Integrated Care News by CFHA

MAY 19, 2025

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. MBC enhances therapeutic alliance and improves culturally informed care to diverse patient groups. (10, 3, 4) Why is MBC important? 3, 4) Why is MBC important?

Integrated Care 300

Integrated Care Mental Health Healthcare Clinical Practice 300

Integrated Care News by CFHA

MAY 8, 2025

Motivational interviewing is an effective tool for resolving ambivalence in parents or patients who express hesitancy about vaccination. Communication Strategies Using the presumptive format for initiating vaccine communication (“Johnny’s due for three shots today”) as opposed to the participatory approach where an open-ended question is used.

Vaccination 390

Vaccination Healthcare Professional Integrated Care Healthcare 390

Annals of Family Medicine

NOVEMBER 20, 2024

Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. The apps also collect patient reported data on goals, social needs, and functional status. Results of testing and evaluation will be presented.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

reduction in the prescription of opioids (OR 0.57, 95% CI 0.38–0.95) without compromising patient outcomes. Context: The SHaPED trial implemented a model of care for low back pain in emergency departments and resulted in a 12.3% non-steroidal anti-inflammatory drugs-NSAIDs).

Management 130

Management Referral Education Patients 130

Medical Xpress

DECEMBER 11, 2022

Researchers from the University of Pennsylvania's Abramson Cancer Center presented preliminary results of an ongoing Phase I clinical trial demonstrating successful re-treatment with CAR T cell therapy for patients whose cancers relapsed after previous CAR T therapy at the 2022 American Society of Hematology (ASH) Annual Meeting.

Patient-Centered 128

Patient-Centered Clinic Patients 128

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention ECHO Pain started in June 2014 and offered weekly 90-minute sessions that include a didactic lecture followed by a de-identified patient case presentation. In this study, we present a narrative summary of our program achievements and research in the past ten years.

Management 130

Management Telehealth Education Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In the US, opioid use disorder (OUD) presents significant and urgent public health concerns. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Conclusions: Implementing ECHO OUD team-based sessions could support the improved management of patients with OUD.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

The collective experience of exemplary, compassionate physicians, the narrative experiences of patients, as well as the documented science of healing clearly verifies the reality that much of healing occurs through the listening, trust, optimism and communication of compassion that comes through relationships.

Relationship 130

Relationship Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context A number of patients have complex care needs that arise from interactions among multiple factors, such as multimorbidity, mental health issues, and social vulnerability. Shared decision-making (SDM), a collaborative process between patients and professionals, is known to improve the quality of the decision-making process.

Mental Health 130

Mental Health Chronic Condition Consulting Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, the factors influencing the dynamics of adherence among young Chinese patients with hypertension remain unclear. Objective The present study investigates the factors influencing the dynamics of medication and non-medication adherence in young Chinese adults with hypertension.

Hypertension 130

Hypertension Patient-Centered Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Western values of heroism and individualistic empowerment exert significant influence over how we make meaning out of patient stories. Currently, the field of narrative-based medicine (NBM) lacks research that examines the potential harms of using dominant Western narrative forms to represent patients’ lived experiences.

Education 130

Education Medical Medical Student Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied A total of 1,305 women presenting for CC screening and 50 CC providers at the study hospitals were surveyed. Patients cited major barriers to BC screening as lack of awareness of BC screening availability and eligibility. Setting The study was conducted at 10 government hospitals in Siaya and Busia Counties in Kenya.

Screening 130

Screening Provider Hospital Government 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

Clinic 130

Clinic Referral Primary Care Physician 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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Respiratory infections are a prevalent health issue that concerns patients and stresses healthcare resources. To improve preventive first line healthcare, we need to understand the uptake and perspective of patients on vaccines. Recruitment continues but will close before NAPCRG, final results will be presented.

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study design and analysis: Descriptive statistics were used in SPSS to present demographics and responses and Chi-squared tests evaluated relationships between demographics and attitudes. 32% (n=11) reported patient satisfaction with telemedicine transitions. We aim to highlight educational gaps for future pandemic preparedness.

Telemedicine 130

Telemedicine Education Telehealth Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context When it comes to advanced directives, research has shown that providers should initiate the conversation for their patients, however completion rates for these conversations are very low. It is important to decrease these barriers for providers, so that patients are able to benefit from these conversations.

Medical Student 130

Medical Student Education Family Medicine DO 130

Physician's Weekly

JUNE 13, 2025

Their recent study, which was presented online in Gynecological Cancer, assessed the readability of gynecologic cancer clinical trial descriptions on National Cancer Institute Designated Comprehensive Cancer Center (NCI-CCC) websites.

Patients 52

Patients Patient-Centered Clinic Individual 52

Annals of Family Medicine

NOVEMBER 20, 2024

Occupational therapists play a central role in supporting patients in the adoption and daily use of pain self-management strategies and in learning how to adapt to their chronic condition to maintain their quality of life. Necessary healthcare services to manage chronic pain remain difficult to access in primary care.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Medical Xpress

JANUARY 31, 2023

Researchers studied patients who unknowingly carried the multi-resistant Gram-negative bacteria, a major cause of urinary tract infections and sepsis, and found that almost 1 in 7 developed an infection that very few antibiotics could treat.

Hospital 98

Hospital Patients 98

A Country Doctor Writes

MAY 31, 2025

However, as Pirsig argues in his book, focusing solely on the mechanical aspects of any practice—be it fixing a motorcycle or treating a patient—risks losing sight of the human element that gives the work its meaning. This presence transforms routine care into something meaningful for both patient and practitioner.

Diagnosis 130

Diagnosis Patients Diagnose Physicals 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. These factors will be discussed in the presentation. Also, more Black women reported being informed about the type of CCS they received.

Screening 130

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

In previous studies using MEDICODE, attitudes or emotions (A/E) were coded as present/absent. However, present/absent coding limited interpretations of this important component of patient experience. 4) Reported psychological distress level was measured post consultation with the patient distress thermometer.

Consulting 130

Consulting Medical Patients Relationship 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. My system lets me choose whether to import everything or essentially nothing from the patient’s past medical history.

Primary Care 130

Primary Care Patient-Centered Medical Advice Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Building patients’ and health professionals’ trust in health research includes responsibly sharing health information. Modifications to the dashboard based on feedback sessions and collaborative evaluation activities will be described.

Community 130

Community Healthcare Electronics Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Introduction: Reflexivity-based training for healthcare professionals on shared decision-making (SDM) fosters critical thinking, encouraging reflection on one’s personal values while supporting patient needs. Methods: We performed a qualitative descriptive study.

Healthcare Professional 130

Healthcare Professional Education Healthcare Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe primary care clinicians’ perspectives about managing hypertension in Black patients and assess the use of the 5 A’s Behavior Change Model (Ask, Advise, Assess, Assist, and Arrange) and shared decision making (SDM) processes. Study Design and Analysis: Cross-sectional study. All p-values are two-tailed.

Hypertension 130

Hypertension Primary Care Management Nurse Practitioner 130

Physician's Weekly

JUNE 12, 2025

The FamilyPso questionnaire revealed caregiver burden among partners and family members of patients with psoriasis, which could bolster shared decision making. The burden of psoriasis extends beyond the patient to the caregivers who help to manage day-to-day symptoms. Disease Severity Of the 559 caregiver participants, 59.4%

Patients 52

Patients Patient-Centered Family Families 52

Annals of Family Medicine

NOVEMBER 20, 2024

Existing therapies are suboptimal and many patients resort to opioid therapy. The present study reports on the findings from one-year follow-up qualitative data collected to better understand the interventions’ effects.

Management 130

Management Mental Health Physicals Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: A patient’s relationship with their primary care physician (PCP) or advanced practice provider (APP) is instrumental in their healthcare journey. Study Design and Analysis: We conducted a secondary data analysis of EHR data which include n=10,279,755 encounters among n=278,406 unique patients.

Relationship 130

Relationship PCP PCP Patients 130

Physician's Weekly

JUNE 20, 2025

The findings were presented in an abstract at the American Diabetes Association 85th Scientific Sessions. The post Helping Patients Preserve Muscle Mass During Weight Loss first appeared on Physician's Weekly. The strategies included diet and exercise, community resources, family support, and medication management, among others.

Patients 52

Patients Complication Diabetes Community 52

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. Research training is rate-limiting. Funding opportunities for pre-/post-doctoral training exist in the US, including T32 programs.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Joy in Family Medicine Coaching

DECEMBER 27, 2024

Prioritizing your well-being makes you more efficient, effective, and present. This benefits not just you but also your family, friends, colleagues, staff, and patients. You’ll be more present with others, efficient in tasks, and able to tackle challenges with more ease and clarity. How you view the investment matters.

Physicals 130

Physicals DO Family Medicine Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study aimed to explore discussion strategies used in real-world GP-patient consultations when discussing obesity. 47 video consultations and patient post-consultation satisfaction surveys were analysed using descriptive content analysis with 17 consultations discussing weight eligible for in-depth analysis.

GP 130

GP Consulting Primary Care Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context In the post-discharge period from hospital acute inpatient care, the older patient is at risk from a lack of joined-up care. Though patients/carers are often copied in, they seldom get a plain English version or space to discuss its contents. A subset of ~24 patients/their carers will be interviewed.

GP 130

GP Hospital Family Medicine DO 130

The Clinical Problem Solvers

JULY 12, 2023

[link] In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Jorge Salazar presents a case to Dr. Monica Gandhi of a transgender woman with a recent diagnosis of HIV presenting with fatigue and weight loss. Case presenter: Jorge Salazar is an Infectious Disease Fellow at the University of California, San Francisco.

Patients 52

Patients Internal Medicine Primary Care Education 52