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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider. Intervention: A team was created with an attending physician, care coordinators, and front office staff.

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Artificial Intelligence in Health Care

Integrated Care News by CFHA

Bridging the 17‑Year Research–Practice Gap Implementation scientists estimate that it takes about seventeen years for new evidence to become routine care (Rubin, 2023). Evidence‑informed care was literally at his fingertips. For AI in Primary Care, Start With the Problem. Keep it simple because I’m not a great cook.”

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. It’s easy to understand why communication barriers can hinder care coordination between primary care physicians (PCPs), specialists, hospitalists, and professionals at other facilities.

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10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Dr. Zaar

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management.

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

Does it improve outcomes that patients, caregivers, and clinicians care about? She did a palliative care fellowship, then she did hematology oncology fellowship at UCSF, and did a T32 research fellowship in aging with us in the division of geriatrics at UCSF. But does the geriatric assessment do anything? Mazie, welcome to GeriPal.

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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen?

Families 102
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Who should get Palliative Care? Kate Courtright

GeriPal

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? Should eligibility and access be determined by clinician referral? Also the daughter of Tim Quill, well known in palliative care.