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Implementation and Uptake of the Virginia Mental Health Access Program [Child and adolescent health]

Annals of Family Medicine

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. vs. 47.4%, p<0.0001).

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

Annals of Family Medicine

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.,

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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

family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest. Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%.

Diabetes 130
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

In the United States testing is routinely done for communal water, though responsibility for testing and treatment of private wells falls on homeowners. Despite recommendations for routine screening, this is rarely done. Arsenic cannot be seen, tasted, or smelled.

Patients 130
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How to Prepare for Your Preventive Care Visit

Mesa Family Physician

Unlike appointments that address specific illnesses or injuries, preventive care visits focus on screening for potential health issues, assessing your overall wellness, and helping you establish healthy habits before problems develop. Evidence-based screening tests based on current medical guidelines, your age, and risk factors.

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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.