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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. Study Design and Analysis: Single-arm pilot trial of adults with diabetes. Descriptive statistics of baseline patient demographics and post-encounter surveys, and of clinician post-encounter surveys.

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Clinician perception of the relationship between mental health, health-related social needs, and diabetes outcomes [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Health-promoting behaviors are crucial for good outcomes in diabetes. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.

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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Context: This work was done in the context of a regional quality improvement (QI) collaborative funded by the Ohio Department of Medicaid (ODM) focused on advancing diabetes equity through cross-sectoral QI infrastructure. We are one of 6 regional QI collaboratives statewide. Setting: Northeast Ohio.

Community 130
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Why Younger Adults Shouldn’t Skip Cholesterol Screenings

Imperial Center Family Medicine

But skipping cholesterol screenings in your 20s and 30s could eventually put you at risk for serious health problems. Here’s why younger adults should prioritize cholesterol screenings. Know Your Baseline Your first cholesterol screening in your 20s or 30s provides a baseline for future test results.

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

A Country Doctor Writes

If a patient only has one medical problem and never had any surgeries, why would any reader of their medical record prefer to view one or more full screens or pages of what has NOT happened to this patient, at least not as of some date in the past when that was nailed down as the patient’s medical profile. In-house HbA1c is 9.

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

A Country Doctor Writes

We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). 1) Healthcare is not at all customer centered. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down.

Patients 130
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Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Context: Type 2 Diabetes (T2D) impacts 35 million Americans. Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%. Setting: Ambulatory clinics (e.g., Transportation and scheduling challenges also hindered engagement.

Diabetes 130