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Prioritizing Actionable Implementation Strategies to Support Breast Cancer Follow-up in Primary Care [Cancer research (not screening)]

Annals of Family Medicine

Cross panel strategies where consensus was reached included: (1) educating PC providers on survivorship guidelines, (2) enabling screening reminders, templates, and monitoring alerts in the electronic medical record, (3) educating patients on survivorship and communicating needs with PC, and (4) increasing oncology-PC communications.

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Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

Study Design and Analysis: Tele-legal services were provided by one full time poverty lawyer and paralegal January 2021-June 2023. Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach.

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

Annals of Family Medicine

Objective: To synthesize literature on pain-related medication in adults with ID and examine how it relates to MLTCs and polypharmacy and explore the views of adults with ID, caregivers and healthcare providers on pain medication use. Measures: Varied by study design; self/carer-report or electronic health records (EHR).

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Study Design and Analysis: Tele-legal services were provided over 30 months, with correlating Medicaid claims data. Setting or Dataset: Medicaid Claims, Epic electronic health record. Intervention/Instrument: Legal-needs screening tool. Clinics: AF Williams Family Medicine, Lowry Internal Medicine.

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Access to health care and services for the Deaf: A scoping review of reviews [Health care services, delivery, and financing]

Annals of Family Medicine

Reviews were identified through a search of scientific electronic databases: MEDLINE, CINAHL, PsycInfo, AMED, Healthcare Administration Database, ABI/INFORM Collection, Cochrane Database of Systematic Reviews, Epistemonikos, and Scopus. Popay et al.’s ’s (2006) narrative synthesis was used to analyze and report the results.

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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

Study Design and Analysis Five electronic research databases were searched to identify randomized controlled trials (RCT) and non-randomized studies of interventions. After screening, 31 full texts were reviewed, and 3 studies were included. Two independent reviewers performed study selection, data extraction and quality assessment.

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

A Country Doctor Writes

We provide many more services over the phone and virtually and we have a whole division for preventative care. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). We meet people where they are and in many different ways.

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