Integrated Behavioral Health Care in Family Medicine Residencies: A CERA Survey
Christine Jacobs, Jay A. Brieler, Joanne Salas, Renée M. Betancourt, Peter F. Cronholm
ABSTRACT [FROM JOURNAL]
Background and Objectives: Behavioral health integration (BHI) in primary care settings is critical to mental health care in the United States. Family medicine resident experience in BHI in family medicine residency (FMR) continuity clinics is essential preparation for practice. We surveyed FMR program directors to characterize the status of BHI in FMR training.
Methods: Using the Council of Academic Family Medicine Educational Research Alliance (CERA) 2017 survey, FMR program directors...
Video Excerpt: Matthew Press - Anatomy of a Care Coordination Case
Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial

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Declining Medicaid Fees and Primary Care Availability for New Medicaid Patients

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Changing Antibiotic Prescribing in a Primary Care Network: The Role of Readiness to Change and Group Dynamics in Success
Suratha Elango, Julia E. Szymczak, Ian M. Bennett, Rinad S. Beidas, Rachel M. Werner
In the American Journal of Medical Quality, Suratha Elango and colleagues, including Rinad Beidas and Rachel Werner, studied factors important to combating overuse of broad-spectrum antibiotics in outpatient pediatric practices. Primary care clinics in the Children’s Hospital of Philadelphia network completed surveys and then semi-structured interviews on barriers and facilitators to improving their antibiotic prescribing practices, perceptions and reactions to the initiative, and the climate surrounding its implementation.
Practices with a high willingness...
A ‘Newfound Passion for Advocacy’
The American College of Physicians (ACP), representing 152,000 internal medicine physicians and medical students, has been front and center in the national debates on health care reform, according to Robert Doherty, the ACP’s Senior Vice President of Governmental Affairs and Public Policy. The ACP is the largest physician specialty society and second largest medical organization in the United States.
Networks in ACA Marketplaces are Narrower for Mental Health Care Than for Primary Care

In 2016, ACA marketplace plans offered provider networks that were far narrower for mental health care than for primary care. On average, plan networks included 24 percent of all primary care providers and 11 percent of all mental health care providers in a given market. Just 43 percent of psychiatrists and 19 percent of nonphysician mental health providers participate in any network. These findings raise important questions about network sufficiency, consumer choice, and access to mental health care in marketplace plans.
Development and Validation of the Primary Care Team Dynamics Survey
Hummy Song, Alyna T. Chien, Josephine Fisher, Julia Martin, Antoinette S. Peters, Karen Hacker, Meredith B. Rosenthal, Sara J. Singer
In Health Services Research, Hummy Song and colleagues develop and validate a survey instrument designed to measure team dynamics in primary care. The authors study 1,080 physician and non-physician health care professionals at 18 primary care practices participating in a learning collaborative to improve team-based care. They administer a cross-sectional survey addressing team dynamics, and assessed reliability and discriminant validity of survey factors, as well as the overall survey’s goodness-of-fit. They find that this model demonstrated adequate fit, scale reliability, and...
Continuity of Care in Infancy and Early Childhood Health Outcomes
Elizabeth Enlow, Molly Passarella, Scott A. Lorch
In Pediatrics, Elizabeth Enlow and colleagues, including Scott Lorch, assess the relationship between provider continuity in infancy, and use of both urgent and preventative health services. Continuity of care is a key aspect of the patient-centered medical home and has been shown to improve pediatric outcomes. The authors hypothesize that increased provider continuity in infancy decreases urgent health care use and increases preventative services use in early childhood. They measured continuity across all primary care encounters during the first year of life for 17,773 infants...
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Chloe E. Hill, Bethany Thomas, Kimberly Sansalone, Kathryn A. Davis, Judy A. Shea, Brian Litt, and Nabila Dahodwala
In Neurology, Chloe Hill and colleagues, including Judy Shea and Nabila Dahodwala, investigate the quality of care delivered by nurse practitioner (NP)–physician teams developed to serve patients with epilepsy, and improve their appointment availability. The authors observed a cohort of patients with epilepsy who were cared for by either an NP-physician team or a physician only. These care models were compared with regard to adherence to the 2014 American Academy of Neurology epilepsy quality measures. The authors also looked at seizure frequency, presentations to the Emergency...
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Amy Bond, William Pajerowski, Dan Polsky, and Michael R. Richards
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The Role of Community Health Centers in Reducing Racial Disparities in Spatial Access to Primary Care
Jane W. Seymour, Daniel E. Polsky, Elizabeth J. Brown, Corentin M. Barbu, David Grande
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