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Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

In the Netherlands GPs are also responsible for cardiovascular risk management (CVRM), for which a guideline is made. Objective: To investigate whether the cardiovascular risk management of Dutch GPs differs in patients with and without depression. Outcome Measures: Registration of cardiovascular risk management.

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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The testing demonstrated patients’ and clinicians’ desire to have integrated clinical and patient-reported data available for care planning and management.

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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

The most recent international guidelines for the management of acute uncomplicated pyelonephritis in adults (2010) recommend treatment to be initiated with a single dose of intravenous (IV) ceftriaxone or an aminoglycoside when the prevalence of fluoroquinolone resistance is unknown or exceeds 10%.

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Redesigning Primary Care Workflows to Optimize Obesity Management

Physician's Weekly

As rates of obesity continue to rise alongside new therapeutic options, a team of researchers at the 85th Scientific Sessions of the American Diabetes Association (ADA) will present findings from PATHWEIGH , a pragmatic clinical trial designed to embed evidence-based obesity care directly into primary care workflows.

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

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. 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.

Patients 130
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Card studies using EHR alerts linked to REDCap questionnaires: a practical session on how to build the tools [Research methodology and instrument development]

Annals of Family Medicine

In 2022, Bunce et al embedded "card" questions into an electronic health record (EHR) with responses saved to the EHR database. Card responses were easily managed in the REDCap database, not in the medical record. For large projects, overall costs of the EHR-based cards is favorable to paper cards due to ease of data management.

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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Patients with documented mental illness or substance use disorders (SUDs) continue to encounter a mixed—sometimes starkly divergent—quality of emergency department (ED) care when they present with chest pain, abdominal pain, or other non‑psychiatric complaints, according to a patient‑interview study published in Health Services Research.