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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes.

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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

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The apps also collect patient reported data on goals, social needs, and functional status.

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How to Manage Chronic Diseases for a Healthier Life: Expert Tips from Edge Family Medicine

Edge Family Medicine

Taking Control of Your Health with Chronic Disease Management Chronic diseases such as diabetes, hypertension, and COPD can be challenging, but at Edge Family Medicine , we specialize in helping patients regain control of their health. Common chronic diseases include diabetes, high blood pressure, asthma, and gastrointestinal issues.

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

A Country Doctor Writes

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. 1) Healthcare is not at all customer centered.

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An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Integrated Care News by CFHA

It moves away from fragmented systems, provides alternatives to medication-only treatment paths, and leads patients to practical pathways for healing—whether for anxiety, diabetes management, depression, or addiction. Non-medical interventions will sky-rocket if you pay for monitoring of behavioral interventions.

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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

We may only have 15 minutes with each patient. In primary care it is often necessary to think in terms of including more than our area of interest in our mental picture of our patient. So my mental picture of the problem area ends up being like a photograph with everything surrounding the center of the picture a bit blurry.

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Physician leaders discuss how Permanente Medicine delivers value-based care

Permanente Medicine

At Kaiser Permanente of the Mid-Atlantic States, patients live 6 to 8 years longer than the national average. And Kaiser Permanente’s systemwide, long-term focus on high-quality care through population health management has helped improve Healthcare Effectiveness Data and Information Set (HEDIS) measures, such as in diabetes care and more.