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Exploring Primary Care Provider eConsult Utilization Trends [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To determine how primary care providers (PCP) utilize the eConsult platform. Top utilizers were defined as PCPs with ordering volume in the 75th percentile. A subset of top utilizers contained 264 unique PCPs who ordered 18,972 eConsults. Results: A total of 21,931 eConsults were included for analysis.

Utilities 130
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Experiences of Canadians without a primary care clinician [Survey research or cross-sectional study]

Annals of Family Medicine

Context Primary care is the bedrock of an effective healthcare system. More than one-in-five people in Canada have no access to primary care yet little is known about their experiences and preferences. of respondents reported not having a primary care clinician. Results 22.0% vs. 55.3%). vs. 55.3%).

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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

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.

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Developing actionable strategies to implement evidence-based breast cancer follow-up in primary care using codesign [Dissemination and implementation research]

Annals of Family Medicine

Objective: Describe codesign methods to implement actionable strategies for breast cancer survivorship follow-up care. The resulting intervention was a care quality improvement project that engaged practice champions (n=18) from 6 primary care practices in bi-weekly virtual facilitation and monthly learning collaboratives over 3 months.

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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Context Optimizing continuity of care improves care quality, outcomes, and costs. Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S remain between 15-30%, costing $150 billion annually.

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Primary Care Utilization in Native American Communities: Challenges and Opportunities [Health care disparities]

Annals of Family Medicine

The impact of long-standing inadequate access to basic healthcare coupled with generational trauma has contributed to community distrust of western medicine. AI/AN patients utilize primary care resources at a lower rate than their non-AI/AN counterparts. Population Studied: AI/AN patients residing in the USA.

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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

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. Conclusion The burden of rheumatic disease is rising.