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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services. The odds ratio (95 CI) of ARC relative to 211 for ER visits was 0.7 (0.3, However, very few randomized controlled trials have been conducted and have not assessed HCU.

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Defining Emergency

StorytellERdoc

Lately, though, it seems the system meant to provide this care is being bogged down by questionable decision-making. Instead of providing emergent care, it seems I spend at least half of my emergency room time now playing doctor to chronic illnesses. To office appointments sent to the ER because "we are overbooked today."

ER 100
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4, 3, 2, 1 And 90.

StorytellERdoc

One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. It is a real problem in our ER. We just don't have the time among all the other serious happenings in our ER that require our attention. His last visit to our ER was just three days prior.

ER 100
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Need to See a Doctor Fast? Here’s How Urgent Care Could Save Your Day

Plum Health

These are the moments when you don’t have time to wait for an appointment with your primary care doctor, and the emergency room (ER) seems like overkill. They’re like a hybrid between a primary care clinic and the ER—open late, available on weekends, and usually accepting walk-ins. No long waits like you’d experience in an ER.

ER 52
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It's Not About The Pus

StorytellERdoc

Suddenly, my job as an ER physician was boring. I know there are many more invasive procedures we perform in the ER that could be considered similar, but I couldn't think of them quickly enough. Yes, the ER gets busy. I've witness it firsthand for 22 years as an ER attending physician. Eewww, gross," Emma said.

IT 100
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Be Good. Do Good.

StorytellERdoc

As an added bonus, we enjoyed the people-watching and marveled at the wide spectrum of personal flaws the other shoppers provided us. I asked, thinking about how amazing our case managers in our ER were. And in those two minutes time, Richard had provided a view to a world different than ours. Giving provides gratitude.

Provider 130
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Underneath

StorytellERdoc

Walking into Room 33, my next patient, who had come to the ER complaining of cough and cold symptoms, seemed just as I had expected. What can I do to help you in our ER today?" Rereading it, I found it filled with new perspective from when I originally wrote it just three short years ago. I hope you, too, find new meaning in old words.

Physicals 100