Annals of Family Medicine

NOVEMBER 20, 2024

Context: Large-scale electronic health record (EHR) programs have reported a number of issues to their implementation in primary care including physician patient-centredness and clinical performance. Setting: An academic primary care clinic based in a hospital. Sessions were virtual and recorded over Zoom.

Electronics 130

Electronics Education Patients Primary Care 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. Study Design A behavioral health curriculum was designed for second year residents. Notable, 92.9%

Education 130

Education Primary Care Physician Primary Care Family Medicine 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: 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 Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. Population Studied Upper Midwest based providers interested in providing gender affirming and primary care for transgender adults located in rural areas.

Education 130

Education Primary Care Provider Community 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: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Although data visualization is gaining traction in the hypertension, its use in health education and information dissemination is still underutilized. Objective This study aims to investigate the impact of data visualization using China-PAR on managing hypertension among primary care patients.

Hypertension 130

Hypertension Primary Care General Practitioner Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Integrated Behavioral Health (IBH) is a model in which medical and behavioral health providers work together to provide whole person care, usually in primary care settings. Training should also be offered as continuing education for practicing physicians and part of on-boarding. All were social workers.

Primary Care 130

Primary Care Provider Consulting Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Setting/Dataset Forty-two primary care practices across the U.S. 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 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

Study Design: Survey of medication review activities after primary care visits. Setting: One private primary care clinic and two clinics of a safety net hospital system that serves inner-city populations with significant socio-economic challenges. The patients had similar levels of education (less than high school 30.2

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Ten percent of patients using prescription drugs experience adverse drug events (ADE). One proposed reason is the lack of knowledge about PGx among clinicians slowing down the potential for clinical implementation, showing the main barrier to implementation is lack of healthcare professionals’ education.

Primary Care 130

Primary Care Education Family Medicine DO 130

A Country Doctor Writes

JUNE 9, 2025

It was a call to reimagine, reinvent and reinvigorate primary care. In fact, personally, six months later, I started transitioning to a different job, the one I now work full-time in, doing housecalls and virtual visits for older and disabled patients. There are a few problems with primary care today.

Primary Care 130

Primary Care Insurance Diagnose Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. Intervention ECHO Pain started in June 2014 and offered weekly 90-minute sessions that include a didactic lecture followed by a de-identified patient case presentation.

Management 130

Management Telehealth Education Community 130

Canadian Family Physician

JUNE 16, 2025

Objective To present recommendations from 5 provincial reference panels conducted as part of the OurCare initiative, the largest-ever national effort to engage the public about the future of primary care in Canada. Panels were held in Nova Scotia, Quebec, Ontario, Manitoba, and British Columbia.

Primary Care 52

Primary Care Family Physician Education Families 52

Annals of Family Medicine

NOVEMBER 20, 2024

This can potentially compromise their ability to provide optimal patient care. Population studied: This review includes English and Persian articles (1806-2023) focusing on the impacts of infectious crises on family physicians' mental health in diverse primary care settings (e.g.

Family Physician 130

Family Physician Mental Health Families Family 130

The Health Policy Exchange

MARCH 26, 2014

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Kenny Lin, MD, MPH Director, Robert L. Phillips, Jr.

Family Medicine 130

Family Medicine DO Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care team members involved in high blood pressure management. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Consideration of the care team workflows (i.e., Study design: Deductive qualitative analysis.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: One of the most common primary care illnesses is acute rhinosinusitis (ARS). Setting & Population: Six practice-based research networks recruited patients aged 18-65 years with upper respiratory symptoms. Guidelines currently suggest treating ARS with antibiotics when persistent symptoms or double sickening occur.

Telemedicine 130

Telemedicine Primary Care Emergency Room Patient-Centered 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. Objective: We offered educational videos aligned with key determinants of behavior change and assessed their impact on attitudes and intention to explore MOUD.

Primary Care 130

Primary Care Education Patient-Centered Chronic Disease 130

The Physicians Foundation

FEBRUARY 14, 2025

Scorecard with National and State Level Data Reveals Workforce Shortages, Low Primary Care Reimbursement, and Reduced Patient Access to Vital Services February 18, 2025 – As the nation faces a widespread surge in chronic diseases, the third Primary Care Scorecard highlights how systemic disinvestment in U.S.

Primary Care 52

Primary Care Chronic Disease Primary Care Physician Nurse Practitioner 52

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state.

Primary Care 52

Primary Care Board-Certified Patient-Centered Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Hypertension is a common condition seen by primary care clinicians and is more common in Black adults than other racial/ethnic groups. Setting: Two health care systems in New York City. Outcome measures: For the primary analysis, use of the 5’As with Black patients and correlates of interests.

Hypertension 130

Hypertension Primary Care Management Nurse Practitioner 130

Annals of Family Medicine

JANUARY 27, 2025

Primary care physicians (PCPs) rarely receive training about adoptees including their mental health needs and increased suicide risk. This study explores PCP training and approaches to adult adopted patients with LFMH. Nearly all interviewees viewed additional training to care for adult adoptees with LFMH as beneficial.

Primary Care Physician 130

Primary Care Physician Primary Care Patients Mental Health 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Primary care is the foundation of any health care system. Primary care improves the health of communities and decreases health inequities. METHODS We used the 2019 Virginia All-Payers Claims Database to identify primary care physicians (PCPs) and the number of distinct patients seen by each physician.

Primary Care 130

Primary Care PCP PCP Primary Care Physician 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

Canadian Family Physician

JUNE 16, 2025

In addition to these contextual factors, 2 main themes were identified: the first revealed the impact of administrative burden on both the time available for patient care and physicians’ well-being. Conclusion Administrative burden negatively impacts physician well-being and reduces time for direct patient care.

Primary Care 52

Primary Care Family Physician Relationship Families 52

Canadian Family Physician

MAY 14, 2025

Objective To assess the association between patient sociodemographic characteristics and adoption of and preferences for digital technologies in primary care. Design Cross-sectional bilingual online survey conducted in the fall of 2022. Setting Canada. Participants Adults living in Canada aged 18 and older.

Primary Care 52

Primary Care Patients Education Appointment 52

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.

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Over half of emerging adults experience loneliness, which is associated with depression, anxiety and poor educational outcomes. Primary care is well positioned to detect and treat loneliness but most loneliness interventions have not been adapted or tested in primary care or for young adults.

Primary Care 130

Primary Care Illness Screening Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

3I+E framework analysis describes and explains how this education reform arrived on the agenda and why implementation ceased. Primary care access challenges have been exacerbated since the Covid-19 pandemic. Results: There are conflicts at each level of the 3I+E framework.

DO 130

DO Family Medicine Education Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: COPD patient self-management plans, including rescue packs (antibiotic and steroid combinations), are effective in reducing respiratory related emergency department (ED) visits and hospital readmissions. Kirkpatrick framework used as educational evaluation model.

Utilities 130

Utilities Education Management Healthcare 130

Physician's Weekly

JUNE 25, 2025

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medical Office Assistants (MOAs) are front line workers and the most accessible member of the team for patients seeking primary care. MOAs, also known as receptionists, clerks, secretaries and medical administrative assistants have direct contact with patients.

Family Medicine 130

Family Medicine DO Primary Care Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Partnerships between Comprehensive Cancer Centers and federally qualified health centers (FQHCs) in these communities is critical to build capacity among primary care providers (PCPs) and staff (e.g., Context: Cervical cancer burden is high in the Chinese and Latinx communities.

Education 130

Education Screening Patient-Centered Primary Care 130