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. Objective: To describe patient and service-related outcomes of the I-Score intervention and outline adherence barrier management by physicians. 10 to T3=2.3/10),

Clinic 130

Clinic Patients Electronics Management 130

A Country Doctor Writes

JUNE 21, 2025

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. The physician–patient encounter is health care’s choke point.

Patients 130

Patients Patient-Centered Hypertension Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals. Population Studied. Women 15-54 years with live births between 2005-2022.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Targeted users of mHealth tools include clinicians, patients, and caregivers. Objectives: 1) Understand how to influence mHealth tool use among patients, caregivers, and clinicians, 2) Develop mHealth tool implementation guidance. Ultimately, the synthesis included 29 reviews (16 systematic, 10 scoping, 1 rapid, 2 other).

Patients 130

Patients Clinical Practice Electronics Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Sexual- and gender-minority (SGM) patients face high rates of discrimination, bias, and gender dysphoria when seeking care, including when seeking contraception. Study Design and Analysis: Targeted needs assessment using a cross-sectional study design. Population Studied: Adults who self-identified as SGM in North Texas.

Community 130

Community Patients Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

The ability to reach and engage in the care process varies considerably depending on patients’ socio-demographic characteristics which we need to understand to address inequitable access issues. Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record.

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To assess patient perceptions of a primary care-based LM clinic. Population Studied Patients who were referred to or attended the LM clinic between 5/1/22 and 5/31/24 (n=575). Instrument: REDCap survey administered electronically or by phone. 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

Context: In response to a call initiated by CIHR in 2023, inviting patient, public, and community participation, the Patient Council of the Canadian Primary Care Research Network (CPCRN) responded with a Report on March 25, 2024. Population Studied: CPCRN Patient Council.

Patients 130

Patients Community Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Study design and analysis This is a multiple-center retrospective real-world cohort study.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

The majority of patients with depression is treated by their General Practicioner (GP). Knowing the current CVRM practice of Dutch GPs is needed before any recommendations regarding depressed patients can be made. Patients with a registered depression were compared to two controls. Intervention/instrument: not applicable.

General Practice 130

General Practice GP Management Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Electronic health records from the PRIME Registry, years 2018-2022. The electronic health records are stored in the American Family Cohort, the largest national United States primary care database. Outcome Measures: The primary outcome was the first date of CDC-recommended medication administered within 30-days.

Primary Care 130

Primary Care Families Family Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. COACH was embraced for its relative advantage over traditional workflows and its potential to empower and educate patients.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Physician's Weekly

JUNE 17, 2025

TUESDAY, June 17, 2025 (HealthDay News) — Neither delivery of electronic nudge letters nor letters to general practice increase uptake of guideline-directed medical therapy (GDMT) among patients with chronic kidney disease (CKD), according to a study published online June 7 in Circulation. Kristoffer Grundtvig Skaarup, M.D.,

Electronics 52

Electronics General Practice Medical Individual 52

Physician's Weekly

JUNE 15, 2025

To provide a comprehensive and internationally standardised Cornea and Ocular Surface Disease (C&OSD) dataset for use in electronic health records (EHRs). Adoption of the full dataset by EHR providers will lead to better interoperability and patient care and facilitate international research collaboration. Published by BMJ Group.

Electronics 52

Electronics Clinic Provider Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: to investigate the effect of vitamin D supplementation on patients with LBP. Roland Morris Disability Questionnaire, Patient-Specific Functional Scale), or subjective measure of improvement in people with LBP following vitamin D supplementation Results: 2383 articles were screened by two reviewers after removing the duplicates.

Patients 130

Patients Electronics Screening Clinic 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. In-basket tasks per month most strongly correlates to size of patient panel. Characterize the impact of uncompensated workload on burnout.

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Because people with MCC typically see multiple providers in multiple care settings often using different EHRs, critical information is difficult to obtain, leading to fragmented care, clinician and patient burden, and suboptimal outcomes. The apps also collect patient reported data on goals, social needs, and functional status.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Building patients’ and health professionals’ trust in health research includes responsibly sharing health information. Setting: A partnership between the Minnesota Electronic Health Record Consortium (MNEHRC), public health professionals at the Center for Community Health (CCH), and Hennepin County Public Health.

Community 130

Community Healthcare Electronics Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. for CA, 0.85

Appointment 130

Appointment Primary Care DO Family Medicine 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. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To understand if the pandemic resulted in changes in care for patients with diabetes. 2) Qualitative interviews were conducted to understand patient experiences with navigating diabetes care during the pandemic and analyzed using qualitative description. Results: We identified 84,617 patients for the cohort study.

Primary Care 130

Primary Care Diabetes Finance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

The I-Score is a new electronic patient-reported outcome measure (ePROM) of ART adherence barriers to be used in HIV care. Objective: To assess the feasibility and acceptability of administering the I-Score on a patient portal. Study Design Analysis: 6-month one-arm implementation pilot study.

Electronics 130

Electronics Patients Hospital Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about how patients’ social needs (i.e. Objective To understand how patient-reported social needs are associated with cervical cancer screening in a fully insured population. Patient-reported social needs were obtained from a nationally administered survey. housing insecurity) affect screening behaviors.

Screening 130

Screening Relationship Insurance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Formative research included depth interviews with primary care/oncology clinicians, patient advocates, and policy influencers (n=40), and two Delphi panels (1-national survivorship experts; 1-local primary care clinicians) to identify/prioritize strategies for breast cancer survivorship care.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Nine focus groups were conducted and recorded, using semi-structured interviews.

Medical 130

Medical Referral Screening Internal Medicine 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Below, I share three reasons why. References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Canadian Family Physician

MAY 14, 2025

Objective To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.

Primary Care 52

Primary Care Consulting Electronics Provider 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Since many patients with Major Depressive Disorder (MDD) have anhedonia and can be reluctant to engage in treatment, many practices struggle to engage patients with depression in regular follow up and care. Eligible patients had a diagnosis of MDD, but had not filled out a PHQ9 in the past 2 weeks to 6 months.

Electronics 130

Electronics Patients Mental Health Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. 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.

Management 130

Management Primary Care Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: The University of Toronto Practice-based and Learning Research Network (UPLEARN) in Ontario, Canada, comprises ~400 primary care physicians contributing data on ~400,000 patients.

Asthma 130

Asthma Primary Care Primary Care Physician Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design and analysis: In this observational study, we compared the distribution of screening modalities by 1) FQHC and year and 2) patient characteristics by screening modalities using chi-squared and t-tests. Population Studied: Average-risk females ages 21-64 with ≥1 medical encounter and ≥1 routine CCS during 2012-2017.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

POPULATION STUDIED: Diverse stakeholders (PC clinicians, survivorship experts, policy leaders, oncologists, and patient advocates) were interviewed (n=45). SETTING: A purposive sample of national stakeholders participated in the expert panel and interviews. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Medicaid Claims, Epic electronic health record. Population Studied: Attributed patients of participating clinics; clinic staff; Colorado state agency staff. Inability to control for patients in legal crisis significantly limits the ability for economic analyses to fully demonstrate value through traditional ROI.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. A PCP and a geriatrician assessed each patient independently at baseline and six months. The mean eFI-CGA was 0.28±0.11 by PCP, r?

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Design and Analysis: Observational study.

Primary Care 130

Primary Care Referral Electronics Individual 130