The Health Policy Exchange

SEPTEMBER 26, 2013

learn from the organization of primary care in other Western countries? In this month's Georgetown University Health Policy Seminar, we explored two recent studies that shed light on successes and challenges of primary care reforms in Ontario, Canada and the European Union. What can family medicine in the U.S.

Primary Care 130

Primary Care Chronic Disease Management Chronic Disease Primary Care Physician 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. Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared. How long will it take?

Primary Care 100

Primary Care Appointment Telehealth PCP 100

Annals of Family Medicine

NOVEMBER 20, 2024

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. Post-session measures assessed practical knowledge, management, and expertise gained from the sessions.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. The goal of ECHO Pain is to educate, support, and improve chronic pain and opioid management in Ontario’s rural, remote, and underserved areas.

Management 130

Management Telehealth Education Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Intervention: A team was created with an attending physician, care coordinators, and front office staff.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, facing the challenges brought by China's national health strategy, aging population, and high incidence of chronic diseases, there is an urgent need to improve the service capacity of China's primary medical institutions.

Healthcare 130

Healthcare Management Finance Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults frequently use primary care services, and family physicians exhibit differences in their knowledge and skills to care for older patients. Objective: To compare family physician practice on established performance measures derived from a modified Delphi process.

Primary Care 130

Primary Care Family Physician Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit. Together with ten patients who have experience managing chronic illness or life-limiting conditions, PERC encourages and supports the meaningful engagement of patients as partners in PC research.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. The qualitative descriptive approach was used to analyze focus group discussions.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: For many patients with long-COVID, primary care is the first point of interaction with the healthcare system. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 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

Physician's Practice

JUNE 26, 2025

Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.

Primary Care 52

Primary Care Management Patients Provider 52

Canadian Family Physician

MAY 14, 2025

Objective To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.

Primary Care 52

Primary Care Consulting Electronics Provider 52

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

Context: Asthma is a prevalent chronic disease that is difficult to manage and associated with marked disparities in outcomes. SDM involves a collaborative process between patients and providers to make informed healthcare choices. Setting: 21 primary care practices within Atrium Health, a large integrated healthcare system.

Asthma 130

Asthma Patients Primary Care Chronic Disease 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: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics.

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Weight loss is desired by many patients, but many primary care practices struggle to provide this care. PATHWEIGH is an integrated approach to support primary care practices in delivering evidence-based weight loss care to patients as part of regular health care.

Primary Care 130

Primary Care Management Electronics Provider 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

The Health Policy Exchange

MARCH 26, 2014

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Kenny Lin, MD, MPH Director, Robert L. Phillips, Jr.

Family Medicine 130

Family Medicine DO Families Family 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

A Country Doctor Writes

JUNE 9, 2025

It was a call to reimagine, reinvent and reinvigorate primary care. Many of the comments were saying that Direct Primary Care is the solution to today’s primary care crisis. There are a few problems with primary care today. So this was a hot topic and two years later it’s still hot.

Primary Care 130

Primary Care Insurance Diagnose Screening 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

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Behavioral Health Providers, BHPs). Intervention: NA.

Primary Care 130

Primary Care Provider Illness Consulting 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. More research is needed to guide emergency physicians and other primary care providers in the management of this disease.

Primary Care 130

Primary Care Complication Diagnosis Electronics 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

Context: Case management in primary healthcare has been documented as a promising integrated care approach to overcome fragmented care faced by adults with complex healthcare and social needs (hereafter complex needs). Study Design: Qualitative descriptive multiple case study.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Common Sense Family Doctor

DECEMBER 27, 2024

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients.

Primary Care 52

Primary Care Insurance Patient-Centered Medical Student 52

A Country Doctor Writes

MAY 18, 2025

If a primary care patient was going through a difficult time with their social life or mental health, we would walk them down the hall to meet a therapist right then and there. The organization now employs a single psychiatric nurse practitioner for medication management. No counseling is offered.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Physician's Weekly

JUNE 11, 2025

A recent study offers recommendations on how to balance weight loss goals and bone health concerns in weight management programs for older adults. Distributing intake throughout the day has been shown to enhance muscle synthesis, and targeting 90 g/day provides 1.2 g/kg/d for someone who is starting at 75 kg (or 165 lb).

Management 52

Management Primary Care Physicals Telehealth 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Developing innovative approaches to prevent or manage age-related health problems and disabilities is a public health priority. Participants' comments while completing Proactive provided a qualitative assessment of the validity of the response process, and interviews assessed social validity. Objective: To validate Proactive.

Screening 130

Screening Primary Care Clinic Patient-Centered 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

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

Plum Health

SEPTEMBER 23, 2024

Paul, a direct primary care physician here in the Detroit, Michigan. I've seen firsthand the challenges people face when it comes to accessing quality mental health care. Long wait times, high costs, and limited availability of providers can make it feel like you're on your own.

Primary Care 52

Primary Care Mental Health Primary Care Physician Healthcare 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context : The COVID-19 pandemic provides an opportunity to explore the qualities that enable greater team adaptability, as a team’s ability to respond effectively to disruption is a good indicator of how well it functions. Outcome Measures N/A. Results : A total of 76 nurses were interviewed.

Primary Care 130

Primary Care Nurse Practitioner Management Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Cost is a critical consideration in weight management, but cost conversations can be challenging for clinicians to initiate. Practice members from 57 primary care practices in one Colorado health system who participated in the PATHWEIGH study.

Primary Care 130

Primary Care Finance Insurance Management 130

Canadian Family Physician

JUNE 16, 2025

These included volume of paperwork, inbox management, and lack of compensation for the hours of administrative tasks performed. In addition to these contextual factors, 2 main themes were identified: the first revealed the impact of administrative burden on both the time available for patient care and physicians’ well-being.

Primary Care 52

Primary Care Family Physician Relationship Families 52