Annals of Family Medicine

NOVEMBER 20, 2024

Context: There is a crisis in the primary care workforce in Canada. While approaches have been developed to support primary care health human resource (HHR) planning, most planning is conducted within sector silos and there are few examples that consider a regional approach within an integrated care system. Objectives: 1.Apply

Integrated Care 130

Integrated Care Primary Care Finance Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Rapid adoption of virtual care in early 2020, meant there was little time to develop or plan integrated virtual health care services, resulting in an urgency to establish governance for quality-based virtual care in Canada.

Finance 130

Finance Telemedicine Relationship Government 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Sickle cell disease (SCD) was identified as one of our hospital's most common causes of readmission. We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system.

Finance 130

Finance Medical Patient-Centered Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pay gaps in medicine have been documented along gender, racial, and immigration identities. These pay gaps are well documented outside of Canada, but little empirical work has been done to understand pay gaps in Canada, in family medicine, or using an intersectional lens.

DO 130

DO Family Medicine Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Deaf experience many barriers when accessing health care and services. A growing number of research has been published on the subject, but the Deaf community remains underserved in health care and under-represented in health research.

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Access to primary healthcare services is a core lever for reducing health inequalities. The ability to reach and engage in the care process varies considerably depending on patients’ socio-demographic characteristics which we need to understand to address inequitable access issues.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Community health services constitute the cornerstone of China's primary healthcare system. Since the recent healthcare reforms, significant strides have been made in the development of community health services across the country.

Healthcare 130

Healthcare Management Finance Chronic Disease 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. Objective: We assessed adoption, impact on time spent in orders, and clinician perceptions of a comprehensive set of nested order panels (xOrders) for adult primary care.

Primary Care 130

Primary Care Nurse Practitioner Utilities Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT: The percentage of family physicians (FPs) in Ontario who practice primary care has been decreasing over time as FPs are choosing to focus some or all of their practice in more specialized areas. There is evidence that this move away from comprehensive primary care is occurring among physicians in all stages of their career.

Family Physician 130

Family Physician Family Families Primary Care 130

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

Context Patient advocacy groups engage patients, families, and caregivers in navigating the cancer landscape, focusing on early detection/screening, as well as psychosocial and financial support during treatment. As these groups have grown, they have major influences over their communities, funding, and policy.

Primary Care 130

Primary Care Patients Finance Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context 2-1-1 is a designated phone help line in Canada and the US that provides referrals for individuals to local government and community-based services for a wide variety of needs, including social, health care, and mental health services. 2-1-1 Nova Scotia has operated since 2013 as a nonprofit that offers 24/7 assistance.

Referral 130

Referral Mental Health Finance Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness is a central element of primary care and family medicine but has not been clearly and consistently conceptualized in literature. Population Studied: Sources that address the topic of comprehensive care in the primary care or family medicine setting were included.

Primary Care 130

Primary Care Finance DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Community Integrated Care Finance Family Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Clinician types included family medicine (FM), internal medicine (IM), pediatric medicine (PED), general practice (GP), obstetrics/gynecology (OB), nurse practitioner (NP), and physician assistant (PA). Study Design and Analysis: Retrospective cohort study of patients in 2018-19 Virginia All Payer Claims Database (APCD).

PCP 130

PCP PCP Finance Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM). Setting: US family physicians in continuity outpatient practice. Analysis consisted of descriptive statistics and bivariate and multivariate analyses.

Family Physician 130

Family Physician Family Families Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Government controls the overall financing and regulatory requirements which have two divergent consequences on the sector, constraining overall resources while simultaneously imposing resource intense operational requirements. This invariably results in levels of resource constraints with detrimental consequences for staff and residents.

Finance 130

Finance Management Government Physicals 130

Annals of Family Medicine

NOVEMBER 20, 2024

Further, most family medicine residents remain within 50 miles of their residency graduate location. Previous research identified high-need counties based on consistently low primary care physician capacity.

Primary Care Physician 130

Primary Care Physician Community Finance Primary Care 130

Noreta Family Medicine

MARCH 26, 2025

At Noreta Family Medicine, we offer hour-long appointments, allowing time to build a meaningful doctor-patient relationship and creating a space where patients can openly express their concerns and receive the attention they deserve. “ patients have easy access to their family doctor. patients feel heard and valued.

Primary Care 52

Primary Care Appointment DO Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Telehealth became an essential tool to assist care delivery in the outpatient primary care settings during the COVID-19 pandemic. Previous studies documented that the type of insurance coverage was associated with the likelihood of a patient receiving care through telehealth.

Telehealth 130

Telehealth Primary Care Finance Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Cost is a critical consideration in weight management, but cost conversations can be challenging for clinicians to initiate. Most studies of cost conversations rely only on participant recall methods rather than on recordings of actual conversations, limiting our understanding of how these conversations occur.

Primary Care 130

Primary Care Finance Insurance Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients without a regular primary care provider (a family physician or nurse practitioner) are considered "unattached,". Context: Primary healthcare is the front door to the health system, facilitating access to diagnostic testing and specialist care. In 2019, 14.5% of Canadians (approximately 4.6

Primary Care 130

Primary Care Finance Nurse Practitioner Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuity of care between a patient and their primary care practitioner (PCP) is a cornerstone of primary care (PC) and is associated with many positive health outcomes including decreased utilization of ER services and lower costs for some populations.

PCP 130

PCP PCP ER Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Adults with multiple chronic diseases, mental health comorbidities, and/or social vulnerabilities, may have complex health and social care needs (hereafter "complex needs"). Appropriate care for people with complex needs calls for integrated care programs that include providers from primary care and other health and social services.

Integrated Care 130

Integrated Care Finance Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People living in precarious socio-economic conditions are at greater risk of developing mental and physical health disorders, and of having complex healthcare and social needs (hereafter complex needs). Appropriate care for these people calls for integrated care from the healthcare, social services, and community networks.

Healthcare 130

Healthcare Finance Integrated Care Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The COVID-19 pandemic created many barriers for clinicians to deliver primary care and for parents/caregivers to access primary care for their young children.

Primary Care 130

Primary Care Provider Finance Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Nursing shortage is a major issue for healthcare systems. Primary and emergency care are no exception. Large scale nurse turnover is costly, is associated with both reduced productivity and poorer patient outcomes. Understanding of the reasons for nurse turnover has become a pressing issue.

Healthcare 130

Healthcare Primary Care Finance Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Over the last decade, patient care experience in the emergency department (ED) has been subpar. Relationships and communication with staff, physical comfort, privacy, and accessibility influence the patient experience of ED care.

Finance 130

Finance Patients Relationship Physicals 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. Study Design: A cross-sectional analysis of patients and FPs in Ontario from April 1, 2021, to March 31, 2023.

Family Physician 130

Family Physician Primary Care Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the real-life experiences and impacts of primary care functional features under Shanghai’s family doctor contract service program, analyzing their effects and mechanisms on health outcomes.

Primary Care 130

Primary Care Family Doctor Family Families 130

Minnesota Academy of Family Physicians

MARCH 7, 2025

Committee Hearings: House Health Finance and Policy Updates On February 24, 2025, the Minnesota House Health Finance and Policy Committee heard a series of bills related to ambulance service rates and emergency medical services training—all of which were laid over for possible inclusion in a future omnibus bill.

Mental Health 52

Mental Health Finance Primary Care Insurance 52

Annals of Family Medicine

NOVEMBER 20, 2024

Additionally, five major themes emerged regarding barriers in delivering care: finance, infrastructure, staff shortages, limited community connections, and delayed care. Conclusions. These findings highlight the clinical strategies employed by psychiatrists in Ghana and the significant barriers they face in delivering care.

Clinic 130

Clinic Illness Mental Health Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

clinical consensus, financing mechanisms) and the organization (e.g., Intervention Real-world implementation of DCA and BBM tools with embedded training and technical assistance. Results The CFIR-based implementation evaluation highlighted the importance of alignment between contextual factors at the system level (e.g.,

Primary Care 130

Primary Care Screening Healthcare Finance 130

Minnesota Academy of Family Physicians

MARCH 27, 2025

HOUSE COMMERCE FINANCE AND POLICY COMMITTEE H.F. 2403 ( Representative O’Driscoll ): On Wednesday, March 19, 2025, the House Commerce Finance and Policy Committee heard H.F. The bill was passed by a voice vote and was sent to the Tax Committee. Read a summary of S.F.

Family Physician 52

Family Physician Insurance Finance Individual 52