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New Report: U.S. Primary Care System Crumbling Amid Historic Disinvestment and Surge in Chronic Diseases

The Physicians Foundation

Diminishing Workforce: Primary care clinician shortages worsen access to care The number of primary care clinicians, including physicians, nurse practitioners (NPs), and physician assistants (PAs), decreased from 105.7 Oregon also ranks highest in primary care spending for Medicaid (8.2%) and Medicare (6.4%). per 100,000 in 2022.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

And yet we’re also in a different place in diabetes monitoring and management. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Listen in to learn more! This is Eric Widera. Welcome back, Alex.

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Why Regular Check-ups Matter: Preventive Care at Mesa Family Physicians

Mesa Family Physician

Preventive Care Strategies That Save Lives in Mesa, Arizona Our experienced team of physicians and nurse practitioners at Mesa Family Physicians understands the unique health challenges facing our local community. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery?

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