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Enhancing Primary Care: The Role of Occupationnal Therapy in Chronic Pain Self-Management [Pain management]

Annals of Family Medicine

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. Occupational therapists play a central role in supporting patients in the adoption and daily use of pain self-management strategies and in learning how to adapt to their chronic condition to maintain their quality of life.

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Celebrating Ten Years of ECHO Ontario Chronic Pain and Opioid Stewardship [Pain management]

Annals of Family Medicine

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. Intervention ECHO Pain started in June 2014 and offered weekly 90-minute sessions that include a didactic lecture followed by a de-identified patient case presentation.

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Perceived acceptability and feasibility of integrating breast and cervical cancer screening for women and providers in Kenya [Screening, prevention, and health promotion]

Annals of Family Medicine

Population Studied A total of 1,305 women presenting for CC screening and 50 CC providers at the study hospitals were surveyed. Outcome Measures Primary outcomes were perceived acceptability and feasibility of integrating BC screening into CC care among women and providers. Median provider age was 34 and 68% were female.

Screening 130
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Secondary analysis of the SHaPED trial: shifting away from opioids to simple analgesics for emergency care of low back pain [Pain management]

Annals of Family Medicine

Objective: To determine the effects of the SHaPED intervention on the use of non-opioid pain medicines in the management of low back pain in emergency departments. However, the original analyses did not look if the decrease in opioid use led to a greater use of the recommended analgesics (e.g. non-steroidal anti-inflammatory drugs-NSAIDs).

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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]

Annals of Family Medicine

Launched in 2017, Project ECHO Rheumatology (‘ECHO’) has welcomed over 500 primary care clinicians provincially to learn about rheumatic disease diagnoses and management. ECHO is a promising education model that builds capacity within primary care to manage rheumatic conditions more adeptly and wisely.

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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

Context: In the US, opioid use disorder (OUD) presents significant and urgent public health concerns. While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD.

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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Reducing healthcare costs per capita has focused on reducing Super-utilization using system transformation and care management approaches. Methods: Utilizing primary articles, search terms were refined iteratively for searches on Super-utilization, Super-utilizer, and Care Management themes. Care Management was the second common theme.

Utilities 130