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Breaking Barriers: Perspectives on Clinical Trial Participation Among Older Hispanic/Latino Adults of Mexican Origin [Clinical trial]

Annals of Family Medicine

Context: Older adults with multiple chronic conditions are underrepresented in clinical trials, with especially low enrollment of Hispanic/Latino populations. Objective: Understand the perspectives of older Hispanic/Latino adults regarding clinical trial participation. The mean age was 72.3 Participants took a mean of 7.1 (SD=3.6)

Clinic 130
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Emergency Room vs. Urgent Care

Center for Family Medicine (CFM)

When sudden illness or injury strikes, knowing whether to head to the emergency room or an urgent care clinic can make all the difference—both in terms of your health and your wallet. You can also drive yourself, although in an emergency its best to ask a family member, friend or colleague to drive you.

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Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Objective: To explore participants’ barriers to and facilitators of engagement in a multilevel, cross-sector clinical trial designed to address social needs and improve health-related outcomes for individuals with T2D experiencing food insecurity. Setting: Ambulatory clinics (e.g., their 3-month endpoint visit).

Diabetes 130
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Relationship between Social Risks and Colorectal Cancer Screening/Surveillance in a Large US Health System [Social determinants and vulnerable populations]

Annals of Family Medicine

Outcome Measures CRC screening metric is met if colonoscopy in last 10 years, flexible sigmoidoscopy in last 5 years, Cologuard in last 3 years or FIT testing in last year; CRC surveillance metric is met if colonoscopy performed in recommended time interval for patients with family history colon cancer or previous precancerous polyp.

Screening 130
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Relationship between Social Risks and Diabetes Metrics in a Large US Health System [Social determinants and vulnerable populations]

Annals of Family Medicine

Using a multiple logistic regression, patients who gave high-risk answers to social risk domains of housing risk (OR 0.68), financial risk (OR 0.60), food insecurity (OR 0.64), and transportation needs (OR 0.62) were significantly less likely to meet the D5 metric compared to patients giving low risk answers (all p-values <0.001).

Diabetes 130
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Association between patient reported social risks and HOUSES index: A rural-urban comparison [Social determinants and vulnerable populations]

Annals of Family Medicine

vs 3.4%, transportation risk 3.3% live in rural areas. live in rural areas. Rural patients are more likely to report social risks compared to urban patients (all p-values < 001) – food insecurity 8.0% vs 6.3%, housing risk 9.8% vs 8.9%, financial risk 4.1% and intimate partner violence 3.2%

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,