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Enhancing Advanced Access in Primary Healthcare: Key Change Strategies from a Quality Improvement Initiative [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Timely access is crucial for high-quality primary healthcare delivery, yet remains a pervasive challenge globally, including in Canada. year Quality Improvement initiative aimed at enhancing AA in multidisciplinary primary healthcare. Objective: To delineate key change strategies from a 3.5-year

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. Study Design and Analysis. This cross-sectional study builds on survey data collected in multidisciplinary PHC clinics.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. clinical consensus, financing mechanisms) and the organization (e.g.,

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

So, how can we improve palliative care for individuals in nursing homes? The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

So I get all the referrals from my great colleagues in primary care. And then the family tells me they can’t keep an appointment, they can’t manage their finances. I mean, I don’t want to speak to your healthcare system and what’s happened, but that to me seems inappropriate. Nate 19:49 Yeah.

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. That’s a problem in our healthcare financing system. Ruth: Absolutely.