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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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High use of the emergency department among patients in Krakow, Poland: An alternative to seeking primary care? [Acute and emergency care]

Annals of Family Medicine

Context: Research from North America shows that a common reason for high emergency department (ED) use is the inaccessibility of primary care. Individuals who frequently attend the ED comprise up to 10% of patients, while accounting for a third of ED visits. 45.2% (n=575) of the patients arrived by ambulance. IQR: 32.8).

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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. Primary care experienced challenges during the COVID-19 pandemic, such as reduced access to care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes.

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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

Unfortunately, most individuals suffering from OUD do not have access to necessary care. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Participants were more confident in screening and diagnosing, harm reduction, and motivational interviewing.

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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Post-rotation, 64% of residents felt more comfortable diagnosing OUD.

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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

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“Practice at the Top of your License?”

A Country Doctor Writes

It was a call to reimagine, reinvent and reinvigorate primary care. In fact, personally, six months later, I started transitioning to a different job, the one I now work full-time in, doing housecalls and virtual visits for older and disabled patients. There are a few problems with primary care today.