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2025 | Volume 23, Issue 2
Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
Brief Summary: This qualitative study used semistructured interviews with primary care teams from 12 clinics to identify innovative strategies used by clinics with high temporal regularity—those whose patients consistently attend scheduled follow-ups—to improve chronic care. Strategies of Clinics with High Temporal Regularity include: 1. A clear follow-up system, beginning with administrative staff reaching out to patients and ending with recruiting the help of patients’ family members. 2. Close working relationships within less hierarchical, flatter structures, where every team member is part of the decision-making process. 3. Other strategies included routine staff meetings to discuss patients who have been lost-to-follow-up, adaptive workflows, assistance with bureaucracy, informal communication channels, and consultations with social workers.
Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India
Brief Summary: This cluster randomized controlled trial examined the effectiveness of a structured family-based cardiovascular health intervention in improving weight management among 1,671 adults in India. After adjusting for family clustering and socio-economic factors, intervention participants experienced, on average, these improvements compared with the usual care group after two years: 2.61 kg greater reduction in weight (P < .001), 1.06 kg/m² greater reduction in BMI (P < .001), and 4.17 cm greater reduction in waist circumference (P < .001).
Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
Brief Summary: This cross-sectional survey study of 2,516 family medicine patients examined their preferences for seeing their primary care physician (PCP) versus other team clinicians based on visit type and wait time. The results show that over one-half of patients preferred their PCP for annual checkups (52.6%), chronic condition follow-up (54.6%), and mental health follow-ups (56.8%). Patients were willing to wait 3-4 weeks to see their PCP for sensitive exams (68.2%), new mental health concerns (58.9%), and new concerns about chronic conditions (61.1%). Only 7.2% of patients were willing to wait for their PCP for urgent concerns—most preferred the soonest available clinician.
Heplisav-B vs Standard Hepatitis B Vaccine Booster for Health Care Workers
Brief Summary: This retrospective cohort study used existing health record data to evaluate the immune response of 242 previously vaccinated individuals with low immunity who received a single booster dose of either Heplisav-B or a standard hepatitis B vaccine. Results include: 99.4% of individuals receiving Heplisav-B reached protective antibody levels. 92.7% of individuals receiving a standard booster reached protective levels. The 6.7% higher response rate with Heplisav-B was statistically significant (95% CI, 1.9%-14.5%; P = .003). All seven individuals who remained below protective levels after one booster eventually reached immunity after receiving additional vaccinations.
2025 | Volume 23, Issue 1
► A Qualitative Study of Primary Care Physicians' Approaches to Caring for Adult Adopted Patients
► Impact of Financial Incentives and Department Size on Scholarly Activity Output