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An umbrella review of mHealth tool implementation strategies: a 6-step guide to optimize patient, caregiver and clinician use [Dissemination and implementation research]

Annals of Family Medicine

Targeted users of mHealth tools include clinicians, patients, and caregivers. In clinical settings, uptake of mHealth tools has varied, with limited use explained, in part, by suboptimal adaptation of the tool and the implementation processes. Ultimately, the synthesis included 29 reviews (16 systematic, 10 scoping, 1 rapid, 2 other).

Patients 130
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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

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

Annals of Family Medicine

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

Annals of Family Medicine

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.

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Intervention Strategies for Management of Comorbid Depression Among Individuals With Hypertension: A Scoping Review [Cardiovascular disease]

Annals of Family Medicine

Background: Hypertension and depression frequently co-occur, complicating patient management and worsening outcomes. This scoping review aims to systematically map non-pharmacological interventions for managing comorbid hypertension and depression, providing insights into current practices and guiding future research.

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Adherence Labeling: Understanding the Origins, Limitations, and Ethical Challenges of "Diagnosing" Nonadherence [Theory]

Annals of Family Medicine

Promoting adherence to medical recommendations remains one of the oldest yet most persistent challenges of modern clinical practice.

Diagnose 241
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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

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.