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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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What is the role of occupational therapists with the older adult population in primary care? [Geriatrics]

Annals of Family Medicine

Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment.

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Understanding the care for older people in rural China: The role of primary care providers as "the third sphere" [Global health]

Annals of Family Medicine

China’s NEPHS program offers a vantage point from which to appreciate how state-society interplay shapes care practices, as well as to address the implications of socio-political factors on care. Study Design and Analysis: A three-month ethnographic study collected qualitative data through observation and informal interviews.

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A Novel Definition of Urinary Tract Infection across a National Primary Care Network [Geriatrics]

Annals of Family Medicine

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

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Implementation Evaluation of a Community Health Worker Program for Patients with Type 2 Diabetes or Hypertension [Dissemination and implementation research]

Annals of Family Medicine

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. However, studies on the generalizability and implementation of CHW interventions in clinical and community settings are limited. Setting 3 primary care clinics in SW Virginia.

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High use of the emergency department among patients in Krakow, Poland: An alternative to seeking primary care? [Acute and emergency care]

Annals of Family Medicine

Context: Research from North America shows that a common reason for high emergency department (ED) use is the inaccessibility of primary care. There is a lack of information on high ED use in other jurisdictions, specifically in Central and Eastern Europe. Objective: To describe frequent ED use among patients in Krakow, Poland.

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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot.

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