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Health Trends Across Communities: Engaging Healthcare Systems, Public Health and Community in a Statewide Public Health Tool [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: Building patients’ and health professionals’ trust in health research includes responsibly sharing health information. Objective: To use an iterative, community-engaged process to inform the development of the publicly-available HTAC dashboard. Study Design and Analysis: Qualitative descriptive.

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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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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. Datasets: Primary care EMR data from the Eastern Ontario Network and acute care, post-acute, and community mental health and addictions data from the Shared Health Integrated Information Portal.

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Primary Care Utilization in Native American Communities: Challenges and Opportunities [Health care disparities]

Annals of Family Medicine

It is paramount to understand the barriers faced by the AI/AN community to better serve their medical needs. The impact of long-standing inadequate access to basic healthcare coupled with generational trauma has contributed to community distrust of western medicine. Results: All hypotheses were supported.

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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

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.

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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

Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making. Setting: Primary care provider utilization was assessed among several patient center health outcomes. Design and Analysis: Patients were evaluated for 6-month pre/post.

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Dashboard of Advancement and Success for Health Services Research (DASH) 2.0 [Research capacity building]

Annals of Family Medicine

Context: The Lehigh Valley Practice and Community Based Research Network(LV-PCBRN) conducts weekly meetings to engage members in discussion about active and future research, and quality improvement projects conducted by colleagues, residents, and medical students.