Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Public health data in the Unites States often report on a limited number of conditions, are unable to identify trends in small geographic regions, or are not timely enough to inform current policy. Objective: To use summary EHR information to support efforts to improve community health and health equity in Minnesota.

Community 130

Community Healthcare Electronics Illness 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. I stepped down as director of the Robert L.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health records (EHR) and patient portal systems have resulted in an unrestricted, undefined, and often uncompensated workload for Primary Care providers. Little information exists regarding the volume of work due to electronic portal messaging and if disparities exist among gender, race, age, and specialty of the provider.

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Study design and analysis Our approach was informed by the Theoretical Framework of Acceptability. Results Most participants’ risk level matched their expectations, informed by prior knowledge.

Screening 130

Screening Patients Referral Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record. Setting: 104 PHC clinics across Quebec, Canada. Measures: The optimal number of profiles (four) was determined using LCA measures (best model determined by AIC, BIC, and entropy).

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments. Setting: Northeast Ohio.

Community 130

Community Diabetes Referral Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

We used the patient portal (Opal) to administer the I-Score, a 7-item electronic patient-reported outcome measure (ePROM) of barriers to ART adherence. We collected patients’ sociodemographic information at T1, and HIV viral loads at T1 and T3.

Clinic 130

Clinic Patients Electronics Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients with recent hemoglobin A1c levels of ≥8% were invited to join the Diabetes Navigator program, identified through the electronic health record at two academic primary care clinics.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Administrative electronic health record (EHR) datasets offer a low-cost opportunity to investigate influences on knee osteoarthritis (OA) prevalence and outcomes such as total knee arthroplasty (TKA).

Diagnosis 130

Diagnosis Electronics Physicals Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Cross panel strategies where consensus was reached included: (1) educating PC providers on survivorship guidelines, (2) enabling screening reminders, templates, and monitoring alerts in the electronic medical record, (3) educating patients on survivorship and communicating needs with PC, and (4) increasing oncology-PC communications.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: REDCap survey administered electronically or by phone. The survey highlighted motivators and barriers unique to this underserved population that will be used to inform efforts to quality of care in primary-care based LM clinics. Setting: LM Clinic in the SW Virginia safety net.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Reviews were identified through a search of scientific electronic databases: MEDLINE, CINAHL, PsycInfo, AMED, Healthcare Administration Database, ABI/INFORM Collection, Cochrane Database of Systematic Reviews, Epistemonikos, and Scopus. A patient partner from the Deaf community collaborated on each step of this project.

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This evaluation was informed by the integration of community-based participatory research (CBPR) and transformative action research and grounded in the culture of this community which is built upon relational equity and their pre-established values which are: trust, kindness, respect and humility.

Patients 130

Patients Community Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Context Misdiagnosis and over-diagnosis of urinary tract infection (UTI) are a leading cause of inappropriate antimicrobial use.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To validate and apply electronic medical record (EMR)-based definitions for mood and anxiety disorders (inc. Application of validated algorithms to capture mental health conditions can inform disease surveillance and health system planning. depression, anxiety, bipolar disorder), and schizophrenia.

Primary Care 130

Primary Care Electronics Medical Mental Health 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Mesa Family Physician

JUNE 16, 2025

What information should you bring? Here’s what to expect: A review of your personal and family medical history Discussion of current medications, allergies, and supplements Review of lifestyle habits such as diet, exercise, alcohol, and tobacco use A basic physical exam: blood pressure, heart rate, weight, etc. How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

Annals of Family Medicine

NOVEMBER 20, 2024

Latent extracted terms and conceptual symptoms helped users gain confidence in AI, better informed diagnostics, PCPs understandings. Conclusion Osteoporosis narrations had sufficient semantic properties for the machine to learn and accurately distinguish them from endocrinology cases.

Consulting 130

Consulting Electronics Primary Care PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results/Findings Information management is central to health care delivery, but often not valued or actively supported. Within primary care most administrative work requires both information management and clinical judgment. Qualitative interpretation and analysis involved representatives from each stakeholder group.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

family medicine) and the need for education in this area. Conclusions The role and responsibilities of Family Medicine providers about PGx require further study. Objective The aim of this study was to explore the role of PGx in primary care (i.e. Recurrent themes were identified.

Primary Care 130

Primary Care Education Family Medicine DO 130

Family Medicine Initiative

APRIL 9, 2024

9 The American Academy of Ophthalmology offers more information here 11. million electronic health records in the USA showed a lower risk for suicidal thoughts in those taking semaglutide than in those taking other weight loss medications. mg is not recommended. Pancreatitis The EMA considers pancreatitis uncommon (0.2%

Diabetes 130

Diabetes Patients Medical Family Medicine 130

Canadian Family Physician

JUNE 16, 2025

Data sources A systematic search of MEDLINE and CINAHL electronic databases for peer-reviewed original research articles, literature reviews, and commentaries that discuss administrative burden in the context of primary care or primary health care.

Primary Care 52

Primary Care Screening Electronics Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We conducted 25 semi-structured interviews informed by the Health Equity Implementation Framework. Results: Participants identified multilevel barriers and facilitators to addressing parental tobacco use in racially and ethnically minoritized families in primary care.

Primary Care 130

Primary Care Screening Clinic Preventative Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

There is an urgent need to develop novel methods that accurately identify medication discontinuations in the electronic health record (EHR) to generate evidence to inform deprescribing. Text strings alone had a sensitivity of 44% to 60% and specificity of 90% to 90% in development (N=141) and validation (N=141) cohorts. Conclusions.

Medical 130

Medical Clinic Electronics IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: We performed a scoping review searching three electronic databases. The reviews contained either a framework or information that was used to construct our newly developed framework for AI-enabled Digital Twins in Clinical Decision-making.

Clinic 130

Clinic Electronics Screening Physicals 130

Physician's Weekly

JUNE 25, 2025

By 2027, at least 80% of electronic prior authorization requests will be answered in real time, and the process will be easier to do online. More information Harvard Health has more on prior authorization. Insurers must provide clearer explanations when care is denied and explain how patients can appeal. Talk is cheap,” Gaffney said.

Insurance 52

Insurance Patient-Centered Electronics Physicals 52

Annals of Family Medicine

NOVEMBER 20, 2024

This analysis was part of a larger implementation study called PATHWEIGH, which provides a toolset embedded in the EpicTM electronic health record and other supportive services to help practices provide weight management to their patients. Study Design and Analysis: Qualitative study involving key informant interviews over two years.

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Based on the electronic databases (Medline, Embase, CINAHL) search and the reference list of key studies, from 2967 studies, 30 were eligible for the final review. Indicators were classified according to the primary care performance measurement framework proposed by the World Health Organization and the quintuple aim framework.

Primary Care 130

Primary Care Electronics Individual Provider 130

FDA Law

DECEMBER 12, 2022

It identifies key questions to consider that originate from a variety of FDA guidance documents and aggregates the information into a one-stop shop. Step 2: Is the software function intended for administrative support of a health care family? Step 4: Is the software function intended to serve as electronic patient records?

Medical 23

Medical Manufacturing Electronics Provider 23

BMJ

AUGUST 20, 2021

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.

Patient-Centered 40

Patient-Centered Provider Clinic Patients 40

Permanente Medicine

MAY 20, 2025

Contributing to this challenge is the exponential growth of information, an expanding population of older adults, and office visit documentation. In addition, Dr. Nguyen co-chairs the SCPMG Virtual Medical Center and brings extensive expertise as a practicing family medicine physician at Kaiser Permanente. Thank you for sharing that.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

The Clinical Problem Solvers

MARCH 14, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  References Benton TD , Boyd RC , Njoroge WF.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

Aspiring Minority Doctor

MARCH 26, 2021

When I returned home, I sent a Facebook message requesting information on the program and was given the contact information for the program coordinator. I didn't have much information on what and how to submit for an application, but luckily I stay prepared. I was in shock!!!!

IT 52

IT Families Family Electronics 52

33 Charts

OCTOBER 2, 2021

Medicine is facing a crisis of information. Beyond the increase of biomedical information are rising demands for physician response to portal messaging (MyChart messages) and review of wearable generated data. And in my experience the exchange of information from the Cures Act Final Rule has added new dialog around test results.

Patients 75

Patients IT Provider Family Doctor 75