The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. Phillips, Jr.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 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. nurse practitioners and physician assistants).

Primary Care 130

Primary Care Nurse Practitioner Finance Utilities 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

Clinicians and patients identify primary care settings as ideal for addressing weight management. In addition, new anti-obesity medications (AOMs) have changed the weight management landscape. In addition, new anti-obesity medications (AOMs) have changed the weight management landscape.

Primary Care 130

Primary Care Management Medical Patients 130

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 Families Family 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.

Family Medicine 130

Family Medicine DO Families Family 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: 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

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

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

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

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. SETTING: Academic medical center. POPULATON: Trainees with terminal degree in health care or related field and interested in PC-based research careers.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 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

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

Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C. Outcome Measures Percent eligible families that completed a food insecurity screening. 73% of FI families had a FI ICD-10 code documented (Table 1).

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Concerns about declining diversity among medical students have emerged due to the Supreme Court’s 2023 ruling against race-based affirmative action in college admissions. Medical schools must now eliminate race or ethnicity considerations, making it imperative to develop innovative approaches to preserve recent progress.

Education 130

Education Medical Student Medical Family Medicine 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

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

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

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: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. vs 35.4%) and less likely Hispanic (20.7 vs 41.1%) background.

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite copious evidence of the positive health impact of Medical legal partnerships (MLP), public funding remains subject to economic arguments seeking return on investment (ROI) from the perspective of public payers. Clinics: AF Williams Family Medicine, Lowry Internal Medicine.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 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

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. Setting or Dataset: The setting was an academic medical institution in the Mountain West. Transcripts were analyzed using inductive qualitative content analysis.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Stigma surrounding addiction and substance use disorders (SUDs) hinders access to intervention and treatment, directly impacting primary care efforts. Media portrayals of addiction shape public perceptions, directly affecting individuals' willingness to seek treatment.

Primary Care 130

Primary Care Individual IT Utilities 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 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

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Primary Care 130

Primary Care Management Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Outcome Measures: Assessment of tobacco use; Among patients with current tobacco use, provision of advice to quit, referral to tobacco cessation counseling and tobacco cessation medication orders.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Objective: Identify practice patterns of family physicians practicing within boutique clinics in Ontario. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To determine medical trainees’ perspectives on current NBM practices and on narrative humility, and to assess their views on the effectiveness of NBM education via peer-led interactive workshop. Population Studied: Participants were mainly medical students, as well as residents and clinicians.

Education 130

Education Medical Medical Student Primary Care 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 Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Setting/Dataset Forty-two primary care practices across the U.S. 6.1), Integration Methods 4.6 (95% 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, uptake of the AWV in primary care has been low, and many patients are unaware of this free annual visit. Translate the medical jargon associated with the AWV into messages and materials to engage primary care practices and patients to increase uptake of the AWV. Study Design and Analysis.

Wellness Visit 130

Wellness Visit Preventive Care Preventative Care Community 130

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

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