Integrated Care News by CFHA

APRIL 16, 2025

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It provides immediate, non-stigmatized behavioral health support at the point of medical care, often in the same visit.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. However, little information exists on how to successfully implement these tools in the primary care setting.

Primary Care 130

Primary Care Consulting Telemedicine Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation questionnaires designed to provide rapid assessments of the physical, social, mental and cognitive health of older adults may support effective primary care management and improved patient outcomes for this population. Implementation was conducted over a 3-month period.

Primary Care 130

Primary Care Consulting Patient-Centered Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study aimed to explore discussion strategies used in real-world GP-patient consultations when discussing obesity. Method: Secondary data analysis of Australia’s first, and only, Digital Library of real-world video recorded consultations was used.

GP 130

GP Consulting Primary Care Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Setting: Seven family medicine practices in one Colorado USA health system.

Primary Care 130

Primary Care Provider Illness Consulting 130

Annals of Family Medicine

MARCH 24, 2025

PURPOSE Although studies have shown that more temporally regular (TR) primary care visits are associated with improved patient outcomes, none have examined what clinic staff can do to encourage greater TR visits. RESULTS Themes emerged regarding best ways to promote regular follow-up of patients with chronic conditions.

Primary Care 130

Primary Care Patients Primary Care Physician Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

A patient partner from the Deaf community collaborated on each step of this project. A consultation was conducted with eight members of the Deaf community to complete the results. Setting: Any context of health care or services. Intervention/Instrument: Access to health care and services as conceptualized by Levesque et al.

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

o Context or Objective: The UK is witnessing an increase in emergency department use and hospital admissions for children and young people from underserved populations, exacerbated in the UK by continued issues around access to primary care.

Community 130

Community Integrated Care Finance Family Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation tools are considered a promising way to support health providers and older adults in identifying multiple and often complex needs. Objective: This study compared the perspectives of patients and providers using ESOGER, a novel multidimensional assessment tool for older adults.

Provider 130

Provider Primary Care Patients Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context In the post-discharge period from hospital acute inpatient care, the older patient is at risk from a lack of joined-up care. Hospitals write discharge summaries to family medicine providers. Though patients/carers are often copied in, they seldom get a plain English version or space to discuss its contents.

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GP Hospital Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Réseau de recherche en soins primaires de l’ Université de Montréal (RRSPUM) is the Primary Care (PC) Practice-Based Research Network (PBRN) affiliated with the Department of Family Medicine and Emergency Medicine (DFMEM) of our University (Quebec, Canada).

Primary Care 130

Primary Care Family Medicine DO Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the effectiveness of 2-step active opportunistic screening using POC-cHbA1c versus venous HbA1c (vHbA1c) in improving T2DM detection among at-risk primary care patients. Study Design and Analysis: A cluster randomized controlled trial was conducted in 8 General Out-Patient Clinics (GOPCs).

Primary Care 130

Primary Care Screening Diabetes Consulting 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. Having more consultation time and establishing a relationship of trust with people helped to address their unmet social needs.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Integrated Primary Care (IPC) has increased due to increased demand for behavioral health services. Results: Seven themes were identified: Eurocentrism-Americanism, cultural alignment, structural inequity, patient-first wellness-centered approach, cultural framework, relationship dynamics, and systemic outlook.

Primary Care 130

Primary Care Behavioral Health Services Patient-Centered Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Increasing access to primary care clinicians who are better able to screen and treat pediatric mental health conditions can improve mental health and reduce unnecessary ED visits. The census tracts where patients live who are cared for VMAP supported clinicians versus non-VMAP supported clinicians tended to be more rural (36.3%

Mental Health 130

Mental Health Internal Medicine Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The primary care practitioners’ (PCP) perceptions of disease given patients’ conditions are reflected in their narrated questions to specialists while using eConsult, an online primary care service.

Consulting 130

Consulting Electronics Primary Care PCP 130

Annals of Family Medicine

JANUARY 27, 2025

METHODS We retrospectively analyzed 29 videos of GP-patient consultations in an academic general practice clinic in China. RESULTS The median length of the 29 video-recorded consultations was 23 minutes 54 seconds. in which the patient initiated the discussion but the GP did not respond.

Primary Care Physician 130

Primary Care Physician GP General Practitioner Diabetes 130

Annals of Family Medicine

NOVEMBER 20, 2024

Though dementia can be managed in primary care, the complexity of the condition and high prevalence of multimorbidity often require advice from a variety of specialists. Travel to see consultants can be disorienting and difficult for persons living with dementia (PLWD). Context: Dementia affects nearly half a million Canadians.

Primary Care 130

Primary Care Consulting Community PCP 130

Vida Family Medicine

JUNE 28, 2024

One of the most rewarding parts of being a primary care physician is when I am able to work with a patient to help them find answers to unexplained symptoms they have been dealing with, sometimes for years! As a result, doctors often end up referring the patient somewhere else if they do not immediately know the answer.

Patients 52

Patients Primary Care Appointment Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

To this end we have collaborated with three rural Federally Qualified Health Centers in Maine, New Hampshire and Vermont and surveyed their patient populations ages 25 to 65 to understand their knowledge of and perception of the COVID-19 vaccinations.

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Vaccination Patient-Centered Primary Care Community 130

Hitchcock Family Medicine

APRIL 11, 2023

Whether you're looking for a new primary care family doctor or getting special services, you should have some questions ready. Here are a few questions to ask your family doctor. How Long Have You Been Practicing Medicine? Your primary care physician could have a specialty, such as geriatrics or pediatrics.

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Family Doctor Families Family Primary Care Physician 52

Priority Physicians

JANUARY 20, 2025

Should you check in with your primary care physician or skip that step and go to a specialist, assuming your physician will send you there anyway? But if you’re a patient of a direct primary care (DPC) practice , you don’t need to guess about orthopedic pain management. On the drive home, it’s swelling and painful.

Management 52

Management Primary Care Physician Primary Care Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: After a Samoan patient from New Zealand (NZ) attended a PACE workshop at NAPCRG in 2016 with her general practitioner, she was inspired to set up a Pacific community group to work towards better health outcomes for Pacific people living in South Auckland, NZ.

Community 130

Community General Practitioner Primary Care Consulting 130

Vida Family Medicine

JUNE 26, 2025

At Vida Family Medicine, I’ve helped hundreds of patients improve their blood sugar without extreme dieting or cutting out the foods they love. Schedule a visit with Vida Family Medicine to get personalized, compassionate care that puts you at the center of the plan. Need support managing pre-diabetes?

Management 52

Management Diabetes Family Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices are often the first location a patient seeks treatment for substance use disorder (SUD). Addiction medicine consult services have emerged to help address the shortage in access to SUD treatment. Population Studied Primary care practice teams. per clinic (SD=6.4)

Primary Care 130

Primary Care Consulting Medical Illness 130

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Instead, they establish a direct patient-provider relationship, for a flat fee. Specialty referrals can be reduced or eliminated.

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DO Family Medicine Families Family 40

Annals of Family Medicine

NOVEMBER 20, 2024

Because primary care providers have frequent contact with patients, primary care settings are an ideal site for early detection and secondary prevention for individuals who may be at risk for unhealthy alcohol use or are using alcohol in an unsafe manner.

Primary Care 130

Primary Care Education IT Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Some family physicians pursue additional training to become certified as having additional competence in ‘Care of the Elderly’ and/or apply for "focused practice" status to care for older patients. focused), primary care activities (i.e., increased age of non/rostered patients).

Family Physician 130

Family Physician Families Family Primary Care 130

Plum Health

OCTOBER 16, 2024

Michigan residents have been buzzing about a primary care clinic that’s setting a new standard for healthcare across the state. Whether you’re in Detroit , Corunna , Lansing , Royal Oak , or Van Buren , this clinic is offering comprehensive care that puts patient well-being first. Here’s why everyone is talking about it!

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Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. Because we all interface with it at the end of the day as patients. Today’s podcast is both similar and different. Is that a theme that you’re working on?

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IT Community Patients Families 107

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

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Primary Care Supply Chain General Practitioner Vaccination 40