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 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

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The integration of Non-Invasive Prenatal Screening (NIPS) as a universal first-tier screening could provide an earlier screening and if needed, diagnostic result compared to standard screening. Population Studied: Pregnant women (≥19 years) undergoing foetal chromosomal anomaly screening (T13, T18, T21).

Screening 130

Screening Physicals Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

This review focuses on the application of AI in age-appropriate cancer screening tests. Study design: We conducted a scoping review of various AI tools aimed at enhancing screening rates and cancer detection. Results: Our review identified limited research (1 study) on using AI to directly improve screening rates.

Screening 130

Screening Education Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With the goal of advancing health equity, the US healthcare sector has expanded activities to identify and intervene in patients’ experiences of social adversity, sometimes referred to as "social care". Yet, no measure of patients’ experiences with social care has been developed to date.

Patients 130

Patients Screening Relationship Healthcare 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. Among 12,506 screened average-risk individuals, the mean age was 39.0 As new screening modalities emerge (e.g., were White, 16.0% vs 69.3%, p <0.001).

Screening 130

Screening Insurance Patient-Centered Primary Care 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. Documented ICD-10 of food insecurity positive screenings 4.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Setting or Dataset: Clinics: AF Williams Family Medicine, Lowry Internal Medicine; EPIC data; legal records. Intervention/Instrument: Legal-needs screening tool.

Medical 130

Medical Referral Screening Internal Medicine 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

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening.

Primary Care 130

Primary Care Referral Routine Screenings 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

Context Patient advocacy groups engage patients, families, and caregivers in navigating the cancer landscape, focusing on early detection/screening, as well as psychosocial and financial support during treatment. Population Studied Diverse leaders of cancer-focused patient advocacy groups.

Primary Care 130

Primary Care Patients Finance Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Improved interpretation and management of syphilis screening results after intervention Results: Survey questions assessing knowledge had variable performance with net poor discrimination after the educational intervention. Confidence in all measures improved post-intervention but were not statistically significant. respectively).

DO 130

DO Family Medicine Screening Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Although occupational therapists contribute to the overall improvement of primary care services, their presence in family medicine groups is still limited, mainly due to a lack of knowledge about their role in this practice context.

Primary Care 130

Primary Care DO Family Medicine Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

POPULATION STUDIED: Diverse stakeholders (PC clinicians, survivorship experts, policy leaders, oncologists, and patient advocates) were interviewed (n=45). SETTING: A purposive sample of national stakeholders participated in the expert panel and interviews. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Assess how a lecture on HT during a 4-week family medicine (FM) clerkship impacts medical student knowledge, skills, and attitudes regarding HT. Outcome Measures Trends in knowledge of HT, perceived confidence in caring for patients impacted by HT, and attitudes towards the training over time. Of these students, 97.5%

Medical Student 130

Medical Student Education Medical Referral 130

Family Medicine Initiative

MAY 7, 2025

It’s the number of patients you need to treat to prevent one bad outcome. Baseline risk: NNT depends on the average baseline risk of study participants, which can differ in real life patients. Similar Concepts: Number Needed to Harm ( NNH ) and Number Needed to Screen ( NNS ) are the equivalents for adverse effects and screenings.

GP 130

GP Family Medicine Screening DO 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. Intervention/Instrument: Legal-needs screening tool. Setting or Dataset: Medicaid Claims, Epic electronic health record.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Prenatal care can be difficult for patients to accomplish, with frequent visits and time-sensitive health screenings. Patient interviews, providing qualitative information to augment study findings. Semi-structured interviews of post-partum patients. Intervention/Instrument: Optional virtual prenatal visits.

Patients 130

Patients Clinic Utilities Provider 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. Conclusions: The differences between the results of Proactive and the clinical examination highlight its potential for patient-centered risk identification.

Screening 130

Screening Primary Care Clinic Patient-Centered 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. Setting Video call and screen share via Teams. Conclusion Clinicians generally lack the time to prioritize patient messages.

Primary Care 130

Primary Care Management Primary Care Physician Patients 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

Family Medicine Austin

MAY 23, 2025

At Family Medicine Austin, we believe that true wellness encompasses both physical and mental health. By integrating mental health services and STD screenings, we offer a holistic approach that addresses all aspects of our patients’ well-being.

STD Screening 130

STD Screening Mental Health Screening DO 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

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

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. A score ≥2 constitutes a positive screen for possible substance misuse.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Concierge Choice Physicians

NOVEMBER 13, 2024

Margaret Greenough, a family medicine specialist in San Luis Obispo, CA, has opened a new medical practice offering patients the Concierge Choice FullFlex™ program. Dr. Greenough is part of a growing movement of physicians offering CCP’s FullFlex model of concierge medicine.

Family Medicine Specialist 130

Family Medicine Specialist Medical Family Medicine DO 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.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD.

Primary Care 130

Primary Care Education Individual Screening 130

Imperial Center Family Medicine

APRIL 14, 2025

But skipping cholesterol screenings in your 20s and 30s could eventually put you at risk for serious health problems. Here’s why younger adults should prioritize cholesterol screenings. Know Your Baseline Your first cholesterol screening in your 20s or 30s provides a baseline for future test results.

Screening 52

Screening Family Medicine DO Families 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: to investigate the effect of vitamin D supplementation on patients with LBP. Roland Morris Disability Questionnaire, Patient-Specific Functional Scale), or subjective measure of improvement in people with LBP following vitamin D supplementation Results: 2383 articles were screened by two reviewers after removing the duplicates.

Patients 130

Patients Electronics Screening Clinic 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 Family Families 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

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

Patients: Black and White men ≤75 years with newly diagnosed LPC, 2014 to 2017. Results: Of the 1688 eligible patients recruited at baseline, 1057 were followed-up at 2-year after diagnosis; 913 had complete data on all variables used in this analysis. Design: Longitudinal cohort study. years at baseline (SD=6.7,

Diagnosis 130

Diagnosis Screening Diagnose Education 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. Population Studied The study collected data from family physicians, nurse practitioners, and adult patients of the clinic.

Primary Care 130

Primary Care Screening Provider Clinic 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