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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. Setting: Two urban primary care clinics in Minnesota, USA. Descriptive statistics of baseline patient demographics and post-encounter surveys, and of clinician post-encounter surveys.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. Even within practices, some staff members may not be aware of which patients require more proactive management due to multiple chronic conditions. Have open gaps in care or medications not filled.

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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

Adults with T2D often face unmet social needs, such as food insecurity, compounding the challenges associated with their engagement in disease management interventions. Setting: Ambulatory clinics (e.g., family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest.

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Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

Multisector coordination is critical for effective screening and referral initiatives. Objective: To assess the function and impact of a new role, a Health Equity Coordinator, on the reach of the social needs screening and referral program.

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A Guide to Allergy Testing

Mesa Family Physician

If you suspect environmental triggers, you can even learn how to test allergens in your home to further limit exposure. What Happens After Testing?

Asthma 100
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A feasibility study of the Illuminate 360o approach for monitoring the implementation of a health system innovation [Mixed methods research]

Annals of Family Medicine

Objectives: We explored how to design a system to provide near real-time feedback on context and impacts to inform health system innovations; and how to operationalize data collection across diverse patient populations and providers. Study Design and Analysis: We used a mixed-method complexity-informed methodology.