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Levers and challenges to recruiting clinical settings for a shared decision-making stepped wedge cluster randomized trial [Dissemination and implementation research]

Annals of Family Medicine

Setting and dataset: From Quebec government websites, we compiled a list of sites potentially offering prenatal services. Study design and analysis: For a SWcRT aiming at scaling up SDM for prenatal screening of trisomy in Quebec, descriptive statistical analysis and qualitative thematic analysis were performed to have recruitment insights.

Clinic 130
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Nutrition and dietary guidelines: stirring the (policy) pot

The Health Policy Exchange

At first glance, federal nutrition policy seemed to be an unusual topic for our Georgetown Health Policy Seminar for family physicians. As described in a recent JAMA Internal Medicine editorial , future doctors receive little formal instruction about healthy dietary habits. and MyPlate. Kenny Lin, MD, MPH Director, Robert L.

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Tapping the potential applications of mHealth

The Health Policy Exchange

Should state and local governments provide direct grants or tax relief to promising startups? Health Policy Fellowship Department of Family Medicine Georgetown University School of Medicine How can we avoid creating "digital divides" that could worsen health disparities? Kenny Lin, MD, MPH Director, Robert L.

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Medicaid expansion is in the eye of the beholder

The Health Policy Exchange

To the ACA's detractors, Medicaid expansion is a hostile government takeover that must be opposed in principle, regardless of potential benefits of an infusion of federal dollars. According to the Kaiser Family Foundation , more than half of today's 48 million uninsured have incomes below the new Medicaid threshold. Phillips, Jr.

Insurance 130
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Staff perspectives of a novel integrated community care hub in an urban underserved population (UK) [Child and adolescent health]

Annals of Family Medicine

Its domains include Service Delivery, Workforce, Financing, and Leadership and Governance o Setting or Dataset o Population Studied: The study is set in Sparkbrook in inner-city Birmingham (UK), one of the most ethnically diverse and poorest areas in the UK with high levels of deprivation and unemployment.

Community 130
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The Massachusetts Avenue of health reform

The Health Policy Exchange

Personal responsibility was important, some aides argued, but what about the libertarian view that the government had no business requiring people to buy something? Health Policy Fellowship Department of Family Medicine Georgetown University School of Medicine It was one thing to ask drivers to buy car insurance.

Insurance 130
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Increasing primary care capacity by adding team members [Health care services, delivery, and financing]

Annals of Family Medicine

million adults in Canada do not have a family doctor or nurse practitioner. Context Over 6.5 Interprofessional team-based care can expand access to primary care, however, the relationship between interprofessional teams and their impact on primary care capacity is not well-understood.