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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments. Setting: Northeast Ohio.

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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. The 13 clinician participants felt comfortable discussing topics (92%), felt the TBSD revealed new information (44%), focused patient conversations (44%), and uncovered issues that don’t typically arise (32%).

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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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3 Tips for Finding a Great Family Doctor

Hitchcock Family Medicine

Finding a great family doctor can be a daunting task given the critical role they play in our health and well-being. A family doctor is often your main healthcare provider tasked with everything from routine check-ups to chronic disease management. Reach out to us at Hitchcock Family Medicine.

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Using EMR data to describe administrative workload of primary care providers in Nova Scotia, Canada [Secondary data analysis]

Annals of Family Medicine

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. Outcome measures: Average number of prescriptions, referrals, and laboratory tests per encounters among primary care providers in Nova Scotia from 2007 to 2022.

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Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

Multisector coordination is critical for effective screening and referral initiatives. Objective: To assess the function and impact of a new role, a Health Equity Coordinator, on the reach of the social needs screening and referral program.

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Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Adults with T2D often face unmet social needs, such as food insecurity, compounding the challenges associated with their engagement in disease management interventions. family medicine, general internal medicine, endocrinology) at an urban academic medical center in the Midwest. Setting: Ambulatory clinics (e.g.,

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