Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida. Outcome Measures: social risk factors, whether patients wanted assistance with their risk factors, and measures related to connection to community resources.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot. The most common type of support requested related to transportation needs (42%), followed by assistance related to food insecurity (25%), utilities (12%), and housing (9%).

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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).

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Population studied/Intervention: A case management program (CMP) for people with complex needs was implemented in four primary care clinics of an urban area. However, partnerships between primary care clinics and community-based organizations would deserve consideration in further research.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

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. The Coronavirus-19 (COVID-19) pandemic amplified HRSN disparities, adding stress to social support systems.

Transportation 130

Transportation Screening Individual Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices are frequently the first and sometimes the only healthcare setting where patients with OUD seek care, and practices need support with resources and training in how to best treat this growing population. Population Studied: 130 primary care clinic staff from 27 practices across the US.

Primary Care 130

Primary Care Transportation Family Physician Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Our Community Advisory Board (CAB) guided this work. About 90% were either currently or formerly undocumented, 2/3 spoke Spanish, 2/3 made <$50,000 annually, and 1/3 reported inadequate transportation.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130