DO Information Primary Care Referral 
Annals of Family Medicine
NOVEMBER 20, 2024
A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes. Setting: Two urban primary care clinics in Minnesota, USA. Study Design and Analysis: Single-arm pilot trial of adults with diabetes.
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.
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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.
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. Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot.
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. Three boutique clinics in Ontario were identified using publicly available information.
Integrated Care News by CFHA
MAY 1, 2025
Within minutes he integrated the latest findings into practical recommendations for the family. Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025).
Annals of Family Medicine
NOVEMBER 20, 2024
Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. referrals, and 6.6 (2.8) However, since 2020, encounters per patient increased, perhaps compensating for care delayed during the pandemic.
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