Family medicine
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Multicenter Study
Integrating MOUD and Primary Care: Outcomes of a Multicenter Learning Collaborative.
Opioid use and overdose remain a central and worsening public health emergency in the United States and abroad. Efforts to expand treatment have struggled to match the rising incidence of opioid use disorder (OUD), and treating patients in primary care settings represents one of the most promising opportunities to meet this need. Learning collaboratives (LCs) are one evidence-based strategy to improve implementation of medication treatment for opioid use disorder (MOUD) in primary care. ⋯ Organizations used clinical and systems improvement knowledge to enhance their existing programs or to take steps to create new programs. All participants identified the need for additional staff/clinician training, especially to overcome stigma around OUD. The outcomes demonstrated the crucial importance of long-term organizational support for program success.
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Multicenter Study
The Growing Trend of Health Coaches in Team-Based Primary Care Training A Multicenter Pilot Study.
Team-based care with health coaches has improved the quality and cost effectiveness of chronic disease management and prevention. Clinical health coaches partner with patients to identify health goals, create action plans, overcome barriers to change, reinforce physician recommendations, and coordinate care. It is important to train resident physicians to practice in team-based settings. To date, there have been no studies of resident family physician exposure to health coaches. ⋯ To improve quality, reduce costs, and become more patient centered, primary care is rapidly transforming into a team sport with a broadening roster of new players, including health coaches. This study documents positive rates of resident exposure to health coaches but also great variability in types and amount of exposure that merit further investigation and exploration of ways to grow family medicine residency contact with a diversifying practice team.
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The Future of Family Medicine report advocated experimentation with 4-year residency training models. This study examines residency applicants' opinions about extending the length of residency training and seeks to determine which features of an extended program would be most desirable to applicants. ⋯ Lengthening training to 4 years would have a neutral or positive effect on applicants' interest in family medicine training in Oregon.