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

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

Targeted users of mHealth tools include clinicians, patients, and caregivers. 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. Ultimately, the synthesis included 29 reviews (16 systematic, 10 scoping, 1 rapid, 2 other).

Patients 130

Patients Clinical Practice Electronics Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals. Population Studied. Women 15-54 years with live births between 2005-2022.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Setting or Dataset Five electronic systems of community clinic. Study design and analysis This is a multiple-center retrospective real-world cohort study.

Hypertension 130

Hypertension Diabetes Patients Transportation 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

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. Semi-hybrid approach one day per week optimizes clinical participation.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. for CA, 0.85

Appointment 130

Appointment Primary Care DO Family Medicine 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

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). Adoption of the full dataset by EHR providers will lead to better interoperability and patient care and facilitate international research collaboration. Published by BMJ Group.

Electronics 52

Electronics Clinic Provider Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Formative research included depth interviews with primary care/oncology clinicians, patient advocates, and policy influencers (n=40), and two Delphi panels (1-national survivorship experts; 1-local primary care clinicians) to identify/prioritize strategies for breast cancer survivorship care.

Primary Care 130

Primary Care Referral Electronics Utilities 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

Objective: to investigate the effect of vitamin D supplementation on patients with LBP. Roland Morris Disability Questionnaire, Patient-Specific Functional Scale), or subjective measure of improvement in people with LBP following vitamin D supplementation Results: 2383 articles were screened by two reviewers after removing the duplicates.

Patients 130

Patients Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Because people with MCC typically see multiple providers in multiple care settings often using different EHRs, critical information is difficult to obtain, leading to fragmented care, clinician and patient burden, and suboptimal outcomes. The apps also collect patient reported data on goals, social needs, and functional status.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 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.

Management 130

Management Primary Care Telehealth Hypertension 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Below, I share three reasons why. References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design and analysis: In this observational study, we compared the distribution of screening modalities by 1) FQHC and year and 2) patient characteristics by screening modalities using chi-squared and t-tests. Population Studied: Average-risk females ages 21-64 with ≥1 medical encounter and ≥1 routine CCS during 2012-2017.

Screening 130

Screening Insurance Patient-Centered Primary Care 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. In-basket tasks per month most strongly correlates to size of patient panel. Results: 192 surveys sent; 67% response rate.

Electronics 130

Electronics Primary Care Provider Relationship 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: 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). However, it is unclear whether results would generalize to other healthcare populations.

Diagnosis 130

Diagnosis Electronics Physicals Clinic 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

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. POPULATION STUDIED: Diverse stakeholders (PC clinicians, survivorship experts, policy leaders, oncologists, and patient advocates) were interviewed (n=45).

Primary Care 130

Primary Care Screening Education Electronics 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., Leverage Technology and Data Implement measurement-based care tools that work across both systems to track patient outcomes and demonstrate effectiveness.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 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. Objective: To assess the feasibility and acceptability of administering the I-Score on a patient portal. Setting: A large hospital-based clinic in Montreal, Canada.

Electronics 130

Electronics Patients Hospital Clinic 130

Physician's Weekly

JUNE 25, 2025

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

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

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

Context: Since many patients with Major Depressive Disorder (MDD) have anhedonia and can be reluctant to engage in treatment, many practices struggle to engage patients with depression in regular follow up and care. Eligible patients had a diagnosis of MDD, but had not filled out a PHQ9 in the past 2 weeks to 6 months.

Electronics 130

Electronics Patients Mental Health Primary Care 130

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

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. A PCP and a geriatrician assessed each patient independently at baseline and six months. The mean eFI-CGA was 0.28±0.11

Primary Care 130

Primary Care Electronics PCP PCP 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? 3, 5, 6) b.

Integrated Care 100

Integrated Care Mental Health Healthcare Clinical Practice 100

Mesa Family Physician

JUNE 16, 2025

Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. Many patients ask: What happens at a new patient appointment in primary care? People often search: What happens at a new patient visit? How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

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

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

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. Patients were equally likely to be screened (49.7%) as to not be screened (50.3%) (p=0.538).

Internal Medicine 130

Internal Medicine DO Family Medicine Screening 130

Family Medicine Initiative

APRIL 9, 2024

So, which patients should get them first? Patients ask me these questions fairly often, so I know it’s important for GPs to know the key facts. Yes, one year after stopping the medication, patients regain ½ – ⅔ of their previous weight loss: What are other clinical benefits? Does the rebound effect really exist?

Diabetes 130

Diabetes Patients Medical DO 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. A housing asset-based measure of SES (HOUSES) can provide individual-level SES without need for patient questionnaires. live in rural areas.

Primary Care 130

Primary Care Patients Transportation Electronics 130