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Outcomes of a virtual CGM initiation service (virCIS) for primary care patients with diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Continuous glucose monitoring (CGM) is now considered a standard treatment option in diabetes care. However, its adoption has been slower in primary care settings compared to endocrinology practices, resulting in unequal access for patients with diabetes. Setting: Primary care practices in Colorado.

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Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

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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

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.

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Implementation Evaluation of a Community Health Worker Program for Patients with Type 2 Diabetes or Hypertension [Dissemination and implementation research]

Annals of Family Medicine

Context Disparities in type 2 diabetes mellitus (T2D) and hypertension (HTN) control are well-described. Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. Population Studied Adult patients with T2D and/or HTN.

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Effects of the COVID-19 pandemic on primary care for diabetes in Canada: Results from a mixed-methods study [Health care services, delivery, and financing]

Annals of Family Medicine

Context: In Canada, most diabetes care is provided within primary care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes. Population Studied: Using CPCSSN data, we defined a cohort of patients aged 50-105 with diabetes diagnosed before the pre-pandemic period.

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Good Clinician Communication Improves Continuity of Care for U.S.-Born Latino Patients but Not for Immigrant Latino Patients [Health care disparities]

Annals of Family Medicine

Context: Research shows that effective patient-clinician communication leads to high quality of care, overall satisfaction, and better patient outcomes. born Latino (6,458), and Foreign-born Latino (12,057) adults with and without diabetes Analysis: Explanatory variables: communication, patient education, and shared decision-making.

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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. Most medical practices are still stuck doing piecework.

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