Annals of Family Medicine

NOVEMBER 20, 2024

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. However, studies on the generalizability and implementation of CHW interventions in clinical and community settings are limited. Setting 3 primary care clinics in SW Virginia.

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Persistent pain is experienced among nearly half of the patients with long COVID (LC). Objective: To document the lived experience of patients with LC pain, including how they access and receive healthcare, to improve services for LC pain evaluation and treatment.

Patients 130

Patients Insurance IT Mental Health 130

KevinMD

JUNE 27, 2025

When people think of electronic health records (EHRs), they assume these digital systems for storing patient information were designed for clinicians. Given the original purpose of EHRs, it’s not surprising that clinical workflows are disjointed. But that is a fallacy.

Provider 161

Provider Electronics IT Clinic 161

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. Conclusion Clinicians generally lack the time to prioritize patient messages. The increased inbox burden has particularly impacted primary care physicians.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

A Country Doctor Writes

MAY 29, 2025

Glenda Cyr has been my patient for many years. Maine has a health information exchange where most hospital systems upload their clinic notes, imaging and laboratory results. In our system, telephone notes, patient letters and office messages are not posted on the information exchange.

Illness 243

Illness Hospital Appointment Complication 243

Physician's Weekly

JUNE 13, 2025

Their recent study, which was presented online in Gynecological Cancer, assessed the readability of gynecologic cancer clinical trial descriptions on National Cancer Institute Designated Comprehensive Cancer Center (NCI-CCC) websites. gov or required additional inquiries to access information.

Patients 52

Patients Patient-Centered Clinic Individual 52

Mesa Family Physician

APRIL 24, 2025

Whether it’s your first pap smear or you’re wondering if you can have the test while on your period, this guide walks you through the essentials of women’s health checkups, how to prepare, and common questions many patients have. Many patients search online for variations like: Can you have a pap smear while menstruating?

Screening 100

Screening Clinic Appointment Checkup 100

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: 1) Test the virtual model of MLP to achieve more favorable economies of scale 2) Develop a policy-informed lexicon for MLP to inform model development, D&I research, and improve data sharing across models to ultimately advance sustainable state-based funding for MLP. Intervention/Instrument: Legal-needs screening tool.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

While the clinical performance of NIPS is well-documented, to our knowledge, no research has documented its impact on pregnant women’s health-related quality of life (HRQoL), thus hampering informed decision-making about prenatal options. This evidence will inform future decision aids about prenatal screening.

Screening 130

Screening Physicals Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care Family Medicine 130

Integrated Care News by CFHA

JUNE 12, 2025

We offered trauma-informed support and helped newly displaced individuals connect with health and community resources. We must understand how the current policies impact access to care and identify policy-related barriers faced by our patients and families. Key Principles for Success Center patient voice in every phase.

Community 130

Community Integrated Care Patient-Centered Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. We also assessed patterns of social risks and need for assistance among our patient populations. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Results: 72 care team members at 9 clinics participated. COACH was embraced for its relative advantage over traditional workflows and its potential to empower and educate patients.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Physician's Weekly

JUNE 25, 2025

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To link primary care electronic medical record (EMR) data with community and hospital data and to test the utility of the merged dataset through a targeted quality improvement (QI) intervention among high-risk patients with chronic obstructive pulmonary disease (COPD). Risk factors (i.e.,

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Screening Primary Care Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

COVID-19's impact surpasses previous pandemics, disrupting medical education by delaying clinical rotations and necessitating a rapid transition to telemedicine due to isolation and PPE shortages. Objective: To understand COVID-19's impact on physicians-in-training and their preparedness and well-being amidst clinical and lifestyle changes.

Telemedicine 130

Telemedicine Education Telehealth Mental Health 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Evidence‑informed care was literally at his fingertips.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Dataset: We conducted a qualitative study utilizing the Database of Individual Patient Experiences (DIPEx) methodology - a time-tested, research-based approach for conducting and disseminating health and healthcare experiences. For challenges, Latina women reported the need to experience more trauma informed care by providers.

Healthcare 130

Healthcare Provider Healthcare Experience Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Because people with MCC typically see multiple providers in multiple care settings often using different EHRs, critical information is difficult to obtain, leading to fragmented care, clinician and patient burden, and suboptimal outcomes. The apps also collect patient reported data on goals, social needs, and functional status.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The introduction of the Human Papillomavirus (HPV) test and the 2012 Cervical Cancer Screening (CCS) guidelines expanded the way providers offer and interpret screening for their patients. Also, more Black women reported being informed about the type of CCS they received. population.

Screening 130

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals. Population Studied. Women 15-54 years with live births between 2005-2022.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

The Medical Futurist

JUNE 19, 2025

These measure the basic functions of one’s body, helping clinicians assess the general health and recovery progress of patients. Recently, a new trend has emerged where artificial intelligence (AI)-based apps are detecting vital signs as well as possible illness indicators from patients’ faces alone.

Individual 96

Individual Clinic Medical Patients 96

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The challenges faced stem from the uncertainty and complexity of redefining professional roles and scopes of practice, as well as the skills needed to effectively work together and coordinate patient care as a cohesive team. This tabletop flip menu is available in each exam room and to all administrative staff at the clinic.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: The structured questionnaire covered various aspects of primary care practice, including the scope of clinical learners, specialties offered, onsite services, telehealth, EMR data querying, patient advisory groups, and IRB affiliation. Intervention/Instrument: N/A.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

The Medical Futurist

JUNE 2, 2025

We didn’t need technologies to be able to differentiate between patients based on coughs, as primary care physicians have been doing that for centuries. These could even make cough monitoring as common as step tracking to inform individual patients and provide doctors with deeper health insights.

Patients 85

Patients Primary Care Physician Provider Healthcare 85

The Health Policy Exchange

SEPTEMBER 2, 2020

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. I stepped down as director of the Robert L. Phillips, Jr.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Integrated Care News by CFHA

MAY 19, 2025

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes. What is MBC? 3, 4) Why is MBC important? 3, 5, 6) b.

Integrated Care 100

Integrated Care Mental Health Healthcare Clinical Practice 100

Annals of Family Medicine

NOVEMBER 20, 2024

The Osteoarthritis Severity Index (OASI) was developed to inform clinical trajectory of knee OA toward TKA and was previously created and validated in a nationally distributed, general population cohort of EHR data. However, it is unclear whether results would generalize to other healthcare populations.

Diagnosis 130

Diagnosis Electronics Physicals Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. POPULATION STUDIED: Diverse stakeholders (PC clinicians, survivorship experts, policy leaders, oncologists, and patient advocates) were interviewed (n=45).

Primary Care 130

Primary Care Screening Education Electronics 130

Medical Xpress

JUNE 16, 2025

A video consultation between patient and surgeon is just as good as a physical visit to the outpatient clinic to discuss a major operation. This is evident from research by Amsterdam UMC, which demonstrated that a video consultation is just as good as a physical consultation in terms of information uptake.

Consulting 52

Consulting Patients Physicals Clinic 52

Physician's Weekly

JUNE 11, 2025

Patients with hidradenitis suppurative seek advice online, highlighting unmet needs in clinician-patient education regarding daily self-management strategies. For clinicians treating patients with HS, the findings may inform more tailored patient engagement. Vaidyula and colleagues in Cureus.

Education 52

Education Patients Management Patient-Centered 52