article thumbnail

High use of the emergency department among patients in Krakow, Poland: An alternative to seeking primary care? [Acute and emergency care]

Annals of Family Medicine

Context: Research from North America shows that a common reason for high emergency department (ED) use is the inaccessibility of primary care. Individuals who frequently attend the ED comprise up to 10% of patients, while accounting for a third of ED visits. median: 6, IQR: 2.0).

article thumbnail

Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

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. Tailoring individual strategies can facilitate SBIRT implementation in rural PC practices.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Primary care for all Americans

Common Sense Family Doctor

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients.

article thumbnail

Caring for the underserved: The National Health Service Corps

The Health Policy Exchange

Fitzhugh Mullan advocated for a more expansive role for the NHSC in the 21st century, including options to practice community-oriented primary care, in urban hospitals, in public health, and in prison and international health settings. Kenny Lin, MD, MPH Director, Robert L. Phillips, Jr.

article thumbnail

Geriatric Assessment Boosted Outcomes in OAs

Physician's Weekly

Most individuals retained functional independence for up to 6 months following a community-based CGA. At 30 days, mortality was 1.0%, Emergency Department (ED) visits were 6.9%, hospitalization was 6.6%, and NH admission was 4.0%. Functional decline occurred 26.4% at 30 days and 33.7% at 180 days.

article thumbnail

Evaluation of a pre-consultation tool for older adults in primary care: Results from a randomized controlled trial [Geriatrics]

Annals of Family Medicine

Context: Pre-consultation questionnaires designed to provide rapid assessments of the physical, social, mental and cognitive health of older adults may support effective primary care management and improved patient outcomes for this population. Study Design and Analysis: Multi-center, 1:1 individually randomized trial design.

article thumbnail

Mapping Colorectal Cancer Screening Workflows in Primary Care Practices [Screening, prevention, and health promotion]

Annals of Family Medicine

Context: Primary care physicians and practice teams face well-documented challenges increasing colorectal cancer (CRC) screening rates among their patients. Multi-level interventions that address patients, clinicians, clinical care environments and larger systems (hospitals, networks, etc.)