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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Comparatively, physicians in general practice were more likely to see patients for mental health, chronic disease, and preventive care.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. Outcomes: Percentages of positive CRAFFT screens in the 3 practices were calculated.

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. So falls, mobility concerns, polypharmacy, comorbidities, nutrition, social support, and mental health. Mazie: Yes.

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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

But as a first year resident trainee at the University of Toronto, I cared for a young man in his early 30s while working in a shelter. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. We have world class primary care, cancer care, palliative care.