Article
Medicine, General & Internal
A. Caroline Rudisill, Meredith G. A. Eicken, Deeksha Gupta, Mark Macauda, Stella Self, Ann Blair Kennedy, Darin Thomas, Elise Kao, Mia Jeanty, Jackson Hartley
Summary: This study identified key issues in the implementation of SDOH screening in primary care, including the completeness of screening and its correlation with patient and care team characteristics.
Article
Pediatrics
Nicole Hamp, Sarah L. DeHaan, Celina M. Cerf, Jenny S. Radesky
Summary: The study aimed to explore experiences and needs of pediatric primary care providers (PCPs) regarding the identification and management of autism spectrum disorder (ASD) in toddlers. 28 PCPs were recruited for semi-structured interviews conducted via Zoom. The results suggest a need for targeted improvements in primary care, including increasing PCP capacity and confidence in communicating ASD concerns with families, referring for timely diagnostic evaluations in trusted and easy-to-navigate care systems, and increasing family activation and capacity to follow up on ASD evaluation and treatment services.
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Nursing
C. D. Weller, C. Richards, L. Turnour, V Team
Summary: The study revealed discrepancies between patients and primary care clinicians in the management of venous leg ulcers. Patients expressed a need for earlier referral to specialist wound care clinics and more information on compression therapy, while clinicians tended to rely on clinical judgement rather than strictly following guideline recommendations.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Review
Health Care Sciences & Services
Elaine Moody, Ruth Martin-Misener, Larry Baxter, Leah Boulos, Fred Burge, Erin Christian, Brian Condran, Adrian MacKenzie, Elizabeth Michael, Tanya Packer, Kylie Peacock, Tara Sampalli, Grace Warner
Summary: This study aims to focus on the perspective of people with MM from multiple aspects, including involving patients in the study design, implementation, and reporting, and focusing on literature that reports the perspective of people with MM.
HEALTH EXPECTATIONS
(2022)
Article
Health Care Sciences & Services
Jean A. Talbot, Erika C. Ziller, Carly M. Milkowski
Summary: The study found that rural PCPs were just as successful as urban PCPs in using EHRs to enhance tobacco-related services. While documentation rates were similar between rural and urban PCPs, the increase in documentation odds was greater for rural PCPs when using EHRs for tobacco-related functions. Additionally, rates of cessation treatment were low in both rural and urban contexts, but higher when EHRs were used to remind PCPs of treatment guidelines.
JOURNAL OF RURAL HEALTH
(2022)
Article
Medicine, General & Internal
Elizabeth J. Austin, Jessica Chen, Elsa S. Briggs, Lori Ferro, Paul Barry, Ashley Heald, Joseph O. Merrill, Geoffrey M. Curran, Andrew J. Saxon, John C. Fortney, Anna D. Ratzliff, Emily C. Williams
Summary: This study explores the experiences and perspectives of multidisciplinary primary care (PC) teams in initiating or expanding medication for opioid use disorder (MOUD). The results suggest that PC teams face challenges in providing rapid access to care and engaging patients with MOUD, as well as maintaining clinician confidence. Attitudes towards MOUD expansion vary among PC teams. The study highlights the need for flexibility in appointment scheduling, effective patient engagement, and ongoing training to address evolving opioid-related clinical issues.
Article
Oncology
Jamie S. Ostroff, Kemi L. Bolutayo Gaffney, Maureen O'Brien, Suhana T. deLeon-Sanchez, C. Will Whitlock, Chris S. Kotsen, Lisa Carter-Harris, Smita C. Banerjee, Elizabeth Schofield
Summary: Training in tobacco treatment tailored to the unique needs of tobacco-dependent cancer patients can improve providers' self-efficacy and lead to greater adoption of best practices for smoking cessation in cancer care.
Article
Medicine, General & Internal
Beth Jones, Pam James, Ganga Vijayasiri, Yiting Li, Dave Bozaan, Nkiru Okammor, Karly Hendee, Grace Jenq
Summary: This study aimed to understand patients' experiences during the care transition process from hospital or skilled nursing facility to home and identify factors associated with follow-up appointment completion. The study found gaps and racial disparities in care transition experiences, which had implications for patient experiences and outcomes.
Article
Oncology
Jacklyn Cho, Daniela Nilo, Madeline R. Sterling, Lisa M. Kern, Monika M. Safford, Laura C. Pinheiro
Summary: Primary care providers and oncologists have differing expectations on diabetes management responsibilities, communication modes, and frequencies during cancer treatment. Common themes include discomfort with providing care outside of specialty, individualized care plans, and lack of communication between primary care and oncology. Collaborative interventions and educational resources are needed to overcome barriers for optimal diabetes management during cancer care.
SUPPORTIVE CARE IN CANCER
(2021)
Review
Medicine, General & Internal
Megan Buresh, Robert Stern, Darius Rastegar
Summary: Opioid use disorder is a common, treatable chronic disease that can be effectively managed through medication in primary care settings. Medications such as buprenorphine and methadone can reduce illicit opioid use and mortality, but discontinuation of treatment may lead to increased rates of relapse and death. Treating OUD in primary care is cost effective and improves patients' outcomes.
BMJ-BRITISH MEDICAL JOURNAL
(2021)
Article
Oncology
Sarah F. Christensen, Robyn M. Scherber, Gina L. Mazza, Amylou C. Dueck, Nana Brochmann, Christen L. Andersen, Hans C. Hasselbalch, Ruben A. Mesa, Holly L. Geyer
Summary: This study suggests that smoking may be associated with increased prevalence and severity of MPN symptoms, highlighting the importance of improving patient education and addressing tobacco use in the care of MPN patients.
Editorial Material
Oncology
Michael C. Fiore, Timothy B. Baker, Margaret B. Nolan, Hamid Emamekhoo
Summary: Smoking cessation can significantly benefit cancer patients who smoke by reducing cancer and all-cause mortality. It is essential for oncology clinicians to address smoking cessation in cancer patients who smoke to improve their overall health and cancer outcomes.
Article
Substance Abuse
Julia Dunn, Mina Yuan, Fernando Ramirez, Helene Chokron Garneau, Cati Brown-Johnson, Haley Breland, Valerie Antonini, Sherry Larkins, Richard Rawson, Mark McGovern
Summary: This study conducted semi-structured group interviews with 38 primary care providers and found that there is a lack of standardized screening measures and evidence-based treatments for addressing methamphetamine use. Primary care providers expressed the need for more standardized screening tools, FDA-approved medications, reliable connections to addiction medicine specialists, and additional training. The challenges faced by primary care in effectively addressing methamphetamine use include the lack of FDA-approved medications, limited patient retention, referral opportunities, funding, and training. Harmonation of patients’ medical issues with a harm reduction, motivational interviewing approach, and integration with addiction medicine specialists may be the most feasible options to compassionately and effectively manage patients who use methamphetamines.
JOURNAL OF ADDICTION MEDICINE
(2023)
Article
Health Care Sciences & Services
Lauren Bifulco, Lynsey Grzejszczak, Idiana Velez, Tracy Angelocci, Daren Anderson
Summary: Using eConsults as a specialty care service is significant for uninsured patients. The study found that eConsults can address financial and geographic barriers in accessing specialty care, as well as save patients time and cost.
BMC HEALTH SERVICES RESEARCH
(2023)