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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Context: Several studies have documented that individuals with greater social determinants of health risks (SDOH) are more likely to use tobacco. What is not known is if provision of tobacco cessation assistance is equally likely for individuals with different levels of SDOH risk. Referral to counseling (7.5%

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics. Study Design and Analysis. Instrument.

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

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.

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Patient experiences navigating US healthcare with long-COVID - Part 3 of 3 [COVID-19]

Annals of Family Medicine

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. Objectives Describe perspectives of clinicians and implementation leads on the role of primary care in ADRD early detection.

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Drowning in Paperwork: The Burden of Administrative Responsibilities in Primary Care [Qualitative research]

Annals of Family Medicine

Context: For over 25 years, the burden of clinical administrative services has been cited as contributing to the stress and burnout experienced by family physicians. Individual and team analysis. At the system level, participants underscored the need for compensation for administrative time and funding to increase clinic staff (e.g.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.”