Integrated Care News by CFHA

MAY 19, 2025

MBC entails equal emphasis on the phases of Collect, Share, and Act , which include repeated data gathering, communication/review of the data with the patient and team, and adjusting treatment based on this information. (2) MBC enhances therapeutic alliance and improves culturally informed care to diverse patient groups. (10,

Integrated Care 300

Integrated Care Mental Health Healthcare Clinical Practice 300

Annals of Family Medicine

NOVEMBER 20, 2024

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Setting or Dataset Five electronic systems of community clinic. Population Studied individuals with comorbidity of hypertension and type 2 diabetes.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Access to primary care in Canada is a pressing concern, with over one in five individuals lacking a regular primary care provider. Existing research primarily focuses on health professionals, with minimal engagement of patient partners.

Primary Care 130

Primary Care Education Patients Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Individuals who frequently attend the ED comprise up to 10% of patients, while accounting for a third of ED visits. Objective: To describe frequent ED use among patients in Krakow, Poland. Population Studied: Adult patients (≥18 years of age) with high ED use (≥5 visits per year) were included. years (SD: 19.9,

Primary Care 130

Primary Care Patients Consulting Hospital 130

Canadian Family Physician

MARCH 18, 2025

Objective To determine what factors individual physicians in a remote northern Saskatchewan community consider when advising patients on an obstetric delivery location. Setting La Ronge, a remote northern Saskatchewan community. Design Semistructured interviews.

Family Physician 52

Family Physician Community Families Family 52

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. Among 12,506 screened average-risk individuals, the mean age was 39.0 were White, 16.0% Hispanic or Latino, 30% rural and 27% not insured. vs 69.3%, p <0.001).

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Several studies have documented that individuals with greater social determinants of health risks (SDOH) are more likely to use tobacco. What is not known is if provision of tobacco cessation assistance is equally likely for individuals with different levels of SDOH risk.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: The study encompassed three family medicine residencies in different regions of the US from both University and community-based settings. Participants were instructed in critically appraising individual studies and formulating evidence-based reviews, denoted as GEM – Good Evidence Matters.

Family Medicine 130

Family Medicine DO Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Responsive approaches included starting with a sub-group of patients (vs universal screening), engaging support staff in protocols, an "SBIRT Olympics" competition, and continued conversations about the impact of substance use on health. Tailoring individual strategies can facilitate SBIRT implementation in rural PC practices.

Primary Care 130

Primary Care Screening Nurse Practitioner Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT: Existing therapies for chronic low back pain (CLBP) are suboptimal, and many patients resort to opioid therapy. SETTING: Outpatient and community. OBJECTIVE: To compare the effectiveness of MBT versus CBT in adults with opioid-treated CLBP. Qualitative interviews augmented the quantitative data.

Management 130

Management Screening Physicals Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Advancements to evaluating the impact of participatory health research (PHR) have been made through comprehensive models like the community-based participatory research (CBPR) conceptual model, a useful framework for exploring how context and partnership processes can influence health research design and interventions.

Community 130

Community Relationship Individual IT 130

Edge Family Medicine

JANUARY 9, 2025

As a leading family medical practice in Upland, CA, we champion evidence-based approaches that empower patients to take control of their health. Lifestyle medicine is a patient-centered, evidence-based approach that treats the root causes of chronic diseases. It leverages therapeutic lifestyle changes to improve health outcomes.

Chronic Disease 130

Chronic Disease Family Medicine DO Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Community-based. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences. Conclusions: The differences between the results of Proactive and the clinical examination highlight its potential for patient-centered risk identification.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Physician's Weekly

JUNE 11, 2025

Patients with hidradenitis suppurative seek advice online, highlighting unmet needs in clinician-patient education regarding daily self-management strategies. For clinicians treating patients with HS, the findings may inform more tailored patient engagement. Patients inquired about general advice for managing HS symptoms.

Education 52

Education Patients Management Patient-Centered 52

The Medical Futurist

JUNE 19, 2025

These measure the basic functions of one’s body, helping clinicians assess the general health and recovery progress of patients. Recently, a new trend has emerged where artificial intelligence (AI)-based apps are detecting vital signs as well as possible illness indicators from patients’ faces alone.

Individual 96

Individual Clinic Medical Patients 96

Mesa Family Physician

MARCH 13, 2025

For residents of Mesa and the surrounding East Valley communities, staying current with recommended preventive care can lead to better health outcomes and reduced healthcare costs. Our female practitioners understand the unique health needs of women in our community.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

Joy in Family Medicine Coaching

DECEMBER 27, 2024

My longitudinal project addressed both the 80% of occupational drivers of engagement or burnout (per research in Mayo Clinic Proceedings ) and the 20% within an individual’s control. It was true in both university and community settings, urban- and rural-focused programs, large and small. How you view the investment matters.

Physicals 130

Physicals Family Medicine DO Families 130

Canadian Family Physician

MARCH 18, 2025

Methods Initially a deductive analysis was conducted using a framework for categorizing 3 different levels of social accountability (individual patient [micro], community [meso], and system [macro]). Participants Early-career family physicians. A reflexive thematic analysis guided the inductive process.

Family Physician 52

Family Physician Families Family Holistic Care 52

Center for Family Medicine

APRIL 14, 2025

Safer Solutions For Lasting Relief Living with chronic pain can be exhausting, especially for individuals in rural areas who may struggle to access regular care. Alternative treatments offer relief while prioritizing long-term health, allowing individuals to regain a sense of control and comfort.

Management 52

Management Patients Healthcare Patient-Centered 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

A Collaborative Approach Between Health Care Providers and Community Partners Food insecurity affects thousands of Minnesotans, often contributing to chronic health conditions and overall poor health outcomes.

Family Physician 52

Family Physician Community Families Family 52

Permanente Medicine

JUNE 20, 2025

Maria Ansari, MD, FACC, and Ramin Davidoff, MD “Older patients … with multiple health conditions underscore the challenge of delivering compassionate, scalable, and affordable care to the aging U.S. “Caring for these individuals requires a fundamental shift in how we practice medicine.” Ansari and Davidoff.

Chronic Condition 52

Chronic Condition Primary Care Patients Management 52

BMJ

DECEMBER 16, 2021

Value, challenges and practical considerations when designing, conducting and analysing a longitudinal qualitative study in family medicine | Family Medicine and Community Health (bmj.com). following individual or groups of participants). the COVID-19 pandemic).

DO 40

DO Family Medicine Families Family 40

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Family Medicine (FM) and NAPCRG champion involving patients and communities in research. Clinical practitioners, patients, and community representatives increasingly make major contributions to primary care (PC) research. Panels can be created for individual studies or continue for institutions or programs.

Community 130

Community Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

While Ghana has made rigorous efforts to expand psychiatric care for hard-to-reach communities, there is limited knowledge about the experiences of the country’s psychiatrists regarding their current clinical approaches and the barriers they face in delivering care. Introduction. Conclusions.

Clinic 130

Clinic Illness Mental Health Finance 130

The Clinical Problem Solvers

FEBRUARY 24, 2021

Learning Objectives After listening to this episode listeners will be able to… Recognize the importance of yielding privilege and power to better center marginalized voices and communities through individual, interpersonal, institutional, and systemic actions. Credits Written and produced by: Utibe R. Dr. Manning reaffirmed what Dr.

Vaccination 52

Vaccination Community Individual Patient-Centered 52

Physician's Weekly

JUNE 26, 2025

However, we cannot overlook systemic factors, such as access to care, socioeconomic status, neighborhood safety, or walkability, that make it more challenging for some individuals to maintain a healthy weight. Clinicians can also lean on social workers or community health workers if they are available. They are a wonderful resource.

Families 52

Families Family Preventive Care Preventative Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Clinical organizations are increasingly being asked to address food insecurity among patients, yet little is known about healthcare workers’ suitability to take on this role. Only 41% of respondents indicated that they knew how to help patients access government food assistance. people who don’t want to work").

Healthcare 130

Healthcare Community Individual Government 130

California Academy of Family Physicians (CAFP)

MAY 14, 2025

However, for individuals who do not qualify for federal Medicaid funding—such as most undocumented immigrants—the federal government does not provide matching funds, even when those individuals meet income eligibility requirements. The asset limit for a household would be $2,000 for an individual and $3,000 per couple.

Healthcare 204

Healthcare Family Physician Management Individual 204

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. ITS model- proportion of individuals who screened positive for at least one HRSN, aggregated by week. Logistic regression model- binary indicator for a positive screen.

Transportation 130

Transportation Screening Individual Primary Care 130

My Green Doctor

APRIL 4, 2025

In This Issue : New Research: Teaching Patients about Climate Resilience Make the Pledge Today to Go Green Get Ready for Earth Day 2025 (part 2)! It tells your office colleagues and patients that your healthcare practice or clinic is committed to forging a healthier work space and community. of total U.S.

Healthcare Professional 52

Healthcare Professional Healthcare Community Medical Advice 52

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state. What is a Health Care Home?

Primary Care 52

Primary Care Board-Certified Patient-Centered Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Latina physicians can bring added value for health care institutions, bilingual language skills, and cultural concordance for increasingly diverse patient populations. Population Studied: Individuals who self-reported their occupation as "physician" were included in this study. In some studies, no Latina physicians have been included.

Individual 130

Individual Community Hospital Patients 130

The Clinical Problem Solvers

JUNE 9, 2021

Understand the “minority tax” that minoritized trainees and faculty experience in diversity, equity, and inclusion reform efforts; identify models to properly compensate individuals for their time and expertise. Does the institution involve community members in training? Essien, MD, MPH; Rohan Khazanchi, MPH; LaShyra Nolen; Naomi F.

Education 52

Education Medical Community Patient-Centered 52

Annals of Family Medicine

MARCH 24, 2025

PURPOSE We aimed to address fears and lived experiences of cognitive decline among adults via whole-person conversations that elicit problems and goals that matter most to patients. A review of tools for older adults with cognitive impairment showed strong clinical specificity, with insufficient whole-person support for patients.

Primary Care 130

Primary Care Relationship Community Individual 130

Physician's Weekly

JUNE 11, 2025

First, to meet protein needs, patients can be counseled to include 30 grams of high-quality protein sources at each meal. What practical strategies would you recommend for implementing resistance training in community or home-based settings? For older adults, the YMCA’s Silver Sneakers Program is a fantastic community resource.

Management 52

Management Primary Care Physicals Telehealth 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting & Population: All clinicians in Family Medicine, Pediatrics, and Internal Medicine caring for individuals aged 22 years and younger in the Virginia All Payers Claims Database (APCD). Clinicians receiving any support from VMAP tended to be female, <40 years old, and practiced in rural communities.

Mental Health 130

Mental Health Internal Medicine Family Medicine DO 130

Plum Health

JUNE 9, 2025

He believes in delivering individualized, patient-focused care by taking the time to learn each person’s unique story, lifestyle, and health goals. Dr. Ogboh collaborates closely with his patients to create personalized, evidence-based treatment plans that support their overall well-being.

Board-Certified 52

Board-Certified Primary Care Family Medicine DO 52