The Health Policy Exchange

SEPTEMBER 2, 2020

Health Policy Fellowship three years ago, though I still enjoy working alongside these talented family physicians in clinic, such as Dr. Brian Antono, who recently blogged about his fellowship experiences for Harvard Medical School's Center for Primary Care. CareFirst Blue Cross Blue Shield joined the program in 2020.)

Primary Care 130

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. However, uncertainties remain regarding the performance of these models compared to standard care, their generalizability and applicability in primary care settings.

Primary Care 130

Primary Care Electronics Screening Clinic 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

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. Participants were more confident in screening and diagnosing, harm reduction, and motivational interviewing.

Primary Care 130

Primary Care Education Individual Screening 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 DO Family Medicine Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. were White, 16.0%

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Outcome Measures: Assessment of tobacco use; Among patients with current tobacco use, provision of advice to quit, referral to tobacco cessation counseling and tobacco cessation medication orders.

Primary Care 130

Primary Care Referral Electronics Individual 130

Family Medicine Initiative

APRIL 29, 2025

In November 2024, two new RCTs were published that investigated whether atrial fibrillation screening using an ECG is effective. A limitation was that only 49% of those invited participated in the screening. UK National Screening Committee (2019): “Screening is not currently recommended for this condition.”

Screening 130

Screening Family Medicine DO Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Therefore, we have developed Proactive, a self-administered screening questionnaire that enables older people to independently monitor their risk of functional decline. Population studied: Individuals aged 65 years and older recruited in primary care clinics or senior residences. Objective: To validate Proactive.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

However, mental health conditions and health-related social needs (HRSNs) can complicate patients’ success. Addressing mental health and HRSNs can improve diabetes outcomes, but stigma surrounding these issues can make both patients and providers uncomfortable during clinical discussions. Outcome Measures: Emergent themes.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care physicians and practice teams face well-documented challenges increasing colorectal cancer (CRC) screening rates among their patients. Multi-level interventions that address patients, clinicians, clinical care environments and larger systems (hospitals, networks, etc.)

Primary Care 130

Primary Care Screening Primary Care Physician Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

We also assessed patterns of social risks and need for assistance among our patient populations. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Canadian Family Physician

JUNE 16, 2025

Objective Administrative burden contributes to the current primary care crisis. This critical review of the literature explores how primary care administrative burden is discussed, including how it is defined and what drivers and solutions have been identified.

Primary Care 52

Primary Care Screening Electronics Patients 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context While poverty is a risk factor for many chronic conditions, when it is recognized by care providers social screening can be used to positively impact patients’ health. Joseph’s Primary Care Clinic in Saint John, NB, Canada in 2023. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 130

A Country Doctor Writes

JUNE 9, 2025

It was a call to reimagine, reinvent and reinvigorate primary care. In fact, personally, six months later, I started transitioning to a different job, the one I now work full-time in, doing housecalls and virtual visits for older and disabled patients. There are a few problems with primary care today.

Primary Care 130

Primary Care Insurance Diagnose Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. No patients were referred to the SUD Clinic.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care delivery was significantly impacted by COVID-19, with rapid deployment of telehealth after the United States’ national public health emergency (PHE) declaration in March 2020. In the years following the PHE, rates of screening for tobacco use decreased, particularly during telehealth visits.

Primary Care 130

Primary Care Screening Telehealth Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Recognizing that health-related social needs drive health inequities, healthcare settings are increasingly beginning to screen and refer patients for social needs. Yet, many patients who screen positive for social needs decline to be referred to resources or do not have their needs resolved.

Primary Care 130

Primary Care Screening Patients Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Implementing a better public active screening strategy is crucial. Point-of-care capillary HbA1c (POC-cHbA1c) holds promise as a solution, yet randomized trials assessing its effectiveness as a T2DM screening strategy are scarce, and none have been done in HK. It shows promise as an effective T2DM screening strategy.

Primary Care 130

Primary Care Screening Diabetes Consulting 130

Canadian Family Physician

MAY 14, 2025

Objective To identify and summarize the most impactful medical articles published in 2024 relevant to primary care. Main message Articles addressed various clinical areas in primary care. Four studies that evaluated the impact of screening and guideline-adherence strategies on patient outcomes were honourable mentions.

Primary Care 52

Primary Care Screening Clinic Medical 52

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. Three reasons why learning Artificial Intelligence in health care may be a responsibility and not an option: 1. Evidence‑informed care was literally at his fingertips.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

A Country Doctor Writes

JUNE 26, 2025

A patient appointment for a physical could yield a cancer suspicion or diagnosis. Triage comes from the French word “trier”, which means “to sort” or “to select” Primary care is messy. An appointment for chest pain could lead to an intervention for domestic violence.

130

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

MAY 27, 2025

PURPOSE This study aimed to assess how agile implementation–driven iterative processes and tailored workflows can facilitate the implementation of a digital cognitive assessment (DCA) tool for patients aged 65 years or older into primary care practices. Screening workflows were tailored to each clinic.

Primary Care 130

Primary Care Screening Referral Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Delivering parental tobacco treatment during pediatric primary care visits may help to reduce the effects of these structural barriers, thereby increasing the likelihood of parental tobacco cessation and reducing children’s tobacco exposure in these populations. Setting: Primary care clinics in the Minneapolis-St.

Primary Care 130

Primary Care Screening Clinic Preventive Care 130

The Physicians Foundation

FEBRUARY 14, 2025

Scorecard with National and State Level Data Reveals Workforce Shortages, Low Primary Care Reimbursement, and Reduced Patient Access to Vital Services February 18, 2025 – As the nation faces a widespread surge in chronic diseases, the third Primary Care Scorecard highlights how systemic disinvestment in U.S.

Primary Care 52

Primary Care Chronic Disease Primary Care Physician Nurse Practitioner 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives. Contact hours included a mix of in-person visits and phone calls.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Common Sense Family Doctor

FEBRUARY 28, 2025

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. hours) allocated to preventive care. hours) allocated to preventive care.

Primary Care 52

Primary Care Family Physician Preventive Care Preventative Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Screening for social needs has become increasingly expected in primary care settings, with multiple regulatory bodies and value-based care payors emphasizing the importance of incorporating screening into routine care.

Screening 130

Screening Primary Care Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. Objectives Describe perspectives of clinicians and implementation leads on the role of primary care in ADRD early detection.

Primary Care 130

Primary Care Screening Healthcare Finance 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE We assessed the feasibility and acceptability of implementing a digital cognitive assessment (DCA) for Alzheimer disease and related dementias (ADRD) screening into primary care. We also assessed the prevalence of positive screens and measured diagnostic and care outcomes after a positive DCA result.

Primary Care 130

Primary Care Diagnosis Screening Utilities 130

Physician's Weekly

JUNE 11, 2025

WEDNESDAY, June 11, 2025 (HealthDay News) — Mailed self-collection (SC) kits may increase participation in cervical cancer screening, according to a study published online June 6 in JAMA Internal Medicine. percent in the SC with patient navigation group participated in cervical cancer screening. Montealegre, Ph.D.,

Screening 52

Screening Internal Medicine Patient-Centered Individual 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Team-based models of care have become an integral part of the primary care system and is increasingly regarded as a key feature in achieving high-quality primary care by providing integrated, comprehensive, and continuous person-centred care.

Primary Care 130

Primary Care Electronics Individual Provider 130

Common Sense Family Doctor

MARCH 15, 2025

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Paperwork required to sign up for health insurance and to establish care with a practice. Calling to schedule the next available appointment and taking time off work. Wait times.

Screening 52

Screening Insurance Primary Care Referral 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Study Design & Analysis We used a screening questionnaire to purposively select interview participants.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integrated behavioral health (IBH) within primary care can help patients receive quality whole person care, however little is documented about the distribution and nature of time spent in key activities by integrated psychologists (i.e., Results: 76 patient visits were conducted during the observation period by BHPs.

Primary Care 130

Primary Care Provider Illness Consulting 130