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Mashup Score: 7
For many years I cared for Joe, following him through diagnoses of strokes, end-stage renal disease, and metastatic prostate cancer. Gaining his trust, coordinating his care across specialist visits and hospitalizations, and helping him and his family clarify goals of care took an investment of time and relationship-building. I was able to spend this time with Joe, and all of my medically complex patients, because I had taken a job in a Program of All-Inclusive Care for the Elderly (PACE), a fully capitated model of care. With care organized around the patient instead of the visit, this payment model transformed my work life. As I reflect on the care that I provided for Joe over the years, I consider how health care organization and finance can either help or hinder our ability to provide patient-centered, coordinated, continuous care for our patients. Evolving payment models can help make space for family physicians to provide the robust primary care we are trained to deliver.
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 10How to Create a Diversity, Equity, and Inclusion Curriculum: More Than Checking a Box - 5 day(s) ago
We are beginning to accept and address the role that medicine as an institution played in legitimizing scientific racism and creating structural barriers to health equity. There is a call for greater emphasis in medical education on explaining our role in perpetuating health inequities and educating learners on how bias and racism lead to poor health outcomes for historically marginalized communities. Diversity, equity, and inclusion (DEI; also referred to as EDI) and antiracism are key parts of patient care and medical education as they empower health professionals to be advocates for their patients, leading to better health care outcomes and more culturally and socially humble health care professionals. The Liaison Committee on Medical Education has set forth standards to include structural competency and other equity principles in the medical curriculum, but medical schools are still struggling with how to specifically do so. Here, we highlight a stepwise approach to systematically
Source: www.annfammed.orgCategories: General Medicine News, General Journals & SocietTweet-
📰@EmoryMedicine @EmoryDeptofMed @EmoryGIM present a new approach to threading (cohesively incorporating) diversity, equity, and inclusion (DEI) and antiracist concepts throughout all aspects of undergraduate medical education https://t.co/eWuS5p83E0 @docwithapurpose @olakunleore https://t.co/pg8BPqanbQ
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Mashup Score: 9Call for Submissions - AI for Primary Care - 7 day(s) ago
Papers and posters should be submitted to the AIME 2024 Easychair Workshop website. May 10, 2024 | Submission Deadline May 28, 2024 | Notice of Acceptance June 13, 2024 | Manuscript Submission Deadline July 12, 2024 | Workshop Up to 8 accepted submissions will be presented, with their abstracts posted on the portal and maintained by the AIME 2024 Local Chairs’ Department of Biomedical Informatics. Selected paper submissions will be eligible for publications in Annals for Family Medicine. Arial or Times
Source: medicine.utah.eduCategories: General Medicine News, General HCPsTweet
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Mashup Score: 9Call for Submissions - AI for Primary Care - 13 day(s) ago
Papers and posters should be submitted to the AIME 2024 Easychair Workshop website. May 10, 2024 | Submission Deadline May 28, 2024 | Notice of Acceptance June 13, 2024 | Manuscript Submission Deadline July 12, 2024 | Workshop Up to 8 accepted submissions will be presented, with their abstracts posted on the portal and maintained by the AIME 2024 Local Chairs’ Department of Biomedical Informatics. Selected paper submissions will be eligible for publications in Annals for Family Medicine. Arial or Times
Source: medicine.utah.eduCategories: General Medicine News, General HCPsTweet
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Mashup Score: 1
A primary care pediatrician casts a skeptical eye at the American Academy of Pediatrics Obesity Guideline. Using back-of-the-envelope calculations, she explains that meeting the guidelines would swamp her office, hospital, and the country’s clinicians in a manner that is unrealistic. Warning against the alienation that boots-on-the-ground clinicians experience when guidelines are too theoretical to be practical, she suggests alternative avenues for addressing this public health issue.
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Mashup Score: 1Transgender Care Is Family Medicine: A Call to Action - 21 day(s) ago
Currently in the United States, transgender * individuals account for 1.6 million people 13 years of age and older. 1 Unfortunately, they face a litany of health disparities when compared to their cisgender counterparts, including higher rates of death and disability from a variety of causes. 2, 3 The most notable discrepancies involve mental health conditions, with one study finding that transgender adults were more than six times as likely to have had suicidal ideation and more than four times as
Source: journals.stfm.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 5Optimization of Electronic Health Record Usability Through a Department-Led Quality Improvement Process - 25 day(s) ago
BACKGROUND Electronic health records (EHR) have become commonplace in medicine. A disconnect between developers and users while creating the interface often fails to create a product that captures clinical workflow, and issues become apparent with implementation. Optimization allows collaboration of clinicians and informaticists after implementation, but documentation of success has only been at the institutional level. METHODS A 4-month, department-wide EHR optimization was conducted with information technology (IT). Optimizations were developed from an intensive quality improvement process involving all levels of clinicians and clinical staff. The optimizations were then categorized as accommodations (department adjusted workflow to EHR), creations (IT developed new workflows within EHR), discoveries (department found workflows within EHR), and modifications (IT changed workflows within EHR). Departmental productivity, defined as number of visits, charges, and payments, was standardi
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 8Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model - 26 day(s) ago
PURPOSE To analyze spatiotemporal trends in hospitalizations for cardiovascular diseases (CVD) sensitive to primary health care (PHC) among individuals aged 50-69 years in Paraná State, Brazil, from 2014 to 2019 and investigate correlations between PHC services and the Social Development Index. METHODS We conducted a cross-sectional ecological study using publicly available secondary data to analyze the municipal incidence of hospitalizations for CVD sensitive to PHC and to estimate the risk of hospitalization for this group of diseases and associated factors using hierarchical Bayesian spatiotemporal modeling with Markov chain Monte Carlo simulation. RESULTS There was a 5% decrease in the average rate of hospitalizations for PHC-sensitive CVD from 2014 to 2019. Regarding standardized hospitalization rate (SHR) according to population size, we found that no large municipality had an SHR >2. Likewise, a minority of these municipalities had SHR values of 1-2 (33%). However, many small an
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Mashup Score: 7“It Can’t Hurt!”: Why Many Patients With Limited Life Expectancy Decide to Accept Lung Cancer Screening - 29 day(s) ago
PURPOSE Lung cancer screening (LCS) has less benefit and greater potential for iatrogenic harm among people with multiple comorbidities and limited life expectancy. Yet, such individuals are more likely to undergo screening than healthier LCS-eligible people. We sought to understand how patients with marginal LCS benefit conceptualize their health and make decisions regarding LCS. METHODS We interviewed 40 people with multimorbidity and limited life expectancy, as determined by high Care Assessment Need scores, which predict 1-year risk of hospitalization or death. Patients were recruited from 6 Veterans Health Administration facilities after discussing LCS with their clinician. We conducted a thematic analysis using constant comparison to explore factors that influence LCS decision making. RESULTS Patients commonly held positive beliefs about screening and perceived LCS to be noninvasive. When posed with hypothetical scenarios of limited benefit, patients emphasized the nonlongevity b
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Mashup Score: 5Challenges Addressing Lung Cancer Screening for Patients With Multimorbidity in Primary Care: A Qualitative Study - 1 month(s) ago
PURPOSE Many individuals who are eligible for lung cancer screening have comorbid conditions complicating their shared decision-making conversations with physicians. The goal of our study was to better understand how primary care physicians (PCPs) factor comorbidities into their evaluation of the risks and benefits of lung cancer screening and into their shared decision-making conversations with patients. METHODS We conducted semistructured interviews by videoconference with 15 PCPs to assess the extent of shared decision-making practices and explore their understanding of the intersection of comorbidities and lung cancer screening, and how that understanding informed their clinical approach to this population. RESULTS We identified 3 themes. The first theme was whether to discuss or not to discuss lung cancer screening. PCPs described taking additional steps for individuals with complex comorbidities to decide whether to initiate this discussion and used subjective clinical judgment t
Source: www.annfammed.orgCategories: General Medicine News, General HCPsTweet
📰| Told through the lens of her relationship with a particularly memorable patient, a physician reflects upon how she was able to stay true to the heart of family medicine. 👉https://t.co/2iHQ3td2WS https://t.co/MvbPdSUMIC