Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: All health/community settings. Intervention/Instrument: No intervention; study included if reported any analgesic or non-analgesic medication used to manage pain or treat a painful condition. Narrative synthesis of findings. Study designs: observational, qualitative, mixed methods.

Management 130

Management Medical Healthcare Professional Chronic Condition 130

Integrated Care News by CFHA

APRIL 16, 2025

At the Collaborative Family Healthcare Association (CFHA), we see your agenda aligning with ours in powerful ways. It offers care where people already are: their doctor’s office, their community mental health clinic, their OB/GYN’s exam room.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Edge Family Medicine

JANUARY 9, 2025

A Health Revolution with Lifestyle Medicine At Edge Family Medicine, we recognize the transformative power of lifestyle medicine in reversing early-stage chronic diseases. As a leading family medical practice in Upland, CA, we champion evidence-based approaches that empower patients to take control of their health.

Chronic Disease 130

Chronic Disease Family Medicine DO Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

County governments are struggling to manage the opioid crisis. Caldwell County is getting $800,000 per year from the Purdue Drug Settlement for the next 15 years but our county manager states it will take ten times that much money to address this crisis appropriately. County budgets are strained as a result. Through a funded grant.

Community 130

Community Management Mental Health Hospital 130

Alabama Academy of Family Physicians

MAY 15, 2025

During the session, the Alabama Academy of Family Physicians actively represented the interests of its members on a range of healthcare initiatives. Sponsored by Representative Paul Lee, the legislation removes the burdensome 100-hour annual service requirement, facilitating greater access to care for underserved communities.

Insurance 130

Insurance Family Physician Hospital Management 130

Mesa Family Physician

MARCH 13, 2025

At Mesa Family Physicians, we believe that preventing illness is always better than treating it. As your trusted healthcare providers in Mesa, Arizona, we’re committed to helping you understand and access the preventive services that can keep you and your family healthy for years to come.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

Annals of Family Medicine

NOVEMBER 20, 2024

SETTING: Outpatient and community. Intention-to-treat, linear mixed effects model analysis compared treatment effectiveness of MBT relative to CBT at 6 and 12 months. Qualitative interviews augmented the quantitative data. POPULATION: Adults with CLBP treated with long-term daily opioids.

Management 130

Management Screening Physicals Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Methods We adopted a multi-method study design, where qualitative and quantitative components of this study were conducted.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting Multi-site study, with participants recruited from outpatient clinical and community settings. Study Design In-depth interviews, completed at the 12-month follow-up, yielded qualitative data, which were transcribed and analyzed (thematic analysis) through NVivo software.

Management 130

Management Mental Health Physicals Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients. We also observed that family physicians and nurses tend to use more clinically-oriented codes, while mental health care providers and therapists use more codes related to social determinants of health.

Electronics 130

Electronics Provider Family Physician Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Lifestyle medicine programs have demonstrated a positive impact in managing these diseases but are poorly implemented and unavailable in rural communities. Objective: To assess the feasibility of implementing a lifestyle medicine program in a rural Ontario community for patients with chronic diseases.

Chronic Disease 130

Chronic Disease Community Hypertension Physicals 130

Annals of Family Medicine

NOVEMBER 20, 2024

Reducing healthcare costs per capita has focused on reducing Super-utilization using system transformation and care management approaches. Methods: Utilizing primary articles, search terms were refined iteratively for searches on Super-utilization, Super-utilizer, and Care Management themes. Care Management was the second common theme.

Utilities 130

Utilities Management Hospital Community 130

Physician's Weekly

JUNE 11, 2025

A recent study offers recommendations on how to balance weight loss goals and bone health concerns in weight management programs for older adults. 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

Setting: Community-based study using Clalit Health Services (CHS) data. Data for this investigation were sourced from a community-based approach, utilizing information from CHS, which integrates data from community sources and hospitals.

Complication 130

Complication Diabetes Individual Chronic Disease 130

Sound Physicians

MARCH 12, 2025

With the absence of intensivists on the ground in these community hospitals, the question becomes how to treat these patients where and when they need care. Our tele-ICU program , which is part of our critical care specialty, has brought meaningful and much-needed intensive care to remote communities for the past five years.

Telemedicine 52

Telemedicine Community Hospital Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset PWH were recruited using convenience sampling at the Chronic Viral Illness Service (CVIS), McGill University Health Centre and HIV community centres (REZO, AIDS Community Care Montreal) in Montreal, Canada. Population People with HIV.

Education 130

Education Community Illness Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Lifestyle Medicine (LM) is an evidence-based approach to prevention and treatment of chronic disease by addressing six pillars: physical activity, nutrition, sleep and stress management (recovery), connection, and substance use. There is limited research on implementation of LM in medically underserved communities.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Together with ten patients who have experience managing chronic illness or life-limiting conditions, PERC encourages and supports the meaningful engagement of patients as partners in PC research. Study Design and Analysis: Process evaluation Setting: Community. Population Studied: PC researchers, PERC patient partners.

Primary Care 130

Primary Care Patients Community Illness 130

Center for Family Medicine

APRIL 14, 2025

Finding ways to manage pain that are both effective and sustainable is possible. Non-opioid pain relief Analgesics and non-steroidal anti-inflammatory drugs ( NSAIDs ) are readily available over the counter and effectively manage mild to moderate pain. Finding relief requires practical, adaptable strategies that can be managed at home.

Management 52

Management Patients Healthcare Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Understanding SDOH documentation in electronic health records (EHRs) is crucial for care management to improve patient outcomes and mitigate health inequities. Objective: To explore how family physicians document SDOH in EHRs and identify factors influencing this practice Study Design and Analysis: A cross-sectional observational analysis.

Family Physician 130

Family Physician Electronics Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Intervention/Instrument: N/A. The findings show elements that support and limit research environments.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Developing innovative approaches to prevent or manage age-related health problems and disabilities is a public health priority. Setting: Community-based. Therefore, we have developed Proactive, a self-administered screening questionnaire that enables older people to independently monitor their risk of functional decline.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Case management in primary healthcare has been documented as a promising integrated care approach to overcome fragmented care faced by adults with complex healthcare and social needs (hereafter complex needs). Future research should explore ways to enhance partnerships between healthcare providers and community organizations.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions Effective prevention and management of CS are hindered by complex psychosocial factors, including structural stigma from healthcare providers, disclosure stigma from the patients’ community, and health literacy issues.

Provider 130

Provider Patients Healthcare Professional Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Cultural health brokers are intermediaries between community and formal systems bridging cultural, linguistic, and knowledge gaps. 16, 2021 as they navigated COVID-19 vaccination controversies in their communities. Intervention: Real time outreach, information sharing, resource creation and pop-up clinics.

Community 130

Community Vaccination Relationship Management 130

Mere Mortal MD

JUNE 15, 2025

I never got a DUI, showed up work drunk or hungover, or screamed at my husband or family, and yet, it was an unhealthy habit I was slowly losing control over. It’s that I no longer turn to a toxic substance daily to manage my stress and emotions. I told myself that because it was red wine—which of course is healthy!

Mental Health 189

Mental Health Relationship IT Community 189

Annals of Family Medicine

NOVEMBER 20, 2024

It includes modifications to the EpicTM electronic medical record (EMR) for guidance on treatment alternatives, support for provider-patient communication and goal setting, billing and coding support, and a new visit type called a Weight Prioritized Visit (WPV). Study Design and Analysis: Qualitative study.

Primary Care 130

Primary Care Management Electronics Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Rural facilities report challenges and solutions to meet community needs for specialty care. Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support.

Primary Care 130

Primary Care Community Telehealth Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Method : We enrolled community-dwelling older adults with mild/moderate frailty under the care of Fraser Health and Nova Scotia Health (n=100).

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. Study Design: Retrospective observational cohort study. Having a prescription of insulin was not associated with likelihood of churning.

Patient-Centered 130

Patient-Centered Insurance Diabetes Community 130

Permanente Medicine

JUNE 23, 2025

June 19, 2025) — National health care leaders from Kaiser Permanente and the Alliance of Community Health Plans will share insights on value-based care during a free Permanente Live webinar on Tuesday, July 1, 2025. We are dedicated to the mission of improving the health of our patients and communities. OAKLAND, Calif.

Patient-Centered 52

Patient-Centered Community Integrated Care Finance 52

Annals of Family Medicine

NOVEMBER 20, 2024

Self-management support (SMS) is a complementary intervention to evidence-based treatments that promotes self-efficacy and empowerment. Objective: To examine the effectiveness of a virtual group self-management support intervention as an add-on to treatment as-usual (TAU).

Management 130

Management Illness Clinic Mental Health 130

Permanente Medicine

JUNE 20, 2025

Increase better outcomes and manage resources through health care innovations that reduce the need for emergency medicine and in-hospital surgery recovery, allowing better treatment for conditions faced by older adults and supporting more more advanced care-at-home delivery.

Chronic Condition 52

Chronic Condition Primary Care Patients Management 52

BMJ

NOVEMBER 26, 2021

People who are overweight or obese represent a high-risk population in prediabetes management. Did doctors deliver advice on lifestyle change to the overweight and obese population adequately in prediabetes management? People could get knowledge of prediabetes and lifestyle management from various sources to develop self-awareness.

Diabetes 40

Diabetes Management Healthcare Patient-Centered 40

Family Physicians of Cedar Rapids

MAY 19, 2025

It takes: • Regular checkups (like exams before finals) • Daily habits (just like studying a little each day) • Support systems (family, teachers, and doctors!) • Persistence, especially when things get tough Celebrating Progress Just as we celebrate students for finishing school, we should celebrate ourselves for taking steps toward better health.

Checkup 78

Checkup Families Family Education 78