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Community Integration: Pushing the Boundaries for a Better World

Integrated Care News by CFHA

On October 6, 2017, a van loaded with medical supplies departed from the Health Center, bound for the local airport. Residents and local leaders joined forces to send food and clothing to the island and to welcome newly arrived families to their town. What followed was a powerful expression of community and compassion.

Community 390
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Development of a Multidisciplinary Clinic for the Treatment of Obesity in a Canadian University Family Medicine Group (U-FMG) [Obesity, exercise and nutrition]

Annals of Family Medicine

Population Studied Patients with obesity enrolled in the Méta-Santé clinic. Setting The North of Lanaudière University Family Medicine Group (U-FMG) Intervention Upon referral from their family doctor, patients attend a group course on nutrition and metabolic health.

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Important Outcomes for Type 2 Diabetes Mellitus: The Patients Perspective [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Patient Important Outcomes (PIOs) was first introduced in the literature with the criticism that research studies were designed with outcomes relevant to health care providers, but not relevant/important to patients. Study Design & Analysis: Mixed methods study employing physician survey and patient focus groups.

Diabetes 130
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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The apps also collect patient reported data on goals, social needs, and functional status. The mixed methods evaluation includes focus groups, user testing, and surveys.

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SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Annals of Family Medicine

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

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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. were White, 16.0%

Screening 130
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Validation of the "Proactive" self-assessment tool for older people to identify their own risk of functional decline [Screening, prevention, and health promotion]

Annals of Family Medicine

Study Design and Analysis: In a convergent, mixed methods design, a cross-sectional survey allowed us to assess the concurrent validity of Proactive by comparing its results with those of a clinical examination. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences.

Screening 130