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Unleashing the Potential of Primary Care Nurses in Chronic Pain Management: A Delphi Study on Priority Activities [Health care services, delivery, and financing]

Annals of Family Medicine

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.

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Enhancing primary healthcare capacity : A qualitative study from the perspective of managers of PHC institutions in China [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: The aim of this study is to explore how to enhance primary healthcare capacity in China from the perspective of managers of primary health care institutions. Results: Four main categories of enhancement elements were identified: 1) Receipt of Care; 2) Provision of Care; 3)Outcomes of Care; 4) Ecology of Care.

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Practice and Community-Level Variations in Primary Care Panel Size [Health care services, delivery, and financing]

Annals of Family Medicine

Excess number of patients per clinician has been associated with higher physician burnout and may hinder timely patient access to care. Methods: We queried the 2021 Virginia All-Payer Claims Database (APCD) to estimate panel size by identifying the number of unique patients seen by each PCP.

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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system. Study Design: Retrospective single-site cohort study of patients diagnosed with SCD (ICD10 codes starting with D57) from Jan 2020 to December 2023.

Finance 130
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Translating complex clinical environments to virtual care: Standards of Care in Virtual Medicine in Canada [Health care services, delivery, and financing]

Annals of Family Medicine

Outcome Measures Definition of Virtual Medicine, Ethical, Professional and Legal Obligations, Requirements that preceded Engaging in Virtual Medicine, Establishing a Patient-Physician Relationship, During and After Engaging in Virtual Medicine, Prescribing and Authorizing. Only the most recent published standards were used in analysis.

Finance 130
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I Could Do Much Better but the System Doesnt Allow Me [Geriatrics]

Annals of Family Medicine

We all want to do the best we can for our patients, but frequently encounter a wall of resistance that prevents us from doing the best we could. Nursing home management must manage the competing needs of residents and staff and the corporate owners’ need to achieve a satisfactory return on investment.

Finance 130
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Conversations about Cost During Weight-Prioritized Visits in Primary Care [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Cost is a critical consideration in weight management, but cost conversations can be challenging for clinicians to initiate. Population Studied: Patients who self-selected to schedule an initial or ongoing WPV. Outcome Measures: Key themes related to cost conversations in weight management.