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An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Integrated Care News by CFHA

At the Collaborative Family Healthcare Association (CFHA), we see your agenda aligning with ours in powerful ways. It offers care where people already are: their doctor’s office, their community mental health clinic, their OB/GYN’s exam room. Integrated care is already doing that—and we’re ready to help scale it nationwide.

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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

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.

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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. Overall, this project highlights a robust linkage process which can be scaled and spread across primary care clinics and health conditions.

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Levers and challenges to recruiting clinical settings for a shared decision-making stepped wedge cluster randomized trial [Dissemination and implementation research]

Annals of Family Medicine

Context: Little is known about factors influencing clinical settings (sites) recruitment for a shared decision-making (SDM) stepped wedge cluster randomized trial (SW-cRT). We aim at describing the challenges and levers to recruitment of sites for an SDM SWcRT.

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Influencing Factors of Adherence Dynamics in Young Adults with Hypertension: A Mixed-Methods Study [Hypertension]

Annals of Family Medicine

Setting or Dataset general outpatient clinic of a tertiary hospital in Chengdu. Intervention Demographic characteristics, clinical characteristics, social support. The results showed that the impact of the social environment on medication adherence was family, social, and instrumental support.

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Electronic Health Record Use and Patient-Centredness [Education and training]

Annals of Family Medicine

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. Population: Ten resident physicians and six staff physicians.

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Staff perspectives of a novel integrated community care hub in an urban underserved population (UK) [Child and adolescent health]

Annals of Family Medicine

o Context or Objective: The UK is witnessing an increase in emergency department use and hospital admissions for children and young people from underserved populations, exacerbated in the UK by continued issues around access to primary care.

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