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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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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Outcome Measures: Interview questions and analysis were guided by five CFIR domains (innovation source, inner and outer setting, individuals, and implementation process). Consideration of the care team workflows (i.e.,

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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

Pathways offered by Quebec’s public system are heterogeneous, often providing limited services, especially in a preventive setting. Population Studied Patients with obesity enrolled in the Méta-Santé clinic. Follow-up frequency, ranging from weekly to monthly for up to 12 months, is tailored to individual needs.

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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

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Patient experience with Social Prescribing Program in Ontario, Canada [Social determinants and vulnerable populations]

Annals of Family Medicine

Context Social Prescribing (SP) is an approach to help individuals address their health and social needs wherein a healthcare practitioner refers patients to non-clinal services in the community. Models of SP vary, and the experience of patients across these models is less known. ARC: All (N=17) participants used navigation.

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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?

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