Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To enhance interprofessional collaboration among primary care teams within family physician groups (FMGs) and to optimize care resources along clear and simple care trajectories. Setting: One multidisciplinary primary care team in the province of Quebec, Canada.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. Objective: The objective of this study was to make explicit how occupational therapists provide self-management support to people living with chronic pain to highlight their specific contribution to primary care teams.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Community Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe codesign methods to implement actionable strategies for breast cancer survivorship follow-up care. The resulting intervention was a care quality improvement project that engaged practice champions (n=18) from 6 primary care practices in bi-weekly virtual facilitation and monthly learning collaboratives over 3 months.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The University of Colorado School of Medicine (CUSOM) launched their eConsult program in 2018. Objective: To determine how primary care providers (PCP) utilize the eConsult platform. Study Design and Analysis: This retrospective analysis of program data spans from 2018 through 2023.

Utilities 130

Utilities Primary Care Provider PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Access to primary care in Canada is a pressing concern, with over one in five individuals lacking a regular primary care provider. To address this issue, healthcare partners have advocated for system transformation to enhance access and achieve the quintuple aim.

Primary Care 130

Primary Care Education Patients Healthcare Professional 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: Primary care practices experienced varying levels of success adapting care delivery and office functioning during the pandemic. primary care clinicians. primary care clinicians. rurality, size, ownership, payment model) and were then asked how these affected care delivery.

Primary Care 130

Primary Care Clinic Healthcare Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Wellstar MCG Health is a 520-bed tertiary hospital with a Family Medicine inpatient service and an attached Family Medicine resident continuity clinic. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

MAY 27, 2025

For the past 30 years, the Agency for Healthcare Research and Quality (AHRQ) has continuously supported primary care research, funding the first ECHO grant, pioneering patient-centered medical home models, and supporting primary care practice-based research networks.

Primary Care 211

Primary Care Specialization Patient-Centered Healthcare 211

Annals of Family Medicine

NOVEMBER 20, 2024

In Ontario, Canada, more people access PC than any other type of healthcare. If health systems strive to improve patient experience, and PC visits comprise most of the health care delivered in those systems, then the research informing this sector should be oriented to the needs of PC patients.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensive primary care is the foundation of an effective healthcare system but has been on the decline as more family physicians pursue careers in focused practice. From 1993 to 2022, the proportion of comprehensive primary care physicians decreased from 71.1% in 2009/2010 and ending at 20.4%

Family Physician 130

Family Physician Primary Care Physician Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices were randomized to an interprofessional team-based training arm or an individual clinician-focused training. Primary care professionals were trained in the two Serious Illness Care Program approaches.

Healthcare Professional 130

Healthcare Professional Illness Primary Care Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

SDM involves a collaborative process between patients and providers to make informed healthcare choices. Objective: With support from the NIH, we are currently deploying Coach McLungsSM across 21 primary care practices within Atrium Health’s Greater Charlotte Region. Intervention/Instrument: Survey.

Asthma 130

Asthma Patients Primary Care Chronic Disease 130

Noreta Family Medicine

FEBRUARY 12, 2025

An Escape Fire for Healthcare I recently watched a film, called “ Escape Fire: The Fight to Rescue American Healthcare, ” a 2012 documentary about how the priorities in the US healthcare system are focused on increasing revenue, instead of on goals that improve health, like preventive care. minutes long.

Healthcare 52

Healthcare Primary Care Family Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: News and scholarly reports have highlighted that primary care professionals, including physicians, nurses, social workers, and administrators, are leaving comprehensive family medicine practice because of COVID-19 circumstances that may have fostered moral distress.

Primary Care 130

Primary Care Healthcare Professional Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Effective communication with patients with limited English proficiency (LEP) is a significant challenge in healthcare, often leading to poorer health outcomes and patient dissatisfaction. Study Design A cross-sectional survey was conducted using REDCap to collect quantitative and qualitative data from healthcare providers.

Provider 130

Provider Patients Patient-Centered Healthcare 130

Noreta Family Medicine

MARCH 20, 2024

What is primary care? Part 1 How do I choose a primary care physician? Here are some questions to consider along with a few tips for finding a primary care doctor: 1) How easy is it to get in touch with your doctor and their office? 3) What services does the primary care doctor offer?

Primary Care 52

Primary Care Primary Care Doctor Primary Care Physician Family Physician 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Ensuring these tools serve such patients effectively is crucial for healthcare equity. Objective: This study investigates healthcare providers' experiences and confidence in using patient portals to communicate with patients with visual or hearing impairments. Intervention/Instrument: Data was collected via a structured REDCap survey.

Provider 130

Provider Patients Healthcare Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

One proposed reason is the lack of knowledge about PGx among clinicians slowing down the potential for clinical implementation, showing the main barrier to implementation is lack of healthcare professionals’ education. Objective The aim of this study was to explore the role of PGx in primary care (i.e.

Primary Care 130

Primary Care Education Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Leading the OECD PaRIS Project in Saskatchewan (SK) was an integrated primary care collaborative team consisting of primary care providers (PCPs), people with lived experience (PWLE) aka patients, health system partners and researchers. Setting: Primary care clinics across Saskatchewan.

Nurse Practitioner 130

Nurse Practitioner Primary Care Relationship PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. A patient-reported experience survey on primary care. Study Design and Analysis. Outcomes measures.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medical Office Assistants (MOAs) are front line workers and the most accessible member of the team for patients seeking primary care. Historically, their contributions to primary care have been unrecognized and undervalued. The COVID-19 pandemic put pressure on existing roles and systems in primary care.

Family Medicine 130

Family Medicine DO Primary Care Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Setting: Seven family medicine practices in one Colorado USA health system.

Primary Care 130

Primary Care Provider Illness Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

The College of Family Physicians of Canada (CFPC) recognizes the critical role of family medicine (FM) research in primary care and healthcare systems. Engaging researchers and leveraging evidence are essential for addressing the challenges faced by FM and family physicians.

Family Physician 130

Family Physician Family Medicine DO Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Healthcare organizations are increasingly focusing on health equity (HE) and social determinants of health (SDOH). Setting or Dataset Participants were employed in 5 urban Colorado hospital-owned family medicine clinics. Population Studied Medical assistants working in primary care.

Primary Care 130

Primary Care Medical Management Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Shortages of primary care (PC) physicians threaten access, quality, and equity in US healthcare. Others (32%, 1697) left PC to train in IM or Peds subspecialties, emergency medicine, or other fields. Conclusions: Family medicine residency training is the most direct preparation for PC.

Primary Care 130

Primary Care Medical Education Family Medicine 130

BMJ

DECEMBER 16, 2021

Borek (Infections & Acute Care Research Group, University of Oxford) Reference: Wanat, M, Boylan, A-M & Borek, A. Value, challenges and practical considerations when designing, conducting and analysing a longitudinal qualitative study in family medicine | Family Medicine and Community Health (bmj.com).

Family Medicine 40

Family Medicine DO Families Family 40

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.

Primary Care 130

Primary Care Utilities Community Preventative Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Screening Healthcare Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To document and analyze Burmese immigrant and refugees’ beliefs about the intersection of spirituality and health, as well as their attitudes towards giving a spiritual history in a primary care setting. Study Design and Analysis: Mixed-methods study utilizing an in-person survey.

Primary Care 130

Primary Care Physicals Appointment Utilities 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. Questions were structured to capture the delivery and access dimensions outlined in the Levesque conceptual framework for healthcare access.

Primary Care 130

Primary Care Provider Finance Healthcare 130