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Evaluation of an Enhanced Primary Care Team Model to Improve Diabetes Care
CONCLUSIONS: Implementation of the EPCD team model was associated with an improvement in diabetes care quality in the staff clinician group having access to this model. Further study of proactive, multidisciplinary chronic disease management led by care team nurses and integrating clinical pharmacists is warranted.PMID:36443082 | PMC:PMC9705037 | DOI:10.1370/afm.2884
Source: Annals of Family Medicine - November 28, 2022 Category: Primary Care Authors: Joseph R Herges John C Matulis Maya E Kessler Lisa L Ruehmann Kristin C Mara Rozalina G McCoy Source Type: research

A pediatric institutional acute stroke protocol improves timely access to stroke treatment
AimWe aimed to evaluate whether an institutional acute stroke protocol (ASP) could accelerate the diagnosis and secondary treatment of pediatric stroke. MethodWe initiated an ASP in 2005. We compared 209 children (125 males, 84 females; median age 4.8y, interquartile range [IQR] 1.2–9.3y, range 0.09–17.7y) diagnosed with arterial ischemic stroke ‘pre‐protocol’ (1992–2004) to 112 children (60 males, 52 females; median age 5.8y, IQR 1.0–11.4y, range 0.08–17.7y) diagnosed ‘post‐protocol’ (2005–2012) for time‐to‐diagnosis, mode of diagnostic imaging, and time‐to‐treatment with antithrombotic med...
Source: Developmental Medicine and Child Neurology - July 31, 2016 Category: Child Development Authors: Melissa Shack, Andrea Andrade, Priyanka P Shah ‐Basak, Manohar Shroff, Mahendranath Moharir, Ivanna Yau, Rand Askalan, Daune MacGregor, Mubeen F Rafay, Gabrielle A deVeber Tags: Original Article Source Type: research

Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
CONCLUSIONS: Rural patients had worse diabetes quality outcomes than their urban counterparts, even after adjustment for other contributing factors and despite being part of the same integrated health system. Lower visit frequency and less specialty involvement in the rural setting are possible contributing factors.PMID:37217319 | PMC:PMC10202509 | DOI:10.1370/afm.2962
Source: Annals of Family Medicine - May 22, 2023 Category: Primary Care Authors: Randy Foss Karen Fischer Michelle A Lampman Susan Laabs Michael Halasy Summer V Allen Gregory M Garrison Gerald Sobolik Matthew Bernard Jessica Sosso Tom D Thacher Source Type: research