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Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Context: Several studies have documented that individuals with greater social determinants of health risks (SDOH) are more likely to use tobacco. What is not known is if provision of tobacco cessation assistance is equally likely for individuals with different levels of SDOH risk. Referral to counseling (7.5%

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Economic analysis utilized "difference in difference" methodology comparing individuals who received legal services to control groups: a) in the same clinic; b) in 12 other primary care clinics within the same health system. Population Studied: Attributed patients of participating clinics; clinic staff; Colorado state agency staff.

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Patient Perspectives on Obtaining Information About Inherited Cancer Risk via an Online Assessment Tool [Cancer research (not screening)]

Annals of Family Medicine

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Elevated-risk individuals in Arms 2/3 were referred to genetics/screening services. Patient coinvestigators and clinicians were involved in all research steps.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Travel to the doctor’s office. Wait times.

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. Encourage Healthy Eating Through Vouchers: Many clinics and systems have voucher programs in place to help supplement food for patients.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. Results The CFIR-based implementation evaluation highlighted the importance of alignment between contextual factors at the system level (e.g.,