-
Mashup Score: 0A Qualitative Study of Primary Care Physiciansโ Approaches to Caring for Adult Adopted Patients - 6 hour(s) ago
PURPOSE Adoption has lifelong health implications for 7.8 million adopted people and their families in the United States. The majority of adoptees have limited family medical history (LFMH). Primary care physicians (PCPs) rarely receive training about adoptees including their mental health needs and increased suicide risk. The growing availability and popularity of direct-to-consumer genetic testing kits amplifies the need for PCPs to be prepared to address genetic testing for adoptees with LFMH. This study explores PCP training and approaches to adult adopted patients with LFMH. METHODS We used critical adoption studies as a theoretical framework for this study to understand how adoptive identity might shape clinical experiences. We recruited PCPs from Minnesota and Rhode Island via purposive, criteria-based, reputational sampling. We conducted hour-long semistructured qualitative interviews incorporating hypothetical clinical vignettes. Transcripts were coded via template organizing
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet
-
Mashup Score: 0The Annals of Family Medicine Podcast: Innovations from the cutting edge of Family Medicine research | Annals of Family Medicine - 6 hour(s) ago
Discover innovative insights on family medicine through expert interviews, research highlights, and practical tips in the Annals of Family Medicine Podcast.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
๐จ๐๐ฉ๐๐๐๐๐๐๐ ๐ก๐ข๐ช! ๐๏ธEpisode #1 of the Annals of Family Medicine Podcast feat. Dr. Sebastian Tong, lead author of the special report in our latest issue entitled, "The Role of Primary Care in the Social Isolation and Loneliness Epidemic" ๐ - https://t.co/DS3M7XQVf8 https://t.co/mSlc6QVzCc
-
-
Mashup Score: 1
PURPOSE Offering medication for opioid use disorder (MOUD) in primary care can increase access to effective opioid use disorder treatment and help address the US opioid crisis. We describe a primary care office-based opioid treatment program and addiction consultation service model designed to support small, rural clinics to increase their capacity for MOUD. METHODS This is an evaluation of an intervention to increase clinic capacity to offer MOUD. The intervention consists of a standardized curriculum, addiction medicine consultants, practice facilitation, and financial incentives. Fifteen Colorado primary care practices participated from January 2022 through January 2023. Primary outcomes included overall change in the number of active buprenorphine prescriptions and implementation of MOUD milestones before and after the intervention. RESULTS The mean number of active buprenorphine prescriptions in the 3 months preceding the intervention (baseline) increased from 2.1 (SD = 7.7) to 11
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
This original research study examines results from an intervention to increase clinic capacity for offering medication for opioid use disorder (MOUD) in 15 Colorado #PrimaryCare practices. ๐https://t.co/VJreM9SbCz https://t.co/9JQq8GSep4
-
-
Mashup Score: 5
PURPOSE We performed a pragmatic, cluster randomized controlled trial of a comprehensive practice-level, multistage practice transformation intervention aiming to increase behavioral health integration in primary care practices and improve patient outcomes. We examined associations between completion of intervention stages and patient outcomes across a heterogeneous national sample of primary care practices. METHODS Forty-two primary care practices across the United States with colocated behavioral health and 2,945 patients with multiple chronic medical and behavioral health conditions completed surveys at baseline, midpoint, and 2-year follow-up. We examined effects of intervention on patient health and primary care integration outcomes using multilevel mixed-effects models, controlling for baseline outcome measurements. RESULTS No differences were found associated with the number of intervention stages completed and patient health outcomes including depression, anxiety, fatigue, slee
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
New Original Research Study: https://t.co/wRb6Gt5V7m A national survey of 42 primary care practices found that practices completing flexible, multistage interventions showed significant improvement in Integrated Behavioral Health, particularly in workflows, integration methods &โฆ https://t.co/e7M3Bqsm8g https://t.co/K4KGFTm6Qt
-
-
Mashup Score: 0Interviews to Assess a Peer Health Navigator Service for People Who Are Transgender or Gender Diverse - 7 day(s) ago
PURPOSE People who are transgender or gender diverse (PTGD) often experience difficulties navigating the health care system due to a variety of factors such as lack of knowledgeable and/or culturally competent clinicians, discrimination, and structural and/or socioeconomic barriers. We sought to determine whether a peer health navigator service in the Canadian province of Saskatchewan helped connect transgender and gender-diverse clients and health care practitioners (HCPs) to resources, and how this service changed their health care experiences. METHODS Semistructured interviews were conducted with 9 clients and 9 HCPs. Interview transcripts were then analyzed by researchers using an interpretative phenomenological approach, with qualitative data analysis software. RESULTS The most prevalent theme that emerged from interview data, from both clients and HCPs, was support for the navigatorsโ work and a desire that the service should continue. It was reinforced by 3 subthemes: the import
Source: www.annfammed.orgCategories: General Medicine News, General Journals & SocietTweet-
New Original Research Study: https://t.co/0Rqvz3VqHs This study evaluated a peer health navigator pilot program in which navigators with lived experience supported transgender & gender-diverse individuals. The findings showed the navigators were able to connect people to theโฆ https://t.co/CyUvC5hijM https://t.co/wLcIt76NgG
-
-
Mashup Score: 14The Annals of Family Medicine Podcast: Innovations from the cutting edge of Family Medicine research | Annals of Family Medicine - 8 day(s) ago
Discover innovative insights on family medicine through expert interviews, research highlights, and practical tips in the Annals of Family Medicine Podcast.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
๐จ๐๐ฉ๐๐๐๐๐๐๐ ๐ก๐ข๐ช! ๐๏ธEpisode #1 of the Annals of Family Medicine Podcast feat. Dr. Sebastian Tong, lead author of the special report in our latest issue entitled, "The Role of Primary Care in the Social Isolation and Loneliness Epidemic" ๐ - https://t.co/DS3M7XQVf8 https://t.co/mSlc6QVzCc
-
-
Mashup Score: 2A Qualitative Study of Primary Care Physiciansโ Approaches to Caring for Adult Adopted Patients - 8 day(s) ago
PURPOSE Adoption has lifelong health implications for 7.8 million adopted people and their families in the United States. The majority of adoptees have limited family medical history (LFMH). Primary care physicians (PCPs) rarely receive training about adoptees including their mental health needs and increased suicide risk. The growing availability and popularity of direct-to-consumer genetic testing kits amplifies the need for PCPs to be prepared to address genetic testing for adoptees with LFMH. This study explores PCP training and approaches to adult adopted patients with LFMH. METHODS We used critical adoption studies as a theoretical framework for this study to understand how adoptive identity might shape clinical experiences. We recruited PCPs from Minnesota and Rhode Island via purposive, criteria-based, reputational sampling. We conducted hour-long semistructured qualitative interviews incorporating hypothetical clinical vignettes. Transcripts were coded via template organizing
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
A new qualitative study showcases results from in-depth interviews with 23 #PrimaryCare physicians on how to approach the care of adopted adults who have limited access to their family medical history, emphasizing key insights & implications for practice https://t.co/J3ykskswx4 https://t.co/XOgRkO44QE
-
-
Mashup Score: 14The Annals of Family Medicine Podcast: Innovations from the cutting edge of Family Medicine research | Annals of Family Medicine - 10 day(s) ago
Discover innovative insights on family medicine through expert interviews, research highlights, and practical tips in the Annals of Family Medicine Podcast.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
๐จ๐๐ฉ๐๐๐๐๐๐๐ ๐ก๐ข๐ช! ๐๏ธEpisode #1 of the Annals of Family Medicine Podcast feat. Dr. Sebastian Tong, lead author of the special report in our latest issue entitled, "The Role of Primary Care in the Social Isolation and Loneliness Epidemic" ๐ - https://t.co/DS3M7XQVf8 https://t.co/mSlc6QVzCc
-
-
Mashup Score: 4Breaking ICD Codes: Identifying Ambiguous Respiratory Infection Codes via Regional Diagnosis Heterogeneity - 10 day(s) ago
PURPOSE We aimed to analyze regional variations in the assignment of International Classification of Diseases, 10th Revision (ICD-10) codes to acute respiratory infections, seeking to identify notable anomalies that suggest diverse diagnoses of the same condition. METHODS We analyzed national weekly diagnosis data for acute respiratory infections (ICD-10 codes J00-J22) in Poland from 2010 to 2019, covering all 380 county-equivalent administrative regions and encompassing 292 million consultations. Data were aggregated into age brackets. We calculated the Kendall tau correlations between shares of particular diagnoses. RESULTS We found staggering differences across regions in applied diagnoses that persisted even after disaggregating the data into age groups. The differences did not seem to stem from different levels of health care use, as there was no consistent pattern suggesting variability in milder diagnoses. Instead, there were numerous pairs of strongly negatively correlated code
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
New Original Research Article - ๐https://t.co/1sGnUjUZ0i An analysis of 292M primary care visits in Poland (2010โ2019) found inconsistent use of ICD-10 codes for respiratory infections, with J06 (acute upper respiratory infections of multiple and unspecified sites) often usedโฆ https://t.co/UT4Tns3Hc5 https://t.co/nfbM3WsqlG
-
-
Mashup Score: 0
PURPOSE Offering medication for opioid use disorder (MOUD) in primary care can increase access to effective opioid use disorder treatment and help address the US opioid crisis. We describe a primary care office-based opioid treatment program and addiction consultation service model designed to support small, rural clinics to increase their capacity for MOUD. METHODS This is an evaluation of an intervention to increase clinic capacity to offer MOUD. The intervention consists of a standardized curriculum, addiction medicine consultants, practice facilitation, and financial incentives. Fifteen Colorado primary care practices participated from January 2022 through January 2023. Primary outcomes included overall change in the number of active buprenorphine prescriptions and implementation of MOUD milestones before and after the intervention. RESULTS The mean number of active buprenorphine prescriptions in the 3 months preceding the intervention (baseline) increased from 2.1 (SD = 7.7) to 11
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet-
๐ฐhttps://t.co/g63qzlQLh1 A NEW Early Access original research article shows that expanding access to medication for opioid use disorder (MOUD) in #PrimaryCare is key to addressing the opioid crisis. A program supporting 15 Colorado clinics with training, addictionโฆ https://t.co/Sv9mBlE53m https://t.co/JrJOGeD3P2
-
A new qualitative study showcases results from in-depth interviews with 23 #PrimaryCare physicians on how to approach the care of adopted adults who have limited access to their family medical history, emphasizing key insights & implications for practice https://t.co/J3ykskswx4 https://t.co/XOgRkO44QE