Effects of Clinic-level Implementation of One Key Question ® on Reproductive Health Counseling and Patient Satisfaction
We evaluated the effect of clinic level implementation of the One Key Question (OKQ) intervention, including physician and staff training and workflow adjustments, on reproductive counseling and patient satisfaction in primary care and ob/gyn.Study DesignWe implemented the OKQ intervention in one primary care and one ob/gyn practice, while observing another primary care and ob/gyn practice that each provided usual care (control practices). We surveyed separate patient cohorts at two time points: 26 before and 33 after the primary care practice implemented OKQ, 38 before and 36 after the ob/gyn practice implemented OKQ, 26 ...
Source: Contraception - October 29, 2020 Category: OBGYN Authors: Bonnie Song, Emily White VanGompel, Chi Wang, Suzette Guzman, Francesca Carlock, Kellie Schueler, Debra Stulberg Source Type: research

Chronic cough in routine clinical practice: a UK retrospective cohort study
Conclusion: Data from routine clinical practice indicate 2% of the NWL adult population has CC and more women are affected than men. Appraisal of linked primary-care databases may enable earlier detection of CC patients, for specialist clinic referral and targeted treatment. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Hull, J. H., Ul-Haq, Z., Langerman, H., Kamalati, T., Mayes, A., Lucas, A., Levy, M. L. Tags: General practice and primary care Source Type: research

Deep learning automates complete quality control of spirometric manoeuvre
Conclusion: Our model combines the visual experience of skilled technicians and ATS/ERS guidelines in automating spirometry acceptability based on entire manoeuvre. This can help in standardizing spirometry quality in different settings like clinical studies, laboratory testing and primary care practice. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Das, N., Verstraete, K., Topalovic, M., Aerts, J.-M., Janssens, W. Tags: Respiratory function technologists/scient. Source Type: research

Screening and Support for Infant Safe Sleep: A Quality Improvement Project
This article describes a quality improvement project implemented at a pediatric primary care practice to improve screening for infant safe sleep. The screening form was updated to include questions from the Pregnancy Risk Assessment Monitoring System (PRAMS). This updated screening better captured actual sleeping practices, allowing for more targeted education (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - October 21, 2020 Category: Pediatrics Authors: Katherine A. Brashears, Katie Erdlitz Tags: Article Source Type: research

Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom
ConclusionsCompared with women with no history of cancer, breast cancer survivors report more problems with cognition, sexual function, fatigue, and anxiety, particularly where their cancer was advanced and/or treated with chemotherapy.Implications for Cancer SurvivorsBreast cancer survivors with more advanced disease and/or treated with chemotherapy should be closely monitored and, when possible, offered evidence-based intervention for fatigue, cognitive dysfunction, and sexual problems. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - October 21, 2020 Category: Cancer & Oncology Source Type: research

Rapid Epidemiological Analysis of Comorbidities and Treatments as risk factors for COVID-19 in Scotland (REACT-SCOT): A population-based case-control study
ConclusionsWe have shown that, along with older age and male sex, severe COVID-19 is strongly associated with past medical history across all age groups. Many comorbidities beyond the risk conditions designated by public health agencies contribute to this. A risk classifier that uses all the information available in health records, rather than only a limited set of conditions, will more accurately discriminate between low-risk and high-risk individuals who may require shielding until the epidemic is over. (Source: PLoS Medicine)
Source: PLoS Medicine - October 20, 2020 Category: Internal Medicine Authors: Paul M. McKeigue Source Type: research

The Place of Pharmacotherapy in Alcohol Use Disorder Management in Family Practice - A Systematic Review.
CONCLUSION: Knowledge and prescription of pharmacotherapy for AUD, more specifically anti-craving treatment, is insufficient in primary care. There is a lack of data and studies on the efficacy of anti-craving treatment in primary care. Guidelines for AUD management, including psychological and medical management and pharmacotherapy do exist, but have not been adapted to primary care practice. Barriers and facilitators of pharmacotherapy prescription in AUD in primary care were identified in this study. PMID: 33059563 [PubMed - as supplied by publisher] (Source: Current Pharmaceutical Design)
Source: Current Pharmaceutical Design - October 15, 2020 Category: Drugs & Pharmacology Authors: Morgane GL, Delphine LG, Guillaume K, Yves LRJ Tags: Curr Pharm Des Source Type: research

Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices: Impact of multi-professional teams and care protocols
The consequences of late detected or poorly diagnosed and monitored diabetes are considerable. The chronic hyperglycemia of diabetes is associated with long-term dysfunction, and failure of the eyes, kidneys, nerves, heart, and blood vessels. Individuals with undiagnosed type 2 diabetes (T2D) are also at significantly higher risk for stroke, coronary heart disease, and peripheral vascular disease [1]. These consequences increase the importance of early detection and a qualitative follow-up. Fortunately, the evidence on optimal care provision for people diagnosed with T2D is numerous. (Source: Primary Care Diabetes)
Source: Primary Care Diabetes - October 12, 2020 Category: Primary Care Authors: Evi Matthys, Peter Van Bogaert, Sabrina Blommaert, Liesbeth Verdonck, Roy Remmen Tags: Original research Source Type: research

Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices: Impact of multi-professional teams and care protocols.
CONCLUSION: Practices providing multidisciplinary diabetes care, in collaboration with practice nurses, and with diabetes care based on self-developed protocols achieved a more comprehensive follow-up. PMID: 33060036 [PubMed - as supplied by publisher] (Source: Primary Care)
Source: Primary Care - October 12, 2020 Category: Primary Care Authors: Matthys E, Van Bogaert P, Blommaert S, Verdonck L, Remmen R Tags: Prim Care Diabetes Source Type: research

Primary care in the time of COVID-19: monitoring the effect of the pandemic and the lockdown measures on 34 quality of care indicators calculated for 288 primary care practices covering about 6 million people in Catalonia
To analyse the impact of the COVID-19 epidemic and the lockdown measures on the follow-up and control of chronic diseases in primary care. (Source: BMC Family Practice)
Source: BMC Family Practice - October 10, 2020 Category: Primary Care Authors: Ermengol Coma, N úria Mora, Leonardo Méndez, Mència Benítez, Eduardo Hermosilla, Mireia Fàbregas, Francesc Fina, Albert Mercadé, Souhel Flayeh, Carolina Guiriguet, Elisabet Balló, Nuria Martinez Leon, Ariadna Mas, Sílvia Cordomí, Yolanda Lejardi Tags: Research article Source Type: research

Design and methods of NYC care calls: An effectiveness trial of telephone-delivered type 2 diabetes self-management support
Although problems with type 2 diabetes (T2D) self-management and treatment adherence often co-occur with emotional distress, few translatable intervention approaches are available that can target these related problems in primary care practice settings. The New York City (NYC) Care Calls study is a randomized controlled trial that tests the effectiveness of structured support for diabetes self-management and distress management, delivered via telephone by health educators, in improving glycemic control, self-management and emotional well-being among predominantly ethnic minority and socioeconomically disadvantaged adults w...
Source: Contemporary Clinical Trials - October 2, 2020 Category: Radiology Authors: Jeffrey S. Gonzalez, Claire J. Hoogendoorn, Jill Linnell, Sarah Fishman, Victoria Jonas, Hang Pham-Singer, Clyde B. Schechter, Elizabeth A. Walker, Winfred Y. Wu Source Type: research

Behavioral Health Screening: Validation of a Strength-Based Approach
ABSTRACT: Objective: To evaluate the validity of the Behavioral Health Checklist (BHCL) strength-based factor scores and the extent to which this factor has a buffering effect on the relationship between behavioral health symptom severity and children's social problems. Method: The parents of 1,392 children aged 4 to 12 completed the BHCL and Child Behavior Checklist (CBCL) during sick and well-child visits to urban and suburban primary care practices affiliated with a large children's hospital. Results: Findings support a single, strength-based factor on the BHCL, and the structure was largely invariant across r...
Source: Journal of Developmental and Behavioral Pediatrics - October 1, 2020 Category: Child Development Tags: Original Article Source Type: research

Treating infants, toddlers, and preschoolers across multiple settings: challenges/innovative strategies/creative solutions
Approximately 1 in 4 young children struggle with emotional behavioral issues that are associated with significant impairments in psychosocial and academic functioning. Frequently, they initially present to primary care settings, as parents feel most comfortable with their primary care providers. Unfortunately, primary care providers are often not well-equipped with the evidence-based resources that families need. There is a need for mental health services that are either embedded in primary care practices or are easier to access in specialty care settings. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Joyce Harrison, Magdalena Romanowicz Tags: Clinical Perspectives 26 Source Type: research

The Report of the 2019-2020 Professional Affairs Standing Committee: Pharmacist Integration with Primary Care Practices.
This report provides information on the committee's process to address the committee charges as well as background and resources pertaining to the charges, describes the rationale for and the results from the focus groups conducted at the 2020 AACP Interim Meeting, communicates the results of an initial inventory of models that integrate pharmacists with primary care practices, and provides an overview on issues to continue the work to integrate pharmacists with primary care practices. The committee offered several revisions to current association policy statements and provided a proposed policy statement and several recom...
Source: American Journal of Pharmaceutical Education - October 1, 2020 Category: Universities & Medical Training Authors: Moore GD, Burns AL, Fish H, Gandhi N, Kebodeaux C, Meny LM, Policastri A, Sneed KB, Traynor A, Vosooney A, Bradley-Baker LR Tags: Am J Pharm Educ Source Type: research

Training general practitioners to improve evidence-based drug treatment of patients with heart failure: a  cluster randomised controlled trial.
CONCLUSION: A half-day training session for GPs does not improve drug treatment of HF in patients with established HF. PMID: 32997300 [PubMed - as supplied by publisher] (Source: Netherlands Heart Journal)
Source: Netherlands Heart Journal - September 29, 2020 Category: Cardiology Authors: Valk MJM, Hoes AW, Mosterd A, Landman MA, Zuithoff NPA, Broekhuizen BDL, Rutten FH Tags: Neth Heart J Source Type: research

Some Aspects of Patient Experience Assessed by Practices Undergoing Patient-Centered Medical Home Transformation Are Measured by CAHPS, Others Are Not
Conclusion: NCQA PCMH practices included CAHPS items on their patient experience surveys even if they did not administer the full CG-CAHPS survey or the recommended CAHPS PCMH survey. To enhance the usefulness of patient experience surveys for practices undergoing PCMH changes, additional CAHPS measures could be developed related to key areas of PCMH change, including expanded access to care (ie, after-hours and weekend visits, ease of scheduling, being informed about delays), use of shared decision-making, and improvements in provider communication (ie, the provider is courteous, communication by other clinical staff me...
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Original Research Source Type: research

Utilizing Lean Leadership Principles to Build an Academic Primary Care Practice of the Future
We describe a Lean-informed approach that emphasizes the importance of organizational alignment in goals, evidence-based problem solving, and leadership behaviors to support a culture of continuous improvement. Our aim in this Perspective is to provide a real-world example of a feasible process for the planning, preparation, and execution of effective transformation, and to present lessons that may be useful to other academic health center practices seeking to develop innovative models to achieve the quadruple aim. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - September 27, 2020 Category: Internal Medicine Source Type: research

The Changing Face of Primary Care Research and Practice-Based Research Networks (PBRNs) in Light of the COVID-19 Pandemic
The COVID-19 outbreak is a stark reminder of the ongoing challenge of emerging and reemerging disease, the human cost of pandemics and the need for robust research.1 For primary care, the advent of COVID-19 has forced an unprecedented wave of practice change. In turn, Practice-Based Research Networks (PBRNs) must rapidly pivot to address the changing environment and the critical challenges faced by primary care. The pandemic has also impacted the ability of PBRNs to deploy traditional research methods such as face-to-face patient and provider interactions, practice facilitation, and stakeholder engagement. Providers need m...
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Tapp, H. Tags: Commentaries Source Type: research

Identifying Practice Facilitation Delays and Barriers in Primary Care Quality Improvement: A Report From Evidence NOW
Conclusion: This study is the first to quantify irregular intervals between facilitation activities and demonstrate their negative association with project completion. The analytic method can be applied to identify at-risk practices and to accelerate timely interventions in future studies. Our delay detection algorithm could inform the design of a decision support system that notifies facilitators which practices may benefit from timely attention and resources. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Ye, J., Zhang, R., Bannon, J. E., Wang, A. A., Walunas, T. L., Kho, A. N., Soulakis, N. D. Tags: Original Research Source Type: research

Practice Transformation Support and Patient Engagement to Improve Cardiovascular Care: From EvidenceNOW Southwest (ENSW)
Purpose: To improve cardiovascular care through supporting primary care practices' adoption of evidence-based guidelines. Study Design: A cluster randomized trial compared two approaches: (1) standard practice support (practice facilitation, practice assessment with feedback, health information technology assistance, and collaborative learning sessions) and (2) standard support plus patient engagement support. Methods: Primary outcomes were cardiovascular clinical quality measures (CQMs) collected at baseline, 9 months, and 15 months. Implementation of the first 6 "Building Blocks of High-Performing Primary Care&quo...
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Dickinson, W. P., Nease, D. E., Rhyne, R. L., Knierim, K. E., Fernald, D. H., de la Cerda, D. R., Dickinson, L. M. Tags: Original Research Source Type: research

A Sustainable Model for Preventive Services in Rural Counties: The Healthier Together Study
Objective: The Healthier Together study aimed to implement and evaluate a sustainable, rural community-based patient outreach model for preventive care provided through primary care practices located in 3 rural counties in Oklahoma. Community-based wellness coordinators (WCs) working with primary care practitioners, county health departments, local hospitals, and health information exchange (HIE) networks helped residents receive high-priority evidence-based preventive services. Methods: The WCs used a wellness registry connected to electronic medical records and HIEs and called patients at the county level, based on prim...
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Nagykaldi, Z., Scheid, D., Zhao, Y. D., Mishra, B., Greever-Rice, T. Tags: Original Research Source Type: research

Low-Intensity Intervention Supports Diabetes Registry Implementation: A Cluster-Randomized Trial in the Ambulatory Care Outcomes Research Network (ACORN)
Background: Previous research demonstrated that registries are effective for improving clinical guideline adherence for the care of patients with type 2 diabetes. However, registry implementation has typically relied on intensive support (such as practice facilitators) for practice change and care improvement. Objective: To determine whether a remotely delivered, low-intensity organizational change intervention supports implementation and use of diabetes registries in primary care. Design: Cluster-randomized controlled effectiveness trial of providing limited external support leveraging internal practice resources and pr...
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Sabo, R. T., Etz, R. S., Gonzalez, M. M., Johnson, N. J., O'Neal, J. P., Reves, S. R., Crosson, J. C. Tags: Original Research Source Type: research

A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN
Conclusions: PBRNs enable real-world evaluation of practice change and natural experiments, and thus are ideal laboratories for implementation science research. We present a real-time example of how a PBRN Implementation Laboratory activated a response to study a historic natural experiment, to help other PBRNs charting a course through this pandemic. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: DeVoe, J. E., Likumahuwa-Ackman, S. M., Angier, H. E., Huguet, N., Cohen, D. J., Flocke, S. A., Marino, M., Gold, R. Tags: Brief Reports Source Type: research

Project ECHO Integrated Within the Oregon Rural Practice-based Research Network (ORPRN)
We describe the synergy between ORPRN projects and ECHO programs using 3 examples: tobacco cessation, chronic pain and opioid prescribing, and diabetes management. We highlight challenges and opportunities in these examples, beginning with their development, their implementation, and their ultimate alignment, despite varied funding streams and timelines. We believe that incorporating the OEN within ORPRN has been a success for both PBRN research and Project ECHO programs, allowing us to better support primary care practices across the state. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: McDonnell, M. M., Elder, N. C., Stock, R., Wolf, M., Steeves-Reece, A., Graham, T. Tags: Family Medicine and the Health Care System Source Type: research

Identifying Practice Facilitation Delays and Barriers in Primary Care Quality Improvement
Conclusion: This study is the first to quantify irregular intervals between facilitation activities and demonstrate their negative association with project completion. The analytic method can be applied to identify at-risk practices and to accelerate timely interventions in future studies. Our delay detection algorithm could inform the design of a decision support system that notifies facilitators which practices may benefit from timely attention and resources. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - September 27, 2020 Category: Primary Care Authors: Ye, J., Zhang, R., Bannon, J. E., Wang, A. A., Walunas, T. L., Kho, A. N., Soulakis, N. D. Tags: Original Research Source Type: research

Impact of Cancer Survivorship Care Training on Rural Primary Care Practice Teams: a Mixed Methods Approach
AbstractWith the increasing numbers of individuals surviving a diagnosis of cancer, an aging population, and more individuals experiencing multi-morbidity, primary care providers (PCPs) are seeing more patients with a history of cancer. Effective strategies are needed to adequately prepare the primary care workforce for the phase of cancer care now widely recognized as survivorship. A survivorship education program for rural primary care practices was developed using a community engagement process and delivered at the practice level by community health liaisons. A mixed method approach was used to evaluate the program impa...
Source: Journal of Cancer Education - September 24, 2020 Category: Cancer & Oncology Source Type: research

Whose role is it? Primary care and the provision of emotional support for women experiencing miscarriage: a pilot qualitative Australian study.
Abstract Miscarriage can cause significant psychological morbidity. Women frequently report dissatisfaction with healthcare professionals' support following miscarriage. This pilot study aimed to explore the views and practices of GPs in providing emotional support to women experiencing miscarriage. Eight GPs participated in semi-structured interviews. GPs considered women's physical care their top priority at the time of miscarriage; however, acknowledged miscarriage could result in significant emotional sequelae. Most GPs felt it was their role to provide emotional support, including expressing empathy, listenin...
Source: Primary Care - September 24, 2020 Category: Primary Care Authors: Sumarno V, Temple-Smith MJ, Bilardi JE Tags: Aust J Prim Health Source Type: research

Approach to Electrolyte Abnormalities, Prerenal Azotemia, and Fluid Balance
Volume and electrolyte evaluation and management is seen frequently in primary care practices. Some of the most common abnormalities encountered in outpatient practices are prerenal azotemia, dysnatremias, and altered potassium levels. Perturbations in volume or electrolyte concentrations can lead to serious organ dysfunction as well as hemodynamic collapse. This review focuses on the maintenance and regulation of intravascular volume and electrolytes, specifically sodium and potassium. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - September 18, 2020 Category: Primary Care Authors: Lisa C. Martinez, Sana F. Khan, Brendan T. Bowman Source Type: research

Practice Patterns of Physicians and Nurse Practitioners in Primary Care
Conclusions: Our findings suggest considerable overlap between the clinical activities of colocated NPs and physicians, with some differentiation based on intensity of services provided. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Patients ’ and Caregivers’ Experiences with the Multi-Payer Advanced Primary Care Practice Demonstration
ConclusionsMost participants had positive experiences with their care. Opportunities exist, however, to improve care for Medicaid and dually eligible beneficiaries, and enhance patient awareness of and involvement in PCMH practice transformation. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - September 10, 2020 Category: Internal Medicine Source Type: research

Promoting Pediatric Preventive Visits Through Quality Improvement Initiatives in the Primary Care Setting
To evaluate if quality improvement (QI) capacity-building in affiliated primary care practices could increase WCV uptake. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - September 1, 2020 Category: Pediatrics Authors: Megan Rose, Heather Maciejewski, Joshua Nowack, Brad Stamm, Gilbert Liu, Charitha Gowda Tags: Original Articles Source Type: research

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A Commonwealth Fund case study examines how two independent primary care practices, one in New Hampshire and the other in Vermont, tailor their services to patients who struggle to afford care, deal with chronic physical or mental health conditions, or need help finding social supports.         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - September 1, 2020 Category: International Medicine & Public Health Authors: Martha Hostetter, Sarah Klein Source Type: research

Team-based primary care practice and physician's services: Evidence from Family Health Teams in Ontario, Canada
Publication date: November 2020Source: Social Science & Medicine, Volume 264Author(s): N.H. Somé, R.A. Devlin, N. Mehta, G.S. Zaric, S. Sarma (Source: Social Science and Medicine)
Source: Social Science and Medicine - September 1, 2020 Category: Psychiatry & Psychology Source Type: research

Capsule Commentary on Soylu et al., Readiness and Implementation of Quality Improvement Strategies Among Small and Medium-Sized Primary Care Practices: an Observational Study
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - August 31, 2020 Category: Internal Medicine Source Type: research

Perspectives Among Canadian Physicians on Factors Influencing Implementation of Mifepristone Medical Abortion: A National Qualitative Study.
CONCLUSION: Health Canada's removal of mifepristone restrictions facilitated the implementation of abortion care in the primary care setting. Our results are unique because Canada is the first country to facilitate provision of medical abortion in primary care via evidence-based deregulation of mifepristone. PMID: 32928757 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - August 31, 2020 Category: Primary Care Authors: Munro S, Guilbert E, Wagner MS, Wilcox ES, Devane C, Dunn S, Brooks M, Soon JA, Mills M, Leduc-Robert G, Wahl K, Zannier E, Norman WV Tags: Ann Fam Med Source Type: research

The influence of leadership facilitation on relational coordination among primary care team members of accountable care organizations
Background Teamwork is a central aspect of integrated care delivery and increasingly critical to primary care practices of accountable care organizations. Although the importance of leadership facilitation in implementing organizational change is well documented, less is known about the extent to which strong leadership facilitation can positively influence relational coordination among primary care team members. Purpose The aim of this study was to examine the association of leadership facilitation of change and relational coordination among primary care teams of accountable care organization-affiliated practices and...
Source: Health Care Management Review - August 29, 2020 Category: American Health Tags: Features Source Type: research

Pandemic Notes From a Maine Direct Primary Care Practice
The effects of coronavirus disease-2019 (COVID-19) pandemic fear and its economic impact in rural primary care are still being felt, as they have affected demand for office visits and how we deliver care. Our finances and our ability to sustainably deliver this care, however, have not yet changed significantly due to the nature of our business model as a direct primary care practice. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Relation of the Networks Formed by Diabetic Patients Sharing Physicians With Emergency Department Visits and Hospitalizations
Conclusions: Networks of diabetic patients sharing all the same physicians were associated with decreased ED visits and hospitalizations. Encouraging diabetic patients to find a provider they like and trust and to stay in the provider’s care may help reduce the risks of adverse events. Physicians building loyalty among their patients may reduce their patients’ risks. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Brief Report Source Type: research

Team-based Primary Care Practice and Physician’s Services: Evidence from Family Health Teams in Ontario, Canada
Publication date: Available online 21 August 2020Source: Social Science & MedicineAuthor(s): N.H. Somé, R.A. Devlin, N. Mehta, G.S. Zaric, S. Sarma (Source: Social Science and Medicine)
Source: Social Science and Medicine - August 22, 2020 Category: Psychiatry & Psychology Source Type: research

Pediatric Screenings: Helpful or Hinderance?
This case describes a 7-year-old Caucasian female patient who presented to a private pediatric primary care practice for a yearly well-child checkup. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 20, 2020 Category: Nursing Authors: Michelle M. Papachrisanthou, Kelli M. Fuller Tags: Case Challenge Source Type: research

Stability of food insecurity status in paediatric primary care.
CONCLUSIONS: Screening more than annually may not contribute substantially to the identification of transitions to FI. PMID: 32811587 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - August 18, 2020 Category: International Medicine & Public Health Authors: Courts KA, Hubbard RA, Kersten HB, Klusaritz H Tags: Public Health Nutr Source Type: research

Exemplary Practices in Cardiovascular Care: Results on Clinical Quality Measures from the EvidenceNOW Southwest Cooperative
This study identified practice characteristics associated with overall highest performance using area under the curve (AUC) analysis on aspirin therapy, blood pressure management, and smoking cessation CQMs.ResultsAmong 178 practices, 39 were exemplars. Exemplars were more likely to be a Federally Qualified Health Center (69.2% vs 35.3%,p = 0.0006), have an underserved designation (69.2% vs 45.3%,p = 0.0083), and have higher percentage of patients with Medicaid (p
Source: Journal of General Internal Medicine - August 16, 2020 Category: Internal Medicine Source Type: research

House Calls.
This article reviews key considerations for family physicians when preparing for and conducting house calls or leading teams that provide home-based primary care services. House calls, with careful planning and scheduling, can be successfully and efficiently integrated into family medicine practices, including residency programs, direct primary care practices, and concierge medicine. PMID: 32803925 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - August 14, 2020 Category: Primary Care Authors: Rerucha CM, Salinas R, Shook J, Duane M Tags: Am Fam Physician Source Type: research

Non-dispensing pharmacist integrated in the primary care team: effect on the quality of physician ’s prescribing, a non-randomised comparative study
Conclusion This study did not demonstrate a consistent effect of the introduction of non-dispensing clinical pharmacists in the primary care team on the quality of physician ’s prescribing.This study is part of the POINT-study, which was registered at The Netherlands National Trial Register with trial registration number NTR ‐4389. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - August 12, 2020 Category: Drugs & Pharmacology Source Type: research

Association between direct government subsidies and service scope of primary care facilities: a cross-sectional study in China
Comprehensive primary care practices, through preconception, preventive, curative, and rehabilitative care, have been a global priority in the promotion of health. However, the scope of primary care services h... (Source: International Journal for Equity in Health)
Source: International Journal for Equity in Health - August 10, 2020 Category: International Medicine & Public Health Authors: Zhong Li, Peiyin Hung, Ruibo He and Liang Zhang Tags: Research Source Type: research

Readiness and Implementation of Quality Improvement Strategies Among Small- and Medium-Sized Primary Care Practices: an Observational Study
ConclusionQI strategy implementation varies by practice ownership. Independent practices focus on patient care –related activities. FQHCs may need additional time to adopt and implement QI activities. Practice readiness may require more structural and organizational changes before starting a QI effort. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - August 9, 2020 Category: Internal Medicine Source Type: research

Impact of an Opt-In eConsult Program on Primary Care Demand for Specialty Visits: Stepped-Wedge Cluster Randomized Implementation Study
ConclusionsImplementation of an opt-in choice eConsult program resulted in widespread PCP adoption; however, this did not decrease the demand for traditional referrals. Future studies should evaluate different strategies to incentivize and increase eConsult utilization while maintaining PCP choice. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - August 9, 2020 Category: Internal Medicine Source Type: research

Nationwide Qualitative Study of Practice Leader Perspectives on What It Takes to Transform into a Patient-Centered Medical Home
ConclusionPCMH efforts necessitated support and assistance to frontline, on-site practice leaders leading care delivery changes. Such change efforts should include financial incentives (e.g., direct payment or additional reimbursement), leadership direction and support, and internal or external staff with experience with the PCMH application process, implementation changes, and QI expertise in monitoring process and outcome data. Policies that recognize and meet the needs of on-site practice leaders will better promote primary care practice transformation and move practices further toward their PCMH transformation goals. (...
Source: Journal of General Internal Medicine - August 2, 2020 Category: Internal Medicine Source Type: research

ECHO Autism: Integrating Maintenance of Certification with Extension for Community Healthcare Outcomes Improves Developmental Screening
Conclusion: Maintenance of Certification Part 4 training delivered through the ECHO Autism QI Learning Network was found to be incentivizing and highly effective in shaping and maintaining PCP developmental screening practices. Improved screening rates show promise in decreasing time to critical developmental evaluations, interventions, and resources. Our methodology is likely transferable to other ECHO communities and may facilitate expedient implementation of best practice standards in primary care. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - July 31, 2020 Category: Child Development Tags: Original Article Source Type: research

Primary Care Population Management for COVID-19 Patients
DiscussionOur population management strategy helped us optimize at-home care for our COVID-19 patients and enabled us to identify those who require inpatient medical care in a timely fashion. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - July 26, 2020 Category: Internal Medicine Source Type: research