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Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

The majority of patients with depression is treated by their General Practicioner (GP). Knowing the current CVRM practice of Dutch GPs is needed before any recommendations regarding depressed patients can be made. Patients with a registered depression were compared to two controls. Intervention/instrument: not applicable.

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Exploring Medical Trainees Perspectives on Narrative Medicine Education and Narrative Humility [Qualitative research]

Annals of Family Medicine

Context: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

Education 130
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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

Clinic 130
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Association between substance use and acute rhinosinusitis in a multisite trial pilot study [Clinical trial]

Annals of Family Medicine

Participants were enrolled at 1-21 days of illness and followed via daily symptom survey. Patients were administered the Tobacco, Alcohol, Prescription Drugs and Substance Use (TAPS)-1 survey to query about substance use on initial enrollment. For illicit drug use, in the RAN group 7.0% reported daily/weekly use and 13.9%

Clinic 130
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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. Objectives: To implement SUD screening in patients aged 12-17 seen for all visit types (well and sick visits) and to quantify the rate of substance misuse.

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What Does Behavioral Health Provider Practice in Primary Care Look Like? [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Results: 76 patient visits were conducted during the observation period by BHPs. Intervention: NA.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. 8% (n= 1,146) were ordered for medical condition management.

Referral 130