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´óÏóÊÓƵResearch Studies

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Research Studies is a compilation of published research articles funded by ´óÏóÊÓƵor authored by ´óÏóÊÓƵresearchers.

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1 to 4 of 4 Research Studies Displayed
Etz RS, Solid CA, Gonzalez MM
Is primary care ready for a potential new public health emergency in the wake of the COVID-19 pandemic, now subsided?
A study examining primary care capacity and demand from March 2020 to March 2022 surveyed approximately 937 clinicians per survey across multiple specialties. Findings revealed increased patient health burdens, including worsened chronic care management and elevated mental health needs. Clinicians reported longer wait times, staffing shortages, and difficulty meeting patient demands. Many respondents indicated intentions to leave the profession, suggesting an urgent need to address primary care system support to maintain adequate healthcare delivery.
AHRQ-funded; HS028253.
Citation: Etz RS, Solid CA, Gonzalez MM . Is primary care ready for a potential new public health emergency in the wake of the COVID-19 pandemic, now subsided? Fam Pract 2024 Oct 8; 41(5):732-39. doi: 10.1093/fampra/cmae005..
Keywords: COVID-19, Primary Care, Public Health
Sirkin JT, Flanagan E, Tong ST
´óÏóÊÓƵAuthor: Tong ST, McNellis RJ, Bierman AS
Primary care's challenges and responses in the face of the COVID-19 pandemic: insights from AHRQ's learning community.
The purpose of this paper was to review the ´óÏóÊÓƵ’s (AHRQ) learning community organized to engage and support primary care in responding to COVID-19 and provide an opportunity for participants to communicate learning and peer support, improve understanding of the stressors and challenges faced by practices, determine needs, and identify possible solutions to challenges of the pandemic. The researchers identified challenges, responses, and innovations that occurred through the engagement and information sharing of the learning community and categorized them across 5 domains, including: patient-centeredness, clinician and practice, systems and infrastructure, community and public health; and health equity which cut across each of the other domains. The authors concluded that the learning community provided valuable insights for future research and policy, primary care delivery improvement, and ensuring greater preparedness for future challenges.
AHRQ-authored.
Citation: Sirkin JT, Flanagan E, Tong ST . Primary care's challenges and responses in the face of the COVID-19 pandemic: insights from AHRQ's learning community. Ann Fam Med 2023 Jan-Feb; 21(1):76-82. doi: 10.1370/afm.2904..
Keywords: COVID-19, Primary Care, Learning Health Systems, Health Systems, Evidence-Based Practice, Public Health
Livingston CJ, Allison RD, Niebuhr DW
´óÏóÊÓƵAuthor: Niebuhr DW
Preventive medicine physicians and the Centers for Disease Control and Prevention's 6|18 Initiative.
This paper describes the American College of Preventive Medicine (ACPM) and Centers for Disease Control and Prevention (CDC) work done as part of the cooperative 5-year agreement called the 6|18 Initiative to improve population health through primary care and public health integration. This initiative is called 6|18 because its’ aim was to target six common and high-cost health behaviors/conditions with 18 proven interventions. CDC created three different buckets to describe the preventions. The six health behaviors/conditions targeted included reducing tobacco use, control high blood pressure, improve antibiotic use, control asthma, prevent unintended pregnancy, and prevent type 2 diabetes. The initiative aligned recommendations from national and professional societies and focused the guidelines from the U.S. Preventive Services Task Force (USPSTF). After six telephone-moderated discussions of the authors, three themes were developed as to how physicians may perceive the 6|18 interventions. The problems included lack of knowledge/awareness, variations in financial incentives and operational challenges such as time constraints.
AHRQ-authored.
Citation: Livingston CJ, Allison RD, Niebuhr DW . Preventive medicine physicians and the Centers for Disease Control and Prevention's 6|18 Initiative. Am J Prev Med 2019 Jul;57(1):127-33. doi: 10.1016/j.amepre.2019.02.014..
Keywords: Prevention, Primary Care, Public Health, Evidence-Based Practice, U.S. Preventive Services Task Force (USPSTF), Guidelines, Chronic Conditions
Fraze T, Lewis VA, Rodriguez HP
Housing, transportation, and food: how ACOs seek to improve population health by addressing nonmedical needs of patients.
The authors examined how accountable care organizations (ACOs) addressed the nonmedical needs of their patients. They found that ACOs most commonly addressed the need for transportation, housing, and food insecurity, which they identified through the primary care visit or care transformation programs. They concluded that their findings offer insights into how health care organizations such as ACOs integrate themselves with nonmedical organizations.
AHRQ-funded; HS024792.
Citation: Fraze T, Lewis VA, Rodriguez HP . Housing, transportation, and food: how ACOs seek to improve population health by addressing nonmedical needs of patients. Health Aff 2016 Nov;35(11):2109-15. doi: 10.1377/hlthaff.2016.0727.
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Keywords: Social Determinants of Health, Patient-Centered Healthcare, Health Insurance, Healthcare Delivery, Primary Care, Public Health

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