Annals of Family Medicine

NOVEMBER 20, 2024

Context: Canada has a primary care crisis, with fewer family physicians providing care to meet population needs. Identifying communities with greater disparities in primary care access requires integration of data from a range of sources. of Ottawa residents (n=165,362) were unattached to primary care.

Primary Care 130

Primary Care Family Physician Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: 1) Measure the uptake of publicly-funded vaccines against respiratory infections; 2) Understand the hesitancy towards these vaccines in a population of adults followed in Family Medicine Groups (FMGs).

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in clinical practice. Setting: Divisions of Family Medicine and Community Internal Medicine at a large academic medical center in Southeast Minnesota.

Primary Care 130

Primary Care Provider Nurse Practitioner Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Appointment 130

Appointment Primary Care Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuous glucose monitoring (CGM) is now considered a standard treatment option in diabetes care. However, its adoption has been slower in primary care settings compared to endocrinology practices, resulting in unequal access for patients with diabetes. Setting: Primary care practices in Colorado.

Primary Care 130

Primary Care Diabetes Patients Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness of care represents an important process measure within the contexts of primary care for core services. These services represent the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs.

Primary Care 130

Primary Care Nurse Practitioner Diabetes Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Interprofessional primary care teams are crucial for providing comprehensive care to patients with complex health needs. For many professions, interprofessional primary care is a new practice setting and understanding the unique collaborative processes within primary care remains limited.

Primary Care 130

Primary Care Education Provider Comprehensive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. Objective: The objective of this study was to make explicit how occupational therapists provide self-management support to people living with chronic pain to highlight their specific contribution to primary care teams.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Clinicians and patients identify primary care settings as ideal for addressing weight management. Setting or Dataset: Interview transcriptions from 80+ interviews conducted with staff or clinicians from 30 primary care practices. Intervention/Instrument: Semi-structured interview guide.

Primary Care 130

Primary Care Management Patients Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: There is a crisis in the primary care workforce in Canada. While approaches have been developed to support primary care health human resource (HHR) planning, most planning is conducted within sector silos and there are few examples that consider a regional approach within an integrated care system.

Integrated Care 130

Integrated Care Primary Care Finance Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Interprofessional team-based care can expand access to primary care, however, the relationship between interprofessional teams and their impact on primary care capacity is not well-understood. Studies that were qualitative, published before 2000, or non-English were excluded.

Primary Care 130

Primary Care Finance Nurse Practitioner Family Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To enhance interprofessional collaboration among primary care teams within family physician groups (FMGs) and to optimize care resources along clear and simple care trajectories. Setting: One multidisciplinary primary care team in the province of Quebec, Canada.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care physicians often help patients with mental health concerns, but little is known about patients’ views of addressing their mental health needs within the primary care setting.

Mental Health 130

Mental Health Primary Care Patients Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: This study aims to understand the current primary care access experience of both attached and unattached community members, using the established qualitative technique of journey mapping. Conclusions: Primary care service transformation and co-design require community participation and feedback.

Primary Care 130

Primary Care Community Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. Research training is rate-limiting. Funding opportunities for pre-/post-doctoral training exist in the US, including T32 programs.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. of those patients have 1-3 primary care visits per year.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, uncertainties remain regarding the performance of these models compared to standard care, their generalizability and applicability in primary care settings. Setting or Dataset: Studies conducted in primary care settings were included. Population Studied: Adults without a prior AFib diagnosis.

Primary Care 130

Primary Care Electronics Screening Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rampant rise in the prevalence of diabetes presents a public health burden and a challenge to the primary care setting. Diabetes Self-management Coaching is an emergent, client-centered, solution-focused approach to enhancing self-efficacy and self-care behavior.

Primary Care 130

Primary Care Diabetes Individual Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe codesign methods to implement actionable strategies for breast cancer survivorship follow-up care. The resulting intervention was a care quality improvement project that engaged practice champions (n=18) from 6 primary care practices in bi-weekly virtual facilitation and monthly learning collaboratives over 3 months.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To report implementation outcomes using a standardized approach and tool in a multi-site study of routine and systematic demographic and social needs data collection in primary care settings. Study Design and Analysis: Between Sept 2022-Oct 2023 we implemented the SPARK Tool at five primary care clinics.

Primary Care 130

Primary Care Clinic Provider Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care. Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To understand perceptions of advocacy group leaders on primary care’s role in breast cancer survivorship care, given a documented lack of primary care engagement despite being endorsed as a receptor site by the National Cancer Institute (NCI). Setting Depth interviews conducted on Zoom.

Primary Care 130

Primary Care Patients Finance Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In response to the primary care crisis in Canada, the Team Primary Care (TPC) initiative aimed to transform primary care training and education to equip Canada’s workforce for effective team-based care.

Primary Care 130

Primary Care Education Relationship Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Setting: Primary care clinics partnered with an academic health center. A one-time survey was also conducted.

Primary Care 130

Primary Care Nurse Practitioner Utilities Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Study Design and Analysis: Adoption and implementation of the program is described using descriptive statistics.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The increased inbox burden has particularly impacted primary care physicians. Objective Our goal was to examine how message prioritization (as distinct from categorization) occurs in primary care, and to understand the approaches primary care clinicians deployed for managing their inbox workflows.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The University of Colorado School of Medicine (CUSOM) launched their eConsult program in 2018. Objective: To determine how primary care providers (PCP) utilize the eConsult platform. Study Design and Analysis: This retrospective analysis of program data spans from 2018 through 2023.

Utilities 130

Utilities Primary Care Provider PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Canada, most diabetes care is provided within primary care. Primary care experienced challenges during the COVID-19 pandemic, such as reduced access to care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes.

Primary Care 130

Primary Care Diabetes Finance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Cohort in Primary Care (COPRI) is ongoing in 29 Family Medicine Groups (FMG) across Québec. Conclusions: It takes a minimum of 6 to 19 months to obtain authorization to conduct research at GMFs for a non-interventional observational study in primary care in Québec.

Primary Care 130

Primary Care Family Medicine DO Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Primary Care 130

Primary Care Families Family Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Education 130

Education Primary Care Physician Primary Care DO 130

Annals of Family Medicine

MAY 27, 2025

For the past 30 years, the Agency for Healthcare Research and Quality (AHRQ) has continuously supported primary care research, funding the first ECHO grant, pioneering patient-centered medical home models, and supporting primary care practice-based research networks.

Primary Care 211

Primary Care Specialization Patient-Centered Healthcare 211

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Mayo Clinic Department of Family Medicine undertook a rigorous 2-year multistage planning process to establish a Model Unit (MU) to facilitate the implementation of innovative care approaches and related evaluations of their impacts on access to care, quality and clinical outcomes, and provider and staff satisfaction among other measures. (..)

Management 130

Management Primary Care Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Integrated Behavioral Health (IBH) is a model in which medical and behavioral health providers work together to provide whole person care, usually in primary care settings. Despite success in some community health centers and Federally Qualified Health Centers, IBH is not widely implemented in other settings.

Primary Care 130

Primary Care Provider Consulting Illness 130