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An Evaluation of Patient Outcomes Associated with Sludge (Administrative Burdens) in Cancer Screening [Screening, prevention, and health promotion]

Annals of Family Medicine

Impacts of healthcare sludge on patients have not been well-described. Objective: to quantify sludge in the colorectal cancer (CRC) screening process and evaluate the impacts of sludge on delayed or forgone screenings, screening experience, and health system distrust. Results were integrated for interpretation.

Screening 130
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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. 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.

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Cervical Cancer Screening Differences Between Black and White Women: An Examination of HPV and Pap Test Utilization. [Screening, prevention, and health promotion]

Annals of Family Medicine

Context The introduction of the Human Papillomavirus (HPV) test and the 2012 Cervical Cancer Screening (CCS) guidelines expanded the way providers offer and interpret screening for their patients. Chi-square and odds ratios were used to detect racial differences by screening type.

Screening 130
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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Context: In 2012, the United States cervical cancer screening (CCS) guidelines changed to add co-testing (Papanicolaou [Pap] and human papillomavirus [HPV] test) to Pap-only. Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist.

Screening 130
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Validation of the "Proactive" self-assessment tool for older people to identify their own risk of functional decline [Screening, prevention, and health promotion]

Annals of Family Medicine

Therefore, we have developed Proactive, a self-administered screening questionnaire that enables older people to independently monitor their risk of functional decline. Conclusions: The differences between the results of Proactive and the clinical examination highlight its potential for patient-centered risk identification.

Screening 130
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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

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Artificial Intelligence in Health Care

Integrated Care News by CFHA

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Annals of Family Medicine , 23(1), 5–6.