Primary Care

Journal Article

Sep 3, 2024

Identifying Where Hospital and Community Trusts Are Managing General Practices in England: A Service Mapping Study

More organisations that provide secondary care in the NHS are now also providing primary health care, but there is little data on the impact of this. This study aimed to compile a list of secondary care trusts running general practices in England.

Journal Article

Aug 19, 2024

Exploring How Patients Are Supported to Use Online Services in Primary Care in England Through "Digital Facilitation": Survey Study

Digital facilitation can help patients with accessing online primary care services. This study conducted surveys to gain insight into the support being offered by practices and explore patient’s experiences with using online services.

Report

Jul 31, 2024

Father sitting with son on his knee in pediatrician's office, talking to the doctor, photo by supersizer/Getty Images

Addressing Adverse Childhood Experiences in Clinics Serving California Farmworker Communities: NACES Pilot Project Evaluation

The authors evaluated a pilot project that seeks to help California clinics serving rural farmworker communities screen for and address Adverse Childhood Experiences (ACEs) among adult and pediatric patients.

Journal Article

May 2, 2024

Stakeholder Perspectives on a Telemedicine Referral and Coordination Model to Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics

Referral from primary care to a telemedicine vendor for patients is feasible and could increase access to medications for opioid use disorder in rural communities. Insufficient internet and poor provider communication could impede implementation.

Journal Article

May 1, 2024

Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review

Healthcare provided by a bilingual provider or with the assistance of an interpreter improves care quality; however, their associations with patient experience are unknown.

Journal Article

Feb 28, 2024

Barriers Primary Care Clinic Leaders Face to Improving Value in a Consumer Choice Health Plan Design

This paper reports on a qualitative study assessing barriers that clinic leaders face, to reduce costs within a tiered cost-sharing commercial health insurance benefit design, that gives both consumers and clinics a strong incentive to reduce costs.

Journal Article

Feb 23, 2024

Mis-implementation of Evidence-Based Behavioural Health Practices in Primary Care: Lessons from Randomised Trials in Federally Qualified Health Centers

Introduces a taxonomy for mis-implementation (i.e., poor outcomes from efforts to implement an evidence-based practice) and applies it to three case examples from pragmatic trials of behavioral health treatments in Federally Qualified Health Centers.

Journal Article

Feb 1, 2024

Design of a Hybrid Implementation Effectiveness Cluster Randomized Controlled Trial of Delivering Written Exposure Therapy for PTSD in Underserved Primary Care Settings

The BETTER study aims to evaluate the effectiveness of integrating Written Exposure Therapy (WET) within primary care collaborative care management (CoCM) to improve PTSD and depression symptom severity.

Journal Article

Dec 6, 2023

Young girl at a dental checkup, photo by santypan/Getty Images

Barriers and Facilitators to Optimal Fluoride Varnish Application

Guidelines recommend that children under age six receive fluoride varnish (FV) in medical settings. However, application rates remain low. This study aimed to update understanding of barriers and facilitators to guideline concordant FV application.

Journal Article

Nov 13, 2023

Effect of a Peer Comparison and Educational Intervention on Medical Test Conversation Quality: A Randomized Clinical Trial

Results of this initial trial suggest that future interventions to improve medical test conversations and reduce test overuse might focus on easing physician adoption barriers and leveraging patient-clinician relationships.

Tool

Nov 13, 2023

CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention

This manual describes how to implement the Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO) intervention, which adapts the Collaborative Care Model for adults with opioid use disorder and depression and/or PTSD.

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Primary Care

Primary Care

Explore RAND’s Work on this Topic

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Identifying Where Hospital and Community Trusts Are Managing General Practices in England: A Service Mapping Study

Exploring How Patients Are Supported to Use Online Services in Primary Care in England Through "Digital Facilitation": Survey Study

Addressing Adverse Childhood Experiences in Clinics Serving California Farmworker Communities: NACES Pilot Project Evaluation

Stakeholder Perspectives on a Telemedicine Referral and Coordination Model to Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics

Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review

Barriers Primary Care Clinic Leaders Face to Improving Value in a Consumer Choice Health Plan Design

Mis-implementation of Evidence-Based Behavioural Health Practices in Primary Care: Lessons from Randomised Trials in Federally Qualified Health Centers

Design of a Hybrid Implementation Effectiveness Cluster Randomized Controlled Trial of Delivering Written Exposure Therapy for PTSD in Underserved Primary Care Settings

Barriers and Facilitators to Optimal Fluoride Varnish Application

Effect of a Peer Comparison and Educational Intervention on Medical Test Conversation Quality: A Randomized Clinical Trial

CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention

CLARO: Collaboration Leading to Addiction Treatment and Recovery from Other Stresses Project

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