A Country Doctor Writes

MAY 18, 2025

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. My theory is that the behavioral health staff members felt isolated and not integrated with the primary care providers.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Population studied/Intervention: A case management program (CMP) for people with complex needs was implemented in four primary care clinics of an urban area. Having more consultation time and establishing a relationship of trust with people helped to address their unmet social needs.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: After a Samoan patient from New Zealand (NZ) attended a PACE workshop at NAPCRG in 2016 with her general practitioner, she was inspired to set up a Pacific community group to work towards better health outcomes for Pacific people living in South Auckland, NZ. Intervention/Instrument: A community-based participatory research approach.

Community 130

Community General Practitioner Primary Care Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation tools are considered a promising way to support health providers and older adults in identifying multiple and often complex needs. Setting and dataset: Community-based practice. However, few studies have evaluated preconsultation tools targeting older adults and healthcare professionals.

Provider 130

Provider Primary Care Patients Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Though dementia can be managed in primary care, the complexity of the condition and high prevalence of multimorbidity often require advice from a variety of specialists. Travel to see consultants can be disorienting and difficult for persons living with dementia (PLWD). Context: Dementia affects nearly half a million Canadians.

Primary Care 130

Primary Care Consulting Community PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Interviews with ~24 staff in family medicine who offered the GP-MATE consultations. For further information see GP-MATE ( warwick.ac.uk ) Outcome Measures Our feasibility study explores suitable outcome measures for a potential trial including hospital readmission, patient experience, primary care utilization and harm/error.

GP 130

GP Hospital DO Family Medicine 130

Physician's Weekly

JUNE 11, 2025

A registered dietitian could be consulted to help develop a comprehensive, personalized plan that aligns with these nutritional targets. What practical strategies would you recommend for implementing resistance training in community or home-based settings? Structured exercise programs can help in both regards.

Management 52

Management Primary Care Physicals Telehealth 52

Annals of Family Medicine

NOVEMBER 20, 2024

Increasing access to primary care clinicians who are better able to screen and treat pediatric mental health conditions can improve mental health and reduce unnecessary ED visits. Clinicians receiving any support from VMAP tended to be female, <40 years old, and practiced in rural communities. Results: 20.2%

Mental Health 130

Mental Health Internal Medicine DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

A poll from March of 2021 by the Kaiser Family Foundation found that vaccine hesitancy was highest in rural communities, with 21% of rural residents stating they would "definitely not" get a vaccine compared with 10% of urban residents. Vaccine hesitancy remains a major hurtle in ending this pandemic.

Vaccination 130

Vaccination Primary Care Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

The College of Family Physicians of Canada (CFPC) recognizes the critical role of family medicine (FM) research in primary care and healthcare systems. The process involved a variety of information-gathering and consultative steps. Ongoing engagement and collaboration with the FM research community will be crucial.

Family Physician 130

Family Physician DO Family Medicine Family 130

Physician's Weekly

JUNE 25, 2025

It takes more than just a physician’s clinical expertise to achieve optimal outcomes for these patients; it also requires effective communication and care coordination to ensure that physicians receive all the information necessary to care for their patients. Consider creating a care collaboration compact with specialists.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

The Clinical Problem Solvers

MARCH 14, 2025

Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

East Cary Family Physicians

JANUARY 30, 2024

Consult with your primary care physician before starting a new workout routine, ensuring it aligns with your specific health needs. Seek guidance from your primary care physician for support or medications to aid in the quitting process.

Primary Care Physician 40

Primary Care Physician Family Physician Screening Primary Care 40

GeriPal

OCTOBER 13, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s a team now with them behind them making sure that they stay safe and held in our communities. Lona: Absolutely. Eric: Can I touch on the last study?

Complication 97

Complication Patient-Centered IT Patients 97

Canadian Family Physician

FEBRUARY 18, 2025

Participants Older adults who are 65 years of age or older with advanced CKD and undergoing community-based nondialysis kidney care between April 1, 2012, and April 1, 2022, with at least 1 year of follow-up. Results The study included 47 older adults with advanced CKD who were not undergoing dialysis and receiving primary care.

Primary Care 52

Primary Care Hospital Electronics Consulting 52

The Medical Futurist

JUNE 21, 2025

SkinIO , Scanoma , Miiskin , FirstDerm , Direct Derm , iDoc24 , and SkinVision all work based on the same principle: they promise patients the option to self-check their symptoms and then to connect to a dermatologist online for consultation within a very short period of time. It’s a jackpot software for eczema troubles.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

Annals of Family Medicine

NOVEMBER 20, 2024

The following factors were associated with greater likelihood of ‘Care of the Elderly’ certification or focused practice: physician demographics (i.e., female sex, larger community size, graduating from a Canadian medical school, community-level residential instability), primary care practice model (i.e.,

Family Physician 130

Family Physician Family Families Primary Care 130

Physician's Weekly

JUNE 19, 2025

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. That means many older adults will be relying on other primary care physicians, who already can’t keep up with demand , and nurse practitioners, whose ranks are booming.

Nurse Practitioner 52

Nurse Practitioner Family Families Primary Care 52

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 116

Community Transportation IT PCP 116

GeriPal

JANUARY 25, 2024

And that made me think more about, they’ve been dealing with these illnesses for many years before we even met them in the ICU, and why aren’t we doing more of this care where they live? In their communities? They’re mostly living at home and living their lives in the community.” Not the patients?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

Plum Health

OCTOBER 16, 2024

Michigan residents have been buzzing about a primary care clinic that’s setting a new standard for healthcare across the state. Whether you’re in Detroit , Corunna , Lansing , Royal Oak , or Van Buren , this clinic is offering comprehensive care that puts patient well-being first. Here’s why everyone is talking about it!

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. And I often use transgender because that’s the language that is more affirming broadly for the community. It was personal to me, but also right. Johnson, actually.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JUNE 5, 2025

But we, we do a lot of, a lot of care in the facility. And so we do have consultants who come in the building. Connie 13:10 So generally what, what I see, very rural, is a nurse practitioner that’s out of our local home health and hospice agency that is palliative care certified.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 28, 2024

And the same nudge, the withdrawal of life support nudge, also decreased the time to comfort care orders. But importantly, it did not change the frequency of comfort care orders. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Alex: Thank you.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 121

Screening IT Family Families 121

GeriPal

MARCH 6, 2025

He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. So they can be referred by their primary care doctor or to us. It’s by choice, just like in the community. Michele: Thank you for having me.

Family 133

Family Families IT Community 133

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

APRIL 10, 2025

But so if someone got admitted, palliative care could see them the next day. I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. Was the clinician working frontline in those community hospitals?

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. And then as it grew, I just was viewing the entire enterprise as a love letter to health care. Emily 06:27 Yes.

IT 108

IT Community Patients Family 108

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Eric: When I try to think about what a doula does, should I call it a consult? How do you see the light? It just depends. Alex: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JUNE 30, 2022

And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. And that these serious illness conversations ought to involve more palliative care consultations, I think. We’re available, palliative care. Alex: Mm-hmm.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 10, 2022

Caroline: I want to throw in a geropsych aspect, where this kind of Venn diagram between geriatrics, palliative care, nursing home care; as a geropsych consultant in over 100 nursing homes in three states, I found this issue all the time where the staff are just like, “This person with advanced dementia is pulling out their feeding tube.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Individuals living in the community aged 65 and older, diagnosed with SMI, who received a first dementia diagnosis between January 2013 and December 2015. Group 2 was mainly diagnosed in primary care, while Group 3 included more men with better COC and more diagnoses in primary care.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. We had submitted a grant to try to establish best practices and I think palliative care programs across the country, especially in the outpatient space, we’re really starting to see how it might add value. Eric: Well, can I ask about that, Joe?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73