Effects of Academic Detailing, Panel Management and Mailed Multi-Target Stool-DNA Testing on Colorectal Cancer Screening
Discussion: A multi-component intervention, including academic detailing, panel management, and mailed MT-sDNA testing, can lead to significant increases in CRC screening in a rural family medicine clinic, empowering providers to maintain an effective CRC screening outreach during COVID-19 related restrictions. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Klugas, A., Elsayed, S., Rodriguez, M., Verma, S., Bateman, A., Stack, M. Tags: Original Research Source Type: research

COVID-19 mRNA Vaccination Trends Among Immunocompromised Patients
Conclusion: Despite the majority of the sample receiving ≥3 mRNA vaccine doses, disparities in vaccination rates exist, especially when comparing White and Black patients. Vaccination rates in immunocompromised patients should be improved, and primary care providers should prioritize outreach efforts focusing on patient-centered COVID-19 vaccine education in these populations. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Lazarevic, B., Casola, A. R., Chambers, C. V. Tags: Original Research Source Type: research

Care Delivery in Community Health Centers Before, During, and After the COVID-19 Pandemic (2019-2022)
Conclusion: Four years of data demonstrate how COVID-19 impacted delivery of primary care and behavioral health care for patients, highlighting gaps in pediatric care delivery and trends in telehealth over time. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Cook, N., McGrath, B. M., Navale, S. M., Koroukian, S. M., Templeton, A. R., Crocker, L. C., Zyzanski, S. J., Bensken, W. P., Stange, K. C. Tags: Original Research Source Type: research

Impact of COVID-19 on American Family Physicians Intent to Retreat from Clinical Care
Conclusion: The COVID-19 pandemic impacted family physician’s career plans. Remedying burnout is a high-yield opportunity for retaining clinically active family physicians. Physicians retreating from clinical medicine related to changing life’s priorities needs further exploration. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Brazeau, C. M. L. R., Chen, P.-H., Morley, C. P., Olson, K. Tags: Original Research Source Type: research

Increased Organizational Stress in Primary Care: Understanding the Impact of the COVID-19 Pandemic, Medicaid Expansion, and Practice Ownership
Conclusions: Primary care practices are resilient and continue to serve their communities, including a broad scope of services and care for underserved people. However, the COVID-19 pandemic caused significant stress. With an increase in clinicians leaving clinical practice, we anticipate worsening access to primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Britz, J. B., Huffstetler, A. N., Brooks, E. M., Richards, A., Sabo, R. T., Webel, B. K., McCray, N., Krist, A. H. Tags: Original Research Source Type: research

Health Care Costs Following COVID-19 Hospitalization Prior to Vaccine Availability
This study measures patients’ health care costs after COVID hospitalization before vaccinations. Methods: The Merative MarketScan database is used to track trends in medical expenditures for commercially insured patients hospitalized for COVID-19 (case subjects) compared with COVID-19 patients not hospitalized (control subjects) using a propensity score matching model. Medical expenditures were estimated from 30-, 60-, and 120-day clean periods after an initial COVID-19 encounter through the end of 2020. Results: Average total medical expenditures were 96% higher for individuals hospitalized for COVID-19 starting 3...
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Khan, T., Tsipas, S., Wozniak, G. D., Kirley, K., Mainous, A. G. Tags: Original Research Source Type: research

Lingering Impact of COVID-19, Preventive Care Considerations, and US Health System Challenges
This issue includes articles on the lingering impact of COVID-19, often negative but occasionally positive, on patients, treatment, practices, and health care personnel. Other articles inform on prevention, such as awareness of lung cancer screening among women undergoing screening mammography; failures on sports preparticipation physicals; advance care planning as prevention; and screening for social risk factors. Another article reports on patient experiences of legal recreational cannabis in Washington State. There is a review of perinatal depression recognition and treatment. Two articles separately identify the diffic...
Source: Journal of the American Board of Family Medicine - January 5, 2024 Category: Primary Care Authors: Bowman, M. A., Seehusen, D. A., Ledford, C. J. W. Tags: Editors ' Note Source Type: research

Keeping Score of the Scores: Additional Perspectives on the Decline of Family Medicine ITE Scores
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Hogans-Mathews, S., Van Durme, D., Baker, N., Brown Speights, J. Tags: Correspondence Source Type: research

Philadelphia Mayor Frank Rizzo Was Responsible for My Becoming a Family Doctor
(Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Rabinowitz, H. K. Tags: Reflections In Family Medicine Source Type: research

The End of the X-waiver: Excitement, Apprehension, and Opportunity
With the passage of the MAT act (Mainstreaming Addiction Treatment) and the MATE Act (Medication Training and Expansion), the Drug Enforcement Agency "X-waiver" program governing the office-based prescription of buprenorphine for opioid use disorder has been immediately eliminated. The move was championed by vocal organizations with a rightful concern about buprenorphine access but was opposed by most physicians. Nonetheless, buprenorphine can now be prescribed like any schedule 3 medication. Studies show that despite rising opioid overdoses, buprenorphine prescription increases have been slow to rise and are particularly ...
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: LeFevre, N., St. Louis, J., Worringer, E., Younkin, M., Stahl, N., Sorcinelli, M. Tags: Commentary Source Type: research

Fraud, Access, and the Future of Telemedicine
On July 20, 2022, the Department of Health and Human Services, Office of Inspector General (HHS-OIG), issued a Special Fraud Alert warning healthcare providers of increased fraudulent activity surrounding telemedicine companies. The Alert marks a further escalation of a multi-year effort by the Department of Justice (DOJ) and the HHS-OIG to crack down on multi-billion dollar fraud cases involving telehealth companies. It is the objective of this Commentary to place the HHS-OIG Special Fraud Alert in the context of enforcement efforts by the DOJ and HHS to stem the recent growth in telehealth fraud resulting from the COVID-...
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Elberg, J. T., Adashi, E. Y. Tags: Commentary Source Type: research

Early-Career Compensation Trends Among Family Physicians
Conclusions: Though income is only one factor physicians consider in deciding where and how to work, it is concerning to see lower incomes among groups that traditionally experience shortages (eg, geriatrics and government-associated practice sites). Differences in expected income among family physicians choosing different work may exacerbate workforce challenges. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Sanders, K., Phillips, J., Fleischer, S., Peterson, L. E. Tags: Original Research Source Type: research

Impact of Health Insurance Patterns on Chronic Health Conditions Among Older Patients
Conclusions: Post-Medicare age eligibility, a significant proportion of patients were diagnosed with new conditions leading to high burden of disease. One in 4 older adults continue to have inadequate health care coverage in their older age. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Huguet, N., Hodes, T., Liu, S., Marino, M., Schmidt, T. D., Voss, R. W., Peak, K. D., Quinones, A. R. Tags: Original Research Source Type: research

Contributing Factors to Delays in COVID-19-Related Hospitalization Among Latinx and Spanish-Speaking Patients/Factores Que Contribuyen a Retrasos en Hospitalizaciones Relacionadas con COVID-19 Entre Pacientes Latinos e Hispano-Hablantes
Background: Latinx populations have been more heavily impacted by the COVID-19 pandemic than the general population of the US, including higher rates of hospitalization due to COVID-19 in eastern Massachusetts. We conducted a qualitative study to better understand the experiences of Latinx and Spanish-speaking patients who had clinically significant COVID-19 in the early months of the pandemic. Methods: Thirteen qualitative, semistructured, phone interviews were conducted between December 2020 and April 2021 with Latinx and Spanish-speaking patients who had experienced clinically significant COVID-19 in the metro-north Bo...
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: Ladner, S. A., Fisher, C. F., Auguste-Nelson, C., Sandoval, R. S., McDaniel, K., Sandeep, N., Saravanan, Y. Tags: Original Research Source Type: research

"Wanting the Best for Our Folks"--A Mixed Methods Analysis of Community Health Center Social Risk Screening Initiatives
Conclusions: Study CHCs were in the early stages of standardizing social risk screening. Differences in screening reach by patient demographics raise concerns that social screening initiatives, which often serve as a path to resource/service connection, might exacerbate disparities. Overcoming barriers to reach, sustainability, and equity requires supports targeted to program design/development, workforce capacity, and quality improvement. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - October 11, 2023 Category: Primary Care Authors: De Marchis, E. H., Aceves, B., Razon, N., Chang Weir, R., Jester, M., Gottlieb, L. M. Tags: Original Research Source Type: research