Annals of Family Medicine

NOVEMBER 20, 2024

Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment.

Primary Care 130

Primary Care Family Medicine DO Mental Health 130

The Health Policy Exchange

SEPTEMBER 2, 2020

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.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 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. 1072 patients with COPD were identified within the merged dataset, 50% of whom visited the ED within two years. Risk factors (i.e.,

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Respiratory infections are a prevalent health issue that concerns patients and stresses healthcare resources. To improve preventive first line healthcare, we need to understand the uptake and perspective of patients on vaccines. Vaccines can prevent several respiratory infections, but the uptake is variable.

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Population Studied 10 female primary care providers and 1 male providers.

Primary Care 130

Primary Care Management Primary Care Physician Patients 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. Existing research primarily focuses on health professionals, with minimal engagement of patient partners.

Primary Care 130

Primary Care Education Patients Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Post-Covid-19 Condition (PCC), or "long-Covid," is symptomatically complex and impacts several aspects of patient’s livelihoods. Objective: This study describes the symptoms and impacts of long-Covid and discusses the role of primary care in addressing the impacts of long-Covid.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Optimizing continuity of care improves care quality, outcomes, and costs. Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Female patients had lower rates of NS, but higher rates of SDC. for CA, 0.85

Appointment 130

Appointment Primary Care DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Clinicians and patients identify primary care settings as ideal for addressing weight management. Setting or Dataset: Interview transcriptions from 80+ interviews conducted with staff or clinicians from 30 primary care practices. Intervention/Instrument: Semi-structured interview guide.

Primary Care 130

Primary Care Management Patients Medical 130

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: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. A total of 269,411 patients were used for model training.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Interprofessional team-based care can expand access to primary care, however, the relationship between interprofessional teams and their impact on primary care capacity is not well-understood. Study Design Rapid scoping review. Studies that were qualitative, published before 2000, or non-English were excluded.

Primary Care 130

Primary Care Finance Nurse Practitioner Family Doctor 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: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care. Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Social data that is collected in a standardized fashion can be used to improve individual patient care by uncovering and then addressing social needs, to stimulate the development of new integrated health and social programs, and be used to identify inequities across an organization. 48%), indicating moderate penetration.

Primary Care 130

Primary Care Clinic Provider Patients 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: 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

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

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: 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

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

Context: In Canada, most diabetes care is provided within primary care. Primary care experienced challenges during the COVID-19 pandemic, such as reduced access to care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes.

Primary Care 130

Primary Care Diabetes Finance Electronics 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: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. However, uncertainties remain regarding the performance of these models compared to standard care, their generalizability and applicability in primary care settings.

Primary Care 130

Primary Care Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. Research training is rate-limiting. Funding opportunities for pre-/post-doctoral training exist in the US, including T32 programs.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 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 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 DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This study examined guideline adherence for chlamydia and gonorrhea treatment in primary care settings. The electronic health records are stored in the American Family Cohort, the largest national United States primary care database. Study Design and Analysis: A retrospective cohort from 2018-2022.

Primary Care 130

Primary Care Family Families Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Unfortunately, most individuals suffering from OUD do not have access to necessary care. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Conclusions: Implementing ECHO OUD team-based sessions could support the improved management of patients with OUD.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context In walk-in clinics, physicians have limited time with patients. A consultation preparation sheet (CPS) was developed to help patients better characterize their reason for consulting. Reasons for consultation on the CPS were classified according to the International Classification of Primary Care (ICPC-3) codes and chapters.

Consulting 130

Consulting Patients Clinic DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Management 130

Management Primary Care Telehealth Hypertension 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: A severe asthma registry in primary care is needed to determine the population prevalence and best practices in the real world. Setting or Dataset: The University of Toronto Practice-based and Learning Research Network (UPLEARN) in Ontario, Canada, comprises ~400 primary care physicians contributing data on ~400,000 patients.

Asthma 130

Asthma Primary Care Primary Care Physician Family Physician 130