Remove Community Remove Primary Care Remove Screening Remove Utilities
article thumbnail

Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening. Study Design and Analysis: Descriptive analysis of secondary data.

article thumbnail

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. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization.

Referral 130
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service).

article thumbnail

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
article thumbnail

Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician [Health care services, delivery, and financing]

Annals of Family Medicine

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Dataset: The cohort was identified using the April 2023 Primary Care Population Dataset (PCPOP), an ICES-derived database.

article thumbnail

Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

Screening 119
article thumbnail

Health-Related Social Needs Increase and Persist following Onset of COVID-19 Pandemic [Social determinants and vulnerable populations]

Annals of Family Medicine

Setting or Dataset: Survey data from 50 Oregon primary care and emergency department sites Population Studied: 16,403 Medicare and Medicaid beneficiaries Intervention/Instrument: The CMS Accountable Health Communities study Outcome Measures: Positive screen for one or more HRSN: housing, food, transportation, utilities, safety.