Integrated Care News by CFHA

MAY 1, 2025

Within minutes he integrated the latest findings into practical recommendations for the family. At a recent conference, a neurologist demonstrated an AI tool that captured and structured his clinical notes while he was able to be present and maintain eye contact with the patient. Annals of Family Medicine , 23(1), 5–6.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Joy in Family Medicine Coaching

FEBRUARY 7, 2025

This brings me into the present instead of in the immediate future or past and is calming and focusing. Or tune into one of my senses for just a few seconds (rubbing my fingers together tyring to feel my finger tips or listening to what is close and what is in the distance). You have to deal with those emotions at somepoint!'

IT 130

IT Patient-Centered Physicals Medical Student 130

Annals of Family Medicine

NOVEMBER 20, 2024

Hospitals write discharge summaries to family medicine providers. Family medicine is uniquely placed to help, but lacks structures, tools and funding to do so. Objective The GP-MATE study has built a new intervention for family medicine and patients/carers through co-design.

GP 130

GP Hospital Family Medicine DO 130

Annals of Family Medicine

JANUARY 27, 2025

PURPOSE Family medicine research is essential to improving population health. Increasing research capacity continues to be a challenge; however, recent literature has touted the success of incentivization in several academic medicine specialties. Summary statistics and logistical regression analyses were conducted.

Family Medicine 130

Family Medicine DO Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention ECHO Pain started in June 2014 and offered weekly 90-minute sessions that include a didactic lecture followed by a de-identified patient case presentation. In this study, we present a narrative summary of our program achievements and research in the past ten years.

Management 130

Management Telehealth Education Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Individuals with diabetes often present with co-occurring chronic conditions (CC), or multimorbidity. of respondents with diabetes presented with CC, FL, and GS, whereas only 1.8% presented with at least 6 conditions, including 18.4% When examining C-MM, 61.6% had none of these conditions, 10.5%

Diabetes 130

Diabetes Chronic Condition Education Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Owing to the protean clinical presentations, heterogeneous diagnoses discussed in each patient case presented, and varied management approaches, capturing impact regarding clinical outcomes has proven challenging.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instruments: The Teams video conferencing platform and the Mentimeter interactive presentation software were used for data collection and recording. Setting: Quebec, Canada Population studied: Occupational therapists providing chronic self-management support interventions.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Common Sense Family Doctor

MARCH 18, 2025

In Has Medicine Lost Its Mind? Smith, a general internist and professor of medicine and psychiatry at Michigan State University, explains why our medical system consistently prioritizes physical over emotional health and presents some ambitious proposals for how to rectify this harmful disparity.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

Family Physicians of St. Joseph

SEPTEMBER 25, 2018

Larger companies now dominate the healthcare landscape, yet through innovation and a dedication to exceptional patient care, Family Physicians of St. From the time of its inception until October 2017, Family Physicians of St. Joseph has succeeded in doing just that. Joseph, P.C., Anchored at 147 Peace Boulevard in St.

Family Physician 52

Family Physician Family Families Primary Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset Participants were employed in 5 urban Colorado hospital-owned family medicine clinics. Most MAs had experience with HE activities, most commonly attending presentations on health disparities and SDOH, and screening patients for social needs. Interviews were coded for relevant content to identify common themes.

Primary Care 130

Primary Care Medical Management Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design and analysis: Descriptive statistics were used in SPSS to present demographics and responses and Chi-squared tests evaluated relationships between demographics and attitudes. Objective: To understand COVID-19's impact on physicians-in-training and their preparedness and well-being amidst clinical and lifestyle changes.

Telemedicine 130

Telemedicine Education Telehealth Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients will complete all visits by August 2024 and completed patient data, including satisfaction data, will be presented. Context: Continuous glucose monitoring (CGM) is now considered a standard treatment option in diabetes care. Two practices were FQHCs.

Primary Care 130

Primary Care Diabetes Patients Education 130

Vida Family Medicine

JUNE 26, 2025

At Vida Family Medicine, I’ve helped hundreds of patients improve their blood sugar without extreme dieting or cutting out the foods they love. Being told you have pre-diabetes can feel overwhelming, but there’s good news: food is one of the most powerful tools you can use to manage your blood sugar. Insulin resistance.

Management 52

Management Diabetes Family Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Population studied: Actively practicing North Carolina internal medicine and family medicine physicians. Most saw race as being presented as biological in the ASCVD risk calculator, which concerned them. However, using race to guide clinical decisions is now controversial, potentially impacting clinician use of this tool.

Primary Care Physician 130

Primary Care Physician Internal Medicine Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, trust continues to be limited to a binary view (present/absent), which is problematic given its dynamic and temporal nature. Trust is often discussed as a vital component of the CBPR model, supporting the development of key partnership outcomes, such as partnership synergy. ’ Study Design: A qualitative study design.

Community 130

Community Relationship Individual IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Efforts to reduce frequent and multi-dimensional acute care presentations using current care models appear ineffective. The complex dynamics of human systems driving Super-utilization lack prominence. Health services must contain costs and meet the felt needs of under-resourced personal journeys and underserved communities.

Utilities 130

Utilities Management Hospital Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population.

Complication 130

Complication Diabetes Chronic Disease Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

This is the first study elucidating clinician knowledge on the risk and symptomatic presentation of patient arsenic exposure from well water. Study Design: A cross-sectional survey of patients and clinicians active at Mayo Clinic in the American Midwest (Minnesota, Wisconsin, and Iowa).

Patients 130

Patients Routine Screenings Provider Internal Medicine 130

Noreta Family Medicine

MAY 27, 2025

A Goal Fulfilled I made several goals during my family medicine residency training program, one of which was to publish a research paper. Fast forward to the present day in which I am a practicing Direct Primary Care (DPC) family physician. 1 – Doing research is time-consuming. 5 – We have more work to do.

Primary Care 52

Primary Care Family Medicine DO Family Physician 52

Annals of Family Medicine

NOVEMBER 20, 2024

Trainees rated their experience highly; their research included women/children’s health, obesity, substance use, mental health, traumatic brain injury, musculoskeletal pain, and integrative health modalities; they published 50 peer-reviewed papers; presented 44 abstracts; and received four grants, including one NIH Loan Repayment Award.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

For instance, the UN Women organization presented a 30% increase of domestic violence (DV) in France during the establishment of lockdown measures. In addition to this gender inequality, the COVID-19 pandemic amplified the risk of IPV perpetration. The difficulty to obtain data without compromising the victims persists in 2024.

Telemedicine 130

Telemedicine Government Physicals IT 130

Joy in Family Medicine Coaching

DECEMBER 6, 2024

I will use the categories my friend and colleague Dr. Tyra Fainstad used when we co-led a presentation on this topic. Look inside and around every nook and cranny of your cerebral gyri. Take 2-3 minutes to do this. Write each of the barriers down. Underline the self-imposed ones. Highlight those that are skill gaps. Strategy - flip it. "I

Private Practice 130

Private Practice Primary Care IT Education 130

Imperial Center Family Medicine

APRIL 14, 2025

Decode Your Family History Since high cholesterol often runs in families, knowing your levels can clarify if you’ve inherited a predisposition. Familial hypercholesterolemia (FH) is a genetic condition causing severely elevated total and LDL cholesterol. Healthy living’s preventive payoff gets bigger the earlier it starts.

Screening 52

Screening DO Family Medicine Family 52

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Adults presenting to US primary or urgent care sites with a chief complaint of cough and at least one other systemic or respiratory symptom consistent with LRTI. Baseline data included demographics, signs, symptoms and PCR for 46 viruses and bacteria. Setting: US primary or urgent care setting.

IT 130

IT Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

In previous studies using MEDICODE, attitudes or emotions (A/E) were coded as present/absent. However, present/absent coding limited interpretations of this important component of patient experience. Correlations between expressions of A/E and psychological distress post consultation will be available at the time of presentation.

Consulting 130

Consulting Medical Patients Relationship 130

ABIM

JUNE 12, 2025

Ruiz, MD, Chair, ABIM Geriatric Medicine Board The Geriatric Medicine Board , which meets twice a year and is responsible for oversight of policy and assessment in the specialty, held its spring meeting on March 28, 2025. 4,372 of these (92%) also have a current valid certificate in Internal Medicine.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

Annals of Family Medicine

NOVEMBER 20, 2024

Categorical factors are presented as frequency counts and percentages, and compared between groups using Chi-square or Fisher’s Exact test. Continuous factors are presented as median and interquartile range, and compared between groups using Mann Whitney Wilcoxon tests. Study Design and Analysis: Cross-sectional study.

Hypertension 130

Hypertension Primary Care Management Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

The full study is powered for multiple aims, but this presentation is reporting on the overall success of the pilot. Context: Acute rhinosinusitis (ARS) is so prevalent that it affects 15% of the adult population annually, and accounts for 20% of all antibiotics prescribed to adults in the outpatient setting.

Management 130

Management Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

It includes testimonials from women which present their struggles with quitting and how they managed to overcome them. Results: The MCP-W smartphone app offers content that addresses gender-related motives for smoking and barriers to quitting.

Provider 130

Provider Management IT Clinic 130

Annals of Family Medicine

MAY 27, 2025

The present study evaluated the acceptability and the feasibility of hearing screening for patients consulting in private family practice medicine. CONCLUSIONS This study supports integration of app-based hearing screenings into family medical care, as it is compatible with routine consultations.

Family Practice 130

Family Practice Screening Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population: Adult patients 18-85 presenting for ambulatory care with initial BP 140/90. Blood pressure control is a major quality KPI impacting reimbursement from insurers for primary care practices. Study Design: Pilot randomized controlled trial.

Primary Care 130

Primary Care Hypertension Insurance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Adults presenting to the outpatient setting in 12 European countries during flu season with a chief complaint of acute cough between 2007 and 2010 were used to derive and internally validate the risk score (GRACE data). It was then externally validated in a contemporary US population (EAST-PC data).

Vaccination 130

Vaccination Telehealth Primary Care Diagnose 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: This presentation shares common paradoxes emerging from the literature on social needs screening in primary care settings.

Screening 130

Screening Primary Care Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: The organizational context created tensions between the NPO and their partners that must present "good statistics" to receive optimal financial resources. Objectives: To identify challenges and facilitators to collaborations between a NPO and primary healthcare partners. Study design: An instrumental case study design.

Healthcare 130

Healthcare Finance Integrated Care Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Extracted data was recorded and presented in tabular formats and/or graphical summaries, with descriptive overviews. Two researchers independently screened texts using Covidence software. Final texts were uploaded into NVIVO, and thematic analysis was applied in three phases: open coding; axial coding; and abstraction. 1, 1990, and Mar.

Community 130

Community Individual Relationship Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Better understanding of the etiology, presentations, and patterns of pediatric acute respiratory infections can help inform medical and public health system responses to future outbreaks. Conclusion: Since its emergence in 2020, SARS-CoV-2 was detected year-round and with a higher median age than other pathogens.

Community 130

Community Family Families Provider 130