Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Conclusions: Best practices for virtual model require on-site clinical champions.

Medical 130

Medical Referral Screening Internal Medicine 130

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 130

Education Primary Care Physician Primary Care Family Medicine 130

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. social service, clinics) serving medically underserved populations in the Dallas-Fort Worth region of Texas, USA.

Community 130

Community Utilities Relationship Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130

Utilities Primary Care Finance Patients 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.

Healthcare 130

Healthcare Provider Healthcare Experience Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilizing new electronic handgrip dynamometer and accelerometer technologies may allow for additional muscle function attributes to be feasibly measured, which in turn, may help elevate prognostic value and specificity for intervention referral. Interclass correlation coefficients were used for the analyses.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study utilized harmonized, de-identified, structured EHR data in aggregate counts of patients who meet inclusion and exclusion criteria, from multiple health centers across the United States. Data underwent quality assessment to ensure reliability of subsequent analyses. Phenotypes were defined using ICD-9 and ICD-10 diagnostic codes.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

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. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

Appointment 130

Appointment Primary Care Family Medicine DO 130

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 130

Patients Clinic Utilities Provider 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. Study Design and Analysis: Descriptive analysis of secondary data.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Significantly more respondents without a primary care clinician, versus those with a clinician, reported visiting a walk-in clinic in the last year (71.7% Men and those without private health benefits were significantly less likely to be looking. vs. 41.2%) and they were significantly less likely to be satisfied (40.5% vs. 55.3%).

Primary Care 130

Primary Care Nurse Practitioner Family Physician Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care clinics. Feedback from champions was elicited to improve report accuracy and support tool utility. Other suggestions included clinical documentation guidance to align with broader health system goals (e.g., Setting: Large integrated health system. prevention metrics and revenue generation).

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Live discharges may be problematic if they lead to high rates of hospice readmissions, high rates of hospital utilization following discharge, or occur after 180 days in hospice. Outcome measures: Reason for live discharge, length of hospice stay, discharge planning steps documented, clinical course for 6 months post-discharge.

Primary Care Physician 130

Primary Care Physician Utilities PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

These include minimizing resource utilization and decreasing the risk of complications associated with IV antibiotics such as diarrhea. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included. Intervention N/A. Results The search yielded 2,478 records, with 813 duplicates.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

A retrospective cohort study design was utilized to assess changes in A1c levels over the course of one year pre-enrollment and one year post-enrollment, comparing enrolled and not enrolled patients; a mixed effects interrupted time series model was employed for analysis.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Owing to the protean clinical presentations, heterogeneous diagnoses discussed in each patient case presented, and varied management approaches, capturing impact regarding clinical outcomes has proven challenging.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 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. Setting Kaye Edmonton Clinic Family Medicine Clinic and a hypertension research lab. Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension.

Hypertension 130

Hypertension Family Physician Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results Clinicians widely reported that they did not prioritize messages within their inboxes, primarily due to time constraints in the clinical environment and the necessity of attending to all messages, which made any prioritization or organization exercises purely additive to overall inbox time.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. Intervention/Instrument Virtual training program that provided educational seminars, opportunities for care conferences, telementorship, peer-cohort networking, and clinic site visits.

Education 130

Education Primary Care Provider Community 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).

Primary Care 130

Primary Care Electronics Hospital Medical 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

Delivery methods varied, with most interventions being face-to-face, while a few utilized digital platforms such as mobile apps and telephone support. Interventions were categorized into Integrated and Coordinated Care, Behavioral and Psychological Interventions, and Physical and Lifestyle Interventions.

Hypertension 130

Hypertension Management Individual Clinical Practice 130

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. With homelessness becoming more prevalent, PNP patient navigators aim to help the PEH population maneuver complex healthcare systems.

Medical Student 130

Medical Student Patients Healthcare Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients who may benefit most from virtual care, such as those living in rural areas, may be at greatest risk of not being able to complete a clinical video visit with their provider. 653 utilized super supporter assistance, while 2,291 did not. The Federal Office of Rural Health Policy Data Files determined rural zip codes.

Patients 130

Patients Appointment Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

The study utilized qualitative data collected from intervention group participants. As a result, we recommend a large-scale multi-center cluster randomized control trial to evaluate the effect of the DSM Coaching program on clinical and behavioral outcomes.

Primary Care 130

Primary Care Diabetes Individual Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions: We have successfully utilized Machine Learning predictive modeling, applied within primary care, to identify patients with hypertension who are at the highest risk of a cardiovascular admission in the future.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

The Clinical Problem Solvers

FEBRUARY 27, 2022

By: Franco Murillo Reviewed by: Jack Penner Welcome back, Clinical Problem Solvers. Demonstrate the utility of an illness script in clinical reasoning 4.- An illness script is a clinical reasoning tool used by clinicians to collect and retrieve clinically relevant information about a particular condition.

Illness 52

Illness Clinic Utilities Diagnosis 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: In this study, we aimed to describe patterns of utilization of a Chronic Pain Self-Management Program (CPSMP) in Eastern Ontario and evaluate the impact of the program on patient activation, a measure of participants’ involvement in their care, their health behaviors, and their knowledge of the condition.

Management 130

Management Utilities Referral Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: This retrospective case series analysis utilized Vizient's clinical database data. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Mixed models were used for analysis.

Patient-Centered 130

Patient-Centered Patients Medical Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Multivariate analyses were conducted to evaluate adjusted hazard ratios for various demographic, clinical, and comorbid factors at the onset of the disease and after a 10-year follow-up period. Setting: Community-based study using Clalit Health Services (CHS) data.

Complication 130

Complication Diabetes Individual Chronic Disease 130

The Clinical Problem Solvers

OCTOBER 23, 2019

Welcome, Clinical Problem Solvers, to our first post in the “Clinical Reasoning Corner,” where we will take a deeper dive into key concepts that shape how we think through cases. The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving.

Clinic 52

Clinic Diagnosis Diagnose Utilities 52

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument A 15-question investigator developed survey was distributed amongst the outgoing class after finishing Journal Club sessions for the year to collect their thoughts on the revamped process.The survey utilized a combination of Likert responses and open ended responses.

Education 130

Education Family Medicine DO Electronics 130

The Clinical Problem Solvers

DECEMBER 14, 2022

[link] Maani and Emily are joined by Dr. Rachael Lee for a clinical unknown. She is the UAB Chief Healthcare Epidemiologist and in this role, she utilizes evidence based medicine to prevent the spread of healthcare-associated infections.

Clinic 52

Clinic Utilities Healthcare 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis This study utilized data from NHANES 2011-2019 to calculate two ASCVD risk scores for each eligible individual: one using the race-based PCE and the other using the race-agnostic PREVENT equation. Each individual was separated into clinically significant risk categories of <7.5%, 7.5-10%,

Individual 130

Individual Utilities Clinic Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Methods: The authors employed a qualitative research design to study thalassemic patients receiving outpatient treatment at a suburban hospital clinic in Kolkata, India. The authors, both individually and collectively, utilized an immersion-crystallization approach to analyze the content of the interviews.

Individual 130

Individual Relationship Community Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited from two clinics in Flint, Michigan, a low-income urban community facing numerous health disparities. Study Design and Analysis: This cross-sectional study utilized self-reported baseline data from a longitudinal study.

Diagnose 130

Diagnose Hypertension Community Diabetes 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This study utilized survey-based methodology to estimate adjusted odds ratios (OR) and interaction effects using ordinal generalized linear model. However, variations in these disparities due to marital status remains unclear.

Illness 130

Illness Mental Health Individual Utilities 130