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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. Setting or Dataset: CUSOM and University Hospital. 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.

Utilities 130
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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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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Context Social prescribing has been linked to better access, improved health and wellbeing, and decreased health care utilization (HCU). Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services.

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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. Setting: Primary care provider utilization was assessed among several patient center health outcomes. Design and Analysis: Patients were evaluated for 6-month pre/post.

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas. 25% decrease], p=.02),

Utilities 130
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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

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. Across all discharges, 43% had at least one ED visit or hospitalization within 6 months of discharge.