Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity. Among the completed encounters, the average days from referral to encounter was 27.2.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives. Contact hours included a mix of in-person visits and phone calls.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Physician's Weekly

JUNE 25, 2025

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Concierge Choice Physicians

FEBRUARY 20, 2025

The industry was new then, developed largely as a response to the feeling that HMOs were taking over healthcare and making decisions that should be between a patient and their doctor. Perhaps their patient base was small, or they were practicing in a more rural, less wealthy area. ​The model took off.

Private Practice 130

Private Practice Relationship Healthcare Primary Care Physician 130

Plum Health

MAY 22, 2023

Direct Primary Care (DPC) has emerged as a viable, high-quality primary care model that liberates itself from the constraints of traditional fee-for-service (FFS) products. Easy access and relationship-driven care minimize long-term healthcare expenses and cut down on unnecessary urgent care and emergency room visits.

Primary Care 52

Primary Care PCP PCP Insurance 52

Hitchcock Family Medicine

AUGUST 26, 2024

Tip 1: Do Research and Obtain Referrals Start your search by asking friends, family, and colleagues for recommendations. Word-of-mouth referrals can provide valuable insights into a doctor's practice, professionalism, and bedside manner. Here are some essential tips to guide you in locating the best family physician for your needs.

Family Doctor 52

Family Doctor Family Families Board-Certified 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Recognizing the critical connection between access to nutritious food and health, health care systems across Minnesota are taking innovative steps to address food insecurity. Family physicians play a pivotal role in combating food insecurity, serving as trusted advocates for their patients and connecting them to essential food resources.

Family Physician 52

Family Physician Community Families Family 52

The Physicians Foundation

AUGUST 15, 2024

is honored for his transformative work, connecting patients with primary care and critical health resources BOSTON, August 15, 2024 – The Physicians Foundation is proud to announce Jubril Oyeyemi, M.D., Dr. Oyeyemi founded CHFC, which provides free primary health care throughout Southern New Jersey.

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

Physicians Alliance of Connecticut

MARCH 28, 2025

Your Connecticut-based primary care doctor is a good place to start, as they understand your health history and can refer you to a trusted hormone doctor that specializes in your condition. Even if they don’t have the same condition as you, they can provide information about things like the doctor’s reputation or bedside manner.

Board-Certified 52

Board-Certified Appointment Insurance Consulting 52

Physicians Alliance of Connecticut

MARCH 5, 2025

People often see an endocrinologist after being referred by their primary care provider. While primary care providers are trained to manage conditions like diabetes, they rely on endocrinologists to provide more specialized care. At PACT Endocrinology, a referral isn’t required.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

The Clinical Problem Solvers

MARCH 14, 2025

Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

Edge Family Medicine

APRIL 10, 2025

Establishing a long-term relationship with a primary care provider can make a profound difference in how effectively your health is managed over time. Why Primary Care Relationships Matter A trusted PCP gets to know you — not just your chart. Preventive Care that Works Primary care is your first line of defense.

Primary Care 130

Primary Care Relationship PCP PCP 130

GeriPal

JUNE 12, 2025

Summary Transcript CME Summary If you’re anything like me, you might find the process of what happens to patients when they visit a radiation oncologist somewhat mysterious. Anish 01:02 Well, I speak, you know, from a physician lens of some of the patients that I get referred, and by the time there’s. This is not a good option.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Concierge Choice Physicians

APRIL 23, 2025

The Concierge Choice by CCP is a unique concierge medicine style that allows physicians to offer patients an exclusive membership program while maintaining their entire patient panel. Membership is simply an option for those patients who want the assurance they will always see their chosen physician for appointments.

Healthcare 130

Healthcare Internal Medicine Primary Care Appointment 130

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. And also I was in the HVMA primary care program.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. Going into patient’s homes was eye opening. They were stunned by the number of calls for lift assistance for older adults who had fallen.

Community 116

Community Transportation IT PCP 116

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. John: Thank you.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? Should eligibility and access be determined by clinician referral? Patients have all sorts of problems. By diagnosis?

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. Practical strategies to overcome these barriers and enhance care. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. We’re going to go into how to talk to patients about this, because Emmy, you’ve done some research on it. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic. Eric: Yeah.

Family 102

Family IT Families Diagnosis 102

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Instead, they establish a direct patient-provider relationship, for a flat fee. Specialty referrals can be reduced or eliminated.

DO 40

DO Family Medicine Family Families 40

GeriPal

MARCH 6, 2025

What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. We have world class primary care, cancer care, palliative care. On bias and trauma as you.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JUNE 22, 2023

Healthcare staff were afraid of patients with HIV because there wasn’t clarity on how it was transmitted. So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. So these men were extremely isolated, and they were dying alone.

Family 133

Family Families IT Community 133

Family Medicine Initiative

APRIL 10, 2024

As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue. The following graph shows the striking difference in premature mortality between countries with weak or strong primary care: 2. Here are the key results.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Ruth: Decision-making processes, we saw the lower nursing homes tended to have a clear process for advanced care planning and for decision making to include families in an informed decision. We did a palliative care quality initiative.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Summary Transcript Summary As Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. But one issue we’re not as good at discussing with our patients is sexual health. Clearly this issue is important to patients. And here I am considering myself all palliative care or supportive care.

Illness 131

Illness IT Physicals Patients 131

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73