Integrated Care News by CFHA

JUNE 12, 2025

We must understand how the current policies impact access to care and identify policy-related barriers faced by our patients and families. In addition to a standardized screening, care enhancers who are trusted members of the community could be involved in these discussions and deployed for support. Where can we start?

Community 390

Community Integrated Care Patient-Centered Families 390

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

Screening 130

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The integration of Non-Invasive Prenatal Screening (NIPS) as a universal first-tier screening could provide an earlier screening and if needed, diagnostic result compared to standard screening. Population Studied: Pregnant women (≥19 years) undergoing foetal chromosomal anomaly screening (T13, T18, T21).

Screening 130

Screening Physicals Patients Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

This review focuses on the application of AI in age-appropriate cancer screening tests. Study design: We conducted a scoping review of various AI tools aimed at enhancing screening rates and cancer detection. Results: Our review identified limited research (1 study) on using AI to directly improve screening rates.

Screening 130

Screening Education Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With the goal of advancing health equity, the US healthcare sector has expanded activities to identify and intervene in patients’ experiences of social adversity, sometimes referred to as "social care". Yet, no measure of patients’ experiences with social care has been developed to date.

Patients 130

Patients Screening Relationship Healthcare 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. Among 12,506 screened average-risk individuals, the mean age was 39.0 As new screening modalities emerge (e.g., were White, 16.0% vs 69.3%, p <0.001).

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The American Academy of Pediatrics recommends universal screening; however studies have found inconsistencies in screening of FI, documentation of FI, and referral to appropriate resources. Comparison of FI for paired patients in 2022 and 2023. Documented ICD-10 of food insecurity positive screenings 4.

Primary Care 130

Primary Care Screening Referral Utilities 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

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening.

Primary Care 130

Primary Care Referral Routine Screenings Patients 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

Mesa Family Physician

APRIL 24, 2025

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.

Screening 100

Screening Clinic Appointment Checkup 100

Annals of Family Medicine

NOVEMBER 20, 2024

Context Patient advocacy groups engage patients, families, and caregivers in navigating the cancer landscape, focusing on early detection/screening, as well as psychosocial and financial support during treatment. Population Studied Diverse leaders of cancer-focused patient advocacy groups.

Primary Care 130

Primary Care Patients Finance Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

POPULATION STUDIED: Diverse stakeholders (PC clinicians, survivorship experts, policy leaders, oncologists, and patient advocates) were interviewed (n=45). SETTING: A purposive sample of national stakeholders participated in the expert panel and interviews. Local PC stakeholders participated in the second panel.

Primary Care 130

Primary Care Screening Education Electronics 130

A Country Doctor Writes

JUNE 3, 2025

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

Patients Appointment Patient-Centered Screening 130

Adventures of a Sick Doctor

FEBRUARY 4, 2022

I have been working in cancer screening for seven months now, and I have had the opportunity to reflect on what that means for me, as a cancer patient myself. For a start, my cancer is colorectal not cervical, and besides it is unrelated to screening as I was diagnosed at an age that is outside of the screening parameters.

Screening 100

Screening Medical Student IT Diagnose 100

A Country Doctor Writes

JUNE 21, 2025

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. The physician–patient encounter is health care’s choke point.

Patients 130

Patients Patient-Centered Hypertension Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Prenatal care can be difficult for patients to accomplish, with frequent visits and time-sensitive health screenings. Patient interviews, providing qualitative information to augment study findings. Semi-structured interviews of post-partum patients. Intervention/Instrument: Optional virtual prenatal visits.

Patients 130

Patients Clinic Utilities Provider 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. Conclusions: The differences between the results of Proactive and the clinical examination highlight its potential for patient-centered risk identification.

Screening 130

Screening Primary Care Clinic Patient-Centered 130

Family Medicine Austin

JUNE 16, 2025

That’s why having access to advanced onsite diagnostics is a game-changer for both patients and healthcare providers. At Family Medicine Austin, we’re dedicated to enhancing patient […] The post Enhancing Patient Care Through Advanced Onsite Diagnostics appeared first on Family Medicine Austin.

Patients 130

Patients DO Family Medicine Healthcare 130

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. Setting Video call and screen share via Teams. Conclusion Clinicians generally lack the time to prioritize patient messages.

Primary Care 130

Primary Care Management Primary Care Physician Patients 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

Annals of Family Medicine

NOVEMBER 20, 2024

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Population Studied: Attributed patients of participating clinics; clinic staff; Colorado state agency staff. Intervention/Instrument: Legal-needs screening tool.

Medical 130

Medical Referral Screening Internal Medicine 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

Integrated Care News by CFHA

MAY 19, 2025

MBC entails equal emphasis on the phases of Collect, Share, and Act , which include repeated data gathering, communication/review of the data with the patient and team, and adjusting treatment based on this information. (2) MBC enhances therapeutic alliance and improves culturally informed care to diverse patient groups. (10,

Integrated Care 300

Integrated Care Mental Health Healthcare Clinical Practice 300

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.

Mental Health 130

Mental Health Diabetes Relationship Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

A critical shortage of clinicians who specialize in treating patients with OUD exacerbates this issue. While primary care (PC) settings have the potential to bridge this gap in care, many care teams lack the education and training required to effectively manage patients with OUD.

Primary Care 130

Primary Care Education Individual Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: to investigate the effect of vitamin D supplementation on patients with LBP. Roland Morris Disability Questionnaire, Patient-Specific Functional Scale), or subjective measure of improvement in people with LBP following vitamin D supplementation Results: 2383 articles were screened by two reviewers after removing the duplicates.

Patients 130

Patients Electronics Screening Clinic 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

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. Population Studied The study collected data from family physicians, nurse practitioners, and adult patients of the clinic. Of screened patients, 94.4%

Primary Care 130

Primary Care Screening Provider Clinic 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

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. Population: All patients aged 12-17 seen in the 3 practices during a 3-month study period.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients: Black and White men ≤75 years with newly diagnosed LPC, 2014 to 2017. Results: Of the 1688 eligible patients recruited at baseline, 1057 were followed-up at 2-year after diagnosis; 913 had complete data on all variables used in this analysis. Design: Longitudinal cohort study. years at baseline (SD=6.7,

Diagnosis 130

Diagnosis Screening Diagnose Education 130

Mesa Family Physician

MARCH 13, 2025

In Arizona’s climate, skin cancer screenings are particularly important given our high sun exposure. For Women Women require specific preventive services throughout their lives, including breast cancer screenings, cervical cancer screenings, osteoporosis testing, and prenatal care during pregnancy.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100

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. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Travel to the doctor’s office. Wait times.

Screening 52

Screening Insurance Primary Care Referral 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite it being the fourth most common cancer in women, many Somali American women do not receive routine screening for cervical cancer. HPV-only testing is effective for cervical cancer screening and recommended by U.S. Overall, participants felt HPV self-sampling should be routinely offered to all Somali American patients.

Screening 130

Screening Routine Screenings Healthcare Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Attributed patients of participating clinics; clinic staff; Colorado state agency staff. Intervention/Instrument: Legal-needs screening tool. Inability to control for patients in legal crisis significantly limits the ability for economic analyses to fully demonstrate value through traditional ROI.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 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. Objective: To identify and prioritize nursing activities for chronic pain management in primary care by adopting nurse and patient perspectives.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130