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

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

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

million adults in Canada do not have a family doctor or nurse practitioner. 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. Context Over 6.5

Primary Care 130

Primary Care Finance Nurse Practitioner Family Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment.

Primary Care 130

Primary Care Family Medicine DO Mental Health 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. How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

Annals of Family Medicine

NOVEMBER 20, 2024

It is thought that physicians, specifically those in primary care, may be in a unique position to counsel patients on firearm safety. The American Academy of Pediatrics then provided funding for T-shirts to providers who had completed the training as well as gun locks to distribute to patients.

Primary Care 130

Primary Care Provider Patients IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

China’s NEPHS program offers a vantage point from which to appreciate how state-society interplay shapes care practices, as well as to address the implications of socio-political factors on care. We advise the government to engage "quasi-officials" in the "third sphere" with the primary care policy-making process in the future.

Primary Care 130

Primary Care Provider Government Community 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

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

Integrated Care News by CFHA

MARCH 12, 2025

The four core functions of primary care—the 4Cs (first contact, comprehensiveness, coordination, and continuity)—are fundamental to achieving high-quality care. Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services.

Integrated Care 130

Integrated Care Families Family Mental Health 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

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

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

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). said that their family doctor or clinic discussing their hesitations could help them gain trust in vaccines.

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

There is a gap in the literature on understanding experiences of food insecurity in rural dwelling older adults and the role primary care providers can play in systematically screening older adults for age related food issues. Data were analyzed using reflexive thematic analysis.

Primary Care 130

Primary Care Screening Family Doctor Mental Health 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: 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

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. Patients were asked weekly to record their care plan progress and update their confidence.

Mental Health 130

Mental Health Primary Care Patients Community 130

The Health Policy Exchange

MARCH 26, 2014

But how has the specialty of family medicine fared, and what else can be done to extend capacity of the existing primary care workforce? Image courtesy of the American Academy of Family Physicians Modest gains in the numbers of U.S. Kenny Lin, MD, MPH Director, Robert L. Phillips, Jr.

Family Medicine 130

Family Medicine DO Families Family 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. Culturally-competent, high-quality training is provided via coursework, seminars/workshops, and mentored, hands-on research. Research training is rate-limiting.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Population Studied 10 female primary care providers and 1 male providers.

Primary Care 130

Primary Care Management Primary Care Physician 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 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

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. The RF models had an AUROC of 0.87 for CA, 0.85 for NS, and 0.92

Appointment 130

Appointment Primary Care Family Medicine DO 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 Finance Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Access to primary care in Canada is a pressing concern, with over one in five individuals lacking a regular primary care provider. To address this issue, healthcare partners have advocated for system transformation to enhance access and achieve the quintuple aim.

Primary Care 130

Primary Care Education Patients Healthcare Professional 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

Unfortunately, most individuals suffering from OUD do not have access to necessary care. 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.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. 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.

Management 130

Management Primary Care Telehealth Hypertension 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 Utilities IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective This study aims to assess healthcare providers' confidence and practices in using patient letters to communicate with patients with LEP, enhance communication strategies, and improve health outcomes. The sample included providers varying across gender, experience, department, and technological expertise.

Provider 130

Provider Patients Patient-Centered Healthcare 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 Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The use of digital health tools like patient portals is critical for enhancing patient-provider communication. Objective: This study investigates healthcare providers' experiences and confidence in using patient portals to communicate with patients with visual or hearing impairments.

Provider 130

Provider Patients Healthcare Primary Care 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

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

Primary Care 130

Primary Care Screening Nurse Practitioner Referral 130

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.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130