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. Setting Video call and screen share via Teams.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

Primary Care 130

Primary Care Screening Nurse Practitioner Referral 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

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: 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

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. Participants were more confident in screening and diagnosing, harm reduction, and motivational interviewing.

Primary Care 130

Primary Care Education Individual Screening 130

Family Medicine Initiative

APRIL 29, 2025

In November 2024, two new RCTs were published that investigated whether atrial fibrillation screening using an ECG is effective. A limitation was that only 49% of those invited participated in the screening. UK National Screening Committee (2019): “Screening is not currently recommended for this condition.”

Screening 130

Screening Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. were White, 16.0%

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Outcome Measures: Assessment of tobacco use; Among patients with current tobacco use, provision of advice to quit, referral to tobacco cessation counseling and tobacco cessation medication orders.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

The USPSTF recommends 1-time screening for AAA with ultrasonography in men aged 65 to 75 years who have ever smoked. (B Study Design and Analysis: Retrospective chart search of the electronic medical records of a specific sub-group of patients at UNMC. Conclusion: There is a need for more screening for AAA in primary care.

Internal Medicine 130

Internal Medicine Family Medicine DO Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Therefore, we have developed Proactive, a self-administered screening questionnaire that enables older people to independently monitor their risk of functional decline. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences. Objective: To validate Proactive.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

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

Context: Primary care physicians and practice teams face well-documented challenges increasing colorectal cancer (CRC) screening rates among their patients. Multi-level interventions that address patients, clinicians, clinical care environments and larger systems (hospitals, networks, etc.)

Primary Care 130

Primary Care Screening Primary Care Physician Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

We also assessed patterns of social risks and need for assistance among our patient populations. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. No patients were referred to the SUD Clinic.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care delivery was significantly impacted by COVID-19, with rapid deployment of telehealth after the United States’ national public health emergency (PHE) declaration in March 2020. In the years following the PHE, rates of screening for tobacco use decreased, particularly during telehealth visits.

Primary Care 130

Primary Care Screening Telehealth Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Recognizing that health-related social needs drive health inequities, healthcare settings are increasingly beginning to screen and refer patients for social needs. Yet, many patients who screen positive for social needs decline to be referred to resources or do not have their needs resolved.

Primary Care 130

Primary Care Screening Patients Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Implementing a better public active screening strategy is crucial. Point-of-care capillary HbA1c (POC-cHbA1c) holds promise as a solution, yet randomized trials assessing its effectiveness as a T2DM screening strategy are scarce, and none have been done in HK. It shows promise as an effective T2DM screening strategy.

Primary Care 130

Primary Care Screening Diabetes Consulting 130

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 DO Family Medicine 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

Context Social determinants of health (SDOH) such as access to care and economic stability negatively impact colorectal cancer (CRC) screening rates. Results Among 159,491 adults age 50-75 eligible for CRC screening/surveillance, younger, male, non-white patients were less likely to be up to date on CRC testing.

Screening 130

Screening Primary Care Relationship Transportation 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE This study aimed to assess how agile implementation–driven iterative processes and tailored workflows can facilitate the implementation of a digital cognitive assessment (DCA) tool for patients aged 65 years or older into primary care practices. Screening workflows were tailored to each clinic.

Primary Care 130

Primary Care Screening Referral Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Delivering parental tobacco treatment during pediatric primary care visits may help to reduce the effects of these structural barriers, thereby increasing the likelihood of parental tobacco cessation and reducing children’s tobacco exposure in these populations. Setting: Primary care clinics in the Minneapolis-St.

Primary Care 130

Primary Care Screening Clinic Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset Participants were employed in 5 urban Colorado hospital-owned family medicine clinics. Population Studied Medical assistants working in primary care. Most MAs had experience with HE activities, most commonly attending presentations on health disparities and SDOH, and screening patients for social needs.

Primary Care 130

Primary Care Medical Management Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Expansion of medication for opioid use disorder (MOUD) within primary care practices is often met with resistance. Intervention: A rural-setting family physician scripted informal videos describing her extensive experience with treating patients with OUD using buprenorphine.

Primary Care 130

Primary Care Education Patient-Centered Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives. Contact hours included a mix of in-person visits and phone calls.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Screening for social needs has become increasingly expected in primary care settings, with multiple regulatory bodies and value-based care payors emphasizing the importance of incorporating screening into routine care.

Screening 130

Screening Primary Care Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Maternal depression appears to have negative effects on child development (cognitive, language, emotional) in part because of the impact of depressive symptoms on parenting practices and family life, particularly in early childhood. using items adapted from the Family Map Inventories (measured pre- and post-intervention).

Family Medicine 130

Family Medicine DO Families Family 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

A patient partner from the Deaf community collaborated on each step of this project. Additional searches included searches on Google Scholar, manual searches, citation tracking and reference list screening. 2010) and adapted by Schultz et al. Popay et al.’s

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE We assessed the feasibility and acceptability of implementing a digital cognitive assessment (DCA) for Alzheimer disease and related dementias (ADRD) screening into primary care. We also assessed the prevalence of positive screens and measured diagnostic and care outcomes after a positive DCA result.

Primary Care 130

Primary Care Diagnosis Screening Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Team-based models of care have become an integral part of the primary care system and is increasingly regarded as a key feature in achieving high-quality primary care by providing integrated, comprehensive, and continuous person-centred care.

Primary Care 130

Primary Care Electronics Individual Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Study Design & Analysis We used a screening questionnaire to purposively select interview participants.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Purpose: Disparities in the use of shared decision-making (SDM) affect minoritized patients. This scoping review seeks to identify the barriers and facilitators to SDM among diverse patients to help inform clinicians and improve SDM in primary care. Grounded theory was used as an inductive approach to analyze themes.

Primary Care 130

Primary Care Screening Healthcare Provider 130