Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument Multiple interventions utilized, as specified in each study. Almost all included studies utilized interventions were efficacious compared to usual care. Studies utilizing interventions with one-on-one interaction tended to have significant outcomes. Results Eighty-four studies fit inclusion criteria.

Provider 130

Provider Patients Utilities Healthcare 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

Study Design and Analysis: Tele-legal services were provided by one full time poverty lawyer and paralegal January 2021-June 2023. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Descriptive analysis utilized primary legal record and secondary electronic health record sources.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Social prescribing has been linked to better access, improved health and wellbeing, and decreased health care utilization (HCU). Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services.

Patient-Centered 130

Patient-Centered Utilities ER Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The introduction of the Human Papillomavirus (HPV) test and the 2012 Cervical Cancer Screening (CCS) guidelines expanded the way providers offer and interpret screening for their patients. However, higher cervical cancer mortality is well-documented for Black women, creating a health disparity. population.

Screening 130

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

1,2 4 Setting Mayo Clinic Health System (MCHS) - Southeast Minnesota (SEMN) River Corridor Family Medicine (FM) Department – 40 total prescribers. Intervention The initial PDSA cycle disseminated monthly peer comparison reports via email to all providers, regardless of provider type.

Family Medicine 130

Family Medicine DO Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design 89 participants had the accuracy of their personal HBPMs assessed by 1) a family physician using our T-Connector Approach and 2) the gold standard method called Dual Observer Auscultation, which involves 2 physicians alternating between the HBPM and a mercury manometer for 9 readings. Population Adults who own a HBPM.

Hypertension 130

Hypertension Family Physician Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Comics provided a playful, engaging way to lead the groups and encourage exchanges. Comics effectively contextualized the discussions and allowed participants to easily understand CMO configurations without needing to grasp the definitions of the mechanisms, a core component of CMO configurations that can be challenging for non-experts.

Utilities 130

Utilities Healthcare Provider IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Population Study: Primary care clinicians including MD/DO and advanced practice providers (i.e., A one-time survey was also conducted.

Primary Care 130

Primary Care Nurse Practitioner Utilities Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making. Setting: Primary care provider utilization was assessed among several patient center health outcomes. Design and Analysis: Patients were evaluated for 6-month pre/post. to 0.24, p=0.28).

Primary Care 130

Primary Care Asthma Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Many practicing providers receive no training in gender affirming hormone care, working competently with gender diverse patients, or ensuring an affirming care environment. Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. This mismatch is worsened in rural communities.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

The authors, both individually and collectively, utilized an immersion-crystallization approach to analyze the content of the interviews. Data analysis revealed five themes for positive experiences: regular treatment seeking, strong family and community support, positive family attitudes, trust in healthcare providers, and a positive outlook.

Individual 130

Individual Relationship Community Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management. Context: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

This project is based on a grant given to provide infant mortality health education and promotion interventions to low-income families at Hawthorne Landing, an apartment complex in Fairborn. Study Design This study utilized a combination of qualitative and quantitative design to perform a needs assessment of Fairborn, Ohio.

Health Assessment 130

Health Assessment Healthcare Electronics Utilities 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 DO Hospital Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients who may benefit most from virtual care, such as those living in rural areas, may be at greatest risk of not being able to complete a clinical video visit with their provider. The Super Supporter Technology Navigator Program was designed to support patients to connect more easily and successfully with their providers virtually.

Patients 130

Patients Appointment Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. Population Studied 10 female primary care providers and 1 male providers. The increased inbox burden has particularly impacted primary care physicians.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Health Trends Across Communities (HTAC) is an innovative health data surveillance project that provides public health professionals, healthcare systems, researchers, community organizations, and policy makers with robust and timely summary electronic health record (EHR) information to support health equity and improve health across Minnesota.

Community 130

Community Healthcare Electronics Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Patient Navigator Program (PNP) is a unique medical student-run program providing services for persons experiencing homelessness (PEH) in Dallas, Texas, at United Gospel Mission (UGM) clinics. With homelessness becoming more prevalent, PNP patient navigators aim to help the PEH population maneuver complex healthcare systems.

Medical Student 130

Medical Student Patients Healthcare Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient interviews, providing qualitative information to augment study findings. In-person visits are preferred by patients, however, because of the direct interaction with their providers. Non-parametric statistics including chi-square and Mann-Whitney U to compare cohorts.

Patients 130

Patients Clinic Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilizing new electronic handgrip dynamometer and accelerometer technologies may allow for additional muscle function attributes to be feasibly measured, which in turn, may help elevate prognostic value and specificity for intervention referral. Interclass correlation coefficients were used for the analyses.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

The DASH is now housed on SharePoint and is utilized weekly to document project progress and share opportunities of funding or professional development. Results: Survey participants reported they agree or highly agree that the DASH provides infrastructure, is an essential tool and should be used in future meetings.

Medical Student 130

Medical Student Utilities Community Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

The impact of long-standing inadequate access to basic healthcare coupled with generational trauma has contributed to community distrust of western medicine. AI/AN patients utilize primary care resources at a lower rate than their non-AI/AN counterparts. Results: All hypotheses were supported.

Primary Care 130

Primary Care Utilities Community Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Mixed-methods study utilizing an in-person survey. Surveys were conducted in the exam room immediately before or after an appointment with a provider. At the same time, only 48% of patients said they feel positively about healthcare providers asking about their spiritual health.

Primary Care 130

Primary Care Physicals Appointment Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design Guided by the ecological model, we partnered with healthcare providers, city revitalization initiatives, the local arts community, and community stakeholders to shape the messaging content for the campaign. Conclusions The PORTRAIT dissemination project utilized a community-engaged mural to raise awareness about PAD.

Community 130

Community Patient-Centered Utilities Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

This scoping review aims to systematically map non-pharmacological interventions for managing comorbid hypertension and depression, providing insights into current practices and guiding future research. Background: Hypertension and depression frequently co-occur, complicating patient management and worsening outcomes.

Hypertension 130

Hypertension Management Individual Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This qualitative research explored how family physicians understand what professionalism means, how it is enacted in their day-to-day practice, and to identify challenges to professionalism. Analysis: All interviews were transcribed verbatim and analyzed utilizing NVivo software following an inductive content analysis approach.

Family Physician 130

Family Physician Family Families Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: We utilized a scoping review approach, which is a non-exhaustive selection of literature pertaining to and examining a specific topic. We aim to explore avenues of advocacy for de-stigmatized communication strategies to enhance public understanding of addiction and promote engagement in treatment.

Primary Care 130

Primary Care Individual Utilities IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Data for this investigation were sourced from a community-based approach, utilizing information from CHS, which integrates data from community sources and hospitals. Conclusions: It is imperative to provide specialized care for immigrant populations to enhance the management of chronic diseases and mitigate further morbidity risks.

Complication 130

Complication Diabetes Individual Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Qualitative and quantitative data pertaining to provider self-efficacy, satisfaction, knowledge, and practice change have been rigorously collected since its inception. Clinicians from rural and Northern Ontario particularly benefited as access to specialists in their areas was sparse to none.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

These include minimizing resource utilization and decreasing the risk of complications associated with IV antibiotics such as diarrhea. More research is needed to guide emergency physicians and other primary care providers in the management of this disease.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis This study utilized data from NHANES 2011-2019 to calculate two ASCVD risk scores for each eligible individual: one using the race-based PCE and the other using the race-agnostic PREVENT equation. Each individual was separated into clinically significant risk categories of <7.5%, 7.5-10%, 10%, and >10%.

Individual 130

Individual Utilities Clinic Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, only 43% of doctors of osteopathic medicine (DOs) nationwide offer osteopathic manipulative treatments (OMT), with half of them providing OMT to ≤5% of their patients. Objective: This study investigates provider attitudes toward OMT and identifies barriers to referrals to address the unmet patient demand.

Doctor of Osteopathic Medicine 130

Doctor of Osteopathic Medicine Provider Management Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Healthcare utilization outcomes included the number of core primary care visits, continuity of care to own group, and emergency department visits.

Family Physician 130

Family Physician Primary Care Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Healthcare providers often struggle to treat patients with chronic pain. One potential solution is to facilitate patient access to programs that develop skills and confidence in managing their own care.

Management 130

Management Utilities Referral Individual 130