Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The ability to reach and engage in the care process varies considerably depending on patients’ socio-demographic characteristics which we need to understand to address inequitable access issues. Setting: 104 PHC clinics across Quebec, Canada.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

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. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. The mean observed LOS was 7.1

Patient-Centered 130

Patient-Centered Patients Medical Diagnosis 130

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 130

Clinic Chronic Condition Transportation Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Integrated Behavioral Health (IBH) is associated with improved access and engagement in mental health services and mental and physical health patient outcomes.

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

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 130

Medical Referral Screening Internal Medicine 130

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

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

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

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 130

Primary Care Medical Behavioral Health Services Utilities 130

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

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

We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system. Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia.

Finance 130

Finance Medical Patient-Centered Healthcare 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: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking. Patients described two areas of experiences.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 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

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: The Patient Navigator Program (PNP) is a unique medical student-run program providing services for persons experiencing homelessness (PEH) in Dallas, Texas, at United Gospel Mission (UGM) clinics. Study Design: With navigator support, clients completed a Redcap survey on goal outcomes at the end of their 15-week cycle.

Medical Student 130

Medical Student Patients Healthcare Utilities 130

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Post-Covid-19 Condition (PCC), or "long-Covid," is symptomatically complex and impacts several aspects of patient’s livelihoods. Setting or Dataset: The setting was an academic medical institution in the Mountain West. Some patients experienced a wide variety of symptoms (i.e.,

Primary Care 130

Primary Care Patients Relationship Illness 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. And yet others pose the question, “On what basis should we judge whether a parent’s medical decision for their child is morally acceptable?”.

Vaccination 390

Vaccination Healthcare Professional Integrated Care Healthcare 390

Medical Xpress

JUNE 16, 2025

A research team from the School of Clinical Medicine of the LKS Faculty of Medicine of the University of Hong Kong (HKUMed) has pioneered the use of a 'dual immunotherapy' combination—nivolumab and ipilimumab (NIVO+IPI)—in the treatment of liver cancer patients since 2016.

Patients 122

Patients Clinic 122

Joy in Family Medicine Coaching

JANUARY 31, 2025

Between administrative burdens, long hours, and the emotional weight of patient care, at times, it’s easy to feel disconnected from the joy that once drew us to this field. When did you feel good about a patient interaction. Consider: Adjusting your schedule to allow more time for patient interactions that energize you.

Medical 130

Medical Medical Student IT Patients 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

However, the factors influencing the dynamics of adherence among young Chinese patients with hypertension remain unclear. Objective The present study investigates the factors influencing the dynamics of medication and non-medication adherence in young Chinese adults with hypertension.

Hypertension 130

Hypertension Patient-Centered Families Family 130

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 130

Telemedicine Education Telehealth Mental Health 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

A Country Doctor Writes

JULY 1, 2025

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

Primary Care 200

Primary Care Patient-Centered Government Family Doctor 200

Annals of Family Medicine

NOVEMBER 20, 2024

We also assessed patterns of social risks and need for assistance among our patient populations. 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.

Referral 130

Referral Community Transportation Utilities 130

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. Results Participants noted significant increases in their knowledge of working with and confidence in providing care to transgender or non-binary patients.

Education 130

Education Primary Care Provider Community 130

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 152

Clinic Medical Patients 152

Annals of Family Medicine

NOVEMBER 20, 2024

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. for CA, 0.85

Appointment 130

Appointment Primary Care Family Medicine DO 130

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 59

Clinic Patient-Centered Healthcare Medical 59

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults frequently use primary care services, and family physicians exhibit differences in their knowledge and skills to care for older patients. 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.

Primary Care 130

Primary Care Family Physician Families Family 130

Barton Associates

MAY 8, 2025

In this blog, we’re going to outline four key ways temporary medical staff such as locum tenens providers can help healthcare facilities maintain continuity of high-quality patient care in the face of growing shortages. These professionals play a vital role in maintaining essential services and ensuring continuity of patient care.

Medical Staff 52

Medical Staff Medical Patients Healthcare 52

A Country Doctor Writes

MAY 11, 2025

After many prescriptions of oral pain medication, he landed on Butrans, the buprenorphine patch that stays on for a week, hits the mu receptor for pain just like the regular opiates but not the depression inducing kappa receptor. We also have patients with various forms of allodynia like fibromyalgia. Jimmy has a bad back.

Patients 130

Patients Emergency Room Diagnosis 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