Community, DO, Family and Transportation

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

Intervention/Instrument: The screening tool used in the pilot sites included five questions to assess needs related to transportation, food insecurity, utility payments, housing, and a final question to assess patients’ willingness to receive help.

Referral

Referral Community Transportation Utilities

A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments.

Community

Community Diabetes Referral Screening

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

Annals of Family Medicine

NOVEMBER 20, 2024

Participants with clinical trial experience stated that they would recommend clinical trial participation to their friends and families. Participants emphasized the role of family support and their reliance on adult children for decision-making and assistance with transportation and interpretation.

Clinic

Clinic Chronic Condition Transportation Families

Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument: The intervention includes a short survey to determine patients’ needs with respect to transportation, food insecurity, financial difficulty related to utility payments, and housing. The final question asked patients, who have at least one risk factor, if they would like assistance with their need(s).

Primary Care

Primary Care Referral Routine Screenings Patients

SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Annals of Family Medicine

NOVEMBER 20, 2024

Sodium-glucose transporter 2 (SGLT-2) inhibitors have been proved to decrease the cardiovascular adverse events in several large randomized controlled trials (RCTS), but evidence limited to patients with type 2 diabetes and ASCVD. Setting or Dataset Five electronic systems of community clinic.

Hypertension

Hypertension Diabetes Patients Transportation

Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service). Setting: Ambulatory clinics (e.g.,

Primary Care

Primary Care Diabetes Management Provider

Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

NOVEMBER 20, 2024

family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest. Transportation and scheduling challenges also hindered engagement. Setting: Ambulatory clinics (e.g., All participants are referred to receive free produce ("standard of care").

Diabetes

Diabetes Clinic Transportation Internal Medicine

Nutrition On A Budget: Eating Healthy With Local, Seasonal Produce

Center for Family Medicine

JUNE 20, 2025

If the food is out of budget, families will struggle to get a healthy supply of vitamins and minerals. Choosing local and seasonal produce can help families meet simple nutritional needs. The challenge with eating healthy Eating healthy can be difficult for American families. Despite these challenges, there is a solution.

Chronic Disease

Chronic Disease Families Family Transportation

Health-Related Social Needs Increase and Persist following Onset of COVID-19 Pandemic [Social determinants and vulnerable populations]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Health-related social needs (HRSN), such as housing, food, and transportation, play a major role in overall patient health and well-being. The Coronavirus-19 (COVID-19) pandemic amplified HRSN disparities, adding stress to social support systems. Logistic regression model- binary indicator for a positive screen.

Transportation

Transportation Screening Individual Primary Care

Integrated care for adults with complex needs: opportunities of case management in primary care to improve equity [Health care disparities]

Annals of Family Medicine

NOVEMBER 20, 2024

Social workers who collaborated in dyad with nurse case managers helped in identifying patients’ mental health issues as well as unmet social needs, e.g. poor-quality housing, social isolation, and difficulty affording transportation, or food.

Integrated Care

Integrated Care Primary Care Management Healthcare

Primary Cares Most Pressing Needs to Address Opioid Use Disorder [Survey research or cross-sectional study]

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: The American Academy of Family Physicians (AAFP) hosted a year long, monthly Project ECHO ® educational series on OUD. Objective: To understand perspectives and needs of primary care clinical staff in addressing the OUD epidemic. Participants were surveyed at pre- and post-intervention.

Primary Care

Primary Care Transportation Family Physician Education

Middle to Older Age Latinas Experiences Across the Cervical Cancer Continuum: Screening, Diagnosis, Treatment and Impact [Health care disparities]

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Our Community Advisory Board (CAB) guided this work. About 90% were either currently or formerly undocumented, 2/3 spoke Spanish, 2/3 made <$50,000 annually, and 1/3 reported inadequate transportation.

Diagnosis

Diagnosis Screening Transportation Diagnose

Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman

GeriPal

DECEMBER 5, 2024

But at the end of the day, I actually view medicine more as an applied science. 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. A love letter kind of back to my community.

IT

IT Community Patients Families

Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model

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

Primary Care Supply Chain General Practitioner Vaccination

Primary Care Digest

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

A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Trending Sources

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

Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Nutrition On A Budget: Eating Healthy With Local, Seasonal Produce

Health-Related Social Needs Increase and Persist following Onset of COVID-19 Pandemic [Social determinants and vulnerable populations]

Integrated care for adults with complex needs: opportunities of case management in primary care to improve equity [Health care disparities]

Primary Cares Most Pressing Needs to Address Opioid Use Disorder [Survey research or cross-sectional study]

Middle to Older Age Latinas Experiences Across the Cervical Cancer Continuum: Screening, Diagnosis, Treatment and Impact [Health care disparities]

Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman

Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model

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