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

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. CareFirst Blue Cross Blue Shield joined the program in 2020.)

Primary Care 130

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

Mesa Family Physician

JUNE 16, 2025

What to Expect During a Primary Care Visit Visiting a primary care provider for the first time can bring up many questions. 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. How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

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 Optimizing continuity of care improves care quality, outcomes, and costs. Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Female patients had lower rates of NS, but higher rates of SDC. for CA, 0.85

Appointment 130

Appointment Primary Care Family Medicine DO 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

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. serum ferritin below 15 μg/mL). 2020-2022).

Clinic 130

Clinic Primary Care Electronics Individual 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. Design and Analysis: Observational study.

Primary Care 130

Primary Care Referral Electronics Individual 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

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

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

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

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

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

Physician's Weekly

JUNE 17, 2025

The PATHWEIGH trial aims to embed structured obesity care into primary care, addressing barriers and boosting clinician confidence and patient outcomes. Barriers include time constraints, lack of training in obesity treatment, limited reimbursement, and the absence of structured care pathways.

Primary Care 52

Primary Care Management Primary Care Physician Chronic Disease 52

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

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

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: 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

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 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. Within primary care most administrative work requires both information management and clinical judgment.

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 Ten percent of patients using prescription drugs experience adverse drug events (ADE). 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.

Primary Care 130

Primary Care Education Family Medicine DO 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

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

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

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

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

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

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

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

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

Barton Associates

MAY 8, 2025

Across the United States, tens of millions of Americans live in areas with shortage s of primary care, dental, and mental health professionals. These professionals play a vital role in maintaining essential services and ensuring continuity of patient care. Enter temporary medical staff, such as locum tenens providers.

Medical Staff 52

Medical Staff Medical Patients Healthcare 52

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

The Clinical Problem Solvers

JUNE 26, 2023

Identify strategies to mitigate bias and stigma in the electronic health record as a trainee and medical practitioner. Dr. Beach’s research focuses on humanizing healthcare by promoting respect for patients as well as improved patient-clinician communication.

Electronics 52

Electronics Internal Medicine Patient-Centered Healthcare 52

Dr. Zaar

JUNE 1, 2025

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management. Are they patient and open to your questions?

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52