The Health Policy Exchange

SEPTEMBER 26, 2013

What can family medicine in the U.S. learn from the organization of primary care in other Western countries? In this month's Georgetown University Health Policy Seminar, we explored two recent studies that shed light on successes and challenges of primary care reforms in Ontario, Canada and the European Union.

Primary Care 130

Primary Care Chronic Disease Management Chronic Disease Primary Care Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Background: Access to high-quality primary care requires adequate numbers of primary care physicians (PCPs) as well as appropriate clinician panel size. Excess number of patients per clinician has been associated with higher physician burnout and may hinder timely patient access to care.

Primary Care 130

Primary Care Community Finance PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument: In its first phase, the MU incorporated three interventions tailored specifically to its context: nurse-led hypertension management, integration of blocks of telehealth consultations into routine clinician schedules, and a pilot of an ambient documentation system to supplant clinician-generated visit notes.

Primary Care 130

Primary Care Management Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 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

Objective This study aims to investigate the impact of data visualization using China-PAR on managing hypertension among primary care patients. Although data visualization is gaining traction in the hypertension, its use in health education and information dissemination is still underutilized.

Hypertension 130

Hypertension Primary Care General Practitioner Management 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

Mesa Family Physician

JUNE 16, 2025

What to Expect During a Primary Care Visit Visiting a primary care provider for the first time can bring up many questions. Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. What Is a Primary Care Visit?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults frequently use primary care services, and family physicians exhibit differences in their knowledge and skills to care for older patients. Objective: To compare family physician practice on established performance measures derived from a modified Delphi process. suggesting comparability.

Primary Care 130

Primary Care Family Physician Family Families 130

The Health Policy Exchange

MARCH 26, 2014

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Kenny Lin, MD, MPH Director, Robert L. Phillips, Jr.

Family Medicine 130

Family Medicine DO Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: A severe asthma registry in primary care is needed to determine the population prevalence and best practices in the real world. Setting or Dataset: The University of Toronto Practice-based and Learning Research Network (UPLEARN) in Ontario, Canada, comprises ~400 primary care physicians contributing data on ~400,000 patients.

Asthma 130

Asthma Primary Care Primary Care Physician Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD. Post-session measures assessed practical knowledge, management, and expertise gained from the sessions.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This study describes the symptoms and impacts of long-Covid and discusses the role of primary care in addressing the impacts of long-Covid. Patients face the task of managing their symptoms to minimize their lifestyle impacts. Patients are left to determine how to seek help when managing their symptoms.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care practices experienced varying levels of success adapting care delivery and office functioning during the pandemic. primary care clinicians. primary care clinicians. rurality, size, ownership, payment model) and were then asked how these affected care delivery.

Primary Care 130

Primary Care Clinic Healthcare Management 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. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. The goal of ECHO Pain is to educate, support, and improve chronic pain and opioid management in Ontario’s rural, remote, and underserved areas.

Management 130

Management Telehealth Education Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Family physicians' pivotal role in prevention and crisis management exposes them to mental stressors due to the highly demanding circumstances. This can potentially compromise their ability to provide optimal patient care. CPD leaders can play a pivotal role in promoting and supporting the mental health of family physicians.

Family Physician 130

Family Physician Mental Health Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, facing the challenges brought by China's national health strategy, aging population, and high incidence of chronic diseases, there is an urgent need to improve the service capacity of China's primary medical institutions.

Healthcare 130

Healthcare Management Finance Chronic Disease 130

KevinMD

JUNE 21, 2025

“You two always manage Read more… How inspiration and family stories shape our most meaningful moments originally appeared in KevinMD.com. The dinner plates had been cleared and a lazy instrumental playlist drifted through the background.

Family 169

Family Families Clinical Practice Management 169

Integrated Care News by CFHA

APRIL 16, 2025

At the Collaborative Family Healthcare Association (CFHA), we see your agenda aligning with ours in powerful ways. If your vision for health in America is about access, dignity, and truly holistic care, then integrated care should be at the heart of your Department of Health and Human Services (HHS) platform. Let me explain.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Asthma is a prevalent chronic disease that is difficult to manage and associated with marked disparities in outcomes. Objective: With support from the NIH, we are currently deploying Coach McLungsSM across 21 primary care practices within Atrium Health’s Greater Charlotte Region. Intervention/Instrument: Survey.

Asthma 130

Asthma Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. The qualitative descriptive approach was used to analyze focus group discussions.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit. Together with ten patients who have experience managing chronic illness or life-limiting conditions, PERC encourages and supports the meaningful engagement of patients as partners in PC research.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Canadian Family Physician

JUNE 16, 2025

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.

Primary Care 52

Primary Care Screening Electronics Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Weight loss is desired by many patients, but many primary care practices struggle to provide this care. PATHWEIGH is an integrated approach to support primary care practices in delivering evidence-based weight loss care to patients as part of regular health care.

Primary Care 130

Primary Care Management Electronics Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: Survey of medication review activities after primary care visits. Setting: One private primary care clinic and two clinics of a safety net hospital system that serves inner-city populations with significant socio-economic challenges. vs 2.1%), self-management (21.3 vs 3.9%), communication (13.0

Clinic 130

Clinic Medical Primary Care Insurance 130

Common Sense Family Doctor

DECEMBER 27, 2024

Don Berwick's dire warning about the existential threat of greed on the failing American health care system seems to be coming true, to the extent that the brazen assassination of an insurance company executive in midtown Manhattan elicited far more outrage about delayed or denied care than sympathy for his family's loss.

Primary Care 52

Primary Care Insurance Patient-Centered Medical Student 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Hypertension is a common condition seen by primary care clinicians and is more common in Black adults than other racial/ethnic groups. Setting: Two health care systems in New York City. Outcome measures: For the primary analysis, use of the 5’As with Black patients and correlates of interests.

Hypertension 130

Hypertension Primary Care Management Nurse Practitioner 130

Canadian Family Physician

JUNE 16, 2025

Objective To describe family physicians’ experiences of administrative burden in practice. Participants Family physicians. Method In-depth virtual interviews with family physicians practising in Ontario who completed postgraduate training between 2017 and 2022. Design Qualitative study using constructivist grounded theory.

Primary Care 52

Primary Care Family Physician Relationship Family 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Interviews with 21 primary care clinicians in Colorado who treat patients with diabetes. Population Studied: Clinicians across a range of roles and geographic locations, represented 11 different primary care clinics located in both rural and urban areas of Colorado.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Data analysis included descriptive statistics and qualitative analysis of open-ended responses.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Physician's Weekly

JUNE 11, 2025

A recent study offers recommendations on how to balance weight loss goals and bone health concerns in weight management programs for older adults. Given practical constraints in many healthcare settings, who are the minimum essential team members for multidisciplinary management of weight loss in older adults?

Management 52

Management Primary Care Physicals Telehealth 52