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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Context Social prescribing has been linked to better access, improved health and wellbeing, and decreased health care utilization (HCU). Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services.

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Evaluation of Primary Care Provider Utilization by Asthma Patients after the Implementation of Coach McLungsSM [Child and adolescent health]

Annals of Family Medicine

Patients with the worst outcomes often lack continuity of primary care and receive care at emergency departments during exacerbations. Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making. to 0.08, p=0.44), 5% to 2% ([95%]CI -0.03

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas. 25% decrease], p=.02),

Utilities 130
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Developing an intervention to assist older patients communication with their GP practice after discharge from hospital [Community based participatory research]

Annals of Family Medicine

Context In the post-discharge period from hospital acute inpatient care, the older patient is at risk from a lack of joined-up care. Hospitals write discharge summaries to family medicine providers. Though patients/carers are often copied in, they seldom get a plain English version or space to discuss its contents.

GP 130
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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

Objective: To describe a decade-long implementation process for genomic and precision medicine embedded in a primary care community hospital network. Setting: Community-based integrated health system in northern Illinois and across metropolitan Chicagoland.

Community 130
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Coming Soon: Logansport Memorial Pain Management Center

Logansport Memorial Hospital

Logansport Memorial Hospital is pleased to announce the opening of a new pain management center on April 1, 2024. Together with the Pain Management Group (PMG), Logansport Memorial is dedicated to providing high-quality care right here in our community. A referral from a provider is not required but is recommended.