Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Diabetes Finance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Wellstar MCG Health is a 520-bed tertiary hospital with a Family Medicine inpatient service and an attached Family Medicine resident continuity clinic. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

Appointment 130

Appointment Hospital Management DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Measures of handgrip strength are collected in primary care settings as a vital sign for the prevention of health conditions related to low muscle strength. Objective: We sought to determine the test-retest reliability of electronic handgrip dynamometry and accelerometry measured muscle function in older adults.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Three academic health systems with EPIC and Oracle electronic health records. Population Studied: Primary care team members involved in high blood pressure management. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. 0.9SD) encounters per patient since 2007.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP).

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective The aim of this study was to explore the role of PGx in primary care (i.e. family medicine) and the need for education in this area. These themes reflect a shift in the role of PGx in primary care with implications for education. Recurrent themes were identified.

Primary Care 130

Primary Care Education DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Electronics Medical Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. Study Design and Analysis Five electronic research databases were searched to identify randomized controlled trials (RCT) and non-randomized studies of interventions.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health records (EHR) and patient portal systems have resulted in an unrestricted, undefined, and often uncompensated workload for Primary Care providers. Objective: Quantify portal messaging patterns across the Rochester, MN Primary Care practices in 2022. Women were 3.8 times (95% CI 1.5-15.1)

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: As academic medical centers purposefully integrate telemedicine visits into primary care, efficacy studies are needed to appropriately guide resource allocation and triage processes. Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023).

Telemedicine 130

Telemedicine Primary Care Provider Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Reviews were identified through a search of scientific electronic databases: MEDLINE, CINAHL, PsycInfo, AMED, Healthcare Administration Database, ABI/INFORM Collection, Cochrane Database of Systematic Reviews, Epistemonikos, and Scopus. 2010) and adapted by Schultz et al. No reviews mentioned involving members of the Deaf community.

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Team-based models of care have become an integral part of the primary care system and is increasingly regarded as a key feature in achieving high-quality primary care by providing integrated, comprehensive, and continuous person-centred care.

Primary Care 130

Primary Care Electronics Individual Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In response to a call initiated by CIHR in 2023, inviting patient, public, and community participation, the Patient Council of the Canadian Primary Care Research Network (CPCRN) responded with a Report on March 25, 2024. Results: The Pan-Canadian Patient Council met electronically to co-analyze and interpret the themes.

Patients 130

Patients Community Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Weight loss is desired by many patients, but many primary care practices struggle to provide this care. PATHWEIGH is an integrated approach to support primary care practices in delivering evidence-based weight loss care to patients as part of regular health care.

Primary Care 130

Primary Care Management Electronics Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation questionnaires designed to provide rapid assessments of the physical, social, mental and cognitive health of older adults may support effective primary care management and improved patient outcomes for this population. Study Design and Analysis: Multi-center, 1:1 individually randomized trial design.

Primary Care 130

Primary Care Consulting Patient-Centered Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

to complete an analysis of qualitative data collected from primary care clinician and staff perspectives on the use of anti-obesity medications. Population Studied: Practice members from 57 primary care practices in one Colorado health system who participated in the PATHWEIGH study.

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context : The COVID-19 pandemic provides an opportunity to explore the qualities that enable greater team adaptability, as a team’s ability to respond effectively to disruption is a good indicator of how well it functions. Outcome Measures N/A. Results : A total of 76 nurses were interviewed.

Primary Care 130

Primary Care Nurse Practitioner Management Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Delivering parental tobacco treatment during pediatric primary care visits may help to reduce the effects of these structural barriers, thereby increasing the likelihood of parental tobacco cessation and reducing children’s tobacco exposure in these populations. Setting: Primary care clinics in the Minneapolis-St.

Primary Care 130

Primary Care Screening Clinic Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integration of patient reported social risk questionnaires in electronic health records allows for assessment of individual-level SES, but this data is frequently missing. A housing asset-based measure of SES (HOUSES) can provide individual-level SES without need for patient questionnaires. live in rural areas. live in rural areas.

Primary Care 130

Primary Care Patients Transportation Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The primary care practitioners’ (PCP) perceptions of disease given patients’ conditions are reflected in their narrated questions to specialists while using eConsult, an online primary care service.

Consulting 130

Consulting Electronics Primary Care PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Studies have shown that effective communication between the patient and provider, or shared decision making (SDM), is associated with improved outcomes for asthma patients. Coach McLungsSM (CML), an app-based pediatric asthma SDM intervention, generates summary reports for patients and providers so both can reach a mutual treatment decision.

Asthma 130

Asthma Chronic Disease Primary Care Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background Researchers use card studies to obtain observational data about primary care provider (PCP) knowledge, attitudes, and behaviors on a variety of topics. In 2022, Bunce et al embedded "card" questions into an electronic health record (EHR) with responses saved to the EHR database.

PCP 130

PCP PCP Primary Care Clinical Practice 130

BMJ

AUGUST 20, 2021

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.

Patient-Centered 40

Patient-Centered Clinic Provider Patients 40

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 120

Screening Primary Care Patient-Centered IT 120

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Identify patient, provider, and healthcare process and utilization factors associated with rates of secondary acceptance of the HPV vaccine. Existing research on secondary acceptance has focused on demographics and initial declination with little evidence around factors associated with increased rates of secondary acceptance.

Vaccination 130

Vaccination DO Family Medicine Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective(s): Understand the unique lived experiences of Latinas with cervical cancer over 45 years old across the cancer care continuum. Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Verbatim transcripts in English and Spanish were analyzed in NVivo 14.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: 1) Demonstrate the feasibility of collecting data from prescription drug monitoring programs (PDMPs) for population health reporting, 2) analyze trends in PDMP and electronic health record patient data relative to CDC guidelines and 3) identify use of patient-centered measures for pain management in primary care.

Patients 130

Patients Patient-Centered Primary Care Electronics 130

BMJ

JUNE 25, 2021

Findings from a longitudinal study using primary care records, Family Medicine and Community Health 2021; 9: e000780. 1 Clinical guidelines internationally recommend statin therapy for both primary and secondary prevention of CVD, making statins one of the most frequently prescribed drugs in industrialised countries.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40