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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Intervention/Instrument: No intervention; study included if reported any analgesic or non-analgesic medication used to manage pain or treat a painful condition. Measures: Varied by study design; self/carer-report or electronic health records (EHR). Screening completed by two independent reviewers; conflicts resolved through consensus.

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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

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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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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

With 476 participating primary care practices, MDPCP provides prospective, non-visit based payments known as "care management fees" and operational support from a program management office and Care Transformation Organizations (CTO). According to MedChi , the average practice received $176,000 in care management fees in 2019.

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

A Country Doctor Writes

We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). 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.

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Using a typology to understand and address primary care administrative workload in Atlantic Canada [Practice management and organization]

Annals of Family Medicine

Study Design & Analysis We used a screening questionnaire to purposively select interview participants. 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.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

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