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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

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I survived hospice: Live discharges from a Medicare-certified home hospice program [Palliative and end-of-life care]

Annals of Family Medicine

Context: Hospice aims to manage a patient’s symptoms as they near end of life. While not the ideal case, patients may be discharged alive from hospice for a number of reasons, including: patient revocation of care, improved prognosis, or transfer of care to a different facility or geographic area. metropolitan area.

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. Have open gaps in care or medications not filled.

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Evaluation of Primary Care Provider Utilization by Asthma Patients after the Implementation of Coach McLungsSM [Child and adolescent health]

Annals of Family Medicine

Patients with the worst outcomes often lack continuity of primary care and receive care at emergency departments during exacerbations. Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making. to 0.08, p=0.44), 5% to 2% ([95%]CI -0.03 to 0.24, p=0.28).

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10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Dr. Zaar

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management. Are they patient and open to your questions?

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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Employers are increasingly finding that DPC offers a personalized doctor-patient relationship, comprehensive preventive care, and overall cost savings. Thus, DPC forms a better long-term investment focused on preventive care, as opposed to only treating patients post-diagnosis. If you have a great relationship with your PCP, keep it!

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Primary care follow-up after Emergency Department discharge for patients with chest pain in Ontario: a scoping review [Cardiovascular disease]

Annals of Family Medicine

Most patients are safely discharged after ED work-up rules out life-threatening causes. According to clinical guidelines, patients discharged with chest pain should follow-up with a medical doctor (MD) within 72 hours. Search concepts used were ED, patient discharge, primary care, follow up, Canada, and Ontario.