{"title":"Consent forms used by patient assistance programs raise privacy concerns.","authors":"Linda Dix-Cooper, Sandra Sirrs","doi":"10.46747/cfp.701112685","DOIUrl":"10.46747/cfp.701112685","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"685-687"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Une crête dans le sud du Chad.","authors":"David Ponka","doi":"10.46747/cfp.701112e207","DOIUrl":"10.46747/cfp.701112e207","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"e207-e208"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Démonter pour mieux reconstruire.","authors":"Michael Allan","doi":"10.46747/cfp.701112759","DOIUrl":"10.46747/cfp.701112759","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"759"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expansion of virtual care family medicine services during the COVID-19 pandemic: Experience with an innovative hybrid model at an Ontario clinic.","authors":"Kevin Lai, Mura Abdul-Nabi","doi":"10.46747/cfp.701112704","DOIUrl":"10.46747/cfp.701112704","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"704-707"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kerri Novak, Aatif Qureshi, Julia Carter, Matthew Mazurek, Paul J Belletrutti, Brooke Maracle, Steven J Heitman, Sander Veldhuyzen van Zanten, Mark Swain, Susan E Jelinski
Objective: To evaluate health system use, health outcomes, and avoided costs when patients with chronic gastrointestinal (GI) conditions are managed in the medical home.
Design: A retrospective, observational cohort study was conducted through a single-point-of-entry referral system.
Setting: Calgary, Alta.
Participants: Patients with referrals for any of 7 nonurgent indications.
Main outcome measures: Patients with referrals for any of 7 nonurgent indications were returned to primary care for management, guided by evidence-based primary care pathways. Patients were linked to administrative databases to extract indications, re-referral rates, endoscopy findings and outcomes, number of emergency department and urgent care visits, and number of hospital admissions. Costs avoided were estimated using Canadian Institute for Health Information data for health care use, consultation, and endoscopy.
Results: Between July 1, 2018, and May 31, 2020, a total of 3435 routine referrals were closed for 3274 patients. The most common pathway used was dyspepsia (1154 of 3435, 33.6%). A total of 362 patients (11.1%) had 616 GI-related emergency department or urgent care visits; 52 (1.6%) patients experienced 68 GI-related hospitalizations. A total of 396 patients (12.1%) underwent endoscopy; of the 348 patients with findings available for analysis, 7.8% exhibited a clinically significant finding. The estimated total cost avoided was $1,477,237.
Conclusion: The implementation of co-developed primary care pathways safely supports the care of patients with common, nonurgent GI conditions within the medical home. In this population, rates of re-referral and health care use were low, resulting in avoidance of substantial costs and improved overall appropriateness of care.
{"title":"Management of nonurgent common gastroenterology referrals using primary care clinical pathways: Clinical outcomes, health care use, and avoided costs.","authors":"Kerri Novak, Aatif Qureshi, Julia Carter, Matthew Mazurek, Paul J Belletrutti, Brooke Maracle, Steven J Heitman, Sander Veldhuyzen van Zanten, Mark Swain, Susan E Jelinski","doi":"10.46747/cfp.701112e197","DOIUrl":"10.46747/cfp.701112e197","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate health system use, health outcomes, and avoided costs when patients with chronic gastrointestinal (GI) conditions are managed in the medical home.</p><p><strong>Design: </strong>A retrospective, observational cohort study was conducted through a single-point-of-entry referral system.</p><p><strong>Setting: </strong>Calgary, Alta.</p><p><strong>Participants: </strong>Patients with referrals for any of 7 nonurgent indications.</p><p><strong>Main outcome measures: </strong>Patients with referrals for any of 7 nonurgent indications were returned to primary care for management, guided by evidence-based primary care pathways. Patients were linked to administrative databases to extract indications, re-referral rates, endoscopy findings and outcomes, number of emergency department and urgent care visits, and number of hospital admissions. Costs avoided were estimated using Canadian Institute for Health Information data for health care use, consultation, and endoscopy.</p><p><strong>Results: </strong>Between July 1, 2018, and May 31, 2020, a total of 3435 routine referrals were closed for 3274 patients. The most common pathway used was dyspepsia (1154 of 3435, 33.6%). A total of 362 patients (11.1%) had 616 GI-related emergency department or urgent care visits; 52 (1.6%) patients experienced 68 GI-related hospitalizations. A total of 396 patients (12.1%) underwent endoscopy; of the 348 patients with findings available for analysis, 7.8% exhibited a clinically significant finding. The estimated total cost avoided was $1,477,237.</p><p><strong>Conclusion: </strong>The implementation of co-developed primary care pathways safely supports the care of patients with common, nonurgent GI conditions within the medical home. In this population, rates of re-referral and health care use were low, resulting in avoidance of substantial costs and improved overall appropriateness of care.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"e197-e206"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recommandations rapides: Mises à jour des lignes directrices en 2023 : partie 3.","authors":"Danielle O'Toole","doi":"10.46747/cfp.701112e192","DOIUrl":"10.46747/cfp.701112e192","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"e192-e194"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.46747/cfp.701112682_1
Anna N Wilkinson
{"title":"Response.","authors":"Anna N Wilkinson","doi":"10.46747/cfp.701112682_1","DOIUrl":"10.46747/cfp.701112682_1","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"682"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A career shaped by fighting apartheid: Inequality revealed the importance of primary care teams and intervention evaluation to Dr Merrick Zwarenstein.","authors":"Brian Hutchison, Merrick Zwarenstein","doi":"10.46747/cfp.701112750","DOIUrl":"10.46747/cfp.701112750","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"750-752"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to help patients navigate genitourinary syndrome of menopause.","authors":"Taisa Trischuk, Jessica Visentin, Renée Morissette","doi":"10.46747/cfp.701112710","DOIUrl":"10.46747/cfp.701112710","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"710-714"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing simple excision and wounds.","authors":"Jennifer Young, Jen Potter","doi":"10.46747/cfp.701112715","DOIUrl":"10.46747/cfp.701112715","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"70 11-12","pages":"715"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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