Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

Community 130

Community Diabetes Referral Screening 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. Conclusions: Common barriers to providing DM in the context of social needs focused on limitations related to addressing the social needs themselves rather than adjusting diabetes management strategy.

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Adults with T2D often face unmet social needs, such as food insecurity, compounding the challenges associated with their engagement in disease management interventions. Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%.

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Jessie, welcome back to GeriPal. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 15, 2024

They weren’t hurt, they didn’t need transport, and we were seeing the same people over and over again. But what was really interesting is the transport to the hospital was actually going down in their system. Same thing with kind of medication management. What do you think of that?” Eric: Oh, no.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. And so I tried to get her actually to pain management, and I couldn’t.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Emmy: Because if you’ve got other ways to get things delivered or you have good public transportation or you have a lot of family around, that’s a very different kind of calculus than if you live on your ranch and there’s no way to otherwise get to town, and there’s nobody else around. “How are things going?”

IT 102

IT Families Family Diagnosis 102