Clinic and Medical - Primary Care Digest

Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Outcome Measures: Regimen changes and medication related safety issues.

Clinic

Clinic Medical Primary Care Insurance

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. This study offers insight into the practice patterns of boutique clinic primary care physicians, as well as the estimated public costs of this business model in Ontario. Study Design and Analysis.

Clinic

Clinic Referral Primary Care Physician Primary Care

Breaking Barriers: Perspectives on Clinical Trial Participation Among Older Hispanic/Latino Adults of Mexican Origin [Clinical trial]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with multiple chronic conditions are underrepresented in clinical trials, with especially low enrollment of Hispanic/Latino populations. Objective: Understand the perspectives of older Hispanic/Latino adults regarding clinical trial participation. The mean age was 72.3 Participants took a mean of 7.1 (SD=3.6)

Clinic

Clinic Chronic Condition Transportation Families

Clinical outcomes of administering an ePROM of barriers to adherence to ART to people with HIV through a patient portal [Clinical research (other)]

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: A hospital-based clinic in Montreal, Canada. For service outcomes, we report frequencies and proportions of clinical visits where physicians took actions based on I-Score results. 10), Habits/Activities (1.8;1.7), Medication (2.1;1.5), and Health (2.0;1.3), but increased for: Social (2.5;2.9) 10 to T3=2.3/10),

Clinic

Clinic Patients Electronics Management

Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia [Mixed methods research]

Annals of Family Medicine

NOVEMBER 20, 2024

There is limited research on implementation of LM in medically underserved communities. Objective To assess patient perceptions of a primary care-based LM clinic. Setting: LM Clinic in the SW Virginia safety net. Population Studied Patients who were referred to or attended the LM clinic between 5/1/22 and 5/31/24 (n=575).

Clinic

Clinic Patients Primary Care Chronic Disease

Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To determine medical trainees’ perspectives on current NBM practices and on narrative humility, and to assess their views on the effectiveness of NBM education via peer-led interactive workshop. Population Studied: Participants were mainly medical students, as well as residents and clinicians.

Education

Education Medical Medical Student Primary Care

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medical legal partnerships (MLP) are an effective intervention for social determinants of health, like housing, education, and employment status. Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach.

Medical

Medical Referral Screening Internal Medicine

Training a diverse physician workforce: a survey of alumni of a medical education program focused on underserved populations [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Concerns about declining diversity among medical students have emerged due to the Supreme Court’s 2023 ruling against race-based affirmative action in college admissions. Medical schools must now eliminate race or ethnicity considerations, making it imperative to develop innovative approaches to preserve recent progress.

Education

Education Medical Student Medical DO

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite copious evidence of the positive health impact of Medical legal partnerships (MLP), public funding remains subject to economic arguments seeking return on investment (ROI) from the perspective of public payers. Clinics: AF Williams Family Medicine, Lowry Internal Medicine.

Primary Care

Primary Care Medical Behavioral Health Services Utilities

Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

NOVEMBER 20, 2024

We hypothesize that the prevalence of ID in Alberta has been increasing over the past decade based on clinical observations and anecdotes. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

Clinic

Clinic Primary Care Electronics Individual

Profiling patterns of patient experiences of access to care and continuity at team-based primary healthcare clinics [Health care services, delivery, and financing]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To identify different profiles of access to care and continuity experiences of patients registered at team-based primary healthcare clinics. Setting: 104 PHC clinics across Quebec, Canada. Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record.

Healthcare

Healthcare Clinic Chronic Condition Finance

Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

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).

Primary Care

Primary Care Electronics Hospital Medical

Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia. Data were extracted from Vizient’s clinical database. Setting or Dataset: AMC Population studied: Adults and children admitted with SCD.

Finance

Finance Medical Patient-Centered Healthcare

Claire Lupini-Gohl Medical Student [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

Setting Spartan Family Medicine Clinic Population Patients over the Age of 65 & Providers in the Clinic. A T-test was completed to assess the mean difference in advanced directive conversation charting between month 0 and month 4.

Medical Student

Medical Student Education Family Medicine DO

Visiting a Health Clinic for Women’s Health Screenings

Mesa Family Physician

APRIL 24, 2025

A women’s health check typically includes a review of your medical history, a physical examination, and specific screenings based on your age and risk factors. An establish care visit helps create a baseline of your health and is typically your first interaction with a clinic or physician. What Is a Women’s Health Check?

Screening

Screening Clinic Appointment Checkup

Surprising drug combination cuts alcohol use and lessens nausea in clinical trial

Medical Xpress

JUNE 16, 2025

Two existing medications—one used for smoking cessation and the other for depression—appear to work effectively together in treating alcohol use disorder. The combination reduces alcohol cravings, lowers consumption, and may decrease the risk of nausea. These findings come from a new study led by the University of Gothenburg, Sweden.

Clinic

Clinic Medical

Finding Joy in the Journey of this Medical Career

Joy in Family Medicine Coaching

JANUARY 31, 2025

Cultivating more of the clinical encounters you find particularly rewarding. Learning a new skill or taking on a new role - maybe adding some medical student lectures in or taking on a leadership role. (You'll be amazed at what can happen). Read more about how to do that. Seeking out a mentor or peer support to process challenges.

Medical

Medical Medical Student IT Patients

The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Study Design: This retrospective case series analysis utilized Vizient's clinical database data.

Patient-Centered

Patient-Centered Patients Medical Diagnosis

Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Primary care clinics partnered with an academic health center. Intervention: We introduced a comprehensive collection of pre-configured nested order panels (xOrders) for the top 80% medication and laboratory orders in adult primary care. nurse practitioners and physician assistants).

Primary Care

Primary Care Nurse Practitioner Utilities Finance

How doctors can stop frivolous lawsuits before they start

KevinMD

JUNE 7, 2025

All medical malpractice lawsuits stem from complications caused by medical interventions. Others are systemic medical errors, caused by medical interventions gone astray. Clinically, a medical error and an error of nature are indistinguishable. Herein lies the problem in medical malpractice.

Complication

Complication Medical Clinic IT

Associations of intervention completion in a pragmatic trial on integrated behavioral health (IBH) and patient outcomes [Clinical trial]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied Primary care practice providers and staff (N=237) and patients (N=2,945) >=18 years old with at least two or more chronic medical and/or behavioral health conditions completed surveys. Practice and patient surveys were collected at baseline, midpoint, and 2-year follow-up.

Chronic Condition

Chronic Condition Primary Care Patients Clinic

Maria Ansari, MD, FACC, named to Modern Healthcare’s list of 50 Most Influential Clinical Executives

Permanente Medicine

JUNE 10, 2025

Co-CEO of The Permanente Federation and leader of multiple Permanente Medical Groups at Kaiser Permanente, recognized for advancing AI technology, improving care access, and advocating for value-based care measures OAKLAND, Calif. Kaiser Permanente is comprised of the Permanente Medical Groups and Kaiser Foundation Health Plans and Hospitals.

Clinic

Clinic Patient-Centered Healthcare Medical

Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite a joint recommendation in 2003 by the AAMC and CDC that bioterrorism and mass-casualty training be included in the medical school curriculum, few medical schools have incorporated formal disaster training. Only 15% (n=5) received emergency response training outside of residency, with 3% (n=1) during medical school.

Telemedicine

Telemedicine Education Telehealth Mental Health

Dignity Health Mercy Medical Group, Dignity Health Woodland Clinic Clinicians Voted “Top Docs”

Dignity Health Medical Foundation

MARCH 24, 2025

We are proud to announce that 70 physicians from Dignity Health Mercy Medical Group, and 34 from Dignity Health Woodland Clinic have been voted SacTown Magazine’s Top Doctors for 2025. The “Top Docs” honor is an annual list of the area’s best doctors as voted by their peers.

Clinic

Clinic Medical

Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

KevinMD

JUNE 18, 2025

” The conversation serves as a call to action for medical professionals, arguing that their duty to protect patient health now extends beyond the clinic Read more… Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST] originally appeared in KevinMD.com.

Clinic

Clinic Medical Patients

Influencing Factors of Adherence Dynamics in Young Adults with Hypertension: A Mixed-Methods Study [Hypertension]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective The present study investigates the factors influencing the dynamics of medication and non-medication adherence in young Chinese adults with hypertension. Setting or Dataset general outpatient clinic of a tertiary hospital in Chengdu. Intervention Demographic characteristics, clinical characteristics, social support.

Hypertension

Hypertension Patient-Centered Families Family

Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

It included training in OUD diagnosis and management with modules, medication assisted therapy (MAT) clinics, inpatient addiction psychiatry rotations and didactic lectures. Results Residents primarily managed patients with OUD in MAT clinic and on inpatient rotations but also encountered them in primary care clinics.

Education

Education Primary Care Physician Primary Care DO

An Innovative Approach to Enhancing Community Health Collaborations: A Community Engagement Directory [Participatory research]

Annals of Family Medicine

NOVEMBER 20, 2024

Context UT Southwestern utilizes community engagement strategies to improve health and integrate stakeholder priorities in clinical care and research. However, given the vast size of our medical center, many community engagement initiatives exist in silos and overlap in community areas creating inefficiency, inconsistency, and redundancy.

Community

Community Utilities Relationship Clinic

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

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

Screening Primary Care Clinic Patient-Centered

Identification of Medication Discontinuations in the EHR via Text String Search and Clinical Data Algorithms [Research methodology and instrument development]

Annals of Family Medicine

NOVEMBER 20, 2024

There is an urgent need to develop novel methods that accurately identify medication discontinuations in the electronic health record (EHR) to generate evidence to inform deprescribing. Develop and validate a text string search tool to identify medication discontinuation that will be adaptable and scalable across studies and settings.

Medical

Medical Clinic Electronics IT

Medication and Follow-Up Linked to Better Outcomes in DI

Physician's Weekly

JUNE 22, 2025

Each group was further divided based on whether they reported taking antipsychotic medication or not. The results showed that records from 465 individuals were reviewed. The mean CGI-S score change was -1.29, reflecting clinically relevant improvement. The CGI-S data were unavailable for 94 (20.2%) cases (12.0% did not attend; 8.2%

Medical

Medical Individual Clinic Patients

Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

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

Appointment Hospital Management Family Medicine

Why retail pharmacies are the future of diverse clinical trials

KevinMD

JUNE 10, 2025

The importance of diversity in clinical trials is well-documented, yet unfortunately the lack of diversity still occurs at an alarming rate. The reason for lack of Read more… Why retail pharmacies are the future of diverse clinical trials originally appeared in KevinMD.com.

Clinic

Clinic Patients Medical

A Complete Guide to Medical Assistant Positions in CT

Physicians Alliance of Connecticut

APRIL 12, 2025

The need for medical assistants is growing rapidly. Each year, an estimated 119,800 medical assistant jobs will open up across the country, including in Connecticut. Understanding medical assistant positions will help you take advantage of this career opportunity. Measuring patients’ height and weight. According to the U.S.

Medical

Medical Healthcare Patient-Centered Primary Care Physician

"We feel alone and not listened to": Somali, Hmong and Latin American Parents Perspectives on Pediatric Serious Illness [Child and adolescent health]

Annals of Family Medicine

NOVEMBER 20, 2024

Participants: Twenty-six parent participants (eight Somali, ten Hmong, and eight Latin American) of children with serious illness were recruited through local clinics and hospitals. Results: Parents desired two-way trusting and respectful relationships with medical staff. Intervention: NA. Outcome Measures: NA.

Illness

Illness Medical Staff Community Healthcare

CT Colonography Cost-Effective, Clinically Effective for CRC Screening

Physician's Weekly

JUNE 16, 2025

MONDAY, June 16, 2025 (HealthDay News) — Computed tomography colonography (CTC) is cost-effective and clinically effective for colorectal cancer (CRC) screening, according to a study published online June 10 in Radiology. Pickhardt, M.D., All rights reserved.

Screening

Screening Clinic Medical Family Practice

Enhancing primary healthcare capacity : A qualitative study from the perspective of managers of PHC institutions in China [Health care services, delivery, and financing]

Annals of Family Medicine

NOVEMBER 20, 2024

However, facing the challenges brought by China's national health strategy, aging population, and high incidence of chronic diseases, there is an urgent need to improve the service capacity of China's primary medical institutions.

Healthcare

Healthcare Management Finance Chronic Disease

The Midwest Trans Health Education Network: Increasing Access to Gender Affirming Care Through Virtual Training Cohorts [Education and training]

Annals of Family Medicine

NOVEMBER 20, 2024

Context Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. This mismatch is worsened in rural communities. Outcome Measures Self-rated knowledge and confidence in provider competence before and after the course.

Education

Education Primary Care Provider Community

Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

APRIL 16, 2025

Affiliation will allow groups to drive high-value care and innovation PORTLAND, ORE, April 16, 2025 – Oregon-based Northwest Permanente (NWP) and The Permanente Medical Group (TPMG) of Northern California announced a formal affiliation today. Senior care: Both medical groups are dedicated to improving care for older patients.

Medical

Medical Patient-Centered Community Hospital

Physician focused practice and added competence on primary care quality for older adults: A propensity score-matched study [Geriatrics]

Annals of Family Medicine

NOVEMBER 20, 2024

Some family physicians pursue added training or focus their medical practice to increasingly care for older adults, which may influence quality of care and patient outcomes. We adjusted for physician factors, medical practice characteristics, and clinical activities relevant to caring for older patients.

Primary Care

Primary Care Family Physician Families Family

Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients with recent hemoglobin A1c levels of ≥8% were invited to join the Diabetes Navigator program, identified through the electronic health record at two academic primary care clinics. Navigator outreach time parallels that of a standard 15-minute clinic visit, on average.

Primary Care

Primary Care Diabetes Referral Integrated Care

Virtual Visits in Prenatal Care: Benefits/Limitations, Uptake, and Patient Perceptions [Women's health]

Annals of Family Medicine

NOVEMBER 20, 2024

During the COVID-19 pandemic, many clinics shifted to a virtual visit format. Setting or Dataset: Chart reviews from an urban safety-net clinic in Anchorage, AK comparing pre-pandemic, during-pandemic and post-pandemic cohorts. Study Design & Analysis: Mixed-methods, retrospective-prospective cohort study.

Patients

Patients Clinic Utilities Provider

Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. The RF models had an AUROC of 0.87 for CA, 0.85 for NS, and 0.92

Appointment

Appointment Primary Care Family Medicine DO

Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

A Compass Rose episode was automatically generated in the patient’s medical record in Epic if patients indicated that they had at least one of the four social risk factors on the screening tool. Results: Between January 2024 and March 2024, the pilot sites generated 861 Compass Rose episodes. Of those patients with an episode (i.e.,

Referral

Referral Community Transportation Utilities

Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Trending Sources

Breaking Barriers: Perspectives on Clinical Trial Participation Among Older Hispanic/Latino Adults of Mexican Origin [Clinical trial]

Clinical outcomes of administering an ePROM of barriers to adherence to ART to people with HIV through a patient portal [Clinical research (other)]

Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia [Mixed methods research]

Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Training a diverse physician workforce: a survey of alumni of a medical education program focused on underserved populations [Education and training]

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

Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Profiling patterns of patient experiences of access to care and continuity at team-based primary healthcare clinics [Health care services, delivery, and financing]

Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Claire Lupini-Gohl Medical Student [Education and training]

Visiting a Health Clinic for Women’s Health Screenings

Surprising drug combination cuts alcohol use and lessens nausea in clinical trial

Finding Joy in the Journey of this Medical Career

The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

How doctors can stop frivolous lawsuits before they start

Associations of intervention completion in a pragmatic trial on integrated behavioral health (IBH) and patient outcomes [Clinical trial]

Maria Ansari, MD, FACC, named to Modern Healthcare’s list of 50 Most Influential Clinical Executives

Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Dignity Health Mercy Medical Group, Dignity Health Woodland Clinic Clinicians Voted “Top Docs”

Why physician voices matter in the fight against anti-LGBTQ+ legislation [PODCAST]

Influencing Factors of Adherence Dynamics in Young Adults with Hypertension: A Mixed-Methods Study [Hypertension]

Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

An Innovative Approach to Enhancing Community Health Collaborations: A Community Engagement Directory [Participatory research]

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

Identification of Medication Discontinuations in the EHR via Text String Search and Clinical Data Algorithms [Research methodology and instrument development]

Medication and Follow-Up Linked to Better Outcomes in DI

Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Why retail pharmacies are the future of diverse clinical trials

A Complete Guide to Medical Assistant Positions in CT

"We feel alone and not listened to": Somali, Hmong and Latin American Parents Perspectives on Pediatric Serious Illness [Child and adolescent health]

CT Colonography Cost-Effective, Clinically Effective for CRC Screening

Enhancing primary healthcare capacity : A qualitative study from the perspective of managers of PHC institutions in China [Health care services, delivery, and financing]

The Midwest Trans Health Education Network: Increasing Access to Gender Affirming Care Through Virtual Training Cohorts [Education and training]

Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Physician focused practice and added competence on primary care quality for older adults: A propensity score-matched study [Geriatrics]

Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Virtual Visits in Prenatal Care: Benefits/Limitations, Uptake, and Patient Perceptions [Women's health]

Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Stay Connected