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

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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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. A difference-in-differences (DID) approach was used to compare outcomes in two groups: Medicaid beneficiaries assigned to KHH and those who were not.

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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

Objective Our goal was to examine how message prioritization (as distinct from categorization) occurs in primary care, and to understand the approaches primary care clinicians deployed for managing their inbox workflows. Study Design Semi-structured interviews and inbox work observations at MedStar Health.

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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

Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management. Objective: To identify and prioritize nursing activities for chronic pain management in primary care by adopting nurse and patient perspectives.

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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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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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Feasibility of the Diabetes Self-Management Coaching Program for Individuals with Type 2 Diabetes in Primary Care. [Diabetes and endocrine disease]

Annals of Family Medicine

Diabetes Self-management Coaching is an emergent, client-centered, solution-focused approach to enhancing self-efficacy and self-care behavior. There is no effective self-management support program for individuals in the PC setting of low-income countries like Ethiopia.