article thumbnail

The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Integrated care (IC), defined as efforts to coordinate primary and mental health care to assist patients and caregivers in managing physical and behavioral health conditions, has emerged as a promising model to improve the care of complex patients while lowering costs; Objective: To analyze the effect of Kansas Health Homes (KHH), an IC program developed (..)

article thumbnail

Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

The majority of patients with depression is treated by their General Practicioner (GP). Knowing the current CVRM practice of Dutch GPs is needed before any recommendations regarding depressed patients can be made. Patients with a registered depression were compared to two controls. Intervention/instrument: not applicable.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. ECHO Concussion has a positive impact on clinician self-efficacy, knowledge, and concussion practice management, thereby helping to increase patient access to better care in the acute and chronic stages of concussion.

article thumbnail

Looking for Patterns, Looking for Change and Looking for Incongruity

A Country Doctor Writes

When taking a medical history, it is often very difficult to pin down the duration of a patient’s symptoms or the speed of change. For example, patients tell me all the time that they had muscle aches on a statin drug. The art of diagnosis is said to be 80% the art of taking a good history of the clinical symptoms.

Diagnosis 130
article thumbnail

Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. 8% (n= 1,146) were ordered for medical condition management.

Referral 130
article thumbnail

Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? Would I’ve been able to reason my way to his underlying diagnosis from the initial data? I find it awe-inspiring to listen to clinicians pick up on subtle clues and use both intuitive and analytic reasoning to reach a final diagnosis.

Illness 52
article thumbnail

Problem Representation

The Clinical Problem Solvers

A problem representation (PR, or Summary Statement) is an evolving, concise summary that highlights the defining features of a case , helping clinicians generate a focused differential diagnosis and identify the next steps in diagnosis and treatment. Who is the patient? He reports 3 days of headache, myalgia, and fever.