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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Context: Primary care is essential to health but barriers include affordability of care and accessibility of physicians. Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. Of these, 117,481 (57.2%) individuals had at least one primary care visit.

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Utilization of Treatment for Chlamydia and Gonorrhea in the Primary Care Setting Using the American Family Cohort [Infectious diseases (not respiratory tract)]

Annals of Family Medicine

Objective: This study examined guideline adherence for chlamydia and gonorrhea treatment in primary care settings. The electronic health records are stored in the American Family Cohort, the largest national United States primary care database. Study Design and Analysis: A retrospective cohort from 2018-2022.

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Experiences of Canadians without a primary care clinician [Survey research or cross-sectional study]

Annals of Family Medicine

Context Primary care is the bedrock of an effective healthcare system. More than one-in-five people in Canada have no access to primary care yet little is known about their experiences and preferences. of respondents reported not having a primary care clinician. Results 22.0% vs. 55.3%). vs. 55.3%).

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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

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Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Annals of Family Medicine

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C.

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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. The survey was anonymous both before and after the rotation.

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