Annals of Family Medicine

NOVEMBER 20, 2024

Context Social Prescribing (SP) is an approach to help individuals address their health and social needs wherein a healthcare practitioner refers patients to non-clinal services in the community. Models of SP vary, and the experience of patients across these models is less known.

Patients 130

Patients Community Patient-Centered 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: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. A total of 122,397 patients and 999 family physicians, 107 nurse practitioners and 411 administrative staff nested into 104 clinics answered the survey.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking. Patients described two areas of experiences.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Clinics: AF Williams Family Medicine, Lowry Internal Medicine. Population Studied: Attributed patients of participating clinics; clinic staff; Colorado state agency staff. Setting or Dataset: Medicaid Claims, Epic electronic health record. Intervention/Instrument: Legal-needs screening tool.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 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. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 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. 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.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 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

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: 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

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. Among the completed encounters, the average days from referral to encounter was 27.2.

Referral 130

Referral Chronic Condition Medical Chronic Disease 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. This tabletop flip menu is available in each exam room and to all administrative staff at the clinic.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

The American Academy of Pediatrics recommends universal screening; however studies have found inconsistencies in screening of FI, documentation of FI, and referral to appropriate resources. Comparison of FI for paired patients in 2022 and 2023. Enrollment and referrals in food assistance programs.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Formative research included depth interviews with primary care/oncology clinicians, patient advocates, and policy influencers (n=40), and two Delphi panels (1-national survivorship experts; 1-local primary care clinicians) to identify/prioritize strategies for breast cancer survivorship care.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

reduction in the prescription of opioids (OR 0.57, 95% CI 0.38–0.95) without compromising patient outcomes. Context: The SHaPED trial implemented a model of care for low back pain in emergency departments and resulted in a 12.3% non-steroidal anti-inflammatory drugs-NSAIDs).

Management 130

Management Referral Education Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

physicians built by referrals from the research teams’ professional networks. Five major themes emerged: 1) appreciation of culture, 2) personal tax, and experiences with 3) the health system, 4) learners, and 5) patients. Black (100%) and Latino (83%) physicians reported microaggressions from patients.

Healthcare 130

Healthcare Referral Education Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Objectives: To implement SUD screening in patients aged 12-17 seen for all visit types (well and sick visits) and to quantify the rate of substance misuse.

Primary Care 130

Primary Care Screening Referral Wellness Visit 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. family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area.

Primary Care 130

Primary Care Diabetes Management Provider 130

Hitchcock Family Medicine

AUGUST 26, 2024

Here are some essential tips to guide you in locating the best family physician for your needs. Tip 1: Do Research and Obtain Referrals Start your search by asking friends, family, and colleagues for recommendations. If you're in Hixson, TN, and in the market for a new family doctor or primary care physician look no further.

Family Doctor 52

Family Doctor Family Families Board-Certified 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness is a central element of primary care and family medicine but has not been clearly and consistently conceptualized in literature. Population Studied: Sources that address the topic of comprehensive care in the primary care or family medicine setting were included.

Primary Care 130

Primary Care Finance DO Family Medicine 130

Noreta Family Medicine

MARCH 26, 2025

I’ve written blogs that discuss my perspective on why Direct Primary Care (DPC) is helpful to both patients and physicians in Columbia, SC (and beyond!). patients feel heard and valued. patients feel supported, both in our office and between visits. patients feel supported, both in our office and between visits.

Primary Care 52

Primary Care Appointment Family Medicine DO 52

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. Outcome measures: Average number of prescriptions, referrals, and laboratory tests per encounters among primary care providers in Nova Scotia from 2007 to 2022.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective(s): This research explores patient navigation between primary care and specialty care to facilitate treatment completion in a health care system. Intervention: Patient navigation program to specialist treatment from primary care with additional referral to behavioral health services. Among new patients, 58.9%

Behavioral Health Services 130

Behavioral Health Services Primary Care Patients Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, only 43% of doctors of osteopathic medicine (DOs) nationwide offer osteopathic manipulative treatments (OMT), with half of them providing OMT to ≤5% of their patients. Objective: This study investigates provider attitudes toward OMT and identifies barriers to referrals to address the unmet patient demand.

Doctor of Osteopathic Medicine 130

Doctor of Osteopathic Medicine Provider Management Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Multisector coordination is critical for effective screening and referral initiatives. Objective: To assess the function and impact of a new role, a Health Equity Coordinator, on the reach of the social needs screening and referral program. 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: 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

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Patient coinvestigators and clinicians were involved in all research steps. Context Few affected by hereditary cancer syndromes know their cancer risk. Sixty of 630 participants invited completed interviews.

Screening 130

Screening Patients Referral Family 130

Hitchcock Family Medicine

DECEMBER 26, 2023

If it's determined that you need more specialized treatment, a referral can be made to a cardiologist. If a patient has severe respiratory issues or disease, they will likely need a referral to a lung specialist. If you are looking for a primary care doctor in your area, please contact Hitchcock Family Medicine today.

Internal Medicine 52

Internal Medicine Primary Care Doctor Primary Care Referral 52

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Participants spontaneously raised the issue of administrative burden, describing it as both the volume of paperwork and "never ending" inbox management decreasing time for direct patient care. physician assistants, nurse practitioners) to help "de-clutter the inbox" and manage referrals.

Primary Care 130

Primary Care Nurse Practitioner Family Physician Referral 130

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. The Minnesota Academy of Family Physicians (MAFP) adopted a resolution (policy guidance) in 2024 related to addressing food insecurity in Minnesota.

Family Physician 52

Family Physician Community Family Families 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Healthcare providers often struggle to treat patients with chronic pain. One potential solution is to facilitate patient access to programs that develop skills and confidence in managing their own care. Dataset: We used data routinely collected through the CPSMP between December 2017 and May 2023.

Management 130

Management Utilities Referral Individual 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

Objectives: We explored how to design a system to provide near real-time feedback on context and impacts to inform health system innovations; and how to operationalize data collection across diverse patient populations and providers. Setting: Alberta, Canada from May 2022 to October 2023.

Referral 130

Referral Healthcare Provider Utilities 130

Joy in Family Medicine Coaching

FEBRUARY 7, 2025

TLDR at bottom* The Challenge of Emotions in Medicine As physicians, we encounter a LOT of interesting situations and can experience a LOT of emotions. We often distance ourselves from emotions to stay focused in emergencies or maintain professionalism with patients or in power differential situations in training.

IT 130

IT Patient-Centered Physicals Medical Student 130

Annals of Family Medicine

NOVEMBER 20, 2024

Insight in patient characteristics in both settings might invite to reflect upon referral strategies of general practitioners (GPs) and interpretation of study results from hospital care. Setting: One RCT was performed in PC and the other RCT was performed in a hospital setting including secondary and tertiary care patients.

Primary Care 130

Primary Care General Practitioner GP Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: PCPs’ questions were directly related to the patient’s dementia in 30% of community cases (n=29), compared to 15% in LTC (n=8). days, and often considered the patient’s dementia in their responses (community: 46% [n=45], LTC: 38% [n=20]). Specialists responded to all cases in a median of less than 1.2

Primary Care 130

Primary Care Consulting Community PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support. Objective: This study sought to analyze changes in the U.S. for t-tests or Chi-square tests as appropriate).

Primary Care 130

Primary Care Community Telehealth Referral 130