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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Combining these datasets in a consolidated data repository could result in an improved understanding of the care journey, support the healthcare needs of Ontario Health Team priority populations, promote continuity of care improvements across sectors, and decrease burden on emergency departments (EDs) and primary care providers.

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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

Community Health Centres (CHCs) provide TBC for both urban and rural populations with barriers to care in Ontario, Canada, and they share a common electronic health record (EHR) system that records codes assigned by providers during an encounter.

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Profiling patterns of patient experiences of access to care and continuity at team-based primary healthcare clinics [Health care services, delivery, and financing]

Annals of Family Medicine

Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record. Having at least one chronic condition (p=0.004) or poor perceived mental health (p=0.048) were associated with experiencing continuity difficulties. Setting: 104 PHC clinics across Quebec, Canada.

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Validation of Mood and Anxiety Disorder Case Definitions using Primary Care Electronics Medical Records [Big data]

Annals of Family Medicine

Context: Mental health conditions have increasing prevalence, co-occurrence, and high management burden within primary care settings. Objective: To validate and apply electronic medical record (EMR)-based definitions for mood and anxiety disorders (inc. depression, anxiety, bipolar disorder), and schizophrenia.

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Electronically-delivered PHQ9s increase engagement in patients with depression [Population health and epidemiology]

Annals of Family Medicine

Main Outcome Measures: Percentage of patients who booked a visit for mental health. Conclusions: A population health outreach system that used reminders for PHQ9s resulted in patients booking appointments to treat their mental health condition. Percentage of patients who filled out a PHQ9. difference, 95% CI: 42.3-44.9).

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Hepatitis C Micro-elimination Using Patient Navigation In a Regional Healthcare System [Infectious diseases (not respiratory tract)]

Annals of Family Medicine

Context: Hepatitis C virus (HCV) disproportionately impacts persons with substance use and mental health disorders within the United States. Setting: MedStar Health, a multidisciplinary and multispecialty health care system in the mid-Atlantic. Univariate statistics and multivariate regression statistics were calculated.

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Intellectual Disability (ID) and Chronic Conditions Burden among Adults : Insights from Harmonized Electronic Health Records [Health care disparities]

Annals of Family Medicine

Objective: Compare burden of chronic diseases for adults with and without ID using electronic health records (EHRs)from 3 learning health systems serving underrepresented groups. Mental health conditions included bipolar disorder, depression, and anxiety. Results: Less than 1% (N=1,016) had ID.