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

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

Physician's Weekly

JUNE 15, 2025

To provide a comprehensive and internationally standardised Cornea and Ocular Surface Disease (C&OSD) dataset for use in electronic health records (EHRs). The post International corneal and ocular surface disease dataset for electronic health records. © Author(s) (or their employer(s)) 2025. © Author(s) (or their employer(s)) 2025.

Electronics 52

Electronics Clinic Provider Patients 52

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

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Conclusions: Best practices for virtual model require on-site clinical champions.

Medical 130

Medical Referral Screening Internal Medicine 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 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

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Study Design and Analysis Retrospective, longitudinal study using electronic health records. The RF models had an AUROC of 0.87 for CA, 0.85 for NS, and 0.92

Appointment 130

Appointment Primary Care Family Medicine DO 130

Canadian Family Physician

MAY 14, 2025

Objective To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.

Primary Care 52

Primary Care Consulting Electronics Provider 52

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

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

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

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

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

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

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

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

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 Utilities Finance 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

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

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

Context: Multiple studies have identified that working on the electronic health record (EHR) after clinic hours ("pajama time") is a source of burnout and decreasing professional satisfaction. No study has looked at its association with resident outcomes during training.

Family Medicine 130

Family Medicine DO Families Family 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., Journal of clinical psychology in medical settings , 25 (2), 109–126. References Reiter, J. Dobmeyer, A. C., & Hunter, C.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis We conducted a retrospective survey distributed electronically and securely among the graduating class of residents. Additionally, residents were provided with a detailed rubric outlining specific metrics on which their presentations would be evaluated.

Education 130

Education DO Family Medicine 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

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

Integrated Care News by CFHA

MAY 1, 2025

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). How are you integrating AI into your clinical, teaching or supervisory work? Evidence‑informed care was literally at his fingertips. References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 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

Integrated Care News by CFHA

MAY 19, 2025

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes. What is MBC? 3, 4) Why is MBC important?

Integrated Care 100

Integrated Care Mental Health Healthcare Clinical Practice 100

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. Setting: Criteria Time Frame: 2013-01-01 to 2023-12-31. are Not Hispanic or Latino and 87.7%

Internal Medicine 130

Internal Medicine Family Medicine DO Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

The I-Score is a new electronic patient-reported outcome measure (ePROM) of ART adherence barriers to be used in HIV care. Setting: A large hospital-based clinic in Montreal, Canada. Objective: To assess the feasibility and acceptability of administering the I-Score on a patient portal.

Electronics 130

Electronics Patients Hospital Clinic 130

Medical Xpress

APRIL 12, 2023

Finding the right patients for clinical trials can be a struggle and require much time and effort. Clinical researchers have wondered whether screening the electronic health record (EHR) could improve the process. Could it provide enough information to determine whether a patient is a good fit for a study?

Electronics 93

Electronics Patients Screening Clinic 93

The Health Policy Exchange

SEPTEMBER 2, 2020

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. I stepped down as director of the Robert L. Phillips, Jr.

Primary Care 130

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