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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

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

The Health Policy Exchange

MDPCP is a multi-payer "advanced primary care" program modeled after previous patient-centered medical home projects such as the Center for Medicare and Medicaid Innovation's (CMMI) Comprehensive Primary Care initiative. Also, patients may not have a choice of specialists, depending on the insurer's network.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Travel to the doctor’s office. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Wait times.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

Preventive Services Task Force (USPSTF) updated its recommendations on screening for osteoporosis. Not only is it difficult to clinically predict osteoporosis risk, fragility fractures can occur in patients without osteoporosis. being perfect and 0.5 being no better than chance. being perfect and 0.5 being no better than chance.

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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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You Know DPC is working when…

Noreta Family Medicine

I’ve written blogs that discuss my perspective on why Direct Primary Care (DPC) is helpful to both patients and physicians in Columbia, SC (and beyond!). patients feel heard and valued. patients feel supported, both in our office and between visits. patients feel supported, both in our office and between visits.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs. and 6.1%, respectively). in 2000 to 59.8%