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

The Health Policy Exchange

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. CareFirst Blue Cross Blue Shield joined the program in 2020.)

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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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Administrative burden in primary care: Critical review

Canadian Family Physician

Objective Administrative burden contributes to the current primary care crisis. This critical review of the literature explores how primary care administrative burden is discussed, including how it is defined and what drivers and solutions have been identified.

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Poverty screening implementation in a Canadian primary care clinic: acceptability and feasibility for patients and providers [Social determinants and vulnerable populations]

Annals of Family Medicine

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Nearly all missed screens were attributed to forgetfulness (94.4%).

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. The USPSTF also has endorsed screening most adults for anxiety disorders and unhealthy drug use.

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Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician [Health care services, delivery, and financing]

Annals of Family Medicine

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Dataset: The cohort was identified using the April 2023 Primary Care Population Dataset (PCPOP), an ICES-derived database.

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Top studies of 2024 relevant to primary care: From the PEER team

Canadian Family Physician

Objective To identify and summarize the most impactful medical articles published in 2024 relevant to primary care. Main message Articles addressed various clinical areas in primary care. Four studies that evaluated the impact of screening and guideline-adherence strategies on patient outcomes were honourable mentions.