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

Context: While hypertension is the most common chronic disease cared for during adult primary care visits, it is challenging to know which hypertensive patients have the highest risk of cardiovascular complications in the future. of those patients have 1-3 primary care visits per year.

Hypertension 130

Hypertension Primary Care Primary Care Physician Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Describe codesign methods to implement actionable strategies for breast cancer survivorship follow-up care. The resulting intervention was a care quality improvement project that engaged practice champions (n=18) from 6 primary care practices in bi-weekly virtual facilitation and monthly learning collaboratives over 3 months.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rampant rise in the prevalence of diabetes presents a public health burden and a challenge to the primary care setting. Diabetes Self-management Coaching is an emergent, client-centered, solution-focused approach to enhancing self-efficacy and self-care behavior.

Primary Care 130

Primary Care Diabetes Individual Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

The increased inbox burden has particularly impacted primary care physicians. Objective Our goal was to examine how message prioritization (as distinct from categorization) occurs in primary care, and to understand the approaches primary care clinicians deployed for managing their inbox workflows.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: We describe the adoption, implementation, and impact on hemoglobin A1c of a primary-care-based Diabetes Navigator program that aimed to re-engage patients with uncontrolled diabetes into care. Study Design and Analysis: Adoption and implementation of the program is described using descriptive statistics.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida. The final question asked patients, who have at least one risk factor, if they would like assistance with their need(s).

Primary Care 130

Primary Care Referral Routine Screenings Patients 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. Study Design: We utilized a scoping review approach, which is a non-exhaustive selection of literature pertaining to and examining a specific topic.

Primary Care 130

Primary Care Individual IT Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Social prescribing has been linked to better access, improved health and wellbeing, and decreased health care utilization (HCU). 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.

Patient-Centered 130

Patient-Centered Utilities ER Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument A multiclass random forest (RF) method for risk prediction was utilized. Population Studied Adult patients scheduled for in-person or telehealth visits between 01/2019-06/2023. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

Appointment 130

Appointment Primary Care Family Medicine DO 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

Objective: By investigating the utilization of primary care resources, the authors hope to assess the efficacy of current approaches, better inform future public health initiatives, and improve health outcomes in this medically marginalized community. Population Studied: AI/AN patients residing in the USA.

Primary Care 130

Primary Care Utilities Community Preventative Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. The survey was anonymous both before and after the rotation.

Education 130

Education Primary Care Physician Primary Care DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Patients with the worst outcomes often lack continuity of primary care and receive care at emergency departments during exacerbations. Setting: Primary care provider utilization was assessed among several patient center health outcomes. Design and Analysis: Patients were evaluated for 6-month pre/post.

Primary Care 130

Primary Care Asthma Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. 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

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. Conclusion The burden of rheumatic disease is rising. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE Primary care is the foundation of any health care system. Primary care improves the health of communities and decreases health inequities. METHODS We used the 2019 Virginia All-Payers Claims Database to identify primary care physicians (PCPs) and the number of distinct patients seen by each physician.

Primary Care 130

Primary Care PCP PCP Primary Care Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Measures of handgrip strength are collected in primary care settings as a vital sign for the prevention of health conditions related to low muscle strength. Study Design and Analysis: We utilized a 2-visit cross-sectional design, wherein participants visited our location twice approximately 1-week apart.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilization of action plans/rescue packs within our health system remains relatively limited. Study Design and Analysis: A quality improvement focused educational intervention delivered over 6 months to primary care practices. Setting: Forty-two primary care practices in a regional health system in the Southeastern US.

Utilities 130

Utilities Education Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. These include minimizing resource utilization and decreasing the risk of complications associated with IV antibiotics such as diarrhea.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. Participants were surveyed on their experience with the course, self-rated knowledge, and confidence levels regarding the provision of primary and hormone care to and degree of experience with transgender and non-binary patients.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

While not the ideal case, patients may be discharged alive from hospice for a number of reasons, including: patient revocation of care, improved prognosis, or transfer of care to a different facility or geographic area. Medicare routinely reviews U.S. Study Design: Secondary data analysis; quality research. metropolitan area.

Primary Care Physician 130

Primary Care Physician Utilities PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To document and analyze Burmese immigrant and refugees’ beliefs about the intersection of spirituality and health, as well as their attitudes towards giving a spiritual history in a primary care setting. Study Design and Analysis: Mixed-methods study utilizing an in-person survey.

Primary Care 130

Primary Care Physicals Appointment Utilities 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

Annals of Family Medicine

NOVEMBER 20, 2024

Patients without a regular primary care provider (a family physician or nurse practitioner) are considered "unattached,". million people aged 12 and older) were unattached to a regular primary care provider. Outcome measures: Perspectives and experiences from unattached patients on the utility of the CWL.

Primary Care 130

Primary Care Nurse Practitioner Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context The number of physicians in primary care is declining, with fewer medical students pursuing the field. Lower financial compensation in primary care is often cited as a reason, but the impact of socioeconomic status and environmental factors during upbringing on specialty choices has not been thoroughly explored.

Education 130

Education Medical Student Primary Care Medical Specialty 130

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. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuity of care between a patient and their primary care practitioner (PCP) is a cornerstone of primary care (PC) and is associated with many positive health outcomes including decreased utilization of ER services and lower costs for some populations.

PCP 130

PCP PCP ER Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

We utilized AI tools in the qualitative software program Atlas.ti to complete an analysis of qualitative data collected from primary care clinician and staff perspectives on the use of anti-obesity medications. Intervention/Instrument: Semi-structured interview guide including questions about weight management.

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Telehealth became an essential tool to assist care delivery in the outpatient primary care settings during the COVID-19 pandemic. Previous studies documented that the type of insurance coverage was associated with the likelihood of a patient receiving care through telehealth.

Telehealth 130

Telehealth Primary Care Finance Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument The T-Connector Approach uses latex tubing, a plastic barbed tee piece, and a metal connector from the primary care clinic (the piece used to switch blood pressure cuffs) to connect a patient’s HBPM to their physician’s office sphygmomanometer. Population Adults who own a HBPM. Cohen’s kappa was 0.39.

Hypertension 130

Hypertension Family Physician Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. However, little information exists on how to successfully implement these tools in the primary care setting.

Primary Care 130

Primary Care Consulting Telemedicine Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Despite the many well-established benefits of primary care (PC), the percentage of Americans with a source of usual care or with an ongoing PC relationship is declining. Measures were further categorized into 13 access domains.

Primary Care 130

Primary Care Insurance Utilities Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. However, in practice, these recommendations may not translate into adjustments to DM.

Primary Care 130

Primary Care Diabetes Management Provider 130

Medical Xpress

NOVEMBER 18, 2022

A survey of community-living people with spinal cord injury revealed healthcare utilization below the recommended rates for four types of care: primary care, spinal cord injury, dental, and optical. Researchers also found disparities associated with demographic, socioeconomic, and injury-related characteristics.

Utilities 87

Utilities Community Healthcare Primary Care 87