From Revolution to Evolution: Early Experience with Virtual-First, Outcomes-Based Primary Care.

Primary care is foundational to health systems and a common good. The workforce is threatened by outdated approaches to organizing work, payment, and technology. Primary care work should be restructured to support a team-based model, optimized to efficiently achieve the best population health outcomes.

Defining the Resident Continuity Clinic Panel Along Patient Outcomes: a Health Equity Opportunity.

Background: Continuity clinics are a critical component of outpatient internal medicine training. Little is known about the population of patients cared for by residents and how these physicians perform.

Objectives: To compare resident and faculty performance on standard population health measures.

The effectiveness of an obstructive sleep apnea screening and treatment program in patients with type 2 diabetes.

Aims: As recommended by current guidelines, we tested the acceptability and impact of screening patients with type 2 diabetes for obstructive sleep apnea (OSA).

Methods: In a large urban primary care practice, we instituted a telephone-based OSA screening program using a validated tool (STOP-BANG) in patients with type 2 diabetes. Patients identified as high risk were referred for diagnostic sleep testing, and those diagnosed with OSA were offered positive airway pressure (PAP) therapy.

Preventive health care among older women in an academic primary care practice.

Purpose: We sought to examine the use of preventive health services among older women and to assess how age and illness burden influence care patterns.

Methods: The charts of 299 women aged > or =80 and 229 women aged 65-79 years who did not have dementia or terminal illness at 1 academic primary care practice in Boston were reviewed between July and December 2005 to determine receipt of screening tests (e.g.