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Implementation Evaluation of a Community Health Worker Program for Patients with Type 2 Diabetes or Hypertension [Dissemination and implementation research]

Annals of Family Medicine

Context Disparities in type 2 diabetes mellitus (T2D) and hypertension (HTN) control are well-described. R) Of these, the 551 patients exposed to a CHW tended to be younger, female, insured by Medicaid, live in a higher SVI area, work full time or were unemployed, or identified as Black and/or African American or Hispanic and Latino.

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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

vs 28.2%), numbers of prescription medications (6[5;9] vs 6 [5;8]), and prevalent conditions requiring medications, including hypertension (81.5 The patients in the public clinic were less likely to have insurance for medications (77.4 The patients had similar levels of education (less than high school 30.2 vs 64.1%), and pain (55.6

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

A Country Doctor Writes

Cash practices are appearing and evolving to meet patients’ needs without the mandates of Medicare and the private insurance industry, but are in essence duplicating cost and effort because of Obamacare’s insurance mandate. The whole notion of Quality is arbitrary and paternalistic.

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A Brief Mindfulness Intervention to Lower Repeat BP in Primary Care [Hypertension]

Annals of Family Medicine

Blood pressure control is a major quality KPI impacting reimbursement from insurers for primary care practices. Longer-duration interventions have demonstrated reduction of physiological parameters such as systolic blood pressure (Carlton 2007; Loucks 2019; Lee 2020).

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Telehealth for Maternity Care: Qualitative Perspectives of Clinicians and Mothers [Qualitative research]

Annals of Family Medicine

Research has associated telehealth interventions with reduced self-reported smoking during pregnancy, reduced risk of gestational hypertension, and continuation of breastfeeding. Further, lower insurance reimbursement rates can limit its clinical use. For example, telehealth was not viewed as user friendly for clinical use.

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Common Myths about Varicose Veins

Vascular Physician

Reducing salt intake since a high salt diet may lead to hypertension or narrowing of arteries. Varicose veins are oftentimes covered by insurance whereas spider veins typically are not since they tend to be cosmetic only. Most insurance companies require patients to wear compression stockings before treatment.

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Chronic disease management among people with serious mental illness across rural, small urban, and metropolitan settings [Health care disparities]

Annals of Family Medicine

Results: The proportion of patients with a premium billed for diabetes or hypertension was highest in small urban areas, but lower amongst patients with SMI across all three geographic settings, with particularly low values in metro.