Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuous glucose monitoring (CGM) is now considered a standard treatment option in diabetes care. However, its adoption has been slower in primary care settings compared to endocrinology practices, resulting in unequal access for patients with diabetes. Setting: Primary care practices in Colorado.

Primary Care 130

Primary Care Diabetes Patients Education 130

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

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Population Studied 10 female primary care providers and 1 male providers.

Primary Care 130

Primary Care Management Primary Care Physician Patients 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. Culturally-competent, high-quality training is provided via coursework, seminars/workshops, and mentored, hands-on research. SETTING: Academic medical center.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 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

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

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 Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective This study aims to assess healthcare providers' confidence and practices in using patient letters to communicate with patients with LEP, enhance communication strategies, and improve health outcomes. The sample included providers varying across gender, experience, department, and technological expertise.

Provider 130

Provider Patients Patient-Centered Healthcare 130

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. Study Design and Analysis: Tele-legal services were provided over 30 months, with correlating Medicaid claims data.

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

Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. Some features affecting appointment outcomes were the provider’s experience and type, patient age, patient ethnicity, area deprivation index, home-clinic distance, number of comorbidities, usual provider of care index, insurance, and weather.

Appointment 130

Appointment Primary Care Family Medicine DO 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 Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. 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

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

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

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

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

Context Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. Population Studied Upper Midwest based providers interested in providing gender affirming and primary care for transgender adults located in rural areas.

Education 130

Education Primary Care Provider Community 130

Integrated Care News by CFHA

MARCH 12, 2025

The four core functions of primary care—the 4Cs (first contact, comprehensiveness, coordination, and continuity)—are fundamental to achieving high-quality care. Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services.

Integrated Care 130

Integrated Care Families Family Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: As academic medical centers purposefully integrate telemedicine visits into primary care, efficacy studies are needed to appropriately guide resource allocation and triage processes. Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023).

Telemedicine 130

Telemedicine Primary Care Provider Nurse Practitioner 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.

Family Medicine 130

Family Medicine DO Families Family 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

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

Clinic 130

Clinic Primary Care Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting 3 primary care clinics in SW Virginia. Intervention Exposure to a CHW vs. usual care. Results 10,509 unique patients with T2D and/or HTN visited the primary care clinics. A) Clinicians preferred warm-hand offs when referring patients and typically referred medically and socially complex patients to CHWs.

Hypertension 130

Hypertension Community Diabetes Primary Care 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

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

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

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

A Country Doctor Writes

JUNE 11, 2025

In primary care it is often necessary to think in terms of including more than our area of interest in our mental picture of our patient. My system lets me choose whether to import everything or essentially nothing from the patient’s past medical history. I can take both kinds of pictures with my iPhone.

Primary Care 130

Primary Care Patient-Centered Medical Advice Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Setting The study was set at St. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 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

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. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Plum Health

OCTOBER 29, 2024

Subscription vs. Traditional Primary Care: Which Saves You More? Subscription vs. Traditional Primary Care: Which Saves You More? When it comes to finding good, reasonably priced primary care, the health care dollar seems daunting. What Is Subscription-Based Primary Care?

Primary Care 52

Primary Care Insurance Telemedicine Healthcare 52

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

Context: Mental health conditions have increasing prevalence, co-occurrence, and high management burden within primary care settings. Objective: To validate and apply electronic medical record (EMR)-based definitions for mood and anxiety disorders (inc. depression, anxiety, bipolar disorder), and schizophrenia.

Primary Care 130

Primary Care Electronics Medical Mental Health 130