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Understanding Primary Care Inbox Management: A Qualitative Study of Patient Message Prioritization and Inbox Workflow [Practice management and organization]

Annals of Family Medicine

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. Beyond our findings related to prioritization, we identified six themes and 14 subthemes related to clinicians’ approaches to managing their inbox workloads.

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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

These individuals are often high utilizers of health care services, with some of the costliest services being hospital admissions and emergency department (ED) visits. This study also provides the first formal evaluation of the KHH program.

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Unleashing the Potential of Primary Care Nurses in Chronic Pain Management: A Delphi Study on Priority Activities [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care. Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management.

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Intervention Strategies for Management of Comorbid Depression Among Individuals With Hypertension: A Scoping Review [Cardiovascular disease]

Annals of Family Medicine

Background: Hypertension and depression frequently co-occur, complicating patient management and worsening outcomes. This scoping review aims to systematically map non-pharmacological interventions for managing comorbid hypertension and depression, providing insights into current practices and guiding future research.

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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

Concussion management is complex: variable onset of symptoms, urban/rural disparities, and the many professionals involved in case management. ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management.

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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. The mean observed LOS was 7.1

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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).