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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services. Dataset Of the 326 enrolled patients, 150 consented and had their data successfully linked to health administrative data housed at ICES (ARC=83, Ontario-211: 67).

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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

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The apps also collect patient reported data on goals, social needs, and functional status.

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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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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. timeliness and satisfaction) and decreases message center burden; people suggested the trial's protocol emphasizes team-based approaches for recruitment and evaluation. Consideration of the care team workflows (i.e.,

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Gathering Family Perspectives on Integrated Care

Integrated Care News by CFHA

Given the complex interplay among these functions, gathering patient perspectives on those core functions seems key to effectively operationalizing and measuring them. Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services.

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Health Trends Across Communities: Engaging Healthcare Systems, Public Health and Community in a Statewide Public Health Tool [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: Building patients’ and health professionals’ trust in health research includes responsibly sharing health information. Objective: To use an iterative, community-engaged process to inform the development of the publicly-available HTAC dashboard. Study Design and Analysis: Qualitative descriptive.

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