Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness of care represents an important process measure within the contexts of primary care for core services. These services represent the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs.

Primary Care 130

Primary Care Nurse Practitioner Diabetes Internal Medicine 130

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.

Integrated Care 130

Integrated Care Primary Care Finance Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. Occupational therapists play a central role in supporting patients in the adoption and daily use of pain self-management strategies and in learning how to adapt to their chronic condition to maintain their quality of life.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Interprofessional primary care teams are crucial for providing comprehensive care to patients with complex health needs. For many professions, interprofessional primary care is a new practice setting and understanding the unique collaborative processes within primary care remains limited.

Primary Care 130

Primary Care Education Provider Comprehensive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Research from North America shows that a common reason for high emergency department (ED) use is the inaccessibility of primary care. Individuals who frequently attend the ED comprise up to 10% of patients, while accounting for a third of ED visits. 45.2% (n=575) of the patients arrived by ambulance. IQR: 32.8).

Primary Care 130

Primary Care Patients Consulting Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

The challenges faced stem from the uncertainty and complexity of redefining professional roles and scopes of practice, as well as the skills needed to effectively work together and coordinate patient care as a cohesive team. 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: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit. Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. The survey was anonymous both before and after the rotation.

Education 130

Education Primary Care Physician Primary Care Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Data visualization is useful to contemporary methods designed for clarity and communication of information. Although data visualization is gaining traction in the hypertension, its use in health education and information dissemination is still underutilized. Setting or Dataset two primary health centers.

Hypertension 130

Hypertension Primary Care General Practitioner Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

It is thought that physicians, specifically those in primary care, may be in a unique position to counsel patients on firearm safety. The American Academy of Pediatrics then provided funding for T-shirts to providers who had completed the training as well as gun locks to distribute to patients.

Primary Care 130

Primary Care Provider Patients IT 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

SDM involves a collaborative process between patients and providers to make informed healthcare choices. Despite its proven benefits in enhancing patient outcomes, real-world constraints such as time, training, and staff availability hinder its widespread implementation.

Asthma 130

Asthma Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. Objective Evaluate the implementation of a CHW program and its impact on the control of T2D and HTN outcomes among patients with social vulnerabilities.

Hypertension 130

Hypertension Community Diabetes Primary Care 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

Context Lifestyle Medicine (LM) is an evidence-based approach to prevention and treatment of chronic disease by addressing six pillars: physical activity, nutrition, sleep and stress management (recovery), connection, and substance use. Objective To assess patient perceptions of a primary care-based LM clinic.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Conclusions There was a trend for reduced HCU for patients in the ARC arm, although these results were not statistically significant. in Year 0 and 1.7 (0.7,

Patient-Centered 130

Patient-Centered Utilities ER Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In response to a call initiated by CIHR in 2023, inviting patient, public, and community participation, the Patient Council of the Canadian Primary Care Research Network (CPCRN) responded with a Report on March 25, 2024. Population Studied: CPCRN Patient Council.

Patients 130

Patients Community Primary Care Electronics 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Three reasons why learning Artificial Intelligence in health care may be a responsibility and not an option: 1. Evidence‑informed care was literally at his fingertips.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state.

Primary Care 52

Primary Care Board-Certified Patient-Centered Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care team members involved in high blood pressure management. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Consideration of the care team workflows (i.e., Study design: Deductive qualitative analysis.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Integrated Care News by CFHA

APRIL 16, 2025

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It provides immediate, non-stigmatized behavioral health support at the point of medical care, often in the same visit.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Data analysis included descriptive statistics and qualitative analysis of open-ended responses.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Ten percent of patients using prescription drugs experience adverse drug events (ADE). Objective The aim of this study was to explore the role of PGx in primary care (i.e. family medicine) and the need for education in this area. Recurrent themes were identified.

Primary Care 130

Primary Care Education Family Medicine DO 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

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. We also assessed patterns of social risks and need for assistance among our patient populations. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

MARCH 24, 2025

PURPOSE Although studies have shown that more temporally regular (TR) primary care visits are associated with improved patient outcomes, none have examined what clinic staff can do to encourage greater TR visits. RESULTS Themes emerged regarding best ways to promote regular follow-up of patients with chronic conditions.

Primary Care 130

Primary Care Patients Primary Care Physician Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite various attempts to improve patient-clinician communication, there has been limited head-to-head comparison of these efforts. Objective: to enhance patient-clinician communication, building on a previous pilot that created promising prototypes of interventions.

Primary Care 130

Primary Care Patient-Centered Patients Management 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients with the worst outcomes often lack continuity of primary care and receive care at emergency departments during exacerbations. Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making. to 0.08, p=0.44), 5% to 2% ([95%]CI -0.03

Primary Care 130

Primary Care Asthma Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Primary Care 130

Primary Care Finance Nurse Practitioner Patients 130