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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

Health Trends Across Communities (HTAC) is an innovative health data surveillance project that provides public health professionals, healthcare systems, researchers, community organizations, and policy makers with robust and timely summary electronic health record (EHR) information to support health equity and improve health across Minnesota.

Community 130
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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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Creative Dissemination: Community-Engaged Mural to Disseminate the PORTRAIT Registry on Peripheral Arterial Disease [Cardiovascular disease]

Annals of Family Medicine

Public health initiatives, including community engagement projects, are vital for promoting early diagnosis and encouraging behaviors to combat PAD. A community collaborative mural focused on vascular health. Conclusions The PORTRAIT dissemination project utilized a community-engaged mural to raise awareness about PAD.

Community 130
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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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The Midwest Trans Health Education Network: Increasing Access to Gender Affirming Care Through Virtual Training Cohorts [Education and training]

Annals of Family Medicine

This mismatch is worsened in rural communities. Many practicing providers receive no training in gender affirming hormone care, working competently with gender diverse patients, or ensuring an affirming care environment. Setting or Dataset A pretestposttest survey design was utilized to assess the intervention.

Education 130
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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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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.