Annals of Family Medicine

MAY 27, 2025

Primary care improves the health of communities and decreases health inequities. METHODS We used the 2019 Virginia All-Payers Claims Database to identify primary care physicians (PCPs) and the number of distinct patients seen by each physician. of census tracts had adequate PCP access. RESULTS In Virginia, 56.0%

Primary Care 130

Primary Care PCP PCP Primary Care Physician 130

Physician's Weekly

JUNE 25, 2025

For example, many population health management tools can run reports that identify patients who: Have not been seen by their PCP in a year (and thus aren’t engaged in their care or completed preventive exams). Communicate clearly with appropriate non-clinical staff. Have open gaps in care or medications not filled.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

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. Word of mouth spread rapidly.

Community 116

Community Transportation IT PCP 116

GeriPal

JUNE 23, 2022

So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. I talk to women 75 and older or something like it’s my job as your PCP to recommend tests that I think will lead to more good than to harm. And so we recruited 546 women and they were from 137 different PCPs.

Screening 100

Screening PCP PCP IT 100

GeriPal

AUGUST 15, 2024

And actually, just my experience of that actually, I think made me want to be more, to understand more about what was going on in the community and be more part of how we could support older adults in the community, particularly around asian hate, which then I ended up moving to unlock in 2022. You’re pre contemplative.

Mental Health 118

Mental Health Community Screening IT 118