. Conclusion: There is a need for more screening for AAA in primary care.

Internal Medicine 130

Internal Medicine DO Family Medicine Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. Study Design and Analysis Five electronic research databases were searched to identify randomized controlled trials (RCT) and non-randomized studies of interventions. Intervention N/A.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Integrated Care News by CFHA

MAY 1, 2025

Within minutes he integrated the latest findings into practical recommendations for the family. Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025).

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 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. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 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. Objective The aim of this study was to explore the role of PGx in primary care (i.e.

Primary Care 130

Primary Care Education Family Medicine DO 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. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP). and 0.28 ±0.12).

Primary Care 130

Primary Care Electronics PCP PCP 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

Delivering parental tobacco treatment during pediatric primary care visits may help to reduce the effects of these structural barriers, thereby increasing the likelihood of parental tobacco cessation and reducing children’s tobacco exposure in these populations. Setting: Primary care clinics in the Minneapolis-St.

Primary Care 130

Primary Care Screening Clinic Preventive Care 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: Electronic health records (EHR) and patient portal systems have resulted in an unrestricted, undefined, and often uncompensated workload for Primary Care providers. Objective: Quantify portal messaging patterns across the Rochester, MN Primary Care practices in 2022.

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Given limited critical care resources and an aging population, early interventions to prevent critical illness are vital. In this interdisciplinary collaboration, primary care and critical care clinician researchers came together with informatics and implementation experts to design this community-based pilot project.

Illness 130

Illness Electronics Primary Care Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation questionnaires designed to provide rapid assessments of the physical, social, mental and cognitive health of older adults may support effective primary care management and improved patient outcomes for this population. Study Design and Analysis: Multi-center, 1:1 individually randomized trial design.

Primary Care 130

Primary Care Consulting Patient-Centered Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: As academic medical centers purposefully integrate telemedicine visits into primary care, efficacy studies are needed to appropriately guide resource allocation and triage processes. Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023).

Telemedicine 130

Telemedicine Primary Care Provider Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Considering that effective teamwork develops over time and that the activities of primary care nurses are largely dependent on team functioning, highlighting what best promotes effective teamwork from their perspective could contribute to a better understanding of how to support team-based primary care.

Primary Care 130

Primary Care Nurse Practitioner Management Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care settings may be an appropriate environment to address social risk factors, however much is not known about the characteristics of patient reported social risk among patients with diabetes in a general primary care setting. Context Type 2 diabetes impacts 11.3%

Diabetes 130

Diabetes Primary Care Relationship Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Social determinants of health (SDOH) such as access to care and economic stability negatively impact colorectal cancer (CRC) screening rates. 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.

Screening 130

Screening Primary Care Relationship 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. Further evaluation is needed to apply use of social risk questionnaires and HOUSES index in primary care settings. live in rural areas. live in rural areas.

Primary Care 130

Primary Care Patients Transportation Electronics 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

Objective: Evaluate the effectiveness of a PHQ9 outreach to patients via a mobile app to increase clinical engagement and improve depression care quality. Setting/Population: Primary care patients of a national membership-based primary care delivery system, operating in several metropolitan locations in the US.

Electronics 130

Electronics Patients Mental Health Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background Researchers use card studies to obtain observational data about primary care provider (PCP) knowledge, attitudes, and behaviors on a variety of topics. Card studies have been influential in changing clinical practice, such as the reduction of antibiotics in patients with upper respiratory infections.

PCP 130

PCP PCP Primary Care Clinical Practice 130

BMJ

AUGUST 20, 2021

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.

Patient-Centered 40

Patient-Centered Clinic Provider Patients 40

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 119

Screening Primary Care Patient-Centered IT 119

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. 95% CI 0.51, 0.7)

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Retrospective cohort analysis of electronic health record data and chart review with chi square testing of the association of secondary acceptance of the HPV vaccine with child, clinician, healthcare processes.

Vaccination 130

Vaccination Family Medicine DO Primary Care 130