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Patient Journey Mapping: How Attached and Unattached Community Members Access Primary Care [Health care services, delivery, and financing]

Annals of Family Medicine

Context: This study aims to understand the current primary care access experience of both attached and unattached community members, using the established qualitative technique of journey mapping. Conclusions: Primary care service transformation and co-design require community participation and feedback.

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. A total of 122,397 patients and 999 family physicians, 107 nurse practitioners and 411 administrative staff nested into 104 clinics answered the survey.

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Innovations in providing and accessing preventative primary care for young children during COVID-19 [Health care services, delivery, and financing]

Annals of Family Medicine

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. Outcome Measures: Innovative primary care programs and services for children < 6 years old during the COVID-19 pandemic.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. Objectives Describe perspectives of clinicians and implementation leads on the role of primary care in ADRD early detection.

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Practice organization characteristics are more impactful than intentions in practice scope of early-career family physicians [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Family physician (FP) scope of practice (SOP) has declined, with fewer physicians providing basic primary care services and fewer bridging the clinic-hospital divide. Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM).

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" Healthcare organizations administrative policies are just too rigid. ": why nurses leave primary and emergency care [Health care services, delivery, and financing]

Annals of Family Medicine

N=35 nurses were interviewed; n=6 primary care, n=7 emergency care and n=22 from other areas. The individual, interpersonal, occupational, organizational and national considerations underpinning their decision to quit were analysed. Nurses leaving the primary and emergency care are experienced. Instrument.

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Nurturing collaboration between non-profit organizations and primary healthcare partners: An instrumental case study [Health care services, delivery, and financing]

Annals of Family Medicine

Objectives: To identify challenges and facilitators to collaborations between a NPO and primary healthcare partners. Setting: A NPO and its partners in the healthcare (primary care clinics), social services, and community networks in a rural context. Study design: An instrumental case study design.