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Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

Results: Significant differences were seen in patient demographics, fees, and referral patterns amongst boutique clinic practices compared to Toronto Central LHIN and Ontario physicians. Boutique clinics were more likely to see patients for musculoskeletal, dermatologic, and infectious disease illnesses.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Setting: Three PC practices that routinely serve adolescents were selected: 2 urban practices (1 Family Medicine [FM] and 1 Pediatric [PED]) and 1 rural combined FM/PED practice. For patients screened positive, chart reviews were conducted and the number of referrals to SUD Clinic was tracked. Design: Convenience survey design.

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3 Conditions Internal Medicine Can Treat

Hitchcock Family Medicine

If it's determined that you need more specialized treatment, a referral can be made to a cardiologist. Respiratory Illness Issues that affect your lungs or breathing fall under respiratory issues. Internal medicine can help with these types of problems. Conditions such as asthma can also be treated through internal medicine.

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Chronic disease management among people with serious mental illness across rural, small urban, and metropolitan settings [Health care disparities]

Annals of Family Medicine

Context: People with serious mental illness (SMI) are at increased risk of complications and earlier death from comorbid chronic diseases, compared with patients without mental illness. Referral to and/or visit with an ophthalmologist was most common in metropolitan settings, with similarly lower values in small urban and rural.

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Beyond the Diagnosis: A Detailed Characterization of Outpatient Palliative Care Patients [Palliative and end-of-life care]

Annals of Family Medicine

Context Palliative medicine focuses on quality of life for patients with serious illnesses. These patients all have advanced heart or lung illness and are referred from pulmonology and cardiology providers. Referrals were predominantly from Pulmonology (60%). Results The patients in the SMC had a mean age of 71.

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