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SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Annals of Family Medicine

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Setting or Dataset Five electronic systems of community clinic. Population Studied individuals with comorbidity of hypertension and type 2 diabetes.

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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

Setting: Three academic health systems with EPIC and Oracle electronic health records. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Study design: Deductive qualitative analysis. Population Studied: Primary care team members involved in high blood pressure management.

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A brief theory driven patient education video to reduce potentially harmful regular over-the-counter NSAID use [Patient education/adherence]

Annals of Family Medicine

Objective: To assess the effectiveness of a novel electronically delivered education video in reducing regular OTC NSAID use in high-risk patients (ie. chronic kidney disease (CKD), heart failure (HF), and/or hypertension (HTN)). Intervention/Instrument: Video-novel, 4-minute electronic education video addressing OTC NSAIDs.

Education 130
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Advancing Primary Care through a Model Unit for Innovative Practice Enhancement [Practice management and organization]

Annals of Family Medicine

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU. Results: We observed an increase in telehealth visits from 4% to 9% and uptake of ambient documentation by 9 of 10 providers during a pilot period.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system. Because of easy-to-use software, fewer people now use travel agents.

Patients 130
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Rural-urban differences in continuity of primary care among persons with prediabetes [Health care disparities]

Annals of Family Medicine

This study is a retrospective cohort analysis of electronic health records of patients from Geisinger Health System. We used fractional logistic regression models controlling for age, sex, race/ethnicity, baseline HbA1c, hypertension, hyperlipidemia, and BMI. Study Design and Analysis.