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

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Appointment 130

Appointment Hospital Management Family Medicine 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.

167

167

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Prenatal care can be difficult for patients to accomplish, with frequent visits and time-sensitive health screenings. During the COVID-19 pandemic, many clinics shifted to a virtual visit format. Patient interviews, providing qualitative information to augment study findings.

Patients 130

Patients Clinic Utilities Provider 130

Integrated Care News by CFHA

MAY 8, 2025

Below is a summary of the findings published in that review, which includes structural and operational approaches as well as interventions for clinical encounters. Vaccine hesitancy is the delay in accepting or refusing vaccination despite the availability of vaccination services. I discussed this debate in my previous blog post.

Vaccination 390

Vaccination Healthcare Professional Integrated Care Healthcare 390

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. 2020-2022).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

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: 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

Diabetes Patients Patient-Centered Family Physician 130

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

OBJECTIVE We assessed feasibility and patient-reported clinical outcomes of adjunctive use of SNI in ARS. Secondary: average rate of SNI use, percentage of participants who used SNI at least 50% of study days; perceived effect on sino-nasal symptoms; association of SNI use with validated clinical outcomes instrument severity score.

Clinic 130

Clinic Management Provider Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Both providers and mothers reported limitations in patient understanding and knowledge. However, most mothers reported receiving clear education about their condition during delivery, positive delivery experiences, and helpfulness from the clinical team.

Provider 130

Provider Patients Healthcare Professional Healthcare 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. Lo and behold, it is now normal.

Illness 243

Illness Hospital Appointment Complication 243

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

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Social data that is collected in a standardized fashion can be used to improve individual patient care by uncovering and then addressing social needs, to stimulate the development of new integrated health and social programs, and be used to identify inequities across an organization. The SPARK Tool was highly acceptable, with 90.5%

Primary Care 130

Primary Care Clinic Provider Patients 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

Objective: to investigate the effect of vitamin D supplementation on patients with LBP. Roland Morris Disability Questionnaire, Patient-Specific Functional Scale), or subjective measure of improvement in people with LBP following vitamin D supplementation Results: 2383 articles were screened by two reviewers after removing the duplicates.

Patients 130

Patients Electronics Screening Clinic 130

A Country Doctor Writes

MAY 11, 2025

My problem managing Jimmy’s medications is that he keeps getting hurt, more often than most other patients I have run into. My problem managing Jimmy’s medications is that he keeps getting hurt, more often than most other patients I have run into. We also have patients with various forms of allodynia like fibromyalgia.

Patients 130

Patients Emergency Room Diagnosis Medical 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

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

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. Objective: We compared the impact of NIPS on HRQoL with that to standard care.

Screening 130

Screening Physicals Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. Population Studied: The populations included in our research are providers and staff working in the MU and aggregated data on patients seen at the MU practice.

Management 130

Management Primary Care Telehealth Hypertension 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

The Medical Futurist

JUNE 17, 2025

Just like in the case of other medical specialties , disruptive innovations will have a huge impact on how dentistry will be practiced and how patients will take care of themselves in the future. For patients, it promises more accurate care and better outcomes. How about having a teledentist consultation?

Patients 126

Patients Treatment Plan Healthcare Medical Specialty 126

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Clinicians from rural and Northern Ontario particularly benefited as access to specialists in their areas was sparse to none.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. A total of 269,411 patients were used for model training.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context When it comes to advanced directives, research has shown that providers should initiate the conversation for their patients, however completion rates for these conversations are very low. It is important to decrease these barriers for providers, so that patients are able to benefit from these conversations.

Medical Student 130

Medical Student Education Family Medicine DO 130

Permanente Medicine

JUNE 10, 2025

June 10, 2025) — Maria Ansari, MD, FACC , co-CEO of The Permanente Federation at Kaiser Permanente, has been named to Modern Healthcare’s list of 50 Most Influential Clinical Executives for 2025. The result is high-quality, high-value care within an integrated system — improving lives and shaping the future of health care.”

Clinic 59

Clinic Patient-Centered Healthcare Medical 59

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

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

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

A Country Doctor Writes

MAY 18, 2025

This was in part because we shared patients and patient experiences between our departments and had a bidirectional way of making warm handoffs. If a primary care patient was going through a difficult time with their social life or mental health, we would walk them down the hall to meet a therapist right then and there.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Objective To introduce the novel approach of using a T-Connector between a patient’s HBPM and their physician’s office sphygmomanometer to permit a simultaneous blood pressure reading.

Hypertension 130

Hypertension Family Physician Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective The PORTRAIT Registry tracked 797 patients with new or worsening PAD symptoms at vascular specialty clinics and highlighted the underutilization of prevention services and significant disparities in quality of life among women, non-white patients, and those with financial barriers.

Community 130

Community Patient-Centered Utilities Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

The Primary outcome was the change in leg pain score on a 0-10 numerical rating scale (NRS) pain scale; its minimal clinical important difference is 2 points. The secondary outcome was change in function on the Oswestry Disability Index; its minimal clinical important difference is 10 points.

Primary Care 130

Primary Care Clinic IT Patients 130

Physician's Weekly

JUNE 15, 2025

The following is a summary of “Mixed Autoimmune Hemolytic Anemia: A Systematic Review of Epidemiology, Clinical Characteristics, Therapies, and Outcomes,” published in the May 2025 issue of American Journal of Hematology by Jacobs et al. Patients had severe anemia with a median nadir hemoglobin of 5.6 g/dL.

Clinic 52

Clinic Diagnosis Management Patients 52