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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. Care Management was the second common theme. Care Management was the second common theme.

Utilities 130
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Perceived acceptability and feasibility of integrating breast and cervical cancer screening for women and providers in Kenya [Screening, prevention, and health promotion]

Annals of Family Medicine

Setting The study was conducted at 10 government hospitals in Siaya and Busia Counties in Kenya. Population Studied A total of 1,305 women presenting for CC screening and 50 CC providers at the study hospitals were surveyed.

Screening 130
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Outcomes of a virtual CGM initiation service (virCIS) for primary care patients with diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

Practices referred patients to virCIS for CGM initiation and management for 6 months. Most practices were clinician owned solo or group practice (n=13), followed by hospital or health system owned (n=6). Patients will complete all visits by August 2024 and completed patient data, including satisfaction data, will be presented.

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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population.

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Educational intervention utilizing population health managers to reduce COPD-related healthcare utilization [Population health and epidemiology]

Annals of Family Medicine

Context: COPD patient self-management plans, including rescue packs (antibiotic and steroid combinations), are effective in reducing respiratory related emergency department (ED) visits and hospital readmissions. Utilization of action plans/rescue packs within our health system remains relatively limited.

Utilities 130
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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system.

Patients 130
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Why Identifying and Managing Giant Cell Arteritis as an Emergency Is Crucial

Physician's Weekly

Giant cell arteritis is one of the most common when we see it, particularly when it presents with signs and symptoms of head and neck ischemia. If there’s visual symptoms, patients are often hospitalized for high dose intravenous symptoms. But treatment first, securing the diagnosis is secondary and often delayed.