A Country Doctor Writes

JUNE 3, 2025

I have always tried to “squeeze” urgent visits in when I know the patient and the issue they’re having. Sometimes a patient does need a lot of non-provider time, for example to get undressed and ready for a Pap smear. A Country Doctor Writes: is a reader-supported publication. Government. That can be really bad.

Patients 130

Patients Appointment Patient-Centered Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Social Prescribing (SP) is an approach to help individuals address their health and social needs wherein a healthcare practitioner refers patients to non-clinal services in the community. Models of SP vary, and the experience of patients across these models is less known.

Patients 130

Patients Community Patient-Centered Referral 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. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking. Patients described two areas of experiences.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Impacts of healthcare sludge on patients have not been well-described. Study Design and Analysis: This sequential/convergent mixed methods study included a patient survey and patient interviews. Study Design and Analysis: This sequential/convergent mixed methods study included a patient survey and patient interviews.

Screening 130

Screening Patients Insurance Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Bold reform is needed centered on the values and priorities of patients and the public. They wanted a system where every person had access to primary care with accessibility, equity, wellness-oriented care, accountability and patient-centredness being key values.

Patient-Centered 130

Patient-Centered Primary Care Patients Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. A tool to more efficiently relay points of patient-perceived treatment burden during a primary care visit may lead to more patient-centered care plans and improved outcomes.

Primary Care 130

Primary Care Diabetes Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The apps also collect patient reported data on goals, social needs, and functional status.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Study design and analysis This is a multiple-center retrospective real-world cohort study.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Below, I share three reasons why. References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Integrated Care News by CFHA

JUNE 12, 2025

On October 6, 2017, a van loaded with medical supplies departed from the Health Center, bound for the local airport. The Holyoke Health Center, in collaboration with the Family Resource Center at Enlace de Familias , played a pivotal role in this local relief effort. Where can we start? Emphasize bi-directional collaboration.

Community 130

Community Integrated Care Patient-Centered Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective This study aims to investigate the impact of data visualization using China-PAR on managing hypertension among primary care patients. Setting or Dataset two primary health centers. Moreover, the intervention has been shown to reduce hospital admission rates among patients with hypertension (RR=10.26, 95% CI 1.24-84.82).

Hypertension 130

Hypertension Primary Care General Practitioner Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system. Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia.

Finance 130

Finance Medical Patient-Centered Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. 46,844 patients were diagnosed with diabetes during study period. Study Design: Retrospective observational cohort study.

Patient-Centered 130

Patient-Centered Insurance Diabetes Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied Patients with obesity enrolled in the Méta-Santé clinic. Setting The North of Lanaudière University Family Medicine Group (U-FMG) Intervention Upon referral from their family doctor, patients attend a group course on nutrition and metabolic health.

Family Medicine 130

Family Medicine DO Nurse Practitioner Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite various attempts to improve patient-clinician communication, there has been limited head-to-head comparison of these efforts. Objective: to enhance patient-clinician communication, building on a previous pilot that created promising prototypes of interventions.

Primary Care 130

Primary Care Patient-Centered Patients Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. for CA, 0.85

Appointment 130

Appointment Primary Care Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The impact of the COVID-19 pandemic on individuals with schizophrenia who are admitted to academic medical centers (AMCs) has not been previously reported. Objective: To examine the epidemiology and mortality among schizophrenia patients discharged from AMCs in the U.S. from Oct 2019 to Dec 2023.

Patient-Centered 130

Patient-Centered Patients Medical Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Community health centers (CHCs) are recognized as trusted care providers with unique potential to support more effective recruitment and participation approaches. Context: Researchers and funders are recognizing the urgent need for more inclusive and representative clinical research to advance health equity.

Patient-Centered 130

Patient-Centered Community Patients Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. timeliness and satisfaction) and decreases message center burden; people suggested the trial's protocol emphasizes team-based approaches for recruitment and evaluation. Consideration of the care team workflows (i.e.,

Electronics 130

Electronics Patient-Centered Hypertension Primary Care 130

A Country Doctor Writes

MAY 18, 2025

This was in part because we shared patients and patient experiences between our departments and had a bidirectional way of making warm handoffs. 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

The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. However, it wasn't clear to us how easy it would be to apply this information, given that we usually need to prioritize patients on the schedule for that day.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals. Population Studied. Women 15-54 years with live births between 2005-2022.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective The PORTRAIT Registry tracked 797 patients with new or worsening PAD symptoms at vascular specialty clinics and highlighted the underutilization of prevention services and significant disparities in quality of life among women, non-white patients, and those with financial barriers.

Community 130

Community Patient-Centered Utilities Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, the factors influencing the dynamics of adherence among young Chinese patients with hypertension remain unclear. Population Studied A single-center cohort study. Results A total of 89 young patients with hypertension were included. Setting or Dataset general outpatient clinic of a tertiary hospital in Chengdu.

Hypertension 130

Hypertension Patient-Centered Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: As part of a large multi-center pragmatic randomized comparative effectiveness trial funded by PCORI, we recruited 141 adults with upper respiratory tract infections as part of a pilot feasibility demonstration. Patients were recruited from primary care practices, emergency rooms and urgent care centers, and the community (e.g.,

Telemedicine 130

Telemedicine Primary Care Emergency Room Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The COVID pandemic disrupted global healthcare, impacting Academic Medical Centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

Patient-Centered 130

Patient-Centered Medical Utilities Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Since untreated cases can have severe health consequences, non-adherence to the Centers for Disease Control and Prevention Sexually Transmitted Disease Treatment guidelines (CDC) remains a concern. Intervention/Instrument: Key patient characteristics such as race/ethnicity and social determinants of health were considered.

Primary Care 130

Primary Care Families Family Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Leading the OECD PaRIS Project in Saskatchewan (SK) was an integrated primary care collaborative team consisting of primary care providers (PCPs), people with lived experience (PWLE) aka patients, health system partners and researchers. Instrument: Survey developed and approved by the OECD-PaRIS Working Group.

Nurse Practitioner 130

Nurse Practitioner Primary Care Relationship PCP 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Understanding patients’ perspectives and readiness regarding deprescribing—a concept broader than mere drug cessation, encompassing dynamic interaction between patients and health care professionals—is essential for developing feasible and effective deprescribing interventions.

Patient-Centered 246

Patient-Centered Medical Patients IT 246

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: A qualitative study Setting: Primary care setting in Shanghai, China Population Studied, 15 directors of the high-quality development pilot community health service centers in Shanghai were selected as interviewees.

Healthcare 130

Healthcare Management Finance Chronic Disease 130

A Country Doctor Writes

JUNE 11, 2025

We may only have 15 minutes with each patient. 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. So my mental picture of the problem area ends up being like a photograph with everything surrounding the center of the picture a bit blurry.

Primary Care 130

Primary Care Patient-Centered Medical Advice Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. HPV self-sampling), multilevel interventions that are tailored for both clinic and patients’ needs will be critical to advance equitable access to CCS.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Edge Family Medicine

JANUARY 9, 2025

As a leading family medical practice in Upland, CA, we champion evidence-based approaches that empower patients to take control of their health. Lifestyle medicine is a patient-centered, evidence-based approach that treats the root causes of chronic diseases. What is Lifestyle Medicine?

Chronic Disease 130

Chronic Disease Family Medicine DO Chronic Condition 130

Integrated Care News by CFHA

MARCH 12, 2025

Given the complex interplay among these functions, gathering patient perspectives on those core functions seems key to effectively operationalizing and measuring them. Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services. ” 4. .”

Integrated Care 130

Integrated Care Family Families Mental Health 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. Below are a few key considerations for making this type of integration work: 1. Culture, culture, culture!

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Despite success in some community health centers and Federally Qualified Health Centers, IBH is not widely implemented in other settings. 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.

Primary Care 130

Primary Care Provider Consulting Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The introduction of the Human Papillomavirus (HPV) test and the 2012 Cervical Cancer Screening (CCS) guidelines expanded the way providers offer and interpret screening for their patients. Intervention/Instrument: The NHIS survey is a large-scale structured interview conducted by the National Center for Health Statistics via the CDC.

Screening 130

Screening Utilities Patient-Centered Insurance 130