Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient messaging to providers has dramatically increased since the pandemic, leading to informatics efforts to categorize messages to facilitate more efficient review. The increased inbox burden has particularly impacted primary care physicians. Setting Video call and screen share via Teams.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Provider 130

Provider Patients Patient-Centered Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Access to primary care in Canada is a pressing concern, with over one in five individuals lacking a regular primary care provider. Existing research primarily focuses on health professionals, with minimal engagement of patient partners.

Primary Care 130

Primary Care Education Patients Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. 1072 patients with COPD were identified within the merged dataset, 50% of whom visited the ED within two years. Risk factors (i.e.,

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The use of digital health tools like patient portals is critical for enhancing patient-provider communication. However, their effectiveness for patients with visual or hearing disabilities often remains under-examined. Ensuring these tools serve such patients effectively is crucial for healthcare equity.

Provider 130

Provider Patients Healthcare Primary Care 130

Mesa Family Physician

JUNE 16, 2025

What to Expect During a Primary Care Visit Visiting a primary care provider for the first time can bring up many questions. Whether you’re establishing care with a new physician or attending a new patient visit , understanding the process can help you feel more confident and prepared.

Primary Care 100

Primary Care Appointment Telehealth PCP 100

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. - Kenny Lin, MD, MPH Much has changed in the past six years since our last Health Policy Journal Club at Georgetown. I stepped down as director of the Robert L.

Primary Care 130

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Social data that is collected in a standardized fashion can be used to improve individual patient care by uncovering and then addressing social needs, to stimulate the development of new integrated health and social programs, and be used to identify inequities across an organization. Clerical staff and provider 96.7%

Primary Care 130

Primary Care Clinic Provider Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Interprofessional team-based care can expand access to primary care, however, the relationship between interprofessional teams and their impact on primary care capacity is not well-understood. Study Design Rapid scoping review. Studies that were qualitative, published before 2000, or non-English were excluded.

Primary Care 130

Primary Care Finance Nurse Practitioner Family Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: There is a crisis in the primary care workforce in Canada. While approaches have been developed to support primary care health human resource (HHR) planning, most planning is conducted within sector silos and there are few examples that consider a regional approach within an integrated care system.

Integrated Care 130

Integrated Care Primary Care Finance Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Necessary healthcare services to manage chronic pain remain difficult to access in primary care. 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.

Primary Care 130

Primary Care Management Chronic Condition Education 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care. Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit. Patient Expertise in Research Collaboration (PERC) – primary health care (PHC) is a centre supported by the Ontario SPOR Support Unit.

Primary Care 130

Primary Care Patients Community Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

The challenges faced stem from the uncertainty and complexity of redefining professional roles and scopes of practice, as well as the skills needed to effectively work together and coordinate patient care as a cohesive team. Setting: One multidisciplinary primary care team in the province of Quebec, Canada.

Primary Care 130

Primary Care Healthcare Professional Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The practice of occupational therapy in primary care is still developing in Quebec and in Canada. However, it is important to clarify what are the priority interventions they should offer to adapt to the primary care context and the needs of the clientele followed in this specific environment.

Primary Care 130

Primary Care Family Medicine DO Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Canada, most diabetes care is provided within primary care. Primary care experienced challenges during the COVID-19 pandemic, such as reduced access to care. Objective: To understand if the pandemic resulted in changes in care for patients with diabetes.

Primary Care 130

Primary Care Diabetes Finance Electronics 130

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. Culturally-competent, high-quality training is provided via coursework, seminars/workshops, and mentored, hands-on research. Research training is rate-limiting.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Comprehensiveness of care represents an important process measure within the contexts of primary care for core services. These services represent the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs.

Primary Care 130

Primary Care Nurse Practitioner Diabetes Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Unfortunately, most individuals suffering from OUD do not have access to necessary care. A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. Most participants indicated that they would benefit from additional ECHO OUD sessions and that the sessions were valuable to PC providers.

Primary Care 130

Primary Care Education Individual Screening 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. Vaccines can prevent several respiratory infections, but the uptake is variable.

Primary Care 130

Primary Care Vaccination Family Doctor Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Primary care must address the complex needs of patients with multiple chronic conditions, given 40% of patients seen in primary care have behavioral health needs. Setting/Dataset Forty-two primary care practices across the U.S. 7.6), Patient Identification 2.9 (95%

Chronic Condition 130

Chronic Condition Primary Care Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Optimizing continuity of care improves care quality, outcomes, and costs. Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Female patients had lower rates of NS, but higher rates of SDC. for CA, 0.85

Appointment 130

Appointment Primary Care Family Medicine DO 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. In principle, primary care is well-situated to manage long-COVID. However, beyond expressions of disempowerment, the patient’s perspective regarding the quality of long-COVID care is lacking.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults frequently use primary care services, and family physicians exhibit differences in their knowledge and skills to care for older patients. Population studied: Family physicians with ≥1 rostered patients. Study design: Propensity score-matched cohort study.

Primary Care 130

Primary Care Family Physician Family Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

SDM involves a collaborative process between patients and providers to make informed healthcare choices. Despite its proven benefits in enhancing patient outcomes, real-world constraints such as time, training, and staff availability hinder its widespread implementation.

Asthma 130

Asthma Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Stigma surrounding addiction and substance use disorders (SUDs) hinders access to intervention and treatment, directly impacting primary care efforts. Media portrayals of addiction shape public perceptions, directly affecting individuals' willingness to seek treatment.

Primary Care 130

Primary Care Individual Utilities IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: The overarching objective of the MU is to enhance the delivery of high-quality care to a broader patient population. Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Management 130

Management Primary Care Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Community health worker (CHW) interventions show promising outcomes for T2D and HTN control particularly among low income and historically marginalized patients. Objective Evaluate the implementation of a CHW program and its impact on the control of T2D and HTN outcomes among patients with social vulnerabilities.

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

Primary Care 130

Primary Care Screening Nurse Practitioner Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

A Country Doctor Writes

JUNE 1, 2025

I have heard of practices where providers tell their patients that they’ll get 10 minutes face-to-face, so the doctor has enough time to work the computer, documenting the 10 minute encounter. And, still, there is a widespread expectation that many things can happen in the invisible space between patient visits.

Patients 130

Patients Primary Care Doctor Primary Care Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. in Year +1, and in primary visits was 0.7 (-0.6, Regression models were all adjusted with sociodemographic covariates. in Year 0 and 2.4 (-0.3,

Patient-Centered 130

Patient-Centered Utilities ER Patients 130

Integrated Care News by CFHA

MARCH 12, 2025

The four core functions of primary care—the 4Cs (first contact, comprehensiveness, coordination, and continuity)—are fundamental to achieving high-quality care. Given the complex interplay among these functions, gathering patient perspectives on those core functions seems key to effectively operationalizing and measuring them.

Integrated Care 130

Integrated Care Families Family Mental Health 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 emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 130