The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. However, it wasn't clear to us how easy it would be to apply this information, given that we usually need to prioritize patients on the schedule for that day.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

Primary Care 130

Primary Care Electronics Hospital Medical 130

Mesa Family Physician

JUNE 16, 2025

What to Expect During a Primary Care Visit Visiting a primary care provider for the first time can bring up many questions. What information should you bring? What Is a Primary Care Visit? Many patients ask: What happens at a new patient appointment in primary care?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To enhance interprofessional collaboration among primary care teams within family physician groups (FMGs) and to optimize care resources along clear and simple care trajectories. Setting: One multidisciplinary primary care team in the province of Quebec, Canada.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment.

Primary Care 130

Primary Care Family Medicine DO Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Population Studied 10 female primary care providers and 1 male providers.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness of care represents an important process measure within the contexts of primary care for core services. These services represent the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs.

Primary Care 130

Primary Care Nurse Practitioner Diabetes Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

If health systems strive to improve patient experience, and PC visits comprise most of the health care delivered in those systems, then the research informing this sector should be oriented to the needs of PC patients. In Ontario, Canada, more people access PC than any other type of healthcare.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

SDM involves a collaborative process between patients and providers to make informed healthcare choices. Coach McLungsSM (CML) is a pre-visit interactive, digital coaching experience that engages patients, caregivers, and providers in a tailored conversation about asthma and fosters SDM in creating a plan of care.

Asthma 130

Asthma Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

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 emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care team members involved in high blood pressure management. Conclusion: COACH pre-implementation evaluation provided information that informed implementation and trial protocol changes and may increase the adoption of COACH. Study design: Deductive qualitative analysis.

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Data analysis included descriptive statistics and qualitative analysis of open-ended responses.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting 3 primary care clinics in SW Virginia. Intervention Exposure to a CHW vs. usual care. Results 10,509 unique patients with T2D and/or HTN visited the primary care clinics. M) Patients exposed to a CHW expressed the value of the social and emotional support CHWs provided. I) There was a mean of 2.8

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Consequently, clinicians may avoid these stigmatized topics and provide general recommendations that can’t be followed by patients.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients with the worst outcomes often lack continuity of primary care and receive care at emergency departments during exacerbations. Improved asthma outcomes are associated with effective communication between patients and providers, such as using shared decision-making.

Primary Care 130

Primary Care Asthma Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. 0.9SD) encounters per patient since 2007.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. However, very few randomized controlled trials have been conducted and have not assessed HCU.

Patient-Centered 130

Patient-Centered Utilities ER Patients 130

The Physicians Foundation

FEBRUARY 14, 2025

Scorecard with National and State Level Data Reveals Workforce Shortages, Low Primary Care Reimbursement, and Reduced Patient Access to Vital Services February 18, 2025 – As the nation faces a widespread surge in chronic diseases, the third Primary Care Scorecard highlights how systemic disinvestment in U.S.

Primary Care 52

Primary Care Chronic Disease Primary Care Physician Nurse Practitioner 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Setting The study was set at St. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Therapeutic relationships have been demonstrated as fundamental to primary care delivery. The rapid adoption of digital technologies since the onset of COVID-19 has led health care systems to consider or adopt a "digital-first" primary care delivery model. 8 virtual care visits were observed.

Primary Care 130

Primary Care Relationship Nurse Practitioner Provider 130

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state.

Primary Care 52

Primary Care Board-Certified Patient-Centered Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Participants' comments while completing Proactive provided a qualitative assessment of the validity of the response process, and interviews assessed social validity. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences. Setting: Community-based.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

In countries like Canada and Australia, which have been experiencing high rates of opioid-related harms, there have been many calls to increase involvement of and improve OUD care in primary care. specialists, social workers), thus providing care continuity.

Primary Care 130

Primary Care Chronic Disease Management Chronic Disease Government 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Team-based models of care have become an integral part of the primary care system and is increasingly regarded as a key feature in achieving high-quality primary care by providing integrated, comprehensive, and continuous person-centred care.

Primary Care 130

Primary Care Electronics Individual Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Up to 30% of patients seen in primary care have a co-occurring mental health or substance use issue. Integrating mental and behavioral health with primary care may increase access, improve outcomes, and decrease overall health care costs. Iterative constant comparative analysis of interview data.

Primary Care 130

Primary Care Illness Mental Health Medical Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: This study was conducted at the 2023 annual Primary Care Leadership Track retreat for Johns Hopkins School of Medicine, and at the 2023 GHHS Northeast Regional Conference. Results: 31 out of the 33 respondents (93.9%) agreed that the workshop provided them with new knowledge about NBM.

Education 130

Education Medical Medical Student Primary Care 130

A Country Doctor Writes

JUNE 11, 2025

In primary care it is often necessary to think in terms of including more than our area of interest in our mental picture of our patient. The past medical history has historically been abused by other specialty providers using a common EMR. I can take both kinds of pictures with my iPhone. Computer scrolling changed all that.

Primary Care 130

Primary Care Patient-Centered Medical Advice Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: By investigating the utilization of primary care resources, the authors hope to assess the efficacy of current approaches, better inform future public health initiatives, and improve health outcomes in this medically marginalized community. Results: All hypotheses were supported.

Primary Care 130

Primary Care Utilities Community Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients without a regular primary care provider (a family physician or nurse practitioner) are considered "unattached,". million people aged 12 and older) were unattached to a regular primary care provider. In 2019, 14.5% of Canadians (approximately 4.6

Primary Care 130

Primary Care Nurse Practitioner Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation tools are considered a promising way to support health providers and older adults in identifying multiple and often complex needs. Objective: This study compared the perspectives of patients and providers using ESOGER, a novel multidimensional assessment tool for older adults.

Provider 130

Provider Primary Care Patients Consulting 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

to complete an analysis of qualitative data collected from primary care clinician and staff perspectives on the use of anti-obesity medications. Study Design and Analysis: Qualitative study involving key informant interviews over two years. We utilized AI tools in the qualitative software program Atlas.ti

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

This scoping review seeks to identify the barriers and facilitators to SDM among diverse patients to help inform clinicians and improve SDM in primary care. This search combined controlled vocabulary and keyword terms related to SDM in the care of racially, ethnically, and culturally diverse patients in the primary care setting.

Primary Care 130

Primary Care Screening Healthcare Provider 130