Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and analysis: Phase 1) Primary care providers completed a skin lesion identification test before and after brief dermoscopy training, and Phase 2) Diagnostic accuracy and biopsy and referral practices for the year prior to the course and the year following the course were compared.

Primary Care 130

Primary Care Provider Nurse Practitioner Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

Community 130

Community Diabetes Referral Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: The Navigator, a diabetes-trained medical scribe, contacted patients by phone to inform them about the Stanford Diabetes Care Program (SDCP) and engaged them in shared decision-making for necessary referrals. Results: We identified 176 patients with recent hemoglobin A1c ≥8%.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Secondary data on social needs screening and referral generated through Epic. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening. Study Design and Analysis: Descriptive analysis of secondary data.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Significant differences were seen in patient demographics, fees, and referral patterns amongst boutique clinic practices compared to Toronto Central LHIN and Ontario physicians. There was a higher rate of referrals to dermatology, surgery, and family practice from boutique clinics.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

The first section lists one health condition per page and explains how and when each health professional can be involved, and the referral process. 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

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. Referral to counseling (7.5% The difference was the largest for no SDOH risk (61%) vs. SDOH risk 3+ (51%), OR, 95% CI (1.5,

Primary Care 130

Primary Care Referral Electronics Individual 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

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. Enrollment and referrals in food assistance programs. 73% of FI families had a FI ICD-10 code documented (Table 1).

Primary Care 130

Primary Care Screening Referral Utilities 130

Integrated Care News by CFHA

MAY 1, 2025

When used intentionally, AI can help us: draft progress notes or referral letters, suggest evidence‑based interventions or psycho‑educational handouts, and organize task lists, reminders and teaching materials so we can focus on patients and learners. Annals of Family Medicine , 23(1), 5–6. References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

The TBSD incited action in the majority of encounters (64%), with clinicians modifying treatment regimens, placing referrals, scheduling appointments, and documenting in the chart. Clinicians would use the TBSD during the patient’s next visit (72%) and would recommend it to colleagues (84%).

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Champions proposed methods to improve efficiency of documentation using novel techniques and templates, shared resources/referrals, and requested patient-facing materials. Other suggestions included clinical documentation guidance to align with broader health system goals (e.g., prevention metrics and revenue generation).

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: The SHaPED trial used a multifaceted clinician-targeted 4-week intervention to encourage guideline-adherent care that included educational seminars and materials, provision of non-opioid pain management strategies, education on referral to outpatient services and audit and feedback.

Management 130

Management Referral Education Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Organizational factors including estimation of demand and supply, use of a referral algorithm, and strategies to optimize consultations were associated with a better experience of care. Patients from medium size clinics compared to small clinics had better experience of care for both outcomes.

Nurse Practitioner 130

Nurse Practitioner Clinic Family Physician Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design, setting, population Qualitative study using semi-structured interviews with 32/326 Ontarians participating in the ARC-211 randomized control trial (2019-2020).

Patients 130

Patients Community Patient-Centered Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

physicians built by referrals from the research teams’ professional networks. Objective: Direct qualitative comparison of race perceptions between physicians of different races and ethnicity. Setting & Participants: A convenience sample of U.S. Methods: Participants completed semi-structured, virtual interviews.

Healthcare 130

Healthcare Referral Education Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long-COVID in an academic medical center referral clinic. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Canadian Family Physician

APRIL 14, 2025

Participants Participant data registered in a Dutch practice-based primary care research network (Family Medicine Network [FaMe-Net]). For persistent symptom diagnoses, GPs indicated more therapeutic interventions (n=217, 40.1%) compared to diagnostic interventions (n=175, 32.3%) or referrals (n=149, 27.6%).

General Practice 52

General Practice Diagnose Management GP 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Three PC practices that routinely serve adolescents were selected: 2 urban practices (1 Family Medicine [FM] and 1 Pediatric [PED]) and 1 rural combined FM/PED practice. For patients screened positive, chart reviews were conducted and the number of referrals to SUD Clinic was tracked. Design: Convenience survey design.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilizing new electronic handgrip dynamometer and accelerometer technologies may allow for additional muscle function attributes to be feasibly measured, which in turn, may help elevate prognostic value and specificity for intervention referral.

Electronics 130

Electronics Primary Care Utilities Referral 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 Families Family 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

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service). Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Noreta Family Medicine

MARCH 26, 2025

At Noreta Family Medicine, we offer hour-long appointments, allowing time to build a meaningful doctor-patient relationship and creating a space where patients can openly express their concerns and receive the attention they deserve. “ patients have easy access to their family doctor. patients feel heard and valued.

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

family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest. Interviews were transcribed and a deductive-dominant approach to thematic analysis was employed in line with a priori process evaluation constructs. Setting: Ambulatory clinics (e.g.,

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

At Mayo Clinic and Mayo Clinic Health Systems (MCHS), merely 28% of DO providers perform OMT, leading to long wait times of over three months for new patients seeking OMT referrals. 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

Hitchcock Family Medicine

DECEMBER 26, 2023

If it's determined that you need more specialized treatment, a referral can be made to a cardiologist. Conditions such as asthma can also be treated through internal medicine. If a patient has severe respiratory issues or disease, they will likely need a referral to a lung specialist.

Internal Medicine 52

Internal Medicine Primary Care Doctor Primary Care Referral 52

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.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To compare practice characteristics collected at baseline between those choosing a practice-led, self-paced CGM implementation plan or a referral to a virtual implementation service. Referral to the virtual service allowed access to a DCES and multidisciplinary team for practices without them.

Primary Care 130

Primary Care Diabetes Referral Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Restrictions and subsequent adaptions to routine care may have affected a variety of outcomes for young children including growth and development, referral rates and wait times, and the identification and management of developmental delays. Context: Data on the impacts of COVID-19 on preventative primary care are still emerging.

Primary Care 130

Primary Care Referral Relationship Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

physician assistants, nurse practitioners) to help "de-clutter the inbox" and manage referrals. The need for dedicated funding for an integrated EMR in the province and establishment of a centralized referral system were also proposed system solutions. burnout) and reduced time for direct patient care.

Primary Care 130

Primary Care Nurse Practitioner Family Physician Referral 130

Annals of Family Medicine

MAY 27, 2025

The brain health navigator received 447 referrals for further assessment of a positive or borderline screening result. We selected the Linus Health Core Cognitive Evaluation tool as our DCA tool based on stakeholder evaluations. Screening workflows were tailored to each clinic.

Primary Care 130

Primary Care Screening Referral Clinic 130

Vida Family Medicine

OCTOBER 19, 2021

At Vida Family Medicine, we offer postpartum and lactation support in many ways. How can we help?

Consulting 52

Consulting Board-Certified Family Physician Referral 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Here are some ways family physicians can collaborate with health care systems and community organizations to tackle food insecurity within Minnesota: Expand Food Insecurity Screenings: Train staff to use tools like Hunger Vital Signs and integrate food insecurity screenings into routine care.

Family Physician 52

Family Physician Community Families Family 52