Annals of Family Medicine

NOVEMBER 20, 2024

Context: This study aims to understand the current primary care access experience of both attached and unattached community members, using the established qualitative technique of journey mapping. Conclusions: Primary care service transformation and co-design require community participation and feedback.

Primary Care 130

Primary Care Community Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

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).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. of those patients have 1-3 primary care visits per year.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. SETTING: Academic medical center. POPULATON: Trainees with terminal degree in health care or related field and interested in PC-based research careers.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Study Design and Analysis: Adoption and implementation of the program is described using descriptive statistics.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This study examined guideline adherence for chlamydia and gonorrhea treatment in primary care settings. The electronic health records are stored in the American Family Cohort, the largest national United States primary care database. Study Design and Analysis: A retrospective cohort from 2018-2022.

Primary Care 130

Primary Care Families Family Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Canada, most diabetes care is provided within primary care. Primary care experienced challenges during the COVID-19 pandemic, such as reduced access to care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes.

Primary Care 130

Primary Care Diabetes Finance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

The increased inbox burden has particularly impacted primary care physicians. 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.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. vs 35.4%) and less likely Hispanic (20.7 vs 41.1%) background.

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To evaluate the effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in clinical practice. Setting: Divisions of Family Medicine and Community Internal Medicine at a large academic medical center in Southeast Minnesota.

Primary Care 130

Primary Care Provider Nurse Practitioner Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Integrated Behavioral Health (IBH) is a model in which medical and behavioral health providers work together to provide whole person care, usually in primary care settings. Despite success in some community health centers and Federally Qualified Health Centers, IBH is not widely implemented in other settings.

Primary Care 130

Primary Care Provider Consulting Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: This study describes the symptoms and impacts of long-Covid and discusses the role of primary care in addressing the impacts of long-Covid. Setting or Dataset: The setting was an academic medical institution in the Mountain West. Transcripts were analyzed using inductive qualitative content analysis.

Primary Care 130

Primary Care Patients Relationship Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: A severe asthma registry in primary care is needed to determine the population prevalence and best practices in the real world. Setting or Dataset: The University of Toronto Practice-based and Learning Research Network (UPLEARN) in Ontario, Canada, comprises ~400 primary care physicians contributing data on ~400,000 patients.

Asthma 130

Asthma Primary Care Primary Care Physician Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Stigma surrounding addiction and substance use disorders (SUDs) hinders access to intervention and treatment, directly impacting primary care efforts. Media portrayals of addiction shape public perceptions, directly affecting individuals' willingness to seek treatment.

Primary Care 130

Primary Care Individual Utilities IT 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. We adjusted for physician factors, medical practice characteristics, and clinical activities relevant to caring for older patients.

Primary Care 130

Primary Care Family Physician Family Families 130

Annals of Family Medicine

MAY 27, 2025

For the past 30 years, the Agency for Healthcare Research and Quality (AHRQ) has continuously supported primary care research, funding the first ECHO grant, pioneering patient-centered medical home models, and supporting primary care practice-based research networks.

Primary Care 211

Primary Care Specialization Patient-Centered Healthcare 211

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite copious evidence of the positive health impact of Medical legal partnerships (MLP), public funding remains subject to economic arguments seeking return on investment (ROI) from the perspective of public payers. To date, there are less than a handful of economic analyses for MLP in the published literature.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Outcome Measures: Assessment of tobacco use; Among patients with current tobacco use, provision of advice to quit, referral to tobacco cessation counseling and tobacco cessation medication orders.

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Concerns about declining diversity among medical students have emerged due to the Supreme Court’s 2023 ruling against race-based affirmative action in college admissions. Medical schools must now eliminate race or ethnicity considerations, making it imperative to develop innovative approaches to preserve recent progress.

Education 130

Education Medical Student Medical DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C. Study Design Retrospective cohort study Setting or Dataset Descriptive data from well-child visits of children ages 0-18yo between Jan 1, 2022 and Dec 31, 2022.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Study Design and Analysis Retrospective, longitudinal study using electronic health records.

Appointment 130

Appointment Primary Care DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To determine medical trainees’ perspectives on current NBM practices and on narrative humility, and to assess their views on the effectiveness of NBM education via peer-led interactive workshop. Population Studied: Participants were mainly medical students, as well as residents and clinicians.

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Management 130

Management Primary Care Telehealth Hypertension 130

Physician's Weekly

JUNE 17, 2025

The PATHWEIGH trial aims to embed structured obesity care into primary care, addressing barriers and boosting clinician confidence and patient outcomes. Barriers include time constraints, lack of training in obesity treatment, limited reimbursement, and the absence of structured care pathways.

Primary Care 52

Primary Care Management Primary Care Physician Chronic Disease 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Setting/Dataset Forty-two primary care practices across the U.S. 6.1), Integration Methods 4.6 (95% 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, uptake of the AWV in primary care has been low, and many patients are unaware of this free annual visit. Translate the medical jargon associated with the AWV into messages and materials to engage primary care practices and patients to increase uptake of the AWV. Study Design and Analysis.

Wellness Visit 130

Wellness Visit Preventive Care Preventative Care Community 130

Integrated Care News by CFHA

APRIL 16, 2025

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It provides immediate, non-stigmatized behavioral health support at the point of medical care, often in the same visit.

Integrated Care 130

Integrated Care Primary Care Mental Health Family Healthcare 130

Integrated Care News by CFHA

MARCH 21, 2025

A recent inquiry within the CFHA community sought recommendations on implementing the Primary Care Behavioral Health (P CBH) model at a Federally Qualified Health Center (FQHC) that had received CCBHC Demonstration. Ensure that you engage in culture-building across the FQHC to maintain the primary care focus.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 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

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

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.

DO 130

DO Family Medicine Family Families 130

Canadian Family Physician

MAY 14, 2025

Objective To identify and summarize the most impactful medical articles published in 2024 relevant to primary care. The table of contents of major medical journals were reviewed as well as medical email alert services. Main message Articles addressed various clinical areas in primary care.

Primary Care 52

Primary Care Screening Clinic Medical 52

A Country Doctor Writes

MAY 18, 2025

There, as medical director, I had a friend and ally in the behavioral health director, and both our departments underwent years of rapid growth. 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.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130