Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Results: We identified 176 patients with recent hemoglobin A1c ≥8%.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Appropriate care for people with complex needs calls for integrated care programs that include providers from primary care and other health and social services. Research is needed to identify mechanisms supporting successful scale-up of integrated care programs for this population.

Integrated Care 130

Integrated Care Finance Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Genomic and personalized medicine implementation efforts have largely centered on specialty care in tertiary health systems. There are few examples of fully integrated care systems that span the healthcare continuum. More than 35,000 patients completed clinical genetic testing following GWA or BHA completion.

Community 130

Community Patient-Centered Primary Care Electronics 130