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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. Results: The project developed and published standardized data elements and value sets for chronic kidney disease type 2 diabetes, cardiovascular disease, chronic pain, and long COVID.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. Six years ago, I wrote the essay below about an article I read in the New England Journal of Medicine. Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits.

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Redesigning Primary Care Workflows to Optimize Obesity Management

Physician's Weekly

As rates of obesity continue to rise alongside new therapeutic options, a team of researchers at the 85th Scientific Sessions of the American Diabetes Association (ADA) will present findings from PATHWEIGH , a pragmatic clinical trial designed to embed evidence-based obesity care directly into primary care workflows.

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Better Care Models Needed for Young Adults With Obesity

Physician's Weekly

Authors of an abstract presented at the American Diabetes Association’s 85th Scientific Sessions called for a holistic, chronic treatment model to support children and young adults with obesity. The retrospective analysis incorporated data from Optum MarketClarity claims and electronic medical records.

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. Or electronically, to fill out, right? A surgeon who is seeing a patient and detects diabetes out of control is not going to say, “Damn the diabetes, get them to the OR now.” PGA is Practical Geriatric Assessment.

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Transgender Health, Aging, and Advocacy: A Podcast with Noelle Marie Javier and Jace Flatt

GeriPal

You present your. Is that because they have higher rates of chronic conditions like diabetes, coronary disease, tobacco use, things like that, or is there something else that’s going on? And this could be reflect or manifested in terms of your mannerisms, the way that you speak, the way that you carry yourself, the way that you.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

He was a terrible diabetic. And he had a deadly fear of being institutionalized, based on his previous present experience. He did have a habit of drinking a bit and drank quite a bit. And what was happening was he was, due to his neuropathy, was about to lose his. His hands were gone. And so that was his biggest big fear.