Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Population Studied 10 female primary care providers and 1 male providers.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. 1072 patients with COPD were identified within the merged dataset, 50% of whom visited the ED within two years. Risk factors (i.e.,

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Respiratory infections are a prevalent health issue that concerns patients and stresses healthcare resources. To improve preventive first line healthcare, we need to understand the uptake and perspective of patients on vaccines. Vaccines can prevent several respiratory infections, but the uptake is variable. 63.3% (95%CI 55.6-70.3)

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Post-Covid-19 Condition (PCC), or "long-Covid," is symptomatically complex and impacts several aspects of patient’s livelihoods. Objective: This study describes the symptoms and impacts of long-Covid and discusses the role of primary care in addressing the impacts of long-Covid.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Social data that is collected in a standardized fashion can be used to improve individual patient care by uncovering and then addressing social needs, to stimulate the development of new integrated health and social programs, and be used to identify inequities across an organization. 48%), indicating moderate penetration.

Primary Care 130

Primary Care Provider Clinic Patients 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: Describe codesign methods to implement actionable strategies for breast cancer survivorship follow-up care. The resulting intervention was a care quality improvement project that engaged practice champions (n=18) from 6 primary care practices in bi-weekly virtual facilitation and monthly learning collaboratives over 3 months.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. A total of 269,411 patients were used for model training.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

The challenges faced stem from the uncertainty and complexity of redefining professional roles and scopes of practice, as well as the skills needed to effectively work together and coordinate patient care as a cohesive team. Setting: One multidisciplinary primary care team in the province of Quebec, Canada.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. However, uncertainties remain regarding the performance of these models compared to standard care, their generalizability and applicability in primary care settings.

Primary Care 130

Primary Care Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care DO 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. 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Unfortunately, most individuals suffering from OUD do not have access to necessary care. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Study Design and Analysis: PC teams (clinical and non-clinical roles) attended 12 online monthly OUD sessions.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Results: Medication review forms were collected for 103 and 302 visits in private and public clinics, respectively. vs 41.1%) background.

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. The 60+ Clinical and Translational Science Award (CTSAs)-supported institutional programs also offer robust training (e.g., Research training is rate-limiting.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. 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

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

Context: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. Study Design and Analysis. Population studied.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 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.

Electronics 130

Electronics Education Patients Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Acute back pain is a common reason for primary care visits and often results in low-value spinal imaging. 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

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Comparison of FI for paired patients in 2022 and 2023. 73% of FI families had a FI ICD-10 code documented (Table 1).

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults frequently use primary care services, and family physicians exhibit differences in their knowledge and skills to care for older patients. Objective: To compare family physician practice on established performance measures derived from a modified Delphi process.

Primary Care 130

Primary Care Family Physician Family Families 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

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. However, studies on the generalizability and implementation of CHW interventions in clinical and community settings are limited. Setting 3 primary care clinics in SW Virginia.

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 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. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 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.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. 2020-2022).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

The collective experience of exemplary, compassionate physicians, the narrative experiences of patients, as well as the documented science of healing clearly verifies the reality that much of healing occurs through the listening, trust, optimism and communication of compassion that comes through relationships.

Relationship 130

Relationship DO Family Medicine Primary Care 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 Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Objective To introduce the novel approach of using a T-Connector between a patient’s HBPM and their physician’s office sphygmomanometer to permit a simultaneous blood pressure reading.

Hypertension 130

Hypertension Family Physician DO Family Medicine 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

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.

Mental Health 130

Mental Health Diabetes Relationship 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