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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Context: Primary care is essential to health but barriers include affordability of care and accessibility of physicians. Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. Of these, 117,481 (57.2%) individuals had at least one primary care visit.

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Gathering Family Perspectives on Integrated Care

Integrated Care News by CFHA

The four core functions of primary care—the 4Cs (first contact, comprehensiveness, coordination, and continuity)—are fundamental to achieving high-quality care. Given the complex interplay among these functions, gathering patient perspectives on those core functions seems key to effectively operationalizing and measuring them.

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Patient Journey Mapping: How Attached and Unattached Community Members Access Primary Care [Health care services, delivery, and financing]

Annals of Family Medicine

Context: This study aims to understand the current primary care access experience of both attached and unattached community members, using the established qualitative technique of journey mapping. Framework analysis was employed to examine the patient experience in-depth.

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Utilization of Treatment for Chlamydia and Gonorrhea in the Primary Care Setting Using the American Family Cohort [Infectious diseases (not respiratory tract)]

Annals of Family Medicine

Since untreated cases can have severe health consequences, non-adherence to the Centers for Disease Control and Prevention Sexually Transmitted Disease Treatment guidelines (CDC) remains a concern. Objective: This study examined guideline adherence for chlamydia and gonorrhea treatment in primary care settings.

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Patient experiences navigating US healthcare with long-COVID - Part 3 of 3 [COVID-19]

Annals of Family Medicine

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. were White, 16.0%

Screening 130
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Validation of the "Proactive" self-assessment tool for older people to identify their own risk of functional decline [Screening, prevention, and health promotion]

Annals of Family Medicine

Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences. Agreement between Proactive and the clinical examination varied by construct, ranging from 47% (Sleep) to 94% (Medication). Setting: Community-based.

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