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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

This study will be used by the Frontenac, Lennox & Addington Ontario Health Team (FLA-OHT) to guide design a person-centered medical home. This data was then coded into a final patient journey map model including phases, touchpoints, feelings, thoughts, actions, and opportunities for improvement.

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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The apps also collect patient reported data on goals, social needs, and functional status. The mixed methods evaluation includes focus groups, user testing, and surveys.

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Addressing Medication Safety in Patients with Multiple Chronic Conditions during Transitions of Care: A Caregiver Perspective [Geriatrics]

Annals of Family Medicine

Context: Transitions of care (TOC) between healthcare settings carry numerous safety hazards and high risk for medication harm, particularly for patients with multiple chronic conditions (MCCs). Results: Study participants shared both their experiences related to medication safety, as well as barries to patient-centeredness.

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Community Integration: Pushing the Boundaries for a Better World

Integrated Care News by CFHA

On October 6, 2017, a van loaded with medical supplies departed from the Health Center, bound for the local airport. The Holyoke Health Center, in collaboration with the Family Resource Center at Enlace de Familias , played a pivotal role in this local relief effort. Where can we start? Emphasize bi-directional collaboration.

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Development of a Multidisciplinary Clinic for the Treatment of Obesity in a Canadian University Family Medicine Group (U-FMG) [Obesity, exercise and nutrition]

Annals of Family Medicine

Population Studied Patients with obesity enrolled in the Méta-Santé clinic. Setting The North of Lanaudière University Family Medicine Group (U-FMG) Intervention Upon referral from their family doctor, patients attend a group course on nutrition and metabolic health.

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SGLT-2 inhibitor, cardiovascular risk and outcome in patients with comorbidity of hypertension and diabetes [Cardiovascular disease]

Annals of Family Medicine

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Study design and analysis This is a multiple-center retrospective real-world cohort study. Population Studied individuals with comorbidity of hypertension and type 2 diabetes.

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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

Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. The geographic accessibility of PCPs for Medicaid patients at the time of enrollment was constructed at the census tract level using the 2-Stage Floating Catchment method. Black individuals were 3.0