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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Population Primary care providers in 12 Ottawa and Sudbury (Ontario, Canada) practices referred their patients with health or social needs to access needed SP services. Dataset Of the 326 enrolled patients, 150 consented and had their data successfully linked to health administrative data housed at ICES (ARC=83, Ontario-211: 67).

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Enhancing Provider Confidence in Communicating with Patients with Limited English Proficiency (LEP) through Patient Letters [Health care disparities]

Annals of Family Medicine

Context Effective communication with patients with limited English proficiency (LEP) is a significant challenge in healthcare, often leading to poorer health outcomes and patient dissatisfaction. Study Design A cross-sectional survey was conducted using REDCap to collect quantitative and qualitative data from healthcare providers.

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Behavioral Health Provider Perspectives on the Integration of Behavioral Health into Primary Care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

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.

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Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]

Annals of Family Medicine

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.

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Patient Journey Mapping: How Attached and Unattached Community Members Access Primary Care [Health care services, delivery, and financing]

Annals of Family Medicine

This study will be used by the Frontenac, Lennox & Addington Ontario Health Team (FLA-OHT) to guide design a person-centered medical home. This data was then coded into a final patient journey map model including phases, touchpoints, feelings, thoughts, actions, and opportunities for improvement.

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Community Integration: Pushing the Boundaries for a Better World

Integrated Care News by CFHA

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?

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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

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.,