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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Individuals with complex conditions—those with multiple physical, mental, or behavioral health conditions--require numerous health and social services that are not effectively co-delivered by the current healthcare system. This study also provides the first formal evaluation of the KHH program.

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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. Of these, 117,481 (57.2%) individuals had at least one primary care visit. Black individuals were 3.0 Results: Our sample included 234,296 Virginians with 87.6% having complete data. PP; p=0.017).

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Lessons, Message, and Recommendations from Latina Survivor of Cervical Cancer for Healthcare Teams and Providers [Health care disparities]

Annals of Family Medicine

Dataset: We conducted a qualitative study utilizing the Database of Individual Patient Experiences (DIPEx) methodology - a time-tested, research-based approach for conducting and disseminating health and healthcare experiences. The final part of the interview involved inviting participants to share messages for healthcare providers.

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Interventions Between Providers and Patients with Limited English Proficiency to Improve Health-Related Outcomes [Systematic review, meta-analysis, or scoping review]

Annals of Family Medicine

Intervention/Instrument Multiple interventions utilized, as specified in each study. diagnosis of a condition; biological markers; knowledge; attitude; quality of life and change in symptoms; individual or group behavior, skills; healthcare process and system outcomes). (e.g., Results Eighty-four studies fit inclusion criteria.

Provider 130
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Lived experience of individuals with thalassemia in Eastern India [Allergy/Immunology]

Annals of Family Medicine

The authors, both individually and collectively, utilized an immersion-crystallization approach to analyze the content of the interviews. Eleven adult Bengali-speaking patients were randomly selected to participate in in-person interviews, where they shared their lived experiences with the disease. were males and 45.4% were females.

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Intervention Strategies for Management of Comorbid Depression Among Individuals With Hypertension: A Scoping Review [Cardiovascular disease]

Annals of Family Medicine

This scoping review aims to systematically map non-pharmacological interventions for managing comorbid hypertension and depression, providing insights into current practices and guiding future research. Background: Hypertension and depression frequently co-occur, complicating patient management and worsening outcomes.