The Impact of the 2020 Medicaid Expansion in a Community Clinic Serving the Marshallese Population in a Rural State by Robert Brand, Samantha Robinson, Mohammod Mahmudur Rahman, Alshaimaa Hazaa, Sheena CarlLee, Hanna Jensen

“…Existing literature documents the gaps in primary care services for underrepresented and uninsured populations in the United States and the significant consequences of lack of access to care. …”
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Sensitivity and specificity of the Patient Health Questionnaire (PHQ-9, PHQ-8, PHQ-2) and General Anxiety Disorder scale (GAD-7, GAD-2) for depression and anxiety diagnosis: a cros... by David Villarreal-Zegarra, Juan Carlos Bazo-Alvarez, Juan Barrera-Begazo, Sharlyn Otazú-Alfaro, Nikol Mayo-Puchoc, Jeff Huarcaya-Victoria

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Patient and provider factors associated with follow-up for positive depression screens in adults: a retrospective review of University of Utah primary and specialty care clinics by Tess Battiola, Tanner Ellison, Danica Dummer, Rachel Weir, Katie Kaput, Deepika Reddy

“…Patient and provider variables were associated with rates of follow-up for positive depression screens.Setting University of Utah and University of Utah Health-affiliated primary care and specialty clinics.Participants Adults who screened positive for depressive symptoms (score≥10) on the Patient Health Questionnaire (PHQ-9) at an ambulatory visit between 1 January 2021 and 31 January 2022. …”
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Population Characteristics and Their Implications on the Benefit Basket of National Social Health Insurance Scheme in Sierra Leone: A Prospective View by Abraham Isiaka Jimmy, Kwabena Anarfi Boateng, Peter Twum, Deborah Larbie, Abdul Bangura, Hassan Milton Conteh, Peter Agyei-Baffour

“…Regarding the level at which healthcare services should be covered by the scheme, 61.45% preferred the primary care services, 89% mentioned secondary care services, and 98.93% affirmed the provision of tertiary care under the scheme. …”
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Identifying the top research priorities in medically not yet explained symptoms (MNYES): a James Lind Alliance priority setting partnership by Mark Edwards, Danielle Varley, Natalie Smith, Petros Perros, Jonathan Gower, Arvind Kaul, Nicholas Gall, Andrew Stephen Moriarty, Christina Maria van der Feltz-Cornelis, Jennifer Sweetman, Jennifer Gilligan, Stephanie Hayle, James Sampford, Iman Elfeddali

“…It involved five key stages: defining the appropriate term for the conditions under study by the PSP Steering Group; gathering questions on MNYES from patients, caregivers and clinicians in a publicly accessible survey; checking these research questions against existing evidence; interim prioritisation in a second survey; and a final multi-stakeholder consensus meeting to determine the top 10 unanswered research questions using the modified nominal group methodology.Results Over 700 responses from UK patients, caregivers and clinicians were identified in the two surveys and charities contributed from a broad range of medical specialties and primary care. The final top 10 unanswered research questions cover, among others: treatment strategies, personalisation of treatment, collaborative care pathways, training for clinicians and outcomes that matter to patients.Interpretation The top 10 unanswered research questions are expected to generate much needed, relevant and impactful research into MNYES.…”
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Longitudinal associations between informal caring, social network, and psychological distress among adolescents and young adults: modelling within-person effects by Miharu Nakanishi, Satoshi Yamaguchi, Mai Sakai, Hatsumi Yoshii, Syudo Yamasaki, Atsushi Nishida, Takahiro Tabuchi

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Epigenetics and Inflammatory Markers: A Systematic Review of the Current Evidence by Valentina Gonzalez-Jaramillo, Eliana Portilla-Fernandez, Marija Glisic, Trudy Voortman, Mohsen Ghanbari, Wichor Bramer, Rajiv Chowdhury, Tamar Nijsten, Abbas Dehghan, Oscar H. Franco, Jana Nano

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Protocol for a first-in-human feasibility study of T regulatory cells (TR004) for inflammatory bowel disease using (ex vivo) Treg expansion (TRIBUTE) by Jennifer Clough, Peter Irving, A Toby Prevost, Graham M Lord, Joana Vasconcelos, James B Canavan, Beverley Rodger, D Macallan

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Safety of health workers during the COVID-19 pandemic and beyond: piloting WHO framework in Iran by Jafar Sadegh Tabrizi, Mondher Letaief, Hossein Mashhadi Abdolahi, Ramin Rezapour, Ahmed Alboksmaty, Mostafa Farahbakhsh

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Factors influencing choice of residency program among medical intern doctors and medical students: a cross-sectional survey by Ali Al Ajmi, Masoud Kashoub, Ibrahim S. Al-Busaidi, Mohammed Al Rashdi, Moza AlHussaini, Arwa Alsaidi, Mohammed Al Rawahi, Abdullah M. Al Alawi

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Changes in the use practitioner-based complementary and alternative medicine over time in Canada: Cohort and period effects. by Mayilee Canizares, Sheilah Hogg-Johnson, Monique A M Gignac, Richard H Glazier, Elizabeth M Badley

“…., chronic conditions), and use of conventional care (primary care and specialists).<h4>Results</h4>The findings suggest that, at corresponding ages, more recent cohorts reported greater CAM (OR = 25.9, 95% CI: 20.0; 33.6 for Gen Xers vs. pre-World War) and chiropractic use than their predecessors (OR = 2.2, 95% CI: 1.7; 2.8 for Gen Xers vs. pre-World War). …”
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Recognizing and addressing burnout among healthcare workers in rural Nepal: a proof-of-concept study using Kern’s six-step theoretical framework by Raj Kumar Dangal, Eva Studer, Tula Krishna Gupta, Kristin Nguyen, Amit Suneja, Karuna Khadka, Shailina Bata Shrestha, Bibhav Acharya

“…During the first phase, we conducted a targeted needs assessment using an online survey among nine rural primary care physicians working in Charikot Hospital. …”
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Patient perspectives on telemedicine during the COVID-19 pandemic: a mixed-methods community-based study by Marije J. Splinter, M. Kamran Ikram, Charles W. Helsper, Patrick J.E. Bindels, Evelien I.T. de Schepper, Silvan Licher

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Shaping the future of primary healthcare: Factors influencing medical students’ preference for family medicine specialty in Qatar by Maryam A. Al-Rashid, Muna T Abed Alah, Areej S. Al-Hamad, Michail Nomikos, Marwan F. Abu Hijleh

“…Promoting these elements through targeted educational and mentorship programs may increase students’ interest in Family Medicine and help to address the gap between student preferences and the greater need for primary care providers.…”
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Strengthening the Resilience of Objective-Oriented Health System Reforms. Analysis of the Left-Turn in the Health Reform Proposals in Mexico (2019) and Colombia (2023) by Laura Flamand, Octavio Gómez-Dantés, Natalia Losada-Trujillo, Diana Pinto, Edson Serván-Mori, Diego Cerecero-García, Thomas Hone, Sumit Mazumdar

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A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working grou... by Maria Irene Bellini, Yitka Graham, Catherine Hayes, Roxanna Zakeri, Rowan Parks, Vassilios Papalois

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Investigation of the Prevalence and Diagnosis of Chronic Obstructive Pulmonary Disease in a Group of Elderly Individuals Residing in an Island Area of Ningbo by Wei Sheng, Youchang Huang, Zaichun Deng, Hongying Ma

“…The COPD-Screening Questionnaire could be used as a preselection method to screen for COPD in primary care settings. (5) Of 254 individuals diagnosed with COPD, only 10 had a history of COPD and only 35 had a previous diagnosis of pneumonia or bronchitis. …”
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Real-World Health Care Outcomes and Costs Among Patients With Juvenile Idiopathic Arthritis in Spain by Jordi Antón, Estefania Moreno Ruzafa, Mireia Lopez Corbeto, Rosa Bou, Judith Sánchez Manubens, Sonia Carriquí Arenas, Joan Calzada Hernández, Violetta Bittermann, Carolina Estepa Guillén, Juan Mosquera Angarita, Lucía Rodríguez Díez, Estíbaliz Iglesias, Miguel Marti Masanet, Berta Lopez Montesinos, Maria I. González Fernández, Alfonso de Lossada, Carmen Peral, Mónica Valderrama, Noelia Llevat, María Montoro Álvarez, Immaculada Calvo Penadés

“…Direct costs included medication, specialist and primary care visits, hospitalizations, emergency visits or consultations, surgeries, physiotherapy, and tests. …”
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Move to improve - Prescribing physical activity and deprescribing paracetamol for low back pain: Protocol for a hybrid type III feasibility study by David Roberts, Paulo H Ferreira, Josielli Comachio, Paula R Beckenkamp, Thomas Patterson, Mark Halliday, Emma Kwan-Yee Ho

“…Introduction People experiencing low back pain (LBP) could potentially benefit from multimedia educational resources that integrate self-management strategies and improve awareness of the benefits of staying active and about medications that offer limited benefits, such as paracetamol. Primary care waiting rooms are potential spaces for presenting health promotion resources to improve health literacy through the dissemination of easily accessible health information. …”
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Clinical diagnosis of seasonal influenza by physicians: a retrospective observational study by Hiroyuki Kato, Tadashi Kobayashi, Hiroki Maita, Takashi Akimoto, Fumihiko Matsuoka, Shigeki Funakoshi, Hiroshi Osawa

“…Objective To elucidate the diagnostic accuracy of pretest probability of influenza (%) by physicians and the factors affecting the clinical diagnosis.Design Retrospective, single-centre observational study.Setting A community primary care clinic in Japan.Participants The participants were recruited from a database of studies conducted during the influenza season from December 2017 to April 2019.Primary outcome measure Sensitivity and specificity of the physician’s clinical diagnosis of influenza recorded in the medical record as pretest probability.Results A total of 335 patients (median age, 31 years; male, 66.6%) were analysed in this study. …”
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