Health Care Utilization After a Visit to a Within-Group Family Physician vs a Walk-In Clinic Physician.

Purpose: Primary care access is a key health system metric, but little research has compared models to provide primary care access when one's regular physician is not available. We compared health system use after a visit with a patient's own family physician group (ie, within-group physician who was not the patient's primary physician) vs a visit with a walk-in clinic physician who was not part of the patient's family physician group.

Methods: We conducted a population-based, retrospective cohort study using administrative data from Ontario, Canada, including all individuals formally enrolled with a family physician, from April 1, 2019 to March 31, 2020.

Virtual Visits With Own Family Physician vs Outside Family Physician and Emergency Department Use.

Importance: Virtual visits became more common after the COVID-19 pandemic, but it is unclear in what context they are best used.

Objective: To investigate whether there was a difference in subsequent emergency department use between patients who had a virtual visit with their own family physician vs those who had virtual visits with an outside physician.

Design, Setting, And Participants: This propensity score-matched cohort study was conducted among all Ontario residents attached to a family physician as of April 1, 2021, who had a virtual family physician visit in the subsequent year (to March 31, 2022).

Walk-in clinic patient characteristics and utilization patterns in Ontario, Canada: a cross-sectional study.

Background: Walk-in clinics are common in North America and are designed to provide acute episodic care without an appointment. We sought to describe a sample of walk-in clinic patients in Ontario, Canada, which is a setting with high levels of primary care attachment.

Methods: We performed a cross-sectional study using health administrative data from 2019.

Up-to-date on cancer screening among Ontario patients seen by walk-in clinic physicians: A retrospective cohort study.

Walk-in clinics are typically viewed as high-volume locations for managing acute issues but also may serve as a location for primary care, including cancer screening, for patients without a family physician. In this population-based cohort study, we compared breast, cervical and colorectal cancer screening up-to-date status for people living in the Canadian province of Ontario who were formally enrolled to a family physician versus those not enrolled but who had at least one encounter with a walk-in clinic physician in the previous year. Using provincial administrative databases, we created two mutually exclusive groups: i) those who were formally enrolled to a family physician, ii) those who were not enrolled but had at least one visit with a walk-in clinic physician from April 1, 2019 to March 31, 2020.

Characteristics and practice patterns of family physicians who provide home visits in Ontario, Canada: a cross-sectional study.

Background: Physician home visits are essential for populations who cannot easily access office-based primary care. The objective of this study was to describe the characteristics, practice patterns and physician-level patient characteristics of Ontario physicians who provide home visits.

Methods: This was a retrospective cross-sectional study, based on health administrative data, of Ontario physicians who provided home visits and their patients, between Jan.

Characteristics and Health Care Use of Patients Attending Virtual Walk-in Clinics in Ontario, Canada: Cross-sectional Analysis.

Background: Funding changes in response to the COVID-19 pandemic supported the growth of direct-to-consumer virtual walk-in clinics in several countries. Little is known about patients who attend virtual walk-in clinics or how these clinics contribute to care continuity and subsequent health care use.

Objective: The objective of the present study was to describe the characteristics and measure the health care use of patients who attended virtual walk-in clinics compared to the general population and a subset that received any virtual family physician visit.

Melatonin for Insomnia in Medical Inpatients: A Narrative Review.

In this narrative review, we describe what is known about non-pharmacological and pharmacological treatments for insomnia in medical inpatients, with a focus on melatonin. Hospital-acquired insomnia is common, resulting in shortened total sleep time and more nighttime awakenings. Sleep disturbance has been shown to increase systemic inflammation, pain, and the likelihood of developing delirium in hospital.

Sensory Delay Activity: More than an Electrophysiological Index of Working Memory Load.

Sustained contralateral delay activity emerges in the retention period of working memory (WM) tasks and has been commonly interpreted as an electrophysiological index of the number of items held in a discrete-capacity WM resource. More recent findings indicate that these visual and tactile components are sensitive to various cognitive operations beyond the storage of discrete items in WM. In this Perspective, we present recent evidence from unisensory and multisensory visual and tactile WM tasks suggesting that, in addition to memory load, sensory delay activity may also be indicative of attentional and executive processes, as well as reflecting the flexible, rather than discrete, allocation of a continuous WM resource.

Drawn to Distraction: Anxiety Impairs Neural Suppression of Known Distractor Features in Visual Search.

When searching for a target, it is possible to suppress the features of a known distractor. This suppression may prevent distractor processing altogether or only after the distractor initially captures attention (i.e.

Fear not! Anxiety biases attentional enhancement of threat without impairing working memory filtering.

Individuals with anxiety have attentional biases toward threat-related distractors. This deficit in attentional control has been shown to impact visual working memory (VWM) filtering efficiency, as anxious individuals inappropriately store threatening distractors in VWM. It remains unclear, however, whether this mis-allocation of memory resources is due to inappropriate attentional enhancement of threatening distractors, or to a failure in suppression.

Electrophysiological correlates of the flexible allocation of visual working memory resources.

Visual working memory is a brief, capacity-limited store of visual information that is involved in a large number of cognitive functions. To guide one's behavior effectively, one must efficiently allocate these limited memory resources across memory items. Previous research has suggested that items are either stored in memory or completely blocked from memory access.

ERP evidence for temporal independence of set size and object updating in object substitution masking.

To keep track of dynamically changing objects in one's environment, it is necessary to individuate them from other objects, both temporally and spatially. Spatially, objects can be selected from nearby distractors using selective attention. Temporally, object updating processes incorporate new information into existing representations over time.

Tuning perception: Visual working memory biases the quality of visual awareness.

Studies of consciousness reveal that it is possible to manipulate subjective awareness of a visual stimulus. For example, items held in visual working memory (VWM) that match target features increase the speed with which the target reaches visual awareness. To examine the effect of VWM on perception, previous studies have mainly used coarse measures of awareness, such as present/absent or forced-choice judgments.