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An Evaluation of Patient Outcomes Associated with Sludge (Administrative Burdens) in Cancer Screening [Screening, prevention, and health promotion]

Annals of Family Medicine

Impacts of healthcare sludge on patients have not been well-described. Objective: to quantify sludge in the colorectal cancer (CRC) screening process and evaluate the impacts of sludge on delayed or forgone screenings, screening experience, and health system distrust. Results were integrated for interpretation.

Screening 130
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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

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.

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Cervical Cancer Screening Differences Between Black and White Women: An Examination of HPV and Pap Test Utilization. [Screening, prevention, and health promotion]

Annals of Family Medicine

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. Chi-square and odds ratios were used to detect racial differences by screening type.

Screening 130
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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Context: In 2012, the United States cervical cancer screening (CCS) guidelines changed to add co-testing (Papanicolaou [Pap] and human papillomavirus [HPV] test) to Pap-only. Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist.

Screening 130
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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Its basic argument was that it isn’t sustainable to only see patients one by one in traditional doctor visits. I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. 1) Healthcare is not at all customer centered.

Patients 130
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Double-Booking the Doctor is Half-Booking the Patient

A Country Doctor Writes

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
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Visiting a Health Clinic for Women’s Health Screenings

Mesa Family Physician

Women’s health screenings are an essential part of preventive care, yet many people aren’t sure what to expect during these visits—or when the right time is to schedule them. A women’s health check typically includes a review of your medical history, a physical examination, and specific screenings based on your age and risk factors.

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